Promising Practices - Language Access in Emergency Preparedness, Response, and Recovery (English)

us-doj-guidance-CRT-1315796Promising Practices - Language Access in Emergency Preparedness, Response, and Recovery (English)Guidance

Tips and Tools for Reaching
Limited English Proficient
Communities in Emergency
Preparedness, Response, and
Recovery
Federal Coordination and Compliance Section,
Civil Rights Division, U.S. Department of Justice
2016
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Table of Contents
Introduction ............................................................................................................................... i
Text Box: No Language Access Plan? Get Started Now! ............................................ ii
Tips and Tools for Reaching Limited English Proficient Communities in Emergency
Preparedness, Response, and Recovery ................................................................................... 1
Establish Policies and Procedures: Include Language Access to Your Emergency Plan ... 2
Identify the Language Groups in Your Service Area ....................................................... 2
Ensure LEP Individuals Can Access Your Programs and Services Now ......................... 2
Conduct Outreach Efforts to Establish Partnerships and Identify the Practices that
Best Serve Your Community Before Disaster Strikes ...................................................... 3
Text Box: A Note about Less Common Languages ..................................................... 5
Training Activities............................................................................................................. 6
Preparedness ......................................................................................................................... 7
Text Box: A Note about Disseminating Information.................................................... 7
Text Box: Good Quality Translations are Essential: Plan Ahead! .............................. 8
Response................................................................................................................................ 9
Notifications and Warnings .............................................................................................. 9
Text Box: A Note about Telephonic Interpretation Services .....................................10
Victim Care .......................................................................................................................11
Text Box: A Note about Children ...............................................................................12
Recovery ...............................................................................................................................13
Appendix: Resources.................................................................................................................. I
Federal Resources and Examples .......................................................................................... I
State and Local Resources and Examples .......................................................................... IV
Additional Resources and Examples ................................................................................. VII
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Introduction
Effective communication with limited English proficient
individuals increases the safety of the entire community, saves
lives, and is consistent with your mission and the law.
Communicating 	information 	to 	the 	public 	is 	essential 	to 	emergency
management. Limited English proficient (LEP) individuals will likely be present in
any community faced with an emergency or disaster. LEP individuals are those who
have 	difficulty 	speaking, 	understanding, 	reading, 	or 	writing 	English. 	If 	LEP
individuals are not able to access disaster information in a language they can
understand, the consequences can be deadly. 	When individuals do not evacuate,
find shelter, or understand how to prevent getting a contagious disease, emergency
response personnel and resources are further strained to conduct rescue operations
or otherwise remedy avoidable situations. 	To avoid such outcomes, planning for
communication 	with 	LEP 	individuals 	should 	occur 	at 	all 	stages 	of 	disaster
management—including preparedness, response, and recovery.1
Ensuring language access is not only good practice: it is also the law. Title VI
of the Civil Rights Act of 1964 (Title VI) prohibits discrimination on the basis of
race, color, or national origin by recipients of federal financial assistance.2 The
prohibition on national origin discrimination requires recipients to take reasonable
steps to ensure that LEP persons have meaningful access to the same benefits,
services, information, and any other vital aspect of the recipient’s programs or
activities 	as 	everyone 	else.3 	Although 	this 	document 	focuses 	on 	disaster
management, many agencies have a much broader mandate. 	Federally funded
emergency, medical, social service, and other agencies that will be called upon to
1 We recognize that many emergency experts refer to additional or different “stages” of disaster preparedness than
are presented in this document, such as mitigation and reconstruction. While the stages to which we refer simplify
the complex nature of emergencies, we believe they offer sufficient clarity to illustrate relevant LEP-related
concerns that are the focus of this document. Though this document does not explicitly refer to guidance found in
the National Incident Management System (NIMS) or the National Response Framework (NRF), it closely parallels
these resources and supplements their guiding principles. More information about the NRF can be found at
http://www.fema.gov/national-response-framework; the NIMS web page is located at
https://www.fema.gov/national-incident-management-system.
2 42 U.S.C. §§ 2000d et seq.
3 Additionally, Executive Order 13166, reprinted at 65 Fed. Reg. 50121 (August 16, 2000), requires that recipients
of federal financial assistance provide meaningful access to their programs and services. Other federal law and
policy, such as the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act) requires the
consideration of language access in emergency planning and response. 42 U.S.C. § 5151(a).
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No Language Access Plan? Get Started Now!
For further information on creating a language access policy or plan to
address your agency’s work, consider the following resources:
• 	Common Language Access Questions, Technical Assistance, and
Guidance for Federally Conducted and Federally Assisted Programs.
