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Ramsey County │ Annex B: Protective Actions 12 <br />aids needs to be made available. However, many people with disabilities are completely self-sufficient <br />and may be prepared to evacuate. <br />Populations evacuating an impact area and arriving in a host area may include some individuals with <br />health or medical needs who normally require home- and community-based services. Conditions that <br />may have been under control before evacuation may be exacerbated, and health conditions may <br />degrade during the evacuation process. Evacuees with such needs may require ongoing health support <br />in host areas, and jurisdictions should ensure evacuees obtain that support. <br />Most relevant medical support and assessment follow the same procedures, whether it takes place in <br />the impact area before the transport of evacuees or when they arrive in host areas. Assistance may be <br />required to connect/reestablish evacuees with home- and community-based service providers. During <br />the evacuation process, monitoring these evacuees will help identify if conditions worsen and if <br />additional medical assistance and supplies are necessary. Jurisdictions should plan for individuals with <br />DAFN in all aspects that will impact them (e.g., transportation, evacuation, sheltering). <br />Considerations and accommodations should be made to best ensure the safety and mental wellbeing of <br />those being evacuated, including individuals who may traditionally face discriminatory treatment (e.g., <br />trans persons, undocumented/refugees, non-English speakers) and those who may require <br />transportation adaptations (e.g., registered sex offenders). <br />3.1.9.4 Domestic/Sexual Violence Shelters <br />Domestic and sexual violence leaves long-lasting impacts on survivors. Ramsey County is home to <br />domestic/sexual violence shelters and service organizations that could be impacted during an <br />evacuation or shelter-in-place situation. Shelter managers and management teams should strive to <br />provide additional protections for those who have already survived domestic and sexual violence as well <br />as prevent these acts from occurring during the operation of shelters with displaced evacuees. There is a <br />potential for an increase in domestic/sexual violence following a disaster. Evacuation site managers <br />should visibly post telephone numbers for local domestic violence shelters and national providers such <br />as the National Domestic Violence Hotline: 1-800-799-SAFE (1-800-799-7233) or (1-800-787-3224) <br />TeleType (TTY) and the National Human Traffic Hotline (1-888-373-7888) in emergency shelter areas. <br />In addition, individuals currently living in community domestic or sexual violence shelters may need to <br />evacuate to emergency shelters due to the impacts of a threat or hazard. Shelter operators need to <br />ensure additional precautions are taken for these clients during the registration process, including <br />special handling of their personally identifiable information (PII), securing shelter registrations, not <br />leaving client information exposed, and ensuring ample room is provided between registering shelter <br />clients. When emergency shelter management teams cannot take on this additional task, they should <br />make alternate arrangements to maintain confidentiality for these survivors. <br />3.1.9.5 Hospitals and Residential Medical Facilities <br />Hospitals and residential medical facilities, including hospice centers, mental health facilities, nursing <br />homes, and other assisted living facilities, face unique resource requirements and challenges in <br />performing protective actions. During times of disaster, these facilities should: