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Disaster Action Team Training. Part 1: Client Casework. York County Chapter. York County Chapter. Course Purpose.
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Disaster Action Team Training Part 1: Client Casework York County Chapter York County Chapter
Course Purpose The purpose of this on-line, self-paced course is to prepare Disaster Action Team members to complete client casework accurately when responding to home fires and local disasters York County Chapter
Course Outline • Segment 1: Doing the paperwork! • Segment 2: Reporting to the Chapter York County Chapter
Course Objectives After completing this course, you will be able to: • Prepare client casework accurately • Use forms and referrals to assist clients effectively • Complete Chapter reporting & casework closing York County Chapter
DAT Guidelines Using your DAT Manual to provide emergency assistance Every DAT is provided with: • Chapter Merchant List • National Price List • Referral Agency Form • Confidentiality Form • Disaster Health Services Form • Client Folders Make sure you are using current DAT Guidelines York County Chapter
Disaster Action Team Training Segment 1:Doing the paperwork! Form 901 – Disaster Registration and Case Record York County Chapter
Form 901 - Disaster Registration and Case Record Serves as the case record and basis for referrals and assistance provided to a client Information contained on the Form 901 is entered in the Client Assistance System Use only black or blue ball point pen and PRINT legibly so others can read Form 901 Case Number must be entered on Disbursing Order and Client Assistance Card Authorization York County Chapter
Form 901 - Disaster Registration and Case Record Ask the client for identification (Driver’s License, Utility Bill, or other appropriate document that contains client’s name and address). Most common form used is Driver’s License. Enter the State and last four digits of the DL Number and expiration date, ( PA DL # 5678/ exp. 01/08) York County Chapter
Form 901 - Disaster Registration and Case Record The first line of the Form 901 is for the Head of Household (ask who’s name is on the lease or deed). See next slide for examples for Head of Household with Hispanic and English names. York County Chapter
Head of Household York County Chapter
Form 901 - Disaster Registration and Case Record Pre-disaster address, including Street Number, Street Name, Apt/Unit No., City, County, State, Zip Code. Must be same as shown on identification. York County Chapter
Form 901 - Disaster Registration and Case Record Note: Number of persons listed must coincide with financial assistance provided. NONE List the Name, Age, Sex and Condition of each person living in the household at the time of the disaster. Under others in home section, list all other residents living in the home. If none write NONE. Condition Code: K=Killed I=Injured, M=Missing H=Hospitalized NA=OK or Not Applicable On Local disastersdon’t use Condition CodeUse Ethnicity Code: C= Caucasian, AA= African American, H= Hispanic, A= Asian , O= Others. York County Chapter
Form 901 - Disaster Registration and Case Record Number of persons living in the household Number in household 62 or older Number in household under age 5 Number unemployed as a result of the disaster (where they work was destroyed by disaster) DO NOT ASK for or enter Social Security Numbers York County Chapter
Form 901 - Disaster Registration and Case Record DR Number if assigned DR Name or disaster type: Fire, Flood, etc. Date of disaster Chapter Code: 38444 Service Center Number if assigned York County Chapter
Form 901 - Disaster Registration and Case Record Est. Housing Need: -Permanent -Temporary -None Type of Dwelling -Single Family -Mobile Home -Apartment Ownership -Own -Rent Furnished -Rent Unfurnished Client’s description of damage: -Destroyed/Major/Minor None/Unknown York County Chapter
Form 901 - Disaster Registration and Case Record When asking these two questions, advise client that their answers will not affect the amount of Red Cross emergency assistance provided. Does Client have disaster insurance on structure and/or contents Total Household Income Range York County Chapter
Form 901 - Disaster Registration and Case Record Enter Yourname and date of interview with client List client’s temporary living location (complete address). If a shelter, enter name of shelter. If Motel, list Motel and phone number. Pre-disaster telephone number Alternate telephone number and contact person where client can be reached York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record Brief statement of how family was affected by the disaster: - Time of Disaster AM or PM - Where was the family - what are family’s immediate emergency needs - How many items given. Comfort kits, A-33 dry, stuffed animals, and others Detail emergency assistance provided: - Disbursing Order No., amount, type of assistance - Client Assistance Card No., amount, type of assistance - Referrals - name of agency and type of assistance York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record On Local disasters use the Chapter’s Damage Assessment Report. On National Disasters this block will already be filled in. York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record List any disaster-caused medical needs; such as, injury to persons, loss of medications, medical equipment, etc. on form 1475. Do not enter any confidential medical information on the Form 901; such as, name of medication. This information should be on the 1475 form. If Disaster Health or Mental Health Services are needed for the client, contact the Chapter’s on-call Mental Health or Disaster Health person. This information should be on the 1475 form. Write NONE in this section if there are no disaster related health issues. York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record Leave blank - for Chapter Use Only. If owner, get insurance agents information for building and contents. If renter, insurance agents information for contents only and landlord ‘s name and phone number. You must fill out a release of specific confidentialinformation,in order for us to contact these people. York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record Enter page and co-ordinates from ADC Map Book (Page 13 D-12) For DAT, enter “Local Referral Agencies” on the line titled “Others” Review Form 901 with client and ask client to sign and date You then sign and date as the “Interviewer” York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record This Release of Confidential Information applies only to National Disasters having a Presidential declaration. DAT should leave blank – no signatures. For Chapter Use Only Entries in this section relate to actions occurring after the interview is complete. Begin each entry with the date and end with signature of person making entry. York County Chapter
1 3 4 5 7 8 9 Form 901 - Disaster Registration and Case Record Distribution of Copies Original Form 901 to Chapter No copy to Client York County Chapter