• 	Language Assistance Self-Assessment and Planning Tool for Recipients
of Federal Financial Assistance
• 	Language Access Assessment and Planning Tool for Federally
Conducted and Federally Assisted Programs
• 	Limited English Proficiency Resource Document: Tips and Tools from the
Field
For additional information, please review the Appendix, and visit:
www.LEP.gov
provide assistance during disasters should ensure they are providing meaningful
access to their regular programs and services as well. Doing so before an emergency
occurs, may not only be required by law, but will also make it much easier to
provide meaningful access during times of crisis.
This document is geared toward state and local decision-makers, planners,
and 	language 	access 	coordinators 	at 	agencies 	responsible 	for 	emergency
preparation, response, and recovery. 	It provides a non-exhaustive compilation of
tips and promising practices intended to serve as a starting point for incorporating
language access considerations into disaster management plans. Our hope is that
this document helps recipients incorporate language access considerations into
emergency plans, encourages innovation and sharing of information, and promotes
a broader assessment of how language access is addressed in everyday activities.
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Tips and Tools for Reaching Limited
English Proficient Communities in
Emergency Preparedness, Response, and
Recovery
Planning for contingencies and potential obstacles is part of a successful
response to an emergency. Such planning ultimately benefits the entire community.
Taking 	appropriate 	steps 	to 	anticipate 	the 	needs 	of 	limited 	English 	proficient
community members is an important part of the planning process.
This document offers tips and tools to assist you to create comprehensive
strategies that incorporate language access considerations into the following stages
of emergency management:
• 	Establishing Policies and Procedures – This section offers information to
assist recipients in implementing appropriate policies and procedures to address
language access matters in the emergency and disaster context.
• 	Preparedness, including Mitigation – This section offers suggestions and
resources for ensuring that LEP individuals have access to information and
services 	offered 	by 	emergency 	managers 	relating 	to 	the 	actions 	individual
community members should take to be better prepared for emergencies and
disasters.
• 	Response – This section offers tips and tools for ensuring that emergency
responders have the capability to communicate and assist LEP individuals when
emergencies and disasters are in progress, and in the immediate aftermath.
• 	Recovery – This section offers recommendations for including LEP individuals
during 	long 	term 	recovery 	activities, 	including 	interactions 	at 	aid 	centers,
coordination with federal agencies, and post-disaster planning and rebuilding
efforts.
In addition, the Appendix provides resources from federal, state and local entities
with emergency management responsibilities, as well as nonprofit organizations who
serve LEP populations.
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Establish Policies and Procedures: Include Language
Access to Your Emergency Plan
Title VI language access requirements are broad and include activities related
to emergency management. 	To provide meaningful access to emergency services
successfully, written policies and procedures should be in place and address, in as
much detail as possible, how access will be provided to individuals who are LEP 	in
all stages of an emergency, including preparedness, response, and recovery.
Identifying the Language Groups in Your Service Area
• 	Recipients can use demographic data (e.g., census data, school district language
data, and language data from local welfare or human services agencies), and
institute 	procedures 	for 	keeping 	track 	of 	interactions 	with 	different 	LEP
language 	groups 	to 	help 	them 	assess 	the 	language 	needs 	of 	their
communities.
• 	Using 	American 	Community 	Survey 	data, 	the 	Federal 	Coordination 	and
Compliance Section of the Civil Rights Division in the Department of Justice
(FCS) has created maps indicating the concentrations of LEP individuals by
state, county, and judicial district. These maps also provide data about the
numbers of individuals in each language group represented in the geographic
area at issue. These maps are available at: http://www.lep.gov/maps.
Ensuring LEP Individuals Can Access Your Programs and Services Now
Evaluating your programs before a disaster strikes helps determine what tools are
already in place to assist LEP individuals and what, if any, additional resources are
needed. 	Many 	state 	and 	local 	agencies 	already 	address 	language 	access
considerations in their daily operations. 	For example, many hospitals provide
language services through certified interpreters and have written plans on how to
provide these services in the event of a major emergency. 	Many 911 call centers
have bilingual operators and access to multi-lingual language lines as well as
procedures that address how to effectively communicate with an LEP caller. 	Police
departments 	may 	already 	have 	qualified 	bilingual 	staff 	and/or 	procedures 	for
providing language services. 	Tips for evaluating and expanding existing LEP tools
include:
• 	Taking stock of the areas where you have already made progress and where there
may be room for improvement. If you have a language access plan, reviewing it
and considering how to build on its strengths will help you work to address any
deficiencies. (For more information on creating a language access plan, see the
text box on page ii.);
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• 	Re-examining evacuation and disaster preparedness plans to ensure that these
plans address the needs of LEP populations. 	When re-examining plans, pay
particular attention to communication strategies and make sure that procedures
for communicating in languages other than English are part of those strategies.
(Refer to the Response section, below, for more 	on 	specific communication
strategies.);
• 	Reviewing public-facing materials to determine what documents may be vital
during 	a 	disaster 	or 	emergency 	and 	translating 	those 	materials 	into 	the
commonly spoken languages in the area. (For more information on obtaining
translations, see the text box on page 7.);
• 	Many jurisdictions incorporate the concept of “access and functional needs,”
(sometimes referred to as “at-risk” or “vulnerable”) populations into their disaster
preparedness plans to address individuals who require specific assistance or
resources during emergencies. 	Populations with access and functional needs
often include individuals with disabilities, those without access to transportation,
children, and the elderly. 	Jurisdictions should also incorporate LEP individuals
in the “access and functional needs” categories throughout their plans.
Conducting Outreach Efforts to Establish Partnerships and Identify the
Practices that Best Serve Your Community Before Disaster Strikes
Thoughtful outreach practices are important because traditional means of
distribution may not be the most effective. 	Depending on the history of interactions
between some localities and local populations (immigrants and otherwise), mistrust
of 	the 	government 	could 	be 	a 	real 	issue 	when 	dealing 	with 	LEP 	community
members. 	Additionally, localities should be conscious of varying literacy levels
within specific LEP communities and use a range of methods to communicate with
each language population, as they would use for English speakers. 	Partnering with
community 	groups 	who 	work 	closely 	with 	LEP 	individuals 	and 	immigrant
communities can not only assist in identifying the best outreach practices for your
community, but can also provide a trusted voice to help carry the message of
personal preparedness.
Effective outreach efforts can help you be prepared to respond to LEP members of your
community, such as:
• 	Providing information about disaster-related language access services to, and
seeking input from, LEP persons and the community organizations that serve
them 	can 	encourage 	cooperation 	and 	partnerships 	and 	assist 	planners 	in
identifying the most successful language access strategies for their community.
 	The Community Emergency Response Team (CERT) program is a national
program that FEMA's Community Preparedness Division administers to
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train community members to assist with disaster response. In order to
tailor the program to different populations and encourage broader
participation, local CERTs across the country offer training courses in non-
English languages. More information about CERT, including how to start a
local team, is available here: http://www.citizencorps.gov/cert/
• 	Building ethnic media lists for each language population in your area and for
common forms of media (non-English radio stations, newspapers, websites, etc.);
• 	Publicizing the availability of language services, locations of public gatherings,
and other key information about your programs and activities in ethnic media;
• 	Working 	with 	other 	agencies 	and 	jurisdictions 	to 	brainstorm 	and 	identify
scenarios where LEP individuals may need emergency assistance. 	Consider
appropriate responses, resource sharing options, and how best to incorporate
language access into emergency response plans; and
• 	Identifying individuals with verified language skills who are willing to volunteer
during an emergency and are competent to do so.
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A Note about Less Common Languages
Strategies 	for 	communicating 	with 	persons 	who 	speak 	less 	common
languages, as well as persons who speak the most common languages, are
important in emergency plans. 	While it may not be necessary to hire
qualified 	bilingual 	employees 	for 	every 	language 	present 	in 	your
community or to translate every document in dozens of languages, smaller
LEP language groups should be provided meaningful access to emergency
services, in part by providing notice in those languages about where to get
vital information. Strategies for providing meaningful access include:
1. Identifying these smaller language populations and where they are
located;
2. 	Having a 	plan in 	place 	to 	communicate vital information 	to 	these
groups, such as evacuation orders, through the use of ethnic media or
community partnerships;
3. Procuring contracts with competent interpreter service providers, both
in person and remote, for the language populations you have identified.
4. 	Utilizing pictures and symbols, where appropriate, at shelters and
disaster relief centers;
5. 	Identifying volunteers with relevant, verified language skills before a
disaster 	happens 	who 	can 	provide 	sight 	translations 	of 	relief
information.
For more guidance about when translation of written material is necessary
see 	the 	“Written 	Language 	Services” 	section 	of 	your 	federal 	funding
agency’s 	LEP 	Guidance 	or 	the 	DOJ’s 	Guidance 	to 	Federal 	Financial
Assistance Recipients Regarding Title VI Prohibition Against National
Origin 	Discrimination 	Affecting 	Limited 	English 	Proficient 	Persons,
available at: http://www.gpo.gov/fdsys/pkg/FR-2002-06-18/pdf/02-15207.pdf.
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Training Activities
Including LEP individuals and language access issues into disaster training
exercises helps emergency responders respond effectively. Tips include:
• 	When testing your communication strategies, practicing how you will translate
and distribute translated media alerts, issue multilingual evacuation
announcements, work with interpreters, and other critical communications to
reach LEP populations.
• 	Helping prepare responders and volunteers to communicate with LEP disaster
victims in emergency exercises at hospitals, mobile health units, shelters, etc.
