Emergency Social Service Level Classifications

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CITY OF TORONTO EMERGENCY PLAN

Emergency Support

Function

Emergency Social Services

Office of Emergency Management

Version 4.0

December 2015

Table of Contents

1.0

Introduction ........................................................................................................... 5

1.1

Purpose ........................................................................................................... 5

1.2

Scope .............................................................................................................. 5

2.0

Concept of Operations .......................................................................................... 5

2.1

General ........................................................................................................... 5

2.2

Emergency Level Notifications ........................................................................ 6

2.3

Emergency Social Service Level Classifications ............................................. 6

2.3.1

Notification Response ........................................................................ 6

2.3.2

Curbside Response ........................................................................... 6

2.3.3

Emergency Reception Centre Response ........................................... 6

2.4

Incident Management System ......................................................................... 7

2.5

Services Provided ........................................................................................... 7

2.5.1

Standard Services ............................................................................. 7

2.5.2

Specialized Services .......................................................................... 8

2.6

Eligibility and Length of Support Provided ..................................................... 10

2.7

Emergency Incident Building Repair Committee ........................................... 10

3.0

Roles and Responsibilities ................................................................................. 10

3.1

Primary/Lead/Division ................................................................................... 11

3.1.1

Office of Emergency Management .................................................. 11

3.2

Supporting Agency/Division .......................................................................... 11

3.2.1

311 Toronto ..................................................................................... 11

3.2.2

Corporate Security ........................................................................... 11

3.2.3

Information & Technology ................................................................ 11

3.2.4

Long-Term Care Homes and Services (LTCHS) ............................. 11

3.2.5

Municipal Licensing and Standards Division, Toronto Animal Services

......................................................................................................... 12

3.2.6

Parks, Forestry & Recreation, Community Recreation Branch ........ 12

3.2.7

Shelter, Support and Housing Administration .................................. 12

3.2.8

Social Development, Finance, and Administration ........................... 12

3.2.9

Solid Waste Management ................................................................ 13

3.2.10

Strategic Communications ............................................................... 13

3.2.11

Toronto Building ............................................................................... 13

3.2.12

Toronto Children’s Services ............................................................. 13

3.2.13

Toronto Employment and Social Services ....................................... 13

3.2.14

Toronto Fire Services ...................................................................... 14

3.2.15

Toronto Office of Partnerships ......................................................... 14

3.2.16

Toronto Paramedic Services ............................................................ 14

3.2.17

Toronto Community Housing Corporation........................................ 14

Emergency Social Services Emergency Support Function 2

3.2.18

Toronto Public Health ...................................................................... 14

3.2.19

Toronto Public Library ...................................................................... 14

3.3

External Supporting Agency/Division ............................................................ 15

3.3.1

Canadian Red Cross ....................................................................... 15

3.3.2

Community Care Access Centres .................................................... 15

3.3.3

Greater Toronto Hotel Association ................................................... 15

3.3.4

Local Health Integration Networks ................................................... 15

3.3.5

Insurance Bureau of Canada ........................................................... 15

3.3.6

Landlords/Building Owners .............................................................. 15

3.3.7

St. John Ambulance ......................................................................... 16

3.3.8

Salvation Army ................................................................................. 16

3.3.9

Toronto Police Service ..................................................................... 16

3.3.10

Toronto Transit Commission ............................................................ 16

3.3.11

Toronto School Boards .................................................................... 16

4.0

Revision History .................................................................................................. 17

