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Discharge Planning

Planning for discharging persons from a temporary shelter or alternative care setting must begin even before a disaster such as a pandemic or hurricane occurs.

Discharge planning is a process that facilitates moving a person from one level of care or health care setting to another, or from a temporary or shelter setting back to the community for more permanent placement. While individual plans will be based on a person's needs and available resources, plans for the process should be ready for activation at any time.

The process begins when a person enters a setting, with an assessment of needs and identification of available resources, community services, and supports. The process continues by linking persons to those resources and following up to ensure that acceptable services and supports are arranged.

Discharge planning is critical for all hazard preparations. Public health emergency events can leave persons displaced, in need of shelter, food, and support services, either temporarily or long term. Florida's experience with disasters has shown that a person residing in the community who takes refuge in a temporary setting may be unable to safely return home after the disaster or may need additional support.

Planning for discharge and possible alternative community placement can reduce challenges facing local emergency management officials and shelter operations. Proper planning can alleviate concerns over the possible deterioration of the health of vulnerable populations if they are required to remain in an emergency shelter for a prolonged period or if they are released without suitable supports in place.

Quality discharge planning helps to assure that persons stay in a temporary environment for the shortest time necessary and that persons are returned safely to their original or other suitable community setting with needed supports.

Principles of discharge planning apply whether a person is discharged from a Special Needs Shelter, hospital, or other facility back to their home or to an alternate care site. During an influenza pandemic or other public health emergency, communities may need to move or discharge persons to make room when the number of patients needing care exceeds the capacity of local hospitals.

Discharge Planning Resources Toolkit

This toolkit provides resources for local officials, discharge planning teams, Regional Special Needs Consultants, shelter managers, nurses, or others who may be assigned to take the lead for or assist with discharge planning. To ensure the most current and available information, the toolkit provides links to source sites for reports, research, community resources, and agencies that can provide assistance in the discharge process.

Resources are provided for information only. Their inclusion does not constitute endorsements by the Florida Department of Health. The department is not responsible for content on any linked website. All attempts have been made to link to reliable sources, but sites and URLs are subject to change or have technical malfunctions without warning.

 

If you have feedback or input on how to improve this toolkit or would like to share/submit additional resources for inclusion in the toolkit, send an email to the below address:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address
released in response to a public records request, do not send electronic mail to this entity. Instead contact these offices by phone or in writing.

DEMO_PHP@doh.state.fl.us

 

 Discharge Planning Guide

 
Discharge Planning Guide

The Discharge Planning Resource Guide was developed in collaboration with other agencies and organizations to provide information and resources to assist in safely returning persons to their original or other suitable community setting following a stay in a temporary shelter or alternate care site.

To ensure the most current information on a specific program or agency, refer to the contact information and website links in the document or contact the agency directly.

Linking to this guide will provide the latest version as updates occur.

 

 Multiagency Discharge Planning Teams

 
Section 381.0303 (e) F.S.

Florida Statute that establishes multiagency special needs shelter discharge planning teams to assist local areas severely impacted by a disaster, provides team duties and responsibilities, and provides for the inclusion of specified state agency representatives

 

 Partner Agencies

 
Department of Elder Affairs

State agency authorized by legislation to convene multiagency special needs shelter discharge teams. Refer to this site for the multiagency team Standard Operating Procedures and Discharge Planning Tool for Rapid Needs Evaluation (Rapid Needs Assessment Form), procedures for completing the form, and other preparedness resources

 

Partner Agency Table

Provides a brief summary of agency information that might be helpful for discharge planning. Does not represent all agencies, services, or responsibilities. As agencies have additional responsibilities and information may change, it is recommended that links to websites be used to obtain more comprehensive and detailed information

 

Partner Agency Directory Template

Sample template that can be used for creating a local address contact list

 

 Community Resources

 
Information and Referral and 211 Helplines

Florida Alliance of Information and Referral Services Member Helplines. Click on a county to find a helpline for that service area. From there, link to agency website

 

DisabilityResources.org

Link to the Disability Resources Monthly (DRM) Guide to Disability Resources on the Internet. Contains links to community, state, and national organizations, agencies, and information

 

Florida Resource Directory

Service of the Governor's Office of Tourism, Trade & Economic Development. A one-stop source for learning about state and federal programs and resources to help local communities. Searchable by agency, program, or keyword

 

Florida's Aging Resource Centers

Community Resource Directory Locator provides a link to a database where you can select a county and enter a city name or zip code to search for services by category, key word, or agency name

 

ISafetyNet

Website of the Portsmouth Group dedicated to cataloging online safety net information. The site provides links to national, state, and local community agencies, services, and resources

 

Resources for Vulnerable Populations

Thank you to the Florida Assisted Living Association for sharing their summary of agencies and organizations that provide information or assistance. The list can help discharge planners link persons to available information and support services (Rev July 2010)

 

 Research and Articles

 
Discharge Planning for the Respiratory Care Patient

American Association of Respiratory Care Clinical Practice Guideline as published in the December 1995 issue of the Respiratory Care Journal

 

Best Practices Manual for Discharge Planning

Publication of the Los Angeles Coalition to End Hunger and Homelessness, July 2008, identifying best practices in discharge planning from mental health and substance abuse facilities, foster care, jails, prisons, and hospitals

 

 Other Useful Links and Resources

 
Department of Elder Affairs Publications

DOEA webpage that provides links to documents about resources, services, and programs for elders. Key publications include the Consumer Resource Guide (includes a resource directory by county), Summary of Programs and Services (see Section A for Aging Service Network maps), and the Older Floridians Handbook (contains legal and program information and a reference section with referral contact information)

 

Rapid Patient Discharge Tool

Developed by the New York City Department of Health and Mental Hygiene to assist hospital administrators and emergency managers during unexpected increases in patient volume. Included as a promising practice on the University of Minnesota, Center for Infectious Disease Research and Policy (CIDRAP) website

 

Special Needs Shelter Tools and Resources

DOH webpage that provides information and tools for the Special Needs Shelter Program

 

Vulnerable Populations

DOH website that serves as a toolkit for community planners who seek to better understand the needs of vulnerable populations before, during, and after a disaster or incident


 

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