• 	Preparing “I Speak” cards and training responders, intake workers, and
volunteers on how they can be used to assist to identify languages spoken by
disaster survivors.
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Preparedness
Preparedness is the first line of defense to ensure the safety of individuals in
an emergency or disaster. 	Having an 	informed community 	assists emergency
managers and responders when an emergency does arise. 	Many local, state, and
federal agencies responsible for various emergency-related tasks routinely provide
free information to the public about how to prepare themselves for emergencies
ranging from hurricanes to earthquakes, pandemic flu, and terrorist attacks.
To have an informed and prepared public, however, it can be vital that this
information be translated and disseminated in the most common languages present
in the community. Translating vital documents is a key part of providing meaningful
access to your programs and activities for LEP persons. 	For more guidance on how
to procure good quality translations, see the text box on page 7. For information on
when written translations are necessary and identifying the languages in which to
translate documents, see the text box about translating documents into less common
languages on page 4.
Federal 	agencies 	and 	national 	organizations, 	as 	well 	as 	state 	and 	local
entities, already provide an abundance of free personal preparedness information in
multiple languages. Much of this information is translated into many languages and
can be used by state and local governments at no cost. 	See the Appendix at the end
of this document for resources in multiple languages that may be useful in ensuring
that LEP individuals in your community are adequately prepared.
A Note about Disseminating Information
It is often problematic to rely exclusively on the Internet or any other single
method to disseminate preparedness information because many people do
not have regular access to the Internet. Community groups can provide
invaluable advice and assistance in identifying how best to reach LEP
populations and in distributing materials in your community.
Online 	emergency 	preparedness 	information 	should 	be 	prominently
displayed and available in commonly encountered languages on relevant
home pages and web sites, as well as on translated web pages and sites.
Translated information appearing on websites is most useful when it is
directly accessible to LEP individuals, and not hidden “behind” English-
language text or links.
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Good Quality Translations are Essential: Plan Ahead!
Accurate, culturally competent translations help ensure that LEP
communities understand the information you want to convey. Below are
some resources that can help you understand the translation process,
identify a translation vendor, and obtain good quality translations:
• 	U.S. Department of Justice, Question 11, Commonly Asked Questions
and Answers Regarding Limited English Proficient (LEP) individuals,
What is the difference between a bilingual staff person and an
interpreter or translator? available in:
http://www.lep.gov/faqs/042511_Q&A_LEP_General.pdf.
• 	U.S. Department of Justice, Civil Rights Division, Federal
Coordination and Compliance Section, What Does it Mean To be a
Certified Linguist – TIPS to discovering vendor and linguist
qualifications available at: http://go.usa.gov/cpHG4.
• 	U.S. Department of Justice, Civil Rights Division, Federal
Coordination and Compliance Section, Before You Hire – Ask Yourself:
“What are my Project’s Language Needs?” – TIPS to make language
service hiring decisions available at: http://go.usa.gov/cpHG4.
• 	U.S. Department of Health and Human Services, Centers for Medicare
and Medicaid Service, Toolkit for Making Written Material Clear and
Effective, Section 5: Detailed guidelines for translation, which includes
guidelines to produce culturally appropriate translations, available at:
http://go.usa.gov/cp6xY.
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Response
Effective 	communications 	about 	sheltering, 	evacuation, 	transportation
options, and health care during an emergency or disaster can mean the difference
between life and death. 	To ensure the safety of all members of a disaster-impacted
area, it is important that planning for disaster-related communications with disaster
victims incorporates language access considerations.
Notifications and Warnings
In any emergency, communication before, during, and after an incident is
vital. 	Emergency response plans should include procedures for notifying the public
about where to find shelter, whether to evacuate, or where to go for assistance. 	The
following are tips for providing meaningful communication with LEP populations
during an emergency:
• 	Coordinating 	with 	non-English 	media—in 	TV, 	print, 	and 	radio, 	as 	well 	as
through online platforms and social media—to assist with sharing emergency
information to LEP populations in your area, including:
 	Establishing these partnerships before a disaster occurs and ensuring that
emergency plans identify the media outlets and their contact information.
 	If you are not familiar with the non-English media outlets that serve your
area, LEP individuals and community organizations may be able to assist
in identifying promising partnerships;
 	When creating ethnic media contact lists it is important to consider that
some publications are not published daily. 	Make note of their publishing
deadlines to ensure release of emergency information will be timely.
• 	Providing a clear message for evacuation pickup points and traffic routes in the
languages present in the affected area.
• 	If canvassing a neighborhood to provide warning, considering the languages
present in the area and identifying employees and/or volunteers with appropriate
language skills to cover them, as well as providing telephonic interpretation
services to personnel involved in canvassing activities.