Emergency Social Services Emergency Support Function 3

Emergency Support Function

Emergency Social Services

Primary / Lead Agency / Division: Office of Emergency Management

Supporting Agencies / Divisions: 311 Toronto

(ABCCDs) Corporate Security

Information & Technology

Long-Term Care Homes and Services

Municipal Licensing and Standards

Parks, Forestry & Recreation

Shelter, Support and Housing Administration

Social Development, Finance and Administration

Solid Waste Management Services

Strategic Communications

Toronto Building

Toronto Children’s Services

Toronto Employment and Social Services

Toronto Fire Services

Toronto Office of Partnerships

Toronto Paramedic Services

Toronto Community Housing Corporation

Toronto Public Health

Toronto Public Library

External Supporting Agencies / Canadian Red Cross

Divisions: Community Care Access Centres (Toronto Central,

Central, Central West, Mississauga, Halton and

Central East)

Greater Toronto Hotel Association

Local Health Integration Networks (Toronto Central,

Central, Central West, Mississauga, Halton and

Central East)

Insurance Bureau of Canada

Salvation Army

St. John Ambulance

Toronto Police Service

Toronto Transit Commission

Toronto School Boards

Emergency Social Services Emergency Support Function 4

1.0 Introduction

Emergency Support Functions are supporting documents to the City of Toronto

Emergency Plan. While these are stand-alone documents not contained in the

Emergency Plan they provide the structure and framework for integrated support by

Lead and Supporting Agencies, Boards, Commissions, Corporations and Divisions

(ABCCDs) in the most frequently grouped operational functions responding to emergencies.

1.1 Purpose

The Office of Emergency Management has responsibility for the development of the

Emergency Social Services Emergency Support Function. This Emergency Support

Function outlines the response provided when residents are displaced or otherwise affected by an emergency.

1.2 Scope

This Emergency Support Function guides the Emergency Social Services response provided during Level 1 – Incidents up to Level 3 – Major Emergency (as defined in the

Emergency Level Notifications Emergency Support Function). It:

Defines Emergency Social Services Level classifications

Describes the services that are offered and how they will be provided, and

Summarizes the roles of Emergency Social Services Responders

This Emergency Support Function does not include services for people who require immediate medical care. When evacuees who need immediate medical assistance are identified, services are provided by Toronto Paramedic Services through 911 calls and other procedures. Long-term housing is also outside the scope of this Emergency

Support Function.

2.0 Concept of Operations

2.1 General

This Emergency Support Function will be activated when an Emergency Social Services response is required.

Emergency Social Services are provided in response to the urgent needs of people and their pets and service animals once they have been removed from danger as a result of an emergency in their community.

The City uses available resources – staff and facilities – to provide Emergency Social

Services in times of need. Primary services provided include: emergency accommodation, food, clothing, registration and inquiries and personal support services.

Emergency Social Services Emergency Support Function 5

During an emergency, evacuees can experience a range of reactions. These may limit their capacity to cope effectively and seek out and get the help they need during an emergency. Most evacuees are able to make plans and arrangements to look after themselves in a short period of time. However, some people may not be able to make plans to look after themselves and they may be unable to access services without assistance. The Emergency Social Services Emergency Support Function includes specialized services to assist residents with decision making and accessing Emergency

Social Services.

2.2 Emergency Level Notifications

The Emergency Level Notifications Emergency Support Function defines the

Emergency Response level of an incident and the responsibilities of the Office of

Emergency Management and other responders.

Emergency social services responses are mapped to Emergency Levels.

2.3 Emergency Social Service Level Classifications

Notification Response

This response is activated for geographically dispersed incidents, where residents are advised to stay in their homes (e.g. power outage) and there are no extenuating circumstances such as extreme weather conditions. During

Notification responses, residents shelter in place. Community Care Access

Centres contact identified clients who may be at risk. Public messaging encourages local networks and residents to reach out to people who may be vulnerable.

Notification responses are classified as Level 1 Incidents.

Curbside Response

This response is activated for when residents have been evacuated from their homes and there is no extreme weather. Curbside responses may involve a small number of households (up to 15 persons) or an evacuation that is forecast to last for a short period of time (less than 12 hours).

Curbside responses are classified as Level 1 Incidents.

