Post on 10-Jan-2016
description
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 1
Part 1: Client Casework
Disaster Action Team Training
York County ChapterYork County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 2
Course Purpose
The purpose of this on-line, self-paced course is to prepare Disaster Action Team members to complete client casework accurately when responding to home fires and local disasters
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 3
Course Outline
• Segment 1: Doing the paperwork!• Segment 2: Reporting to the Chapter
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 4
Course Objectives
After completing this course, you will be able to:
• Prepare client casework accurately• Use forms and referrals to assist clients effectively• Complete Chapter reporting & casework closing
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 5
DAT Guidelines
Using your DAT Manual to provide emergency assistance
Every DAT is provided with:• Chapter Merchant List• National Price List• Referral Agency Form• Confidentiality Form• Disaster Health Services Form• Client Folders
Make sure you are using current DAT Guidelines
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 6
Segment 1:Doing the paperwork! Form 901 – Disaster Registration and Case Record
Disaster Action Team Training
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 7
Form 901 - Disaster Registration and Case Record
Serves as the case record and basis for referrals and assistance provided to a client
Information contained on the Form 901 is entered in the Client Assistance System
Use only black or blue ball point pen and PRINT legibly so others can read
Form 901 Case Number must be entered on Disbursing Order and Client Assistance Card Authorization
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 8
Form 901 - Disaster Registration and Case Record
Ask the client for identification (Driver’s License, Utility Bill, or other appropriate document that contains client’s name and address). Most common form used is Driver’s License. Enter the State and last four digits of the DL Number and expiration date, ( PA DL # 5678/ exp. 01/08)
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 9
Form 901 - Disaster Registration and Case Record
The first line of the Form 901 is for the Head of Household (ask who’s name is on the lease or deed). See next slide for examples for Head of Household with Hispanic and English names.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 10
Head of Household
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 11
Form 901 - Disaster Registration and Case Record
Pre-disaster address, including Street Number, Street Name, Apt/Unit No., City, County, State, Zip Code. Must be same as shown on identification.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 12
Form 901 - Disaster Registration and Case Record
List the Name, Age, Sex and Condition of each person living in the household at the time of the disaster.
Under others in home section, list all other residents living in the home. If none write NONE. Condition Code: K=Killed I=Injured, M=Missing H=Hospitalized NA=OK or Not ApplicableOn Local disasters don’t use Condition Code Use Ethnicity Code:C= Caucasian, AA= African American, H= Hispanic, A= Asian , O= Others.
Note: Number of persons listed must coincide with financial assistance provided.
York County Chapter
NONE
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 13
Form 901 - Disaster Registration and Case Record
Number of persons living in the household
Number in household 62 or older
Number in household under age 5
Number unemployed as a result of the disaster (where they work was destroyed by disaster)
DO NOT ASK for or enter Social Security Numbers
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 14
Form 901 - Disaster Registration and Case Record
DR Number if assigned
DR Name or disaster type: Fire, Flood, etc. Date of
disaster Chapter Code: 38444 Service Center
Number if assigned
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 15
Form 901 - Disaster Registration and Case Record
Type of Dwelling-Single Family-Mobile Home-Apartment
Ownership-Own-Rent Furnished-Rent Unfurnished
Client’s description of damage:-Destroyed/Major/Minor None/Unknown
Est. Housing Need:-Permanent-Temporary-None
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 16
Form 901 - Disaster Registration and Case Record
Does Client have disaster insurance on structure and/or contents
Total Household Income Range
When asking these two questions, advise client that their answers will not affect the amount of Red Cross emergency assistanceprovided.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 17
Form 901 - Disaster Registration and Case Record
Pre-disaster telephone number
Alternate telephone number and contact person where client can be reached
Enter Your name and date of interview with client
List client’s temporary living location (complete address). If a shelter, enter name of shelter. If Motel, list Motel and phone number.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 18
Form 901 - Disaster Registration and Case Record
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Brief statement of how family was affected by the disaster: - Time of Disaster AM or PM - Where was the family - what are family’s immediate emergency needs - How many items given. Comfort kits, A-33 dry, stuffed animals, and othersDetail emergency assistance provided: - Disbursing Order No., amount, type of assistance - Client Assistance Card No., amount, type of assistance - Referrals - name of agency and type of assistance
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 19
Form 901 - Disaster Registration and Case Record
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On Local disasters use the Chapter’s Damage Assessment Report.
On National Disasters this block will already be filled in.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 20
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List any disaster-caused medical needs; such as, injury to persons, loss of medications, medical equipment, etc. on form 1475.
Do not enter any confidential medical information on the Form 901; such as, name of medication. This information should be on the 1475 form.
If Disaster Health or Mental Health Services are needed for the client, contact the Chapter’s on-call Mental Health or Disaster Health person. This information should be on the 1475 form.
Write NONE in this section if there are no disaster related health issues.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 21
Form 901 - Disaster Registration and Case Record
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Leave blank - for Chapter Use Only.
If owner, get insurance agents information for building and contents.
If renter, insurance agents information for contents only andlandlord ‘s name and phone number.
You must fill out a release of specific confidential information, in order for us to contact these people.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 22
Form 901 - Disaster Registration and Case Record
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Enter page and co-ordinates from ADC Map Book (Page 13 D-12)
For DAT, enter “Local Referral Agencies” on the line titled “Others”
Review Form 901 with client and ask client to sign and dateYou then sign and date as the “Interviewer”
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 23
Form 901 - Disaster Registration and Case Record
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This Release of Confidential Information applies only to National Disasters having a Presidential declaration. DAT should leave blank – no signatures.
For Chapter Use OnlyEntries in this section relate to actions occurring after the interview is complete. Begin each entry with the date and end with signature of person making entry.
York County Chapter
Disaster Action Team TrainingCapital Area Chapter
www.cacarc.org 24
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Distribution of Copies
Original Form 901 to Chapter
No copy to Client
York County Chapter