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• 	To assist in disseminating information, forming partnerships with non-profit,
legal 	services, 	community, 	and 	faith-based 	organizations 	that 	serve 	LEP
populations;
• 	Ensuring 	that 	911 	call 	centers 	have 	bilingual 	staff 	in 	the 	highest 	volume
languages and access to telephonic interpretation services and properly training
operators on how to handle an LEP caller;
 	For more information specific to 911 call centers, see Chapter 2 of DOJ’s
Limited English Proficiency Resource Document: Tips and Tools from the
Field, 	available 	at: 	http://www.lep.gov/resources/tips_and_tools-9-21-
04.htm.
• 	If 	using 	a 	311 	or 	similar 	call 	center 	that 	operates 	as 	a 	clearinghouse 	for
emergency information such as where to find shelter, evacuation routes, etc.,
providing options for the same information in the non-English languages most
common in the affected area.
• 	Some local governments utilize reverse-911 systems that are programmed to call,
text, or email emergency information to residents. 	These systems, which may
operate using local telephone listings or via individual sign up, can incorporate
means to include messages in the languages most common in the area.
• 	Identifying and publicizing the use of public television stations as a clearinghouse
for 	emergency 	messages 	that 	are 	repeated 	in 	the 	most 	commonly 	spoken
languages in the area (see text box above).
A Note about Telephonic Interpretation Services
Telephonic interpretation services can be an excellent resource for providing
language assistance, for emergency- and disaster- related call centers, and for
emergency 	management 	personnel 	in 	the 	field. 	To 	be 	effective, 	however,
vendors need to provide high quality services, and personnel need to be properly
trained to use the service. Below are some resources that address these issues.
• 	U.S. Department of Justice, Civil Rights Division, Federal Coordination
and Compliance Section, TIPS on hiring the Right Telephonic Interpretation
Vendor, available at: http://go.usa.gov/cpHGG.
• 	U.S. Department of Justice, Civil Rights Division, Federal Coordination
and Compliance Section, TIPS for Working with Telephonic Interpreters,
available at: http://go.usa.gov/cpHGP.
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Survivor Care
During or immediately following an emergency, people may need shelter,
medical care, or reunification with missing loved ones. 	In these situations, LEP
individuals will need to be able to understand and effectively communicate with
emergency responders:
• 	Planning ahead to identify bilingual employees and volunteers with verified
language skills who are competent in assisting LEP individuals during a disaster.
Community organizations that work with LEP individuals can be a good resource
for identifying bilingual volunteers. Note, however, that community organizations
and nonprofits have their own obligations and resource limitations; emergency
management planners should not expect to receive language services from these
organizations 	for 	free. 	Consider 	working 	collaboratively 	with 	government
agencies in neighboring areas to pool language access resources and volunteers;
• 	Reaching out to area interpreters and translators who do not work in the
emergency field, such as those who work in the local courts or school districts, to
determine their interest in volunteering their services during times of emergency.
The 	following 	national 	organizations 	also 	may 	be 	of 	assistance 	in 	locating
volunteer interpreter and translators in your area:
 	American Association of Language Specialists
 	American Translators Association
 	International Association of Conference Interpreters
 	National Center for State Courts
 	For 	more 	information 	about 	using 	interpreters 	and 	translators 	see:
http://www.lep.gov/interp_translation/trans_interpret.html;
• 	Encouraging the hiring of bilingual employees whose language skills have been
assessed for proficiency to serve in positions that require interaction with the
public during times of emergency;
• 	Providing 	telephonic 	interpretation 	services 	for 	employees 	and 	volunteers
interacting with the public;
• 	To the extent that locations in the community, such as schools or churches, are
identified as possible shelter or emergency health facilities, considering ahead of
time which languages are present in the immediate area and planning for
appropriate language resources to be available at those facilities;
• 	Having a plan in place for keeping track of language needs when processing
wounded or sheltering individuals;
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A Note about Children
In many families, children may be the only fluent English speakers. 	As the
DOJ LEP Guidance makes clear, children must not be relied upon to serve as
interpreters and translators. Only under extenuating circumstances, as a
last resort while awaiting interpreter services, should children be used as
language brokers. 	In order to avoid relying on child “interpreters,” it is
crucial to identify volunteers with language skills, hire bilingual employees,
and establish relationships with professional interpreters and translators
before an emergency situation is present.
• 	Working with area hospitals to create lists of certified medical interpreters and
creating a policy of volunteer interpreter sharing in the event an emergency
affects a neighboring community;
• 	Considering and classifying the type of skills a volunteer with language skills
may have. 	Those who are qualified or certified medical interpreters should work
directly with health professionals and those who are not qualified or certified
medical 	interpreters, 	and likely 	without a 	strong 	understanding 	of 	medical
terminology, may be more suited to a limited role;
• 	Providing 	signs 	in 	the 	most 	common 	languages 	that 	provide 	notice 	of 	the
availability of language services and that encourage self-identification. However,
not all affected individuals are literate. If using signs to direct people to or
around an emergency facility, consider using pictures instead of words;
• 	Distributing “I Speak” cards to assist responders, intake workers, and volunteers
in identifying languages spoken by disaster victims. For example, consider the “I
Speak” poster and booklet created by the U.S. Department of Homeland Security,
available here: https://www.dhs.gov/publication/dhs-language-access-materials.