Emergency Reception Centre Response

This response is activated in incidents that involve larger numbers of evacuees, and it is difficult to forecast the length of the evacuation. This response may also be activated to open a Family Assistance Centre when the Mass Fatality or Mass

Casualty Emergency Support Functions are activated.

Emergency Reception Centres are operated at accessible locations close to the site of the incident, as appropriate, usually at a City community centre

Emergency Social Services Emergency Support Function 6

Reception Centre services depend upon the complexity of the response and available resources, ranging from information and referral up to and including temporary overnight accommodation and meals.

Emergency Reception Centre Responses are classified as Level 2 Emergency or

Level 3 Major Emergency , depending on the range of services required and the duration or the magnitude of the response.

2.4 Incident Management System

Emergency Social Services responses are guided by the Incident Management System

Emergency Support Function. The Incident Management System provides an effective, flexible, and consistent structure and process that is scalable to manage incidents by all levels of government, emergency response organizations, communities, ministries, nongovernment organizations, and the private sector.

The Incident Management System Emergency Support Function guides the activities of the Emergency Operations Centre, which may be activated in an Emergency Social

Services response. It is implemented when the Office of Emergency Management and/or the Emergency Operations Centre is required to provide any one or a combination of the following:

Effective policy and strategic direction to the emergency;

Support of emergency operations at the site(s)

Consequence management;

Resource management;

Coordination of management linkages to the emergency site, Divisional

Operations Centre, external agencies and the Provincial Emergency Operations

Centre;

Information to the public and news media; and

Business continuity for the rest of the City.

2.5 Services Provided

The Emergency Social Services response consists of standard and specialized services. The specific nature of the incident will determine the services provided. The

Office of Emergency Management or the Emergency Operations Centre coordinates the response. Services are provided and/or facilitated by pre-identified Emergency Social

Services Responders with pre-determined roles.

Standard Services

Standard services are provided to meet basic needs of people and their service animals and pets when they are out of immediate danger due an emergency situation.

Emergency Social Services Emergency Support Function 7

Services include:

Evacuee registration

Inquiries (family reunification)

Information and referrals

Emergency food and clothing distribution (provided through various sources)

Temporary emergency shelter/lodging (including, if required, overnight accommodation in the Emergency Reception Centre)

Urgent personal needs beyond immediate food and lodging such as health needs, financial assistance or Social Services supports.

Assistance with service animals and evacuee's pets

Specialized Services

Specialized services are provided to ensure that those who are unable to access

Emergency Social Services or to make their own arrangements during an evacuation are provided with additional support they need to access temporary emergency accommodation, food and other services that are offered to evacuees.

Depending upon need, specialized services are provided through the specialized services branches:

First Aid

Health and Special Needs o Unattended children o Health o Public Health o Specialized Temporary Accommodation o Housing

Multi-Culture and Language

Animal Care

Transportation

Psychosocial

Recreation

Financial Assessment

Who Receives Specialized Services

Emergency Social Services responders identify people who may be at risk during the registration process. Evacuees over the age of 16 are asked to complete a functional assessment consisting of standardized questions that are scored according to a standardized code. The assessment is completed as evacuees register to receive services.

The registration identifies functional barriers that prevent residents from accessing Emergency Social Services. There are five types of barriers:

Emergency Social Services Emergency Support Function 8

Communication, Medical, Functional Independence, Supervision and

Transportation (C-MIST). The C-MIST enables emergency responders to identify people who need extra assistance and to plan the assistance required. The assistance may come through City Divisions or other agencies, including the Toronto Central Local Health Integration Network. Definitions of each category and examples of a service response follow.

2.5.2.1.1 Communication

Some people have difficulties receiving and responding to information.

People with communication needs may have reduced or no ability to see, hear, or speak; or have limitations understanding or learning. This category also includes people who cannot speak, read, or understand

English.

Services that may typically be required include translation, sign language, and one-on-one communication.

