C-MIST: The Functional Needs Framework

1. C-MIST:The Functional Needs Framework BC Coalition of People with Disabilities

2. PERSON • With a complex set of needs • When needs are met • Person has ability to participate in community and contribute to society

3. PERSON WITH FUNCTIONAL NEEDS • With a complex set of needs • Experiences environmental barriers (physical, social and economic) to having needs met • Remove barriers • Person has ability to participate and contribute

4. Hearing Seeing Breathing Walking and mobility Manipulating objects Speech Communication Learning Understanding People may have limitations in any of the following functional areas:

5. For the purposes of emergency planning and response, the functional needs framework looks at 5 categories: C-MIST • Communication • Medical • Independence • Supervision • Transportation

6. FUNCTIONAL NEEDS - Includes people who: • Have limited or no ability to speak, read or understand English • Have reduced or no ability to speak, see or hear • Have limitations in learning and understanding

7. FUNCTIONAL NEEDS – During an emergency people may not be able to: • Hear verbal announcements • See directional signs to assistance services • Understand the message

8. FUNCTIONAL NEEDS – Includes people who need assistance with: • Activities of daily living - bathing, eating etc. • Managing chronic or contagious health conditions, medications, IV therapy, tube feeds, wounds, catheters, ostomies • Dialysis, oxygen, suction • Operating power dependent equipment

9. FUNCTIONAL NEEDS - During an emergency: • Some people may be separated from family and friends • Early identification of needs and disaster response intervention can avoid costly deterioration of health and functional needs

10. FUNCTIONAL NEEDS – Includes people who use the following to function on a daily basis: • Mobility aids - wheelchairs, walkers, scooters • Communication aids - hearing aids, computers • Medical equipment - oxygen, syringes • Service animals • Medications

11. FUNCTIONAL NEEDS – During an emergency: • Individuals may become separated from their assistive equipment and devices or service animals • Do not separate an individual from their service animal

12. FUNCTIONAL NEEDS - Includes people with any of the following: • Dementia • Alzheimer’s • Depression • Schizophrenia • Anxiety • Transfer trauma • Brain injury • Developmental disabilities • Severe mental illness

13. FUNCTIONAL NEEDS – Includes people who can not drive due to: • Disability • Age • Temporary injury • Poverty • Addiction • Legal restrictions • No access to a vehicle

14. Meeting functional needs requires a few extra steps… • A person who is deaf may need referral to food and lodging + ASL interpretation services • A senior with low vision may need registration and inquiry and psychosocial support + information in large print • A new immigrant with low-proficiency in English may need first aid + interpretation and translation in their first language

15. Using C-MIST as an encompassing tool for planning • It makes no sense to plan separately for each vulnerable population • We need to shift away from “special needs” planning and response • The FNF can be used to plan for the needs of all members of the community • Think ALL HAZARDS ALL PEOPLE

16. EXAMPLE - EVACUATION • Make sure transportation is provided for people without cars. • Ensure that the equipment people need for medical reasons, communication and for functional independence is transported with them.

17. C-MIST Questions & Comments?

18. BC Coalition of People with Disabilities www.bccpd.bc.ca