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Recovery
One of the lessons learned from recent recovery efforts is the importance of
providing information about disaster relief and long term recovery efforts in the
languages spoken in the impacted area. 	Relief workers and other emergency
management personnel should be aware of this obligation. 	To carry out this
obligation, the following may be helpful:
• 	Ensuring that language services—including bilingual staff, interpreters, and
translated materials—are in place at aid centers so that LEP persons are able to
communicate their needs, apply for assistance, and receive important information
about the process. At relief centers, using multi-lingual signage and other means
to publicize that language services are available;
• 	If the services you provide require recordkeeping, repeated interaction, or other
follow-up with victims, making sure to record LEP persons’ language needs in
their file, and ensure that future communications with the LEP individual, such
as notices, phone calls, and letters are made in the LEP person’s language;
• 	In the event of a federal response to a disaster in your area, communicating to
federal agencies, such as FEMA, the language needs in your area. This will
assist federal agencies in providing federal disaster relief information in the
languages present in your community, as well as identifying federal employees
with relevant language skills to assist with recovery operations;
• 	Providing translations in a variety of languages for documents that address
eligibility requirements for disaster relief benefits, and for documents
disseminated for public comment concerning long term recovery plans or
proposals, including those concerning rebuilding efforts, changes or repairs to
infrastructure, and use of federal emergency or disaster relief funds. Providing
translations in a variety of languages for any other notices or bulletins
concerning recovery efforts;
• 	Utilizing ethnic media lists to publicize town halls and other public forums at
which recovery efforts are discussed, or where community input concerning
emergency and disaster recovery efforts is sought. Reaching out to contacts at
non-profit, legal services, community, and faith-based organizations that serve
LEP populations to assist in disseminating translated information;
• 	Providing interpretation for commonly spoken languages at town halls and other
public forums at which recovery efforts are discussed, or where community input
concerning emergency and disaster recovery efforts is sought. Making sure that
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interpretation is provided not only of what is communicated by the speakers at
the event, but also for questions and comments from the audience. Ensuring that
any handouts, pamphlets, signs and other relevant written text are translated
and made available at the venue.
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Appendix: Resources
Federal Resources and Examples
Department of Health and Human Services (HHS)
Offices within HHS have created a number of tools and resources in order to assist
emergency planners and responders to adequately assist diverse communities,
including those with limited English proficiency.
• 	The Centers for Disease Control and Prevention’s (CDC) website includes
a search bar at the top right allowing users to search the entire website in the
language of their choice: http://www.cdc.gov. Spanish language translation of
the CDC website is available here: http://www.cdc.gov/spanish/.
• 	The Centers for Medicare & Medicaid Services, has published a Toolkit for
Making Written Material Clear and Effective, Section 5: Detailed guidelines for
translation, which includes guidelines to produce culturally appropriate
translations, available here: http://go.usa.gov/cp6xY.
• 	The Health Resources and Services Administration has developed an on-
line training course entitled: Culture, Language, and Health Literacy. The
information included in this training site can assist healthcare professionals in
improving patient communication skills; increasing awareness and knowledge of
the three main factors that affect communication with patients, which include 1)
health literacy, 2) cultural competency and limited English proficiency, and 3)
implementing patient-centered communication practices that demonstrate
cultural competency and appropriately address patients with limited health
literacy and limited English proficiency:
http://www.hrsa.gov/culturalcompetence/index.html.
• 	The National Institute of Health’s HealthReach offers documents, audio and
video information files on a variety of health related topics. Its resources are
searchable by language: https://healthreach.nlm.nih.gov/AdvancedSearch.aspx.
• 	The Office of Minority Health has funded the development of A Patient-
Centered Guide to Implementing Language Access Services in Healthcare
Organizations. The information included in this Guide can assist healthcare
organizations in planning, implementing, and evaluating language access
Complete printed PDF page 19
II
services to better serve their LEP patient population and decrease disparities in
access to healthcare: http://minorityhealth.hhs.gov/Assets/pdf/Checked/HC-
LSIG.pdf.
Department of Homeland Security (DHS)
www.Listo.gov is the Spanish language version of www.Ready.gov and provides tips
for families on creating emergency preparedness kits, formulating family emergency
plans, and learning about government emergency response. The site is also available
in 11 other languages.
• 	The Federal Emergency Management Agency (FEMA) provides information
in multiple languages on its website, including Spanish, here:
http://www.fema.gov/es.