2.5.2.1.2 Medical

People who are very ill when evacuated, perhaps bed-ridden due to a chronic condition, clearly require dedicated supports from a health care professional that exceed the capability of the Emergency Reception

Centre. They will be transported to an appropriate temporary care facility.

Services required may include assistance with managing unstable, terminal or contagious conditions, professional observation and ongoing treatment; managing intravenous therapy, tube feeding, and vital signs; dialysis, oxygen, and suction administration; managing wounds; and operating power-dependant equipment to sustain life.

2.5.2.1.3 Independence

Some individuals require support to be independent in daily activities and may lose this support during an emergency or disaster.

Such situations may call for the provision of consumable medical supplies for people of all ages (incontinence supplies, formula, bandages, ostomy supplies, etc.), durable medical equipment (wheelchairs, walkers, scooters, etc.), service animals, and / or attendants or caregivers.

Providing the necessary support to these individuals at the Emergency

Reception Centre may enable them to maintain their pre-emergency level of independence. Residents may require temporary accommodation away from the Emergency Reception Centre.

2.5.2.1.4 Supervision

Some individuals may lose the support of caregivers, family or friends or may be unable to cope in a new environment at an Emergency Reception

Centre (particularly if they have dementia, Alzheimer’s or psychiatric conditions such as schizophrenia or intense anxiety). In the aftermath of

Emergency Social Services Emergency Support Function 9

an emergency, they are likely to need supervision. Staff notify Police of unattended children but in the meantime, they too will require supervision, support, and developmentally appropriate care.

Emergency Reception Centres staff may establish a section of the

Emergency Reception Centre as a “supervised” area. For some vulnerable individuals, this may be a temporary situation until other services are provided.

2.5.2.1.5 Transportation

Individuals who have mobility issues and accessibility needs may require transportation support for successful evacuation.

In addition there may be individuals who cannot drive or do not have a vehicle and may require other transportation assistance.

This support may include transportation equipment such as accessible vehicles or information about how and where to access mass transportation during an evacuation, as well as access to public transit and taxi cabs and chartered vehicles.

2.6 Eligibility and Length of Support Provided

All evacuees will be provided with assistance, information and referrals to community services. These services are offered at the Emergency Reception Centre.

Residents who register with the City are eligible for Emergency Social Services, such as temporary accommodation, food, clothing and transportation assistance, for up to 14 days immediately following the emergency incident.

Households that meet assessed low-income eligibility criteria may be eligible for continued supports, including accommodation, food and transportation assistance, beyond 14 days. Evacuees are encouraged to make other arrangements or to stay with friends and family wherever possible.

To receive temporary accommodation and other emergency social services, evacuees will be required to provide information and complete all necessary documents regarding their insurance coverage within the first three days of the emergency for the purpose of cost recovery and transfer of service to private insurance coverage, if appropriate.

2.7 Emergency Incident Building Repair Committee

An Emergency Incident Building Repair Committee may be established as provided in the Damage Assessment Emergency Support Function.

3.0 Roles and Responsibilities

The roles and responsibilities of specific Emergency Social Services Responders include the range of skills necessary to deliver the Emergency Social Services

Emergency Support Function.

Emergency Social Services Emergency Support Function 10

3.1 Primary/Lead/Division

Office of Emergency Management

As the Lead Division, the Office of Emergency Management is responsible for coordinating Emergency Social Services responses.

The responsibilities include

Maintaining a 24/7 standby response capacity

Activating an Emergency Social Services response curbside or at an

Emergency Reception Centre, with the assistance of the Canadian Red

Cross

Ensuring Standard and Specialized Emergency Social Services assistance is provided

Activating the Emergency Operations Centre to support the emergency social services response.

3.2 Supporting Agency/Division

All Emergency Social Services Responders operate under the Incident Management

System. Responders supporting Emergency Social Services responses have the following pre-determined roles and responsibilities as required.

