STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

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CHAPTER 4: human servicesStrategic Objective 3.4Address the needs, strengths, and abilities ofvulnerable populations.HHS is committed to addressing the needs, strengths,and abilities of vulnerable populations, includingpeople with disabilities, American Indians and AlaskaNatives, refugees and other entrants, victims of humantrafficking, persons experiencing homelessness, andpeople affected by natural or manmade disasters. ACF,AoA, CDC, OCR, OD, and SAMHSA have developedprograms and initiatives tailored for these particularlyvulnerable populations. The two selected performanceindicators at the end of this chapter that focus on thisissue look at services provided to homebound olderpeople and newly arrived refugees. Below are a few ofthe Department’s efforts.People With DisabilitiesA number of interagency collaborations have developedto support the economic independence and socialwell-being of people with physical, sensory, behavioral,cognitive, and developmental disabilities. One is thejoint planning effort between AoA, CMS, HRSA, IHS,NIH, OCR, OD, SAMHSA, and non-Federal organizations,including State developmental disability agencies, longtermcare providers, tribal governments, State and localagencies on aging, and State and local Medicaid agencies.These agencies and organizations work to increasethe independence and quality of life of persons withdisabilities, including those with long-term care needs.Another collaboration, the Committee for Employeeswith Disabilities, with representation from 14 HHSoperating and staff divisions, represents the issuesand needs of the Department’s employees withdisabilities; provides proactive advice, guidance,and recommendations to the Secretary in planning,implementing, monitoring, and evaluating theDepartment’s affirmative action program onemployment of individuals with disabilities; and servesas a focal point for the concerns of employees withdisabilities on matters affecting their employment tohelp resolve Departmentwide problems in this area.104 HHS Strategic Plan FY 2007-2012
CHAPTER 4: human servicesAmerican Indians and Alaska NativesThe Administration for Native Americans (ANA) promoteseconomic and social self-sufficiency for American Indians,Alaska Natives, Native Hawaiians, and other Native PacificIslanders by providing funding for community-based shorttermprojects through three competitive discretionarygrant programs to eligible tribes and nonprofit NativeAmerican organizations. The three program areas areSocial and Economic Development Strategies for NativeAmericans; Native Language Preservation and Maintenance;and Environmental Regulatory Enhancement, which focuseson building the capacity to identify, plan, and developenvironmental programs consistent with Native culture.Coordination with HHS is fostered by the IntradepartmentalCouncil on Native American Affairs, cochaired by theDirector of IHS and the Commissioner for the ANA. Thepurposes of the Council are to develop and promotepolicies to provide greater access and quality services forAmerican Indians and Alaska Natives; identify and developlegislative, administrative, and regulatory proposals thatpromote effective policy; develop a comprehensive strategythat promotes self-sufficiency and self-determination;promote the tribal/Federal Government-to-governmentrelationships on a Departmentwide basis; and ensure thatthe HHS policy on tribal consultation is implemented byall HHS divisions and offices. Within HHS, all operatingdivisions and many staff divisions are engaged in thisimportant collaborative effort.People Affected by DisastersFor victims of natural disasters, immediate priorities areaccess to water, food, shelter, medical care, and security. Asindividuals attempt to recover and rebuild their lives, theymust also contend with stressors on their mental health,which can linger for weeks or months. Almost everyonewho lives through disastrous events experiences feelingsof sadness and depression. Depending on the individual,these feelings can vary in intensity and duration. This is truenot only for the residents of the cities and towns devastatedby natural disasters, but also for the thousands of rescueworkers, emergency medical personnel, and disasterrecovery experts engaged in search-and-rescue operations.SAMHSA is focused on providing resources to aid inthe recovery process, to assist both the people in areasdamaged by natural disasters and the workers whoare taking care of them. SAMHSA’s Disaster TechnicalAssistance Center helps ensure that our Nation isprepared and able to respond rapidly when eventsincrease the need for trauma-related mental health andsubstance abuse services.AoA offers a comprehensive set of technical assistancematerials to help prepare and plan for the managementof major emergencies or disaster events. AoA hasdeveloped a technical assistance guide, which includesmany tools to assist those with the responsibility forthe safety and continued independence of the Nation’solder population. The guide helps State agencies andlocal providers work through the intricate planning andcollaborative efforts needed in an emergency. Usingthis guide, emergency teams will be ready to begin workimmediately should a disaster or emergency occur.The Office on Disability, in conjunction with ASPR andACF’s Administration on Developmental Disabilities,has implemented and monitored the use of a disabilitybasedtoolkit, shelter assessment tool, and public healthstaff training modules. Together with the HIPAA Privacydecision tool for emergency preparedness planning, createdby OCR, these resources ensure that the needs of personswith disabilities are understood by first responders andother emergency response providers at the Federal, State,and local levels during all emergency situations.Interruptions in child care services during an influenzapandemic may cause conflicts for working parentsthat could result in high absenteeism in workplaces.Some of that absenteeism could be expected to affectpersonnel and workplaces that are critical to theemergency response system. A checklist created byCDC will help child care and preschool programsprepare for the effects of a flu pandemic and will helpthem protect the health of their staff and the childrenand families they serve. Many of these steps can alsohelp in other types of emergencies.For more information on this topic, see In the Spotlight:Emergency Preparedness, Prevention, and Response.HHS Strategic Plan FY 2007-2012105
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Appendix h: endnotesXXX.CDC. (2005)
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