• 	Tips for Effectively Communicating with Protected Populations During
Preparedness, Response, and Recovery (DHS Office for Civil Rights and
Civil Liberties, FEMA Office of Equal Rights, FEMA Office of Disability
Integration and Coordination) provides information to state, local, and tribal
governments on practices to help jurisdictions effectively communicate with
individuals who are LEP and or who have other access and functional needs and
is available here: https://www.dhs.gov/antidiscrimination-group.
Department of Justice (DOJ)
The Civil Rights Division provides LEP training and technical assistance to
interested stakeholders as its resources permit. 	For more information on the work
of the Federal Coordination and Compliance Section (FCS) of the Civil Rights
Division, visit http://www.usdoj.gov/crt/fcs/. For technical assistance, please call FCS
at (202) 307-2222, TTY: (202) 307-2678. The Department also manages
www.LEP.gov, which provides information, tools, and technical assistance regarding
limited English proficiency and language services for federal agencies, recipients of
federal funds, users of federal programs and federally assisted programs, and other
stakeholders. For example:
• 	Using American Community Survey data collected by the U.S. Census, FCS has
released maps which provide data on the distribution of LEP individuals in the
United States on a state, county, and judicial district level, and offer information
about the top languages spoken in selected areas: 	http://www.lep.gov/maps/.
• 	The Department has created a Language Access Assessment and Planning Tool
for Federally Conducted and Federally Assisted Programs, which can assist state
Complete printed PDF page 20
III
and local emergency planners and responders to assess their needs and to plan
for the provision of language services in emergency preparedness, response, and
recovery:
http://www.lep.gov/resources/2011_Language_Access_Assessment_and_Planning_
Tool.pdf.
• 	The Department has created a number of tools to assist organizations with hiring
and procurement of language services. These include:
 	Before You Hire – Ask Yourself: What are my Project’s Language Needs?” –
TIPS to making language service hiring decisions, available at:
http://go.usa.gov/cpHGk.
 	What does it Mean to be a Certified Linguist? TIPS on discovering vendor
and linguist qualifications, available at: http://go.usa.gov/cpHG4.
 	TIPS on Hiring the Right Telephonic Interpretation Vendor, available at:
http://go.usa.gov/cpHGG.
 	TIPS for Working with Telephone Interpreters, available at:
http://go.usa.gov/cpHGP.
Complete printed PDF page 21
IV
State and Local Resources and Examples4
• 	Arlington County, Virginia utilizes an automated alert system, which provides
alerts through text, email, instant messaging, fax, or telephone in English or
Spanish: https://www.arlingtonalert.com/index.php?CCheck=1
https://member.everbridge.net/index/1332612387832024#/faq.
• 	The California Department of Public Health has a “Be Prepared” program,
which provides fact sheets in 13 languages for public health emergencies,
including disaster preparedness for the event of extreme heat, extreme cold,
and wildfires:
http://www.bepreparedcalifornia.ca.gov/ResourcesAndLinks/Languages/Pages/Fa
ctSheetsinSelectedLanguages.aspx.
• 	The California Governor’s Office of Emergency Services published the
guide Meeting the Needs of Vulnerable People in Times of Disaster: A Guide for
Emergency Managers, which provides advice on how to partner with community
based organizations, available at:
http://www.caloes.ca.gov/AccessFunctionalNeedsSite/Documents/Vulnerable%20P
opulations.pdf.
• 	Florida Department of Health Emergency Preparedness & Response has
issued the Florida Emergency Preparedness Guide in English, Spanish, and
Creole. It also created fact sheets for serving vulnerable populations in
emergencies: http://www.floridahealth.gov/programs-and-services/emergency-
preparedness-and-response/healthcare-system-preparedness/vulnerable-
populations/vp-factsheets.html. Specific examples are noted below:
 	Fact sheet for communicating with LEP individuals:
http://www.floridahealth.gov/programs-and-services/emergency-
preparedness-and-response/healthcare-system-preparedness/vulnerable-
populations/_documents/vp-non-english.pdf.
4 The examples described in this section are consistent with the goals of the DOJ’s Guidance to
Federal Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin
Discrimination Affecting Limited English Proficient Persons (“DOJ LEP Guidance”), 67 Fed. Reg.
41455 (June 18, 2002). However, DOJ has not conducted an extensive review of the entities noted in
these examples, has not independently verified translated materials, nor reviewed how the policies
and practices are implemented. DOJ does not endorse or suggest that any particular program is
legally required. Language access coordinators and decision-makers should consult the LEP
Guidance documents that DOJ and other federal agencies have published, in conjunction with these
examples.
Complete printed PDF page 22
V
 	Communications resource guide for response personnel to serve vulnerable
populations, with sections on non-English speaking populations and
migrant populations: http://www.floridahealth.gov/programs-and-
services/emergency-preparedness-and-response/healthcare-system-
preparedness/vulnerable-populations/_documents/fan-resource-guide.pdf.
• 	Massachusetts Executive Office of Health and Human Services (EOHHS)
has created Show Me: A Communication Tool for Emergency Shelters, which uses
symbols and visual elements to communicate emergency related services to LEP
populations. EOHHS has also made this tool available as a mobile application.
For more information, see
http://www.mass.gov/eohhs/gov/departments/dph/programs/emergency-
prep/additional-access-needs/show-me.html.
• 	The Minnesota Department of Health offers information in 18 languages.
Many of these translated materials are relevant to emergency and disaster
preparedness.
 	Project ECHO (Emergency, Community, and Health Outreach), provides
health, safety, and emergency preparation information in multiple
languages by phone, email, on television, and on the web during emergency
and non-emergency times to people who are LEP throughout the state of
Minnesota. Project ECHO delivers emergency information in several
formats, depending on the scope of the emergency, including:
 	ECHO Phone – a toll-free phone number provides regularly updated
emergency-related information in 10 languages
 	ECHO Web – provides a virtual hub for public officials, outreach
workers and community members seeking multi-language health,
safety, emergency and civic engagement education. See
www.echominnesota.org.
 	ECHO Community Partnerships – translated information is relayed to
LEP audiences locally
 	ECHO TV – broadcasts live on public television during statewide
emergencies to provide instructions and information in English and in
seven additional languages
• 	Orange County, North Carolina’s Immigrant Emergency
Communications Program was created by the county’s Health Department
(OCHD) in response to a December 2002 ice storm that led to several carbon
monoxide poisoning deaths of Latinos in North Carolina. The program provided
emergency preparedness and response information in Spanish, such as a
Complete printed PDF page 23
VI
telephonic calling tree through which real time information is disseminated,
emergency preparedness training, translated emergency information, and paid
radio advertisements about emergency preparedness. The program also provided
interpreter training, locates shelter volunteers with Spanish skills, and held
meetings with organizations that serve Spanish-speaking populations to share
information on how best to improve their services. For more information about
OCHD’s program, see: http://www.cidrap.umn.edu/practice/multi-format-
communications-program-readies-spanish-speakers-emergencies-0.
• 	Philadelphia’s Office of Emergency Management provides translations of
many of its disaster preparedness brochures in several languages:
https://alpha.phila.gov/departments/oem/ready-or-not/brochures/.
• 	The San Francisco Department of Emergency Management provides PDFs
of the information available on its preparedness website in Chinese, English,
Russian, Spanish, and Vietnamese: http://www.sf72.org/plan.
 	For an example of a successful partnership between emergency responders,
the public, and community organizations, take a look at the Chinatown
Disaster Response Program in San Francisco. Information about this
program is available here: http://www.cidrap.umn.edu/practice/disaster-
planning-san-francisco%E2%80%99s-chinatown-trains-empowers-
community-members-responders.
• 	The City of Seattle published a site that contains both disaster preparedness
and emergency response information translated into a number of non-English
languages. Translated materials include both online information and one-page
flyers that are easy to distribute:
http://kingcounty.gov/healthservices/health/languages.aspx.
 	For an example of a partnership between a county and community
organizations to ensure emergency-related information reaches vulnerable
communities, see the Seattle and King County Community and
Communication Network:
http://www.kingcounty.gov/healthservices/health/preparedness/VPAT/CCN
.aspx.
• 	The Virginia Department of Emergency Management offers Emergency
Preparedness information in ten non-English languages on its site:
http://www.vaemergency.gov/readyvirginia/other-languages.
Complete printed PDF page 24
VII
Additional Resources and Examples5
The American Red Cross (Red Cross) provides a translated version of its
preparedness information in Spanish at http://www.redcross.org/cruz-roja/preparate,
and PDF documents in a number of languages, available at
http://www.redcross.org/prepare/disaster-safety-library. The Red Cross also
maintains a Language Bank, which provides free in-person and over-the-phone
interpretation as well as written translation for individuals and community based
partner agencies, and quick tips and a resource guide for non-profit partners.
Relevant links include:
• 	http://www.redcross.org/local/wa/northwestregion/programs-services/translation-
interpretation.
• 	http://www.redcross.org/images/MEDIA_CustomProductCatalog/m27940127_lb_q
uick_tips_.pdf.
• 	http://www.redcross.org/images/MEDIA_CustomProductCatalog/m27940129_lang
uage_bank_resource_guide.pdf.
The Asian American Justice Center provides information concerning language
access requirements under the Stafford Act and an analysis of the Hurricane
Katrina disaster response in Asian Communities. For example:
• 	Fact Sheet