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Quality of Life During COVID-19: Individuals with Intellectual and Developmental Disabilities and Direct Support Professionals
From the Abstract: "People with intellectual and developmental disabilities (PWIDD) and the direct support professionals (DSPs) who support them have faced unique risks throughout the COVID-19 [coronavirus disease 2019] pandemic. We used a rapid mixed methods approach to understand how COVID-19 has impacted overall quality of life (QoL) among these populations. We quantitatively assessed changes in QoL among a sample of PWIDD and DSPs (n = 137) using a retrospective pretesting approach. We then conducted a rapid qualitative inquiry study with a sample of survey respondents (n = 12) to gain deeper perspective. Findings suggested that participants experienced significant decreases (p < .001) in all four measured domains of QoL. Participants qualitatively described that decreases in QoL were influenced primarily by reduced socialization and impacts on health and independence; however, participants also described the ways their interactions and mutual support for each other helped to preserve some aspects of QoL. Participants described numerous ways race and racism contributed to their COVID-19 experiences, and offered descriptions of resources they benefited from, and those they lacked, during this time. Study findings have the potential to inform development of policies and best practices that support PWIDD and DSPs during and following similar infectious disease emergencies."
University of Colorado, Boulder. Natural Hazards Center
Thomas, Erin V.; Odunlami, Rachel; Bari, Sombal . . .
2020
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Tolerance for Uncertainty: A COVID-19 Workbook
From the Document: "Like many of you, I am experiencing anxiety related to all the unknowns associated with the COVID-19 [coronavirus disease 2019] pandemic. We like stability, routine, and a sense of control over our environments and experience tremendous stress when there are disruptions in our normal lives. [...] I created this workbook to assist you with managing the strong emotions that will arise during this difficult time through a form of psychological treatment called Dialectical Behaviour Therapy (DBT). DBT is an evidence based intervention that helps individuals identify their feelings and learn skills to better manage their emotions. [...] The current pandemic is an opportunity to learn new skills to accept your feelings, tolerate distress, and move forward with grace despite not knowing what lies ahead."
Bay Psychology
Nagasawa, Sachiko
2020
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The Exchange: COVID-19 and Healthcare Professional Stress and Resilience [Issue 12]
From the Foreword: "The phenomenal effort that you and other healthcare emergency readiness and response professionals have made while caring for this nation's communities during the COVID-19 [coronavirus disease 2019] pandemic has not gone unnoticed and ASPR [Assistant Secretary for Preparedness and Response] recognizes the immense sacrifices you and your peers continue to make. We also understand that responding to this long-term incident may affect your mental health, morale, and resilience. In this issue ASPR TRACIE [Technical Resources, Assistance Center, and Information Exchange] strives to collect and share the most valuable, timely, and helpful information for you and your colleagues and offer the following resources to address healthcare worker mental health and resilience: [1] The COVID-19 Behavioral Health Resource Collection includes a section on Self-Care and Resilience Resources for Responders and Healthcare Workers. [2] The Behavioral Health Compendium can help Regional Emergency Coordinators and federal and state planners better understand how programs with behavioral health components (e.g., steady state programs, grants, certain HHS [Health and Human Services] programs, waivers and flexibilities) can support the pandemic response. [3] ASPR TRACIE Mini Modules to Relieve Stress for Healthcare Workers Responding to COVID-19 are designed for healthcare workers in all settings, but primarily hospital-based providers, staff, and leaders dealing with the COVID-19 pandemic."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2020
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COVID-19 - A Plague of Racism and Conspiracy Theories
From the Executive Foreword: "COVID [coronavirus disease 2019] completely turned the world upside down and arguably changed how we live our lives forever. Such major cataclysms always provide a fertile ground for hate and conspiracy theories. People, especially when they feel insecure, look for easy answers, people that they can blame, straightforward theories so they can make sense of the world once more. The pandemic has not been different. Multiple communities have been targets of vicious verbal racist attacks, discrimination has become rampant towards certain minorities and a myriad of conspiracy theories blossomed in the wake of the virus. Many of our members diligently documented the instances of hate speech related to the Corona virus and the conspiracy theories it gave birth to. In this report, their findings will be collected, compiled and presented to provide stakeholders and the public with an extensive and overarching view of the situation and shine a light on the hardships, discrimination and intimidation that multiple communities have to face in a time when they are struggling too with a loss of financial and physical security. The aim of this report is not to give a detailed reiteration of our members' findings, but to provide an overview of them, raise awareness and provide another tool to bring this information to the wider audiences that might not have been reached by the original sources."
International Network Against Cyber Hate
Berecz, Tamas
2020
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Overview of the Dynamic Between the Defense Production Act and Small Contractors, Hearing Before the Subcommittee on Contracting and Infrastructure of the Committee on Small Business, United States House of Representatives, One Hundred Sixteenth Congress, Second Session, June 24, 2020
This is the June 24, 2020 hearing "Overview of the Dynamic Between the Defense Production Act and Small Contractors," held before the House Subcommittee on Contracting and Infrastructure of the Committee on Small Business. From the opening statement of Jared Golden: "The Defense Production Act, or DPA, was enacted 70 years ago, after the outbreak of the Korean War, in an effort to spur industrial production to meet wartime needs. At that time, the Nation was ill prepared for another war following World War II. To bolster our country's defense infrastructure, the President requested authorities to mobilize our domestic industry to increase production of military equipment and much needed supplies. Since then, its authorities have been expanded to include a number of purposes, including emergency preparedness and response. [...] [T]oday's hearing will serve as an opportunity to examine the DPA and its main authorities, including those provisions in the law that establish a preference for small firms. Additionally, we hope to discuss potential legislative measures to strengthen the DPA for small businesses. Finally, we wish to hear more about the challenges that small businesses are facing due to COVID-19 [coronavirus disease 2019] and how leveraging Title III authorities could provide substantial relief." Statements, letters, and materials submitted for the record include those of the following: Ian Patterson, David Black, Mary Lockhart, and Traci Tapani.
United States. Government Publishing Office
2020
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Living in Boston During COVID-19: Fear and Ambivalence
From the Executive Summary: "In the Summer of 2020, the Boston Area Research Initiative (BARI) at Northeastern University, the Center for Survey Research (CSR) at University of Massachusetts Boston, and the Boston Public Health Commission (BPHC) conducted a survey that captures the experiences of 1626 Bostonians during the first months of the COVID-19 [coronavirus disease 2019] pandemic, including: their ability and tendency to follow social distancing recommendations; attitudes towards regulations; and the economic and personal impacts of the pandemic. The survey provides unique insights into how these factors varied across the populations and neighborhoods of a single city--something not currently available from any other source, in Boston or otherwise. In this second report, we describe what we see as contrasting themes of fear and ambivalence among Bostonians. On the one hand, there appears to be broad consensus that the virus is dangerous, that social distancing guidelines are important, that masks should be worn and high-risk activities avoided, and that asymptomatic spread is a concern. However, there was much deviation from this consensus, and these views varied substantially by neighborhood, race, and income. This variation can help us to understand the vulnerabilities that different communities face as cases surge this winter."
Boston Area Research Initiative; University of Massachusetts at Boston; Boston Public Health Commission
O'Brien, Daniel T.; Schutt, Russell; Hargraves, Lee . . .
2020
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Addressing the Economic Impacts of COVID-19: Views from Two Former CBO Directors, Hearing Before the Committee on the Budget, House of Representatives, One Hundred Sixteenth Congress, Second Session, June 3, 2020
This is the June 3, 2020 hearing on "Addressing the Economic Impacts of COVID-19 [coronavirus disease 2019]: Views from Two Former CBO [Congressional Budget Office] Directors," held before the U.S. House Committee on the Budget. From the opening statement of John A. Yarmuth: "Today, the House Budget Committee is joined by two expert witnesses, Dr. Douglas Elmendorf and Dr. Douglas Holtz-Eakin, who have a combined decade of experience leading the Congressional Budget Office. They will help us examine how, on a broader scale, the COVID-19 pandemic has impacted our economy, and what Congress must do to lessen the fallout." Statements, letters, and materials submitted for the record include those of the following: Douglas W. Elmendorf and Douglas Holtz-Eakin.
United States. Government Publishing Office
2020
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Preparing for Increased Mail or Absentee Ballots During COVID-19
From the Document: "The 2020 primaries saw a dramatic shift in the use of mail and absentee ballots. In Kentucky, absentee ballots usually represent less than 2% of votes in Kentucky. The 2020 primary saw record turnout of an estimated 1.1 million voters with an estimated 75% casting their ballot absentee. Similarly, 1.75 million mail ballots were requested in New York, 11 times more than usual. The Michigan presidential primary saw a 97% increase in absentee ballot requests over their previous level from 2016. It is clear that jurisdictions will see record rates of mail and absentee voting in 2020. [...] A dramatic increase in mail or absentee ballots can lead to numerous challenges related to processing ballots, and further amplifies the need for a positive working relationship with the postal service and vendors. Increased use of mail and absentee ballots in the primary and lessons learned from states that conduct all elections by mail have helped to identify some of these potential issues before November."
United States. Election Assistance Commission
2020?
