Family Assistance Center During a Mass Fatality Event Using 2-1-1 as the Primary Point of Contact David Jobe, LMSW, CIRS Director, Information & Referral Sandra Ray, CIRS Manager, Information & Referral 2-1-1 Texas/United Way Helpline United Way of Greater Houston Overview • Definition of Mass Fatality Event • Describe the Purpose and Primary Functions of the Family Assistance Center • Best Practices for Call Center Guidelines and Procedures within the Family Assistance Center – Missing Persons • • • • Why important to determine WHO is missing Reported vs Truly missing Examples Missing persons operations • Understand the Need for Communication and Collaboration During a Mass Fatality Event. Definition • MASS FATALITY-any event whether man-made or natural resulting in more deaths than the local available resources can handle. Outside the Norm • Differs from day-to-day death care procedures. Takes a Village • Will require support from numerous agencies/organizations. Reunification • Overall purpose of a mass fatality response is the reunification of surviving family members with their deceased loved ones. Reunification thru Identification • Requires the scientific identification of the deceased. Investigation • The identification process is an investigative process. Three Major Operations • Human remains recovery • Temporary morgue operations • Family Assistance Center operations Human Remains Recovery • Carefully and respectively recovered from the incident site. Temporary Morgue Operations • Post mortem data is collected Family Assistance Center Operations • Ante mortem data is collected. Identification • Ante mortem data is compared to post mortem data. Closed vs Open Incident • Closed-know the identities of the deceased from the onset of the incident Closed vs Open Incident • Open-the identities of the deceased is NOT known from the onset of the incident • True list of the missing must be determined. Where 2-1-1 FITS IN! Who’s Really Missing? • Determine what ante mortem data needs to be collected. • Not invest time, energy and resources looking for someone who is alive • Maximize resources Reported Missing vs. Truly Missing • Especially in open population incidents, there is a large disparity between the reported missing and those who are TRULY missing. Hurricane Katrina Reported Actual 13,197 910 Joplin Tornado Reported Actual 1300 158 Missing Persons • Reported missing persons investigated • True list eventually determined. • MUST work in concert with the mass fatality response effort. Expertise • Law enforcement handles missing persons cases EVERY DAY. 2-1-1 Role with Missing Persons • Take initial missing persons reports • Gathers other information pertaining to missing persons • Gathers additional information • NOT: – Grief counselor – Spiritual advisor/counselor Variety of Calls • • • • • • • High probability of missing/deceased Slight probability of missing/deceased Vague calls Duplicate/multiple calls Duplicate call but different name Questionable/False reports “Twilight Zone” calls! Variety of Callers • • • • • • • Calm, reasonable, and knowledgeable. Little known about missing/deceased. Upset and grieving. Mad. Confused. Distrustful Repeat callers Confidentiality • ALL information is STRICTLY confidential • NEVER release information on missing persons status • Law enforcement, medical examiner or other agency will contact the LEGAL NEXT OF KIN Patience • Families will be frustrated, angry, confused and full of emotions • Can get worse as time goes alone • Elderly • Mentally challenged Compassion • Be compassionate • Don’t give feel of salesman or telemarketer • Take your time with caller-Don’t’ rush (But remember, phone lines are needed for other callers so don’t linger any more than necessary) Missing Persons • “Thank you for calling, may I please get some information?” • Complete the Call Center Intake Form as completely as possible • End call by saying, “I appreciate your call. You do NOT need to call 9-1-1. This information will be given to the appropriate agency dealing with missing persons, someone will be in touch with you as soon as possible” • Remember-do NOT promise a call back time Request info on Missing Person • “Our center only gathers information. Law enforcement, Search and Rescue teams and others have access to this information and are actively using it to locate missing persons.” • “We appreciate your concern but cannot give out information to anyone” • Refer caller to the ARC Safe and Well website-www.safeandwell.org Intake Information • Investigative process-Chain of custody/evidence must be maintained • Need to know WHO gathered info • May need to contact that person • Complete missing persons report • Date and Time of call Caller Information • Name-person calling • Phone Numbers-home, cell, work. Get BEST number • Address: • Complete record • May need for purposes of contacting caller Missing Persons Information • Name • Get proper name along with nick names and/or other alias. • Insure correct spelling • Relationship-Need to know how the caller is related to the missing individual. Missing Persons Information • Last Know Location and Date: • Be as specific as possible • Will aid in missing persons investigation • Help prioritize investigations • Possible link other cases Missing Persons Informnation • Primary Next of Kin - Make decisions concerning: •Remains release •Fragmented remains •Personal Effects •Final disposition •Death certificate Missing Persons Information • Where the Person Lives • Aids in the investigation • Preparation of death certificate • Connect missing individuals Missing Persons Information • Where the Person Works • Connect multiple missing persons • Assistance from employer • Associate remains with company•Clothing •Vehicles Missing Persons Information • Social Security Number • Help track a person • Death certificate preparation • Connect multiple reports with different names Missing Persons Information • Why does the caller believe the Person was in/around the incident location? • Missing person category • Help investigators locate the missing person • Aid in prioritizing cases Other Information • Other information • Any additional information not captured already that may aid in the investigation of the missing person • Location missing person liked to frequent • Other persons missing person may be • associated with Follow up with the Caller • Important to get GOOD contact information • May differ from contact information above • Prevent delays in contacting family members Follow the Script • Gives guidance • Provides continuity of operations • Consistent message • Prevents “doing your own thing” • Consistent data collection • Streamline operations • Easier more efficient OJT and/or JITT Make NO Promises • Avoid statements such as: – “someone will find them” – “I’m sure everything will be OK” – “I’m sure they are alive somewhere” • Use wording such as: – Hopefully – Possibly – Maybe – Sometime soon Return Calls • Don’t confirm or promise a time someone will return the call • Explain return call process • May have to reemphasize the call centers roll in the process Threatening Callers • Obtain as much contact information on the caller possible • Immediately notify the FAC Family Management Unit Leader Keep Stated Purpose in Mind • Obtain missing persons information • Pass information along to authorities • We are NOT: – Medical Examiner’s representative – Counselor – Investigator – Mass fatality experts Thank You David Jobe, LMSW, CIRS djobe@unitedwayhouston.org 713-685-2309 Sandra Ray, CIRS sray@unitedwayhouston.org 713-685-2469