- Nov 21, 2023
- 3 min read
Equality of care in Emergency Management ensures that the lives of our special needs population are valued proportionately to any other human life. Displaced individuals requiring additional support and resources face the highest morbidity rate during and post a natural disaster. Maintaining awareness of “at-risk” individuals is a top priority of Emergency Managers and prudent community members alike. Often it is up to the local Emergency Management Professionals (EMP) to plan for functional access during emergency situations. Weather a standalone Special Needs Shelter #SpNS or a distribution center for inventoried essential tools, prepositioning qualified Special Needs Shelter Equipment #SpNSE and having a facility identified to stand up a shelter is considered #bestpractice.

In a statement to the U.S. House of Representatives Subcomitte on Emergency Preparedness, the U.S. National Council on Disability (NCD) argued that “… Frustratingly … people with disabilities and others with access and functional needs in emergencies are frequently overlooked or have their needs minimized, despite the urgency that surrounds the need to account for people with disabilities in all phases of emergency management, including mitigation, preparedness, response, and recovery” [1]
SpNS are designed to accommodate individuals with physical, sensory, mental health, and cognitive conditions during emergencies. These shelters provide a safer environment for temporary residence, baseline medical care, communications support, and they must meet ADA standards for facility codes, and be outfitted with ADA compliant equipment. A SpNS is not a hospital, but often extreme conditions transform the mission into an improvised medical facility. Individuals requiring functional access typically need an elevated level of care and they often have a nurse who accompanies them if that union was not severed because of the catastrophic event. It is important to recognize that not all counties have a SpNS and often rural counties cannot secure the funding necessary to procure qualified SpNSE necessary for standing up a temporary SpNS.
It is widely recognized that individuals with special needs are among the most vulnerable during natural disasters, due to their reliance on specialized medical equipment that is not always available during emergency situations. Some examples of SpNSE typically made available at SpNS follows:
1. Accessible Facilities: ADA compliant ramps, handrails, and wide doorways to accommodate mobility aids.
2. Medical Equipment: ADA compliant Cots, oxygen concentrators, wheelchairs, crutches, and numerous miscellaneous medical devices.
3. Communication Tools: Devices to aid those with hearing or visual impairments, such as TTY devices and braille signage.
4. Comfort Items: ADA compliant Cots with soil resistant mattresses, Weighted blankets, noise-cancelling headphones, and other items to help manage sensory overload.
SpNSE is held to the highest standard, this equipment must meet the needs of our most at risk populations during the most extreme conditions our Earth has to offer. These realities underscore the importance of inclusive disaster Readiness, Response, and Recovery #R3 strategies.

Investing in these shelters and their equipment is not just about compliance with regulations - it's about inclusivity, empathy, and ensuring everyone in our community has access to safety and care during emergencies. As we continue to improve our emergency management strategies, let's remember the importance of special-needs shelters and the critical role they play in our community. Let's strive to equip them with the best tools and resources, to provide the highest level of care for those who need it most. #EmergencyManagement #SpecialNeeds #Inclusivity #CommunitySafety #Westcot #innovation
J. Shaun Taylor
@XbombModifiedTrailers
@IntegrityMedicalSolutions