July 14, 2014 Esmeralda Pereira Office of the Assistant Secretary for Preparedness and Response

1. NCR Disaster Recovery Seminar: Health and Social Services Recovery Support Function July 14, 2014 Esmeralda Pereira Office of the Assistant Secretary for Preparedness and Response U.S. Department of Health and Human Services

2. Mission and Goals HHS/ASPR/OEM’s Division of Recovery seeks to advance the Nation’s ability to recover from the health and social services impacts of emergencies and disasters by: • Coordinating federal health and social services efforts to support communities’ recovery from emergencies and disasters; • Conducting pre-disaster health and social services recovery planning; and • Promoting systematic improvements in health and social services recovery planning and operations

3. Recovery in National Doctrine • In the National Health Security Strategy (2009), Recovery is highlighted in Strategic Objective 8 – Incorporate post-incident health recovery into planning and response • HHS is the Coordinating Agency of the Health and Social Services Recovery Support Function under the National Disaster Recovery Framework. • The mission of the H&SS RSF is for the federal government to assist locally-led recovery efforts in the restoration of the public health, healthcare and social services networks to promote the resilience, health and well-being of affected individuals and communities.

4. The H&SS RSF has 7 Primary and 7 Supporting Agencies Supporting: • U.S. Department of Agriculture • Small Business Administration • Department of Veterans Affairs • Department of Transportation • Department of the Treasury • American Red Cross • National Voluntary Organizations in Disaster Primary: • Department of Homeland Security • Federal Emergency Management Agency • National Protection & Programs Directorate • Civil Rights and Civil Liberties • Corporation for National and Community Service • Department of Education • Department of the Interior • Department of Justice • Department of Labor • Environmental Protection Agency

5. The H&SS RSF has identified 9 Core Mission Areas • Public Health • Healthcare Services • Behavioral Health • Environmental Health • Food Safety and Regulated Medical Products • Long-term Responder Health Issues • Social Services • Disaster Case Management/Referral to Social Services • Children in Disasters (including schools)

6. Some Recent and Current Activities • Post-Disaster: • Last formal activation of the RSF was forHurricane Sandy • But, also involved in flooding in Colorado, Santa Clara Pueblo; tornadoes in Mississippi, Alabama, Arkansas, Oklahoma; California drought; Washington mudslide • Pre-Disaster: • H&SS RSF concept of operations • Regional trainings for federal and non-federal partners • Cadre development and readiness • Exercises including the national Capstone exercise in March/April 2014 • Regional and state planning e.g. Bay Area Catastrophic Earthquake, Virginia, South Dakota • HPP grant reviews and technical assistance

7. Key Points • The National Disaster Recovery Framework comes with no new funding or authorities. • Different states and communities have used different RSF structures. • Pre-disaster relationships are important in recovery, too. The partners you’ll need will be broader than in response. • Look for other planning efforts to build on like community health and preventive health planning. • Health care is a business and often a significant part of the local economy. • Parents can’t get back to work if their children don’t have a safe, dependable place to go. • After a disaster, some people will have new or increased needs, and some people will be accessing services for the first time. Also consider what happens when people are displaced or services are disrupted.

8. Contact Information Esmeralda Pereira Division Director, Recovery, HHS/ASPR/OEM H&SS RSF National Coordinator esmeralda.pereira@hhs.gov 202-205-0065 CDR Betty Hastings, USPHS Region III Recovery Coordinator, HHS/ASPR/OEM elizabeth.hastings@hhs.gov 202-205-3581