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Arizona Crisis Standards of Care Plan: A Comprehensive and Compassionate Response, 3rd Edition
From the Introduction: "The Arizona Department of Health Services (ADHS) worked with public health, emergency management, first responders, healthcare, legal, and other partners to create this Crisis Standards of Care (CSC) Plan for the State of Arizona. This collaborative, multi-year project included strategic planning sessions, interagency workgroups, and a public engagement campaign. [...] During a public health disaster, the State Disaster Medical Advisory Committee (SDMAC) will convene to develop incident-specific priorities and guidance for the delivery of healthcare and use of scarce medical resources. This guidance may address: [1] Triage for emergency medical services (EMS); [2] Primary, secondary, and tertiary triage for healthcare facilities; [3] Expanded scopes of practice, as approved by regulatory authorities; [4] Priorities for medical resources including space, staff, and supplies; and [5] Considerations for healthcare access points, including hospitals, out-of-hospital facilities, and alternate care sites."
Arizona. Department of Health Services
Lawless, Andrew; Ehnert, Teresa; Walter, Frank . . .
2020
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Lockdown Life: Mental Health Impacts of COVID-19 on Youth in Canada
From the Document: "The purpose of this report is to outline the findings from the HEADSTRONG COVID-19 [coronavirus disease 2019] Survey to improve service programming and inform policy for diverse youth across Canada. The data collection period was from April 20, 2020 to June 24, 2020. The survey provides an overview of how youth from different regions are generally doing during the pandemic. The survey questions were focused on the challenges they faced, the strategies they used for coping, the help-seeking behaviours they engaged in to support their mental health and any positive experiences they had during this period of uncertainty. The survey also examined the communication methods youth used to stay connected with others and to find information on protection against COVID-19."
Mental Health Commission of Canada
Raveendran, Lucksini; Haynes, Fiona; Ip, Nathan . . .
2020
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Forgotten During COVID: An Assessment of Immigrant Needs in the Pandemic
From the Document: "To respond to the COVID-19 [coronavirus disease 2019] health crisis, and to recognize the contributions of undocumented immigrants to its economy, the state of California, again leading the nation in social justice and equity for its people, in May launched an unprecedented assistance program for immigrants affected by the pandemic. With an allocation of $75 million, the Disaster Relief Assistance for Immigrants (DRAI) program served more than 150,000 undocumented people, disbursing an estimated $500 per household in direct aid. California is home to approximately 10.6 million immigrants (2 million undocumented) who pay nearly $39 billion ($2.5 billion for undocumented immigrants) in state and local taxes each year. This report presents the results of statewide data collected by six organizations that qualified applicants and distributed the funds. It presents the various unmet needs reported by the applicants. It also shows how the DRAI aid, while welcome, falls severely short of the amount needed to truly address the urgent needs of the immigrant community. This data set of 91,000 records compiles insights from the largest survey of undocumented immigrants in recent years."
Coalition for Humane Immigrant Rights of Los Angeles (CHIRLA)
Tamburrino, Lorraine
2020
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Health Care Resource Allocation Decisionmaking During a Pandemic
From the Summary: "In the current Coronavirus Disease 2019 (COVID-19) pandemic, many policymakers are working with no established plan or methods for making decisions about admissions and discharges, or for determining allocation of scarce but lifesaving health care resources for patients and personal protective equipment for health care and long-term care workers. In many settings, decisions are being made ad hoc, with limited information and no input from patients and families. U.S. health systems, unlike those of many industrialized nations, are fragmented, further complicating any effort to identify and replicate successful responses to these ethical dilemmas across health care settings."
RAND Corporation
Frank, Lori; Concannon, Thomas W.; Patel, Karishma
2020
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Preserving Small Businesses: Small-Business Owners Speak About Surviving the COVID-19 Pandemic
From the Document: "Our principal aim in this Perspective is to provide a preliminary understanding of the challenges that these businesses are facing as a result of the global coronavirus disease 2019 (COVID-19) pandemic. Using this understanding, we provide a preliminary description of what kinds of policies will help them to survive. [...] The challenges resulting from the COVID-19 pandemic will not pass quickly, and government policies for assisting small businesses and managing a return to some version of normal business continue to evolve. Therefore, RAND set out to understand better these challenges."
RAND Corporation
Neu, C. R. (Carl Richard), 1949-; Carew, Diana Gehlhaus; Shatz, Howard J.