311 Toronto

Provides information and responds to inquiries from evacuees and the public as required

Supporting agency in Emergency Information and Media Relations

Emergency Support Function

Corporate Security

Provides security services at Emergency Reception Centres

Staff the Support Branch, Logistics Section, in the Emergency

Operations Centre

Information & Technology

Provides hardware and support in establishing work stations and network capacity at Emergency Reception Centres

Staff the Information and Technology Branch, Logistics Section, in the

Emergency Operations Centre

Long-Term Care Homes and Services (LTCHS)

Assists with emergency accommodation for residents requiring long term care settings in the Health and Special Needs Branch

Emergency Social Services Emergency Support Function 11

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Municipal Licensing and Standards Division, Toronto Animal

Services

Delivers animal care in accordance with the Animal Care & Relief

Emergency Support Function in the Animal Care Branch of Specialized

Services

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Parks, Forestry & Recreation, Community Recreation Branch

Makes City Community Centres available as Emergency Reception

Centres as directed by the Toronto Emergency Management Program

Committee

Provides Logistics Section at Emergency Reception Centres and coordinates as required the Facilities, Maintenance, Security,

Information Technology, Staff Management and Admin Office branches

Provides specialized services at Emergency Reception Centres in the recreation branch where space allows

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Shelter, Support and Housing Administration

Provides specialized services at Emergency Reception Centres, in the

Health and Special Needs Branch

Provides assistance in accessing emergency shelter for those identified as having no fixed address (either prior to the event, or as a result of the event and require emergency shelter)

Provides assistance in accessing/connecting to housing outreach/follow up services at the conclusion of the emergency for those identified as having no fixed address

Staff the Operations Lead for Specialized Services at an Emergency

Reception Centre and coordinate as required the First Aid, Health and

Special Needs, Multi-Culture and Language, Animal Care,

Transportation, Psychosocial, Recreation and Financial Assessment branches

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Social Development, Finance, and Administration

Staff the Operations Lead for Specialized Services at an Emergency

Reception Centre and coordinate as required the First Aid, Health and

Emergency Social Services Emergency Support Function 12

Special Needs, Multi-Culture and Language, Animal Care,

Transportation, Psychosocial, Recreation and Financial Assessment branches

Solid Waste Management

Provides extra waste collection services, if requested, at Emergency

Reception Centres that are located at City collection sites

Strategic Communications

Provides communication supports in accordance with the Emergency

Information and Media Relations Emergency Support Function

Coordinates with 311 Toronto on standard messaging for the public

Staff the Information function in the Management Team (Command) at the Emergency Operations Centre

Toronto Building

Inspects and assesses building and coordination of remedial actions required to remove unsafe conditions as per the Damage Assessment

Emergency Support Function

Toronto Children’s Services

Provides specialized services at Emergency Reception Centres in the

Health and Special Needs and Recreation Branches

Staff the Operations Lead for Specialized Services at an Emergency

Reception Centre and coordinate as required the First Aid, Health and

Special Needs, Multi-Culture and Language, Animal Care,

Transportation, Psychosocial, Recreation and Financial Assessment branches

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Toronto Employment and Social Services

Provides specialized services at Emergency Reception Centres in the

Financial Assessment Branch

Staff the Operations Lead for Specialized Services at an Emergency

Reception Centre and coordinate as required the First Aid, Health and

Special Needs, Multi-Culture and Language, Animal Care,

Transportation, Psychosocial, Recreation and Financial Assessment branches

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Emergency Social Services Emergency Support Function 13

Toronto Fire Services

Where possible, assists with retrieval of medication and other related items for evacuees

Inspects and assesses Fire and Life Safety Systems before building reoccupation

Toronto Office of Partnerships

Activates the Emergency Donation Management Emergency Support

Function at the direction of the Toronto Emergency Management

Program Committee

Toronto Paramedic Services

Staff the Toronto Paramedic Services Branch, Operations Section, in the

Emergency Operations Centre

Provide paramedic services as Emergency Reception Centres in response to 911 calls

May provide additional assistance when requested by the Office of

Emergency Management or the Emergency Operations Centre

Toronto Community Housing Corporation

Administers the protocol between Toronto Community Housing

Corporation and the City to guide the provision of services when emergency social services at Toronto Community Housing Corporation buildings

Toronto Public Health

Monitors for health hazards, food safety, potable water and sanitation at

Emergency Reception Centres and in evacuated buildings.

Ensures infection control measures are in place to prevent or control communicable diseases

Toronto Public Library

Makes library meeting rooms available for limited Emergency Reception

Centre services

Provides logistics services to Emergency Reception Centre services located in Libraries

Provides specialized services at Emergency Reception Centres in the

Recreation branch

Emergency Social Services Emergency Support Function 14

3.3 External Supporting Agency/Division

All Emergency Social Services Responders operate under the Incident Management

System. Responders supporting Emergency Social Services responses have the following pre-determined roles and responsibilities, as required.

Canadian Red Cross

Manages and delivers emergency social services in accordance with

City of Toronto – Canadian Red Cross Memorandum of Understanding, including standard services during curbside responses and at

Emergency Reception Centres

Arranges American Sign Language interpretation when needed

Staff the Emergency Social Services Branch, Operations Section, in the

Emergency Operations Centre

Community Care Access Centres

(Toronto Central, Central East, Central West, Mississauga, Halton and Central)

Provide services for their clients

Greater Toronto Hotel Association

Provides assistance in coordinating access to available hotel / motel rooms for use as temporary shelter

Local Health Integration Networks

(Toronto-Central, Central East, Central West, Mississauga, Halton and Central)

At the request of the Ministry of Health and Long Term Care, Emergency

Management Branch, the Local Health Integration Networks liaise with the Emergency Operations Centre to support a health system response

Insurance Bureau of Canada

Provides assistance for evacuees in contacting their insurance companies

Landlords/Building Owners

Provides list of residents to Emergency Social Services responders

Provides coordination of mail services for evacuees

Provides information on building status to evacuees

Coordinates evacuees return to home when repairs are complete and it is safe to return

Emergency Social Services Emergency Support Function 15

St. John Ambulance

Provides specialized services at Emergency Reception Centres in the

First Aid Branch

Salvation Army

Provides assistance, when requested by the Office of Emergency

Management or the Emergency Operations Centre

Toronto Police Service

Preserves the peace at Emergency Reception Centres should circumstances warrant a police presence

Responds to requests for police assistance

Toronto Transit Commission

Provides buses for temporary shelter from the elements

Provides transportation for evacuees to Emergency Reception Centre, emergency shelter and hotels, as required

Toronto School Boards

Make schools available as Emergency Reception Centres

Establish and provide ongoing maintenance and housekeeping to

Emergency Reception Centres located at schools

Emergency Social Services Emergency Support Function 16

4.0 Revision History

Revision

Number

Name of Contributor Summary Of Changes

1.0 Shelter, Support and

Housing Administration

Updated as required

2.0

3.0

4.0

5.0

Revision Date

February 2009

Rosemary Foulds

(SSHA), Boris Rosolak and Wayne Banon

(OEM)

Converted existing

Emergency Support

Function to New Template

Complete Review and

Update as required

January 2013

Rosemary Foulds

(OEM) and Wayne

Banon (OEM)

Updated to reflect alignment of EHS with the

OEM

September 2013

Rosemary Foulds, Brad

Eyre, Sheryl Pollock

(OEM), Kelly Murphy

(SDFA) and the

Emergency Social

Services Working Group

Updated to reflect changes to procedures directed by

Council in July 2014 (EX

43.3)

Posted to OEM website on

December 24, 2015.

December 2015

6.0

7.0

Emergency Social Services Emergency Support Function 17

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