Winter is Coming Part Two: Cold Weather & Disasters No November 13th, 2020 Regina Reed, MPH Policy Manager
House Keeping • We will hear from the presenters and then have time for Q&A • Please introduce yourselves in the chat box • Share questions in the chat throughout the presentation • Evaluation survey will be shared at the end of the webinar
PANE NELISTS Noah Patton Housing Policy Analyst, National Low Income Housing Coalition John Gilvar Gilvar Consulting, HUD COVID-19 technical assistance provider Mike Savara Assistant Director of Homeless Services for Oregon Housing and Community Services Jody Rauch , BSN, MA, RN Clinical Quality Lead, Health Care for the Homeless Network Seattle, WA
Noah Patton npatton@nlihc.org • DHRC Working Groups and Calls: https://nlihc.org/covid-19- working-groupcalls • Join the DHRC: https://nlihc.org/disaster-housing-coalition • Latest Best Practices Document on FEMA PA Reimbursement: https://nlihc.org/sites/default/files/FEMA_Housing-Is- Healthcare.pdf
Mike Savara Mike.SAVARA@oregon.gov
HUD’s Winter Planning suite 7
1. Engaging Critical Partners Extend the reach and effectiveness of the winter emergency response by ensuring planning tables are inclusive: Representative of the racial makeup of the populations served by the • homeless system and Include people with lived experience of homelessness. • 8
Partner Role in Planning Engagi En ging g Criti tical Partn tners • Help review set up and operations at shelters to ensure public health standards are met • Determine occupancy requirements for alternative sheltering sites Public Health • Design testing strategies, set up flu clinics and coordinate PPE Create pathways to health care services for people with medical and behavioral health • Healthcare / needs, including those living sheltered or unsheltered who need specialized services. Healthcare for the Homeless Can help to identify new spaces for sheltering, help plan for expansion of sites and • Emergency identify alternative staffing strategies Management Emergency response/outreach resources, skills and experience (local, state, or federal) • Design and inform practical plans for effectively locating, engaging, and sheltering ALL • People with Lived PEOPLE experiencing homelessness this winter. Expertise Outreach Develop an approach to getting those experiencing more severe behavioral health • Providers and challenges into winter shelter facilities. Behavioral Health 9
2. Winter Emergency Planning Adopt a contingency planning approach, which drives collaboration with critical partners PLAN A, B, A, , and C A B C Substantial Baseline Marginal Surge Project Need Surge • Requires whole of • Demand exceeds traditional Community can meet government response capacity shelter needs with • Activation of govt and existing planning & community partners to expand homeless resources new spaces and staff
Plan A Plan B Plan C Projected Need Marginal Surge Substantial Surge HUD’s Winter Planning Projected needs Planning Assumptions Winter Overflow Beds Needed Facilities designated to meet projected demand: Facilities designated to meet surge demand: Facilities designated to meet surge demand: ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] ● [Facility] [Max capacity] Facilities Site adaptations needed: Site adaptations needed: Site adaptations needed: Adaptable to meet Guide communities were Insurance needs: Insurance needs: Insurance needs: they’re at Lead (Name/Contact): Lead (Name/Contact): Lead (Name/Contact): Operational staff plan for Plan A facilities: Operational staff plan for Plan B facilities: Operational staff plan for Plan C facilities: ● [Type] [Quantity] ● [Type] [Quantity] ● [Type] [Quantity] ● [Type] [Quantity] ● [Type] [Quantity] ● [Type] [Quantity] Staffing Security staff: Security staff: Security staff: Lead Name/Contact: Lead Name/Contact: Lead Name/Contact: ● Vendor: ● Vendor: ● Vendor: ● # of vehicles: ● # of vehicles: ● # of vehicles: ● Pick-up locations and schedule: ● Pick-up locations and schedule: ● Pick-up locations and schedule: Transportation ● Transport arranged through: ● Transport arranged through: ● Transport arranged through: Strategy ● COVID mitigation measures needed: ● COVID mitigation measures needed: ● COVID mitigation measures needed: 11 Lead Name/Contact: Lead Name/Contact: Lead Name/Contact:
Winter Planning Functions Es Estim imatin ing Needs (Next Slid Slide) • Various strategies for using existing data to estimate winter beds needed Faci cilities Identify alternative sheltering sites; work with public health to determine • maximum capacity of each facility; prepare for site control St Staffin fing Determine client to staff ratio; consider lead operations person in charge of • preparing and activating all sites Tr Transportation Strategy Develop safe transport options for moving people to/from shelters or from • overcrowded shelters 12
Project ctions • Look back at winter shelter utilization for last three years (Baseline) • Adjust up for additional beds needed due to beds lost in decompression Estimating Need • Adjust up for po poten ential inc ncrea eases es in unsheltered (average year on year increases over last three years, real-time enrollment data or CE assessment data, etc) Re Real-Time Estimates of Potential Incr creases Shelter utilization trends • Analyzing coordinated entry data such as changes in the number of: • o Households seeking assistance; o Assessments completed; o Shelter/street outreach program enrollments; and o Households entering projects from unsheltered situations. 13
Winter Planning Resources • Co Companio mpanion n Resour urce ces • Alternative Approaches to Winter Sheltering During COVID-19 • Creative Staffing Solutions • Personal Protective Equipment (PPE) Burn Rate Calculator • Winter Response Activation and Communications Plan 14
3. Preventing Spread of COVID-19 CoCs, providers, public health authorities, emergency management agencies, and local governments must work collaboratively to adhere to COVID-19 mitigation measures across all winter shelter sites by incorporating three primary strategies: 1. 1. Physical distanci cing 2. 2. Ma Mask sk weari ring ng 3. 3. Enhance ced cl cleaning and disinfect ction 15
The Winter Planning Guide includes links to a series of checklists, which can COVID-19 Preparedness be printed for staff or embedded in operational procedures and protocols. Checklists for Shelters q Physical Distancing, Face Coverings, and Ventilation q Safe Sleeping Protocols q Cleaning and Disinfecting q Bathroom Cleaning Protocols q Symptoms Screening for Staff and Clients q Meal Management q Testing 16
THANK YOU! John Gilvar john@gilvarconsulting.com
Public Health- Seattle and King County Health Care for the Homeless Network Jody Rauch, RN, BSN, MA Clinical Quality Lead
HCHN Agencies Sites HEART Behavioral Environmental Health Health CD-Epi
Winter Shelter Planning Priorities • Engage with Community • Ongoing Weekly Provider Calls • Specific Planning Calls • Increased coordination between Environmental Health, HEART, Agencies, and local jurisdictions • Consults with Ventilation Experts and Certified Industrial Hygienists • Pre-evaluation of possible sites to be used for emergency winter shelters • Emergency Shelter Guidance developed
Q& Q&A
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