The Changing Paradigm in Emergency Management Preparing for People with Disabilities Richard Devylder Richard Devylder is a Special Advisor to the Director at the California Governor’s Office of Emergency Services According to the U.S. Census of 2000 there are over 49 million people five-years of age or over in the United States and almost 6 million in California who identify as having a disability. The Census estimates that by 2010 the number of individuals with disabilities will exceed 11 million, in California. It is imperative based on lessons documented in recent disasters, the integration of people with disabilities into community living and an aging population that the paradigm of emergency planning and responding change. “… as we watched the stunning spectacle of people dying of starvation and thirst in the streets of an American city that seemed to have been abandoned by every form of government, I was struck time and again at the fact that while race had become “visible,” disability had not—even though we were watching the deaths of so many people with disabilities. … It is not that their disabilities were invisible; paradoxically, it was quite the contrary. Who among us can forget that iconic image of the dead woman in the wheelchair outside the Superdome, covered only in a blanket? That might well have been the very symbol of Katrina’s devastation in New Orleans, the wheelchair—not the woman, who was not visible, but the wheelchair itself. For if you used a wheelchair, and you lived in New Orleans in late August, you were very likely subject to something I will not hesitate to call terror.” (Berube 2005) It is the “woman in the wheelchair” and so many other individuals with disabilities across this country that have lost their lives in disasters that began to stir Californian’s with disabilities to take action and advocate for change in emergency management systems. What is the Paradigm PLANNING OLD: Not Enough Emphasis Placed on People with Disabilities & Service Organizations Not Enough Emphasis Placed on Accessible Transportation Providers Segregation of Needs and Resources in Emergency Management Plans NEW: Inclusion of People with Disabilities & Service Organizations Inclusion of Accessible Transportation Providers Integration of Needs and Resources in Emergency Management Plans SERVICES OLD: Medical only Functional Needs Viewed as Medical Problems NEW: Prepared to Address Functional Needs Expert Assessments Meet Essential Needs RESOURCE MANAGEMENT OLD: Wheelchair Accessible Vehicles Not in Evacuation Plans Durable Medical Equipment, Consumable Medical Supplies, and Accessible Cots Not in Cache NEW: Wheelchair Accessible Vehicles Incorporated in Evacuation Plans Durable Medical Equipment, Consumable Medical Supplies, and Standard Accessible Cots in Cache SHELTERING OLD: Sheltering people with disabilities and activity limitations in Special Needs/Medical Shelter Facilities & Temporary Structures Not Accessible NEW: Sheltering people with disabilities and activity limitations in General Population Shelter Facilities & Temporary Structures Required and/or Retrofitted to become Accessible LANGUAGE OLD: Special Needs Vulnerable Populations NEW: Functional Needs People with Disabilities and Activity Limitations OUTCOMES OLD: Increased number of deaths, medical problems …. NEW: Improved ability to maintain independence, health and safety VALUES OLD: People with Disabilities are Viewed as Collateral NEW: People with Disabilities and Activity Limitations Recognized as a Significant Part of the Population, and Valued as a Person COMPLIANCE WITH CIVIL RIGHTS LAW OLD: Communication, Facilities, Materials and Services Are Not Accessible NEW: Communication, Facilities, Materials and Services Are Accessible In order to change the paradigm it is important to understand who is involved and how they operate. It is important to consider that there isn’t a “disability community”, as the needs of disability groups are diverse and unique. The disability groups have diverse opinions and approaches to resolving issues and changing systems. For the disability groups, change isn’t just about testifying at hearings, writing letters or holding rallies at the State Capitol; it is about changing the paradigm of planning and responding to become a process that is inclusive of the community. Emergency management is diverse and doesn’t fall under a single authority but exists at local, state and federal levels. Disasters occur and initial response is at a local level. Emergency management is based in California on the Standardized Emergency Management System and National Incident Management System, and planning does not typically include representation outside of government agencies that have established roles and responsibilities during disasters and recovery. The diversity of the disability groups and its leadership, and the established emergency management systems, brings natural confusion for both, as to who are the leaders to engage and how to make meaningful change in planning, systems and operations. Changing the Paradigm In September 2006, Governor Schwarzenegger signed SB 1451 by Senator Christine Kehoe (D-San Diego), which required the Office of Emergency Services (OES) to ensure that members of the disability community are represented on all pertinent committees of the Standardized Emergency Management Systems (SEMS). In the press release announcing the enactment of SB 1451 Governor Schwarzenegger states “September 11th and Hurricane Katrina were wake up calls for emergency planners and these tragic disasters helped us become better prepared today than ever before. I am proud to sign this legislation, which takes into account the unique needs of persons with disabilities during an emergency, such as access to transportation and life-saving medications,”…… “There is much that California has done and continues to do to strengthen its preparedness. It’s also important that every family, every business and every school also have their own emergency plan.” The bill sponsor was the California Council for the Blind (CCB) and was a victory for disability rights advocates across California and the first step in changing the paradigm. The bill now places individuals with disabilities within the State level planning structure addressing communication, evacuation/transportation, sheltering and recovery. The disability community understood that being part of planning committees wasn’t enough since most decisions and policies are made at the executive level within the structure of day-to-day operations. Therefore, the next step was getting an executive level position established within State government to reshape emergency management systems, policies and practices in communicating, evacuating and sheltering Californian’s with disabilities. In 2007, Senator Kehoe introduced SB 426, sponsored by the California Foundation for Independent Living Centers (CFILC), intended to create the position of Deputy Director for Access and Functional Needs Coordination within OES. Although, the bill did not make it through the legislative process, it did elevate the concept and importance of such a position being established. In January 2008, the director of OES, Henry Renteria, created the Office for Access and Functional Needs (OAFN). The purpose of OAFN is to identify needs of people with disabilities before, during and after a disaster, and integrate disability needs and resources into all aspects of emergency management systems. The establishment of OAFN is vital in moving forward to address the needs of Californian’s with disabilities in planning and response at a State level, and offering guidance and technical assistance to local governments, and when requested to Community Based Organizations (CBO), private sector, and others. With these significant changes at the State, the real success will be measured by how the paradigm changes with local jurisdictions. During the October 2007 fires, the level of preparedness varied amongst local jurisdictions and significant planning for people with disabilities remains. Ultimately, the communities rose to the occasion and, although many individuals and organizations/departments were not part of the “master plan”, they still played major roles in assisting residents with disabilities. Change will not occur through legislation or “unfunded mandates”, but a commitment by those responsible for emergency management planning and disability service organizations/departments to integrate their cultures and develop a collaborative working relationship on the issues. There is a lot to consider in the statement “NOTHING ABOUT US, WITHOUT US” which is often heard in the disability community. Very simply, integration not segregation will ultimately change the paradigm of all aspects of emergency management systems.