2020
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2019 Novel Coronavirus (2019-nCOV) [Fact Sheet]
From the Document: "The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak of novel coronavirus that was first detected in Wuhan City, Hubei Province, China, and continues to expand. As news spread, military health officials say that an informed, common sense approach minimizes the chances of getting sick. Anyone contracting a respiratory illness shouldn't assume novel coronavirus; it is far more likely to be a more common malady. In fact, influenza is far more commonplace. However, patients who traveled to China in the past 14 days with fever, cough, or difficulty breathing, should seek medical care right away. Because novel coronavirus is new, there is as yet no immunization nor specific treatment. Care providers are instead treating the symptoms--acetaminophen to reduce fever, lozenges and other treatments to soothe sore throats, and, for severe cases, ventilators to help patients breathe."
United States. Department of Defense
2020?
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H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020
This document contains "[a]n Act [m]aking emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes."
United States. Government Publishing Office
2020
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Long Term Care Facility Component: Tracking Infections in Long-Term Care Facilities
From the Introduction Section: "Nursing homes (NH), skilled nursing facilities (SNF), and assisted living facilities, collectively known as long-term care facilities (LTCFs) provide a variety of services to people who are unable to manage independently in the community. These services may include both medical and personal care. It is estimated that over 3 million Americans receive care in U.S. NHs and SNFs each year and nearly one million persons reside in assisted living facilities."
Centers for Disease Control and Prevention (U.S.)
2020-01
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Your Recovery is Important: Virtual Recovery Resources
From the Introduction: "In an infectious disease outbreak, when social distancing and self-quarantine are needed to limit and control the spread of the disease, continued social connectedness to maintain recovery are critically important. Virtual resources can and should be used during this time. This tip sheet describes resources that can be used to virtually support recovery from mental/substance use disorders . It also provides resources to help local recovery programs create virtual meetings."
United States. Substance Abuse and Mental Health Services Administration
2020?
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ASPR TRACIE Technical Assistance Response Resources Relevant to Infectious Disease Outbreaks and Correctional Facilities
From the Document: "ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center and Information Exchange] is highlighting the following resources for healthcare system emergency preparedness planners and correctional facility workers to use while preparing for and responding to infectious disease outbreaks that may occur in prisons or jails. Considerations and lessons learned from these materials are also gathered and provided as points for consideration in this document."
United States. Technical Resources, Assistance Center and Information Exchange
2020?
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2019 Novel Coronavirus (2019-nCoV)
From the Overview: "This webpage provides information for workers and employers about the evolving coronavirus outbreak first identified in Wuhan City, Hubei Province, China. The information includes links to interim guidance and other resources for preventing exposures to, and infections with, 2019 novel coronavirus (2019-nCoV). According to the U.S. Department of Health and Human Services/Centers for Disease Control and Prevention (CDC), Chinese authorities identified the new coronavirus, which has resulted in confirmed human infections in China and exported cases outside of China, including in the United States, Thailand, Japan, and South Korea. China also has reported spread of the virus from infected patients to healthcare workers. There is no evidence of ongoing transmission of 2019-nCoV in the United States at this time. Without sustained human-to-human transmission, most American workers are not at significant risk of infection. However, workers involved in airline operations (including cabin crewmembers), healthcare (including clinical laboratory personnel), and border protection may have exposure to travelers infected with the virus in China or other affected areas. Business travelers from the United States who visit areas abroad where the virus is spreading may also be at some risk of exposure."
United States. Occupational Safety and Health Administration
2020?
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Surge Hospitals: Providing Safe Care in Emergencies [2020]
From the Introduction: "This publication provides information to health care planners at the community, state, and federal level about what surge hospitals are, the kind of planning they require, how they can be set up, and who should be responsible for their establishment and operation. The case studies at the end of this paper describe how surge hospitals along the Gulf Coast were established and operated, providing a real-life perspective on the importance of creating safe surge hospitals after disasters strike as well as on the challenges that go along with providing care under these makeshift conditions."
The Joint Commission
Brick, Pam; Carlton, Paul K., Jr.
2020
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IAHSS Security Design Guidelines for Healthcare Facilities (2020): Draft Guidance Document, Alternate Care Sites - Medical Surge Capacity
From the Document: "Alternate care sites (ACS), or other temporary or re-purposed sites established to provide medical surge capacity for the influx of patients, should be designed to facilitate the delivery of care and protect the privacy, dignity and health of patients, while creating a safe and secure environment. The availability of ACS space and the type provided may limit the applicability of the intents below but, in all cases, they should be considered in design and during implementation."
International Association for Healthcare Security and Safety (IAHSS)
2020
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American Resolve: Attitudes, Values and Lives in the Pandemic
From the Document: "The Harris Poll is committed to providing the latest in public opinion polling on the Coronavirus outbreak as a free service to public health officials, media, policymakers, the business community, and the American public. We are in the field conducting bi-tri-weekly overnight polling among a nationally representative sample of U.S. adults on a range of different topics as this crisis continues to unfold."
