Safe sheltering for persons with dementias

Background: Persons with Alzheimer's disease or related dementia have unique needs and face daily challenges collectively with their caregivers. Disaster planning for these clients' care is critical. In 1992 during Hurricane Andrew it was quickly apparent that pre-planning with Alzheimer's patients and their families had not received sufficient attention. While there was sufficient staff in shelters, a knowledge deficit of dementia related disorders was evident. Hurricanes Frances and Jean arrived in 2004 and the result was very much the same. Methods: The Florida Department of Elder Affairs (FDOEA) recognized the need and developed an education and training program on Alzheimers and Other Dementia Related Disorders to provide a safe and healthy environment. Outcomes: A collaboration of FDOEA and the Alzheimer's Disease Initiative (ADI), worked together to establish a dementia specific training for the community and those working in shelters. Training is provided to EOC personnel, first responders, emergency services, and CBOs on how to recognize Alzheimer's and dementia affected families, and ways to assist in keeping them as safe as possible during an event. Conclusions: Local CHDs working in collaboration with CBOs having insight into the needs of Alzheimer's patients and caregivers, can create a dementia safe environment in shelters. The collaborators can provide a wide outreach to pre-plan for disasters, register clients in special needs shelter, and create flexible discharge plans.