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2. Cambridge APC Introduction APC Road Show Billings Montana July 2009

3. Cambridge APC Multi-disciplinary team Continual engagement in Assessment of preparedness needs and gaps Generation of solutions for local public health Promotion of APC program and products Utilizing learning laboratory

4. PHP Region 4b Community Characteristics • Population of communities range from 7,261 to 101, 355 residents • Great diversity in local government structures • Public health departments range from 2 to 63 full time employees

5. Local Preparedness Planning Realities • Federal/state mandates for local public health emergency response planning • Limited capacity and training of local public health departments

6. MAVEN Exercise Evaluation Training Epidemiology Just in Time Training Health Data Reports Tool Product Recall tool Alternate Care Site Signs Decontamination Unit Signs Decontamination Unit Pocket Communicator Pictograms for Infectious disease screening tool Cambridge APC Tools in development

7. Cambridge Session Focus • Regional Dispensing Sites • Planning • Communication Tools • Trainings • Personal Preparedness Training Materials

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9. Practical Tools for Point-of-Dispensing Site Trainingand Client Communication APC Road Show Billings Montana July 2009

10. Who we areDispensing Site PlanningPictogram Development Trainings for Dispensing SitesPersonal PreparednessFuture Products

11. Who we areDispensing Site PlanningPictogram Development Trainings for Dispensing SitesPersonal PreparednessFuture Products

12. Getting to know you How prepared is your general population? Who are your vulnerable populations? What methods do you use for dispensing sites?

13. Cambridge APC Multi-disciplinary team Continual engagement in Assessment of preparedness needs and gaps Generation of solutions for local public health Promotion of APC program and products Utilizing learning laboratory

14. Massachusetts Public Health Emergency Preparedness Regions

16. PHP Region 4b Community Characteristics • Population of communities range from 7,261 to 101, 355 residents • Great diversity in local government structures • Public health departments range from 2 to 63 full time employees

17. Local Preparedness Planning Realities • Federal/state mandates for local public health emergency response planning • Limited capacity and training of local public health departments

18. Cambridge APC Products • Regional Dispensing Sites • Planning • Communication Tools • Trainings • Evaluation • Mutual Aid for Public Health • Model legislation for regionalization • Regional Epidemiology

19. Who are we?Dispensing Site PlanningPictogram DevelopmentTrainings for Dispensing SitesPersonal PreparednessFuture Products

20. Prepare Clients for POD Experience • Information: • What will happen • How will it happen • What they will be asked • Delivery: • Perceive • Understand • Personally Applicable

21. Special Effort for Special Populations • Identify the groups within the at-risk population with special needs • Determine resources available/needed to serve these groups • Initiate the special populations plan

22. Population Vulnerability • Physical disability • Cognitive disability • Language barrier (e.g., English, literacy) • Conditional impairments • Mental noise • Environmental barriers • Trust • Knowledge barriers

23. A Preparedness Paradigm Shift • Many will be “vulnerable” in an emergency • Specialized services deters those with “special needs” • Specialized preparedness is unsustainable for local health Access Umbrella

24. Universal Design in Our Lives Source: http://www.design.ncsuedu/cud/about_ud/udprincipleshtmlformat.html#top

25. Making Dispensing Sites Universally Accessible • Physically accessible • Information to communicate to many • Information to exchange interpersonally

26. Universal De-SIGN Communicate through trusted sources Identify station purpose with a picture Simple one-word station description Provide language translation

27. Mass Communication: Signage • Outlines Service & Process information • Identifies station purpose • Improves efficiency • Decreases anxiety • Expands usability • Increases access to service

29. Pocket Communicator • Worker to client • Internal communication tool • Clerical & clinical functions • Does not replace other forms of communication

30. Language Barriers • Identifies barriers early • Provides client with visual reassurance • Affords easier access to translation

31. Provide Directions “Please go to the blue Children area.”

32. Key Concepts

33. Cambridge APC Sign Requests

34. Who are we?Dispensing Site PlanningPictogram DevelopmentTrainings for Dispensing Sites Personal PreparednessFuture Products

35. Behavioral Health? Mental Health Counseling Behavioral Health Support

36. Children – before

37. Children – after

38. Who are we?Dispensing Site PlanningPictogram DevelopmentTrainings for Dispensing SitesPersonal PreparednessFuture Products

39. Session 1 The Mechanics

40. Lesson Framework

41. Goal & Objectives • Knowledge • Job Action Sheets • Incident Command/Management Principles • Fundamental Tasks • Skills • Serving clients with varying language, physical, and cognitive abilities • Teamwork

45. Session 2: Facilitating Clients

49. Training Outcomes • Knowledge • Skills • Teamwork

50. Training Resources Trainer guide Training materials Evaluation tools