Harris Poll
2020
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Strategic Vision for Biological Threat Reduction: The U.S. Department of Defense and Beyond
From the Webpage Description: "The National Academies of Sciences, Engineering, and Medicine was asked to articulate a 5-year strategic vision for international health security programs and provide findings and recommendations on how to optimize the impact of the Department of Defense (DOD) Biological Threat Reduction Program (BTRP) in fulfilling its biosafety and biosecurity mission. Because BTRP is just one of several U.S. government programs conducting international health security engagement, both the strategic vision and the success of the program rely on coordinating actions with the U.S. government as a whole and with its international partners. This report provides several recommendations for optimizing BTRP success in its current mission and the wider-looking strategic vision it proposes."
National Academies Press (U.S.)
2020
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Emergency Management Healthcare Environment Checklist
From the Document: "All items initialed (to the left of the item) are fully functional and able to support patient care delivery at this organization. Systems and Processes that are not applicable are marked N/A in the left column. In using this checklist, place initials to the left of the items that are fully functional and able to support patient care delivery at this organization. Mark Systems and Processes that are not applicable as N/A."
The Joint Commission
2020
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Lexipol: Emergency Management Plan Procedure Guidance
From the Document: "The purpose of this procedure is to provide guidance to members in the development of an emergency management plan."
Lexipol
2020
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Personal Protective Equipment Use Procedure
From the Document: "The purpose of this procedure to is provide a respiratory protection plan to protect the safety of members who may be exposed to respiratory hazards in the course of their duty assignments."
Lexipol
2020
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Lexipol: Emergency Management Plan
From the Document: "This policy addresses the preparation, maintenance, and activation of any applicable emergency management plan."
Lexipol
2020
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Public Health Legal Authorities to Collect, Use, Share, and Protect Information [fact sheet]
From the Overview: "Public health agencies need to collect, use, and share information to prevent disease and injury and protect the public against natural, accidental, and intentional health threats. Various federal and state laws may impact public health activities regarding such information. Public health agencies may collect and maintain information that identifies an individual or is sensitive in nature, such as information about communications systems or detailed emergency response plans. In these situations, freedom of information (FOI) laws establish parameters for information that must be shared, upon request, and that which may be exempted from public disclosure. In applying the laws, public health agencies may need to juggle competing interests and balance individual privacy against the need to protect or inform the public. Public health agencies face additional challenges when sharing information with law enforcement, especially when conducting a joint investigation where a public health threat may involve criminal activity."
Association of State and Territorial Health Officials (U.S.)
2020
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Handbook for Public Health Capacity-Building at Ground Crossings and Cross-Border Collaboration
From the Introduction: "This handbook follows a comprehensive approach to health system strengthening at borders in order to support IHR [International Health Regulations 2005] national focal points and other national agencies in developing and implementing evidence-based action plans for IHR capacity development at ground crossings. [...] Specifically, the objectives of the handbook are: [1] to introduce principles of strategic risk assessment for prioritizing capacity-building for preparedness and response at ground crossings; [2] to highlight issues to consider when selecting ground crossings for designation under the IHR; [3] to support the establishment and maintenance of cross-border collaboration in order to improve coordination and communication at ground-crossing settings."
World Health Organization
2020
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Mental Health and Psychosocial Support for Staff, Volunteers and Communities in an Outbreak of Novel Coronavirus
From the Introduction: "The novel Coronavirus (nCoV) epidemic in 2019-2020 has recently emerged. The route of transmission is not totally known, although it is known that it can spread from person to person, and local health care systems may be ill-equipped to handle a large-scale outbreak. Furthermore, misconceptions and misinformation about the disease often spreads rapidly in such epidemics. In previous epidemics mental health and psychosocial support (MHPSS) has been identified as a key priority. MHPSS ensures the well-being of the affected populations, and counter-acts the threats to public health and safety that fear, stigmatization and misconception pose. Access to information, knowledge about the disease and how it spreads, make it easier for the affected to feel supported and calm, and to comply with instructions. Furthermore, psychosocial support to staff and volunteers help the operation as work conditions are extremely stressful. This briefing note provides background knowledge on the MHPSS aspects related to nCoV and suggests MHPSS activities that can be implemented. The messages can be helpful for those in contact with patients or relatives and feel the strain of working and living during the epidemic. The briefing is aimed both at those working in any capacity with those affected by nCoV and for the MHPSS responders who implement MHPSS activities and interventions for everyone affected."
International Federation of Red Cross and Red Crescent Societies
2020?
