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Summary
Pages 3-20

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From page 3...
... This report illustrates how the process of preparing for disasters and the comprehensive array of shortand long-term recovery activities represent a continuum of opportunities that, if exploited thoughtfully, can advance the long-term health, resilience, and sustainability of a community and its residents. Pursuit of this underrealized social goal begins with a vision of a healthy, resilient, and sustainable community and requires a recovery approach that incorporates health considerations into every step of the planning process, informed by an assessment of community health and vulnerability.
From page 4...
... Through this report, the committee endeavors to bring these two stakeholder groups together so that a health lens is applied to disaster recovery planning, and the menu of tools and resources for health improvement planners is expanded to include those associated with disaster planning and recovery activities. The constituents of these two groups include • state, local, tribal, and territorial2 elected and public officials who typically hold leadership roles in emergency management and strategic planning (i.e., governors, mayors, city managers and council members, emergency managers, disaster recovery coordinators)
From page 5...
... can make post-disaster recovery planning more efficient but also ensure that opportunities for community betterment (including health improvement) are not missed.
From page 6...
... This integration is facilitated by involving the health sector in integrated planning activities and by ensuring that decision makers are sensitized to the potential health impacts of all recovery decisions. Implementation: Recovery resources are used in creative and synergistic ways so that the actions of the health sector maximize health outcomes and the actions of other sectors yield co-benefits for health.
From page 7...
... a Although the committee strongly encourages communities to undertake these activities in the pre-disaster period to maximize opportunities for leveraging the post-event recovery process to create healthier and more resilient and sustainable communities, there is still benefit to incorporating them into post-disaster recovery planning if they have not been undertaken beforehand.
From page 8...
... • Elected and public officials, including emergency managers and local disaster recovery managers, should integrate public health officials and health improvement plans into community strategic planning and disaster recovery planning before and after a disaster. To facilitate that integration, the community's needs and plans for health improvement should be reflected in disaster recovery priorities.
From page 9...
... should incentivize emergency management preparedness program grantees to incorporate health considerations into recovery planning by providing grant guidance and technical assistance aligned with HHS guidance. A HEALTH IN ALL POLICIES APPROACH TO DISASTER RECOVERY Intentional consideration of health, including health equity, is needed during recovery to mitigate the negative effects of disasters and seize opportunities to advance population health and well-being.
From page 10...
... Recommendation 2: Integrate Health Considerations into Recovery Decision Making Through the National Disaster Recovery Framework. The committee recommends that the Federal Emergency Management Agency (FEMA)
From page 11...
... Priorities should include • the development of educational materials, including a single overarching federal document that serves as a primer on the recovery process and is easily accessible on the Web regardless of the pathway by which a stakeholder seeks to enter the recovery planning process; • the development of companion guidance documents for state, local, and nongovernmental stakeholders for each of the Recovery Support Functions, providing more detailed descriptions that facilitate stakeholder understanding of available resources, best practices, and the pathways by which they can engage in the pre- and post-disaster recovery planning processes; and • the development of coordinated training programs for stakeholders and their professional societies that raise awareness of threats and opportunities related to health and promote broad stakeholder participation in recovery planning under the NDRF. Training programs should • sensitize stakeholders to the importance of short-term health protection concerns and long-term opportunities to build healthier communities during recovery, highlighting the critical role of each sector in advancing community health, resilience, and sustainability; • strengthen connections among emergency management, public health, community development, community planning, human services, and other stakeholder organizations to better prepare them to work together within the structure of the NDRF to increase the chances that recovery resources will be used for creating healthier communities; and • raise awareness of steady-state community planning processes and administrative structures (partnerships and municipal and civic structures)
From page 12...
... Strategies for enhancing and preserving social networks should be specifi cally included in community health improvement and disaster recovery plans. Before and after a disaster, existing social networks, such as neighborhood associations, should be leveraged to enhance mechanisms for integrating the community into recovery planning.
From page 13...
... Thus, the threat of disaster provides an additional motivating factor for the establishment of health information technology infrastructure. In the event that such systems are not in place before a disaster, however, the recovery process can be leveraged to advance both infrastructure and plans for its use to ensure continuity of care and ongoing community health improvement after an event.
From page 14...
... This plan should be designed to facilitate data sharing and portability of individual health records across health care settings in support of pre- and post-disaster recovery health care planning and optimal recovery of essential infrastructure for medical and behavioral health care, public health, and social services. A disaster both increases human needs in a community and, as a result of disruption to the public health, health care, behavioral health, and social services systems that collectively support human recovery, diminishes a community's capacity to help individual community members and families recover.
From page 15...
... Opportunities to leverage other funding sources, such as the Substance Abuse Prevention and Treatment Block Grant, Community Mental Health Services Block Grant, and Social Services Block Grant, should be evaluated. • Given the scale and range of mental health consequences associated with disasters and the need for local capacity to support long-term behavioral health recovery, the adequacy of the behavioral health workforce to meet disaster-related needs should be enhanced.
From page 16...
... , acting alone or as components of the federal Partnership for Sustainable Communities, should ensure through funding requirements that the use of federal community development and disaster recovery and preparedness funds optimizes the built environment in support of healthy communities by creating places that protect against health threats, promote good health, and address unmet social needs. Local and state planning entities should develop a team-based approach to integrated recovery planning aligned with the policies and processes of the Partnership for Sustainable Communi ties so as to maximize efficiency in the use of federal resources to enhance smart growth, equity, hazard mitigation, resilience, sustainability, and other elements necessary to the creation of healthy communities.
From page 17...
... Building on the National Mitigation Framework, federal agencies, led by the Federal Emergency Management Agency, should immediately intensify their efforts, undertaken collectively and sup ported by aligned funding eligibility requirements, to ensure that all critical infrastructure and facilities -- such as hospitals (public and private) , nursing homes, fire stations, and public utilities -- constructed after a disaster are designed and built with a level of protection that better ensures post-disaster safety and functionality essential to protecting health and recovering more quickly.
From page 18...
... • dentify opportunities for alignment between ongoing public health improvement processes (e.g., ac I creditation prerequisites of community health assessments and community health improvement plans) and recovery planning.
From page 19...
... •  apitalize on existing planning networks to strengthen recovery planning, including attention to public C health, medical, and social services, especially for vulnerable populations. HOUSING SECTOR •  rotect survivors and recovery workers from health hazards associated with unhealthy or unsafe P housing.
From page 20...
... / Framework HHS  3 Facilitate the Engagement of the Whole Community in Disaster DHS Recovery Through Simplified and (FEMA) Accessible Information and Training  4 Enhance and Leverage Social ü ü ü Networks in Community Health Improvement and Recovery Planning  5 Establish Pathways by Which Health ü ü Information Can Inform Recovery Decision Making  6 Leverage Recovery Resources in a ü ü ü ü ü Coordinated Manner to Achieve MULT Healthier Post-Disaster Communities  7 Ensure a Ready Health Information ü ü ü ü Technology Infrastructure HHS  8 Develop a National Disaster ü ü ü ü ü Behavioral Health Policy DHS (FEMA)


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