National Commission on Children and Disasters. 2010 Report to the ...

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• Include bereavement support and education within services typically DHS/FEMA provided under the CCP. HHS 2.5 Congress should establish a single, flexible grant funding mechanism to specifically support the delivery of mental health treatment services that address the full spectrum of behavioral health needs of children including treatment of disasterrelated adjustment difficulties, psychiatric disorders, and substance abuse. X 3. Child Physical Health Relevant Federal Agencies President 3.1: Congress, HHS and DHS/FEMA should ensure availability and access to pediatric medical countermeasures (MCM) at the Federal, State, and local levels for chemical, biological, radiological, nuclear, and DHS/FEMA explosive threats. X HHS • Provide funding and grant guidance for the development, acquisition, and stockpiling of MCM specifically for children for inclusion in the Strategic <strong>National</strong> Stockpile (SNS) and all other federally funded caches, including those funded by DHS/FEMA. X HHS • Amend the Emergency Use Authorization to allow the FDA, at the direction of the HHS Secretary, to authorize pediatric indications of MCM for emergency use before an emergency is known or imminent. X • Form a standing advisory body of Federal partners and external experts to advise the HHS Secretary and provide expert consensus on issues pertaining specifically to pediatric emergency MCM. HHS 144 NATIONAL COMMISSION ON CHILDREN AND DISASTERS: 2010 REPORT States, Congress Tribes, Territories and Localities Relevant Federal Agencies States, Tribes, Territories, and Localities Non-Governmental Entities
Relevant Federal Agencies President States, Congress Tribes, Territories and Localities Relevant Federal Agencies • Within the HHS Biomedical Advanced Research and Development Authority, designate a pediatric leader and establish a pediatric and obstetric working group to conduct gap analyses and make research recommendations. HHS • Include pediatric expertise on the HHS Enterprise Governance Board or its successor and all relevant committees and working groups addressing issues pertaining to MCM. HHS • Establish a partnership between the proposed MCM Development Leader and key pediatric stakeholders both within and outside government. HHS 3.2: HHS and DoD should enhance the pediatric capabilities of their disaster medical response teams through the integration of pediatric-specific training, HHS guidance, exercises, supplies, and personnel. X DoD • HHS should develop pediatric capabilities within each <strong>National</strong> Disaster Medical System (NDMS) region. HHS • HHS should establish a “reserve pool” of pediatric health care workers to assist in NDMS disaster response. HHS • HHS and DoD should establish a Pediatric Health Care Coordinator on each disaster medical response team and develop strategies to recruit and retain team HHS members with pediatric medical expertise. DoD States, Tribes, Territories and Localities Non-Governmental Entities 3.3: HHS should ensure that health professionals who may treat children during a disaster have adequate pediatric disaster HHS clinical training. DoD X X NATIONAL COMMISSION ON CHILDREN AND DISASTERS: 2010 REPORT 145
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NATIONAL COMMISSION ON CHILDREN AND
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ii The 2010 Report to the President
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Each new disaster presents distinct
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Contents Abbreviations.............
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EMSC Emergency Medical Services for
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Background The National</st
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Recommendation 1.2: The President s
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- Include pediatric expertise on th
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Recommendation 4.3: HHS should deve
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8. Child Welfare and Juvenile Justi
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11. Evacuation Recommendation 11.1:
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1. Disaster Management and Recovery
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A major impediment to the prioritiz
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children are a core consideration i
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Recommendation 1.2: The President s
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Recommendation 1.3: DHS/FEMA should
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The Commission rec
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2. Mental Health Recommendation 2.1
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2. Mental Health Recommendation 2.1
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The Commission rec
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Recommendation 2.4: DHS/FEMA and SA
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urden on affected States and commun
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types of [enhanced] crisis counseli
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elated adjustment difficulties such
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46 NATIONAL COMMISSION ON CHILDREN
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children are largely unavailable or
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children may take several years, th
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As highlighted in the Commi
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Recommendation 3.3: HHS should ensu
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Recommendation 3.4: The Executive B
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Notwithstanding the need for greate
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Finally, the Commission</st
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4. Emergency Medical Services and P
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4. Emergency Medical Services and P
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Recommendation 4.2: Improve the cap
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In addition, the Commission
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NDMS and DoD are not the only entit
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5. Disaster Case Management Recomme
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5. Disaster Case Management Recomme
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Not all disasters will involve disa
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The Commission rec
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In response to the Commissi
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Finally, the Commission</st
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eport, the chronic shortage of pedi
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expertise. 272 While most school di
Page 100 and 101: Recommendation 7.2: Congress and ED
Page 102 and 103: Recommendation 7.3: Ensure that sch
Page 104 and 105: Another mechanism through which the
Page 106 and 107: sources. 303 Without comprehensive
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Page 110 and 111: . Respond to new child welfare case
Page 112 and 113: Recommendation 8.2: Ensure that Sta
Page 114 and 115: The Commission sup
Page 116 and 117: Toward the goal of ensuring that ju
Page 120 and 121: evisions to the standards were need
Page 123 and 124: 10. Housing Recommendation 10.1: Pr
Page 125 and 126: 10. Housing Recommendation 10.1: Pr
Page 127 and 128: corresponding tasks related to the
Page 129: Finally, the Commission</st
Page 134 and 135: evacuees. 382 States also have the
Page 136 and 137: The Commission sup
Page 138 and 139: Recommendation 11.2: Disaster plans
Page 140 and 141: planning for the evacuation of scho
Page 144 and 145: Appendix A. Study Approach The <str
Page 146 and 147: Appendix B: Index to Recommendation
Page 152 and 153: Relevant Federal Agencies President
Page 156 and 157: • DHS/FEMA should clarify the tra
Page 158 and 159: ● Relevant Federal Agencies Presi
Page 162 and 163: • Congress should authorize DHS/F
Page 164 and 165: Appendix C: Model Executive Order o
Page 166 and 167: 2. Children and Disasters Advisory
Page 168 and 169: • Support disaster plans, trainin
Page 170 and 171: • When children exhibit signs of
Page 172 and 173: Appendix F. Supplies for Infants an
Page 174 and 175: Non-Perishable Supplies & Equipment
Page 176 and 177: Supplemental Information Descriptio
Page 178 and 179: Appendix G. Subcommittee Members an
Page 180 and 181: Richard Muth, National</str
Page 182 and 183: Also, the Commission</stron
Page 184 and 185: Children’s Research Center^ Churc
Page 186 and 187: Planning and Learning Technologies,
Page 188 and 189: Honorable Sheila Leslie Appointed t
Page 190 and 191: Honorable Mark K. Shriver, MPA Chai
Page 192: NATIONAL COMMISSION ON CHILDREN AND
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