{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:57:35Z","timestamp":1768449455067,"version":"3.49.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2014,7,7]],"date-time":"2014-07-07T00:00:00Z","timestamp":1404691200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1935789314000573_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>This study was conducted to test the ability of the St Louis County Department of Health to efficiently dispense medication to individuals with functional needs during a public health emergency and develop new guidelines for future emergency planning. Historically, people with functional needs have been vulnerable in emergency situations, and emergency planners are responsible for creating equal access for mass prophylaxis events.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789314000573_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Measures to create access for individuals with functional needs were tested in a countywide exercise in which 40 volunteers with functional needs walked through an open point of dispensing location to collect medication as if it were a real emergency. Actions were informed by representatives from the functional needs community in the St Louis area.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789314000573_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>During the exercise, medications were successfully dispensed to all participants. Many participants offered feedback for future program design.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789314000573_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Outcomes indicated the importance of working closely with the community organizations that serve people with functional needs in designing appropriate response measures, providing sensitivity training to staff members, employing useful technology, and using visual and verbal cues. The lessons learned from this exercise apply to emergency planning nationwide, as planning efforts for persons with functional needs still lag significantly.(<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2014;0:1\u20139)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2014.57","type":"journal-article","created":{"date-parts":[[2014,7,7]],"date-time":"2014-07-07T12:19:21Z","timestamp":1404735561000},"page":"301-309","source":"Crossref","is-referenced-by-count":4,"title":["A Functional Needs Approach to Emergency Planning"],"prefix":"10.1017","volume":"8","author":[{"given":"Rebecca","family":"Zod","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Fick-Osborne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor B.","family":"Peters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,7,7]]},"reference":[{"key":"S1935789314000573_ref2","volume-title":"Americans with Disabilities: 2010","author":"Brault","year":"2012"},{"key":"S1935789314000573_ref22","volume-title":"Public health workbook: to define, locate, and reach special, vulnerable, and at-risk populations in an emergency","year":"2010"},{"key":"S1935789314000573_ref20","unstructured":"McVeigh T . Organizational development and quality enhancement provider handbook: information, advice, and resources on becoming an effective and successful service provider for Missourians with developmental disabilities. Jefferson City, Missouri: Missouri Planning Council for Developmental Disabilities; October 2002."},{"key":"S1935789314000573_ref16","unstructured":"De Voe P , Mertz R . Immigrant Needs Assessment for St. Louis Metropolitan Area of Missouri 2007:47. http:\/\/www.iistl.org\/PDF\/MFH_Immigrant_Needs_Assessemnt_2007.pdf. Accessed August 12, 2013."},{"key":"S1935789314000573_ref15","unstructured":"National Council on Disability. Effective emergence management: making improvements for communitities and people with disabilities. Washington, DC: National Council on Disability; 2009:514."},{"key":"S1935789314000573_ref13","volume-title":"ADA Guide For Local Governments, Making Community Emergency Preparedness and Response Programs Accessible to People With Disabilities","year":"2014"},{"key":"S1935789314000573_ref21","unstructured":"Washington State School for the Blind. Sighted guide technique. Vancouver, Washington: Washington State School for the Blind."},{"key":"S1935789314000573_ref8","unstructured":"Centers for Disease Control and Prevention. Question and answer about the cities readiness initiative (CRI); July 5, 2007. http:\/\/www.bt.cdc.gov\/cri\/qa.asp. Accessed April 15, 2014."},{"key":"S1935789314000573_ref6","unstructured":"St Louis Area Regional Response System. Assessment of the functional needs populations of the St. Louis region. St Louis, Missouri: St Louis Area Regional Response System; 2011:18."},{"key":"S1935789314000573_ref4","first-page":"315","article-title":"Emergency planning and disabled populations: assessing the FNSS approach","volume":"31","author":"Robinson","year":"2013","journal-title":"Int J Mass Emerg Dis"},{"key":"S1935789314000573_ref5","unstructured":"Federal Emergency Management Agency. Civil rights program; 2013. http:\/\/www.fema.gov\/civil-rights-program. Accessed August 14, 2013."},{"key":"#cr-split#-S1935789314000573_ref7.1","unstructured":"8. Disability characteristics: 2012 American community survey 1-year estimates: St. Louis County. Washington, DC: American Fact Finder, US Census Bureau"},{"key":"#cr-split#-S1935789314000573_ref7.2","unstructured":"9. 2012. http:\/\/factfinder2.census.gov. Accessed November 4, 2013."},{"key":"S1935789314000573_ref17"},{"key":"S1935789314000573_ref14","unstructured":"Davis E , Styron H . Functional needs of people with disabilities: a guide for emergency managers, planners, and responders. Washington, DC: National Organization on Disability; 2009:64. http:\/\/www.nod.org\/assets\/downloads\/Guide-Emergency-Planners.pdf. Accessed August 14, 2013."},{"key":"S1935789314000573_ref19","unstructured":"Missouri Department of Health and Senior Services. 2013-2014 Missouri School Immunization Requirements. Jefferson City, Missouri: Bureau of Immunization Assessment; 2013:1."},{"key":"S1935789314000573_ref9","unstructured":"Centers for Disease Control and Prevention. Cities readiness initiative; 2013. http:\/\/www.cdc.gov\/PHPR\/stockpile\/cri\/index.htm. Accessed April 15, 2014."},{"key":"S1935789314000573_ref12","volume-title":"Saving Lives: Including People With Disabilities in Emergency Planning","year":"2005"},{"key":"S1935789314000573_ref1","volume-title":"Guidance on Planning for Integration of Functional Needs Support Services in General Population Shelters"},{"key":"S1935789314000573_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/10442073070170040601"},{"key":"S1935789314000573_ref18","volume-title":"Succeeding together: people with disabilities in the workplace: a curriculum for interaction","author":"Goldstein","year":"1995"},{"key":"S1935789314000573_ref11","unstructured":"RAND Corporation. Point of dispensing (POD) standards. Washington, DC: Coordinating Office for Terrorism Preparedness and Emergency Response, Strategic National Stockpile; 2008:31."},{"key":"S1935789314000573_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/DMP.0b013e318164f440"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789314000573","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T02:20:15Z","timestamp":1555899615000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789314000573\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,7,7]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["S1935789314000573"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2014.57","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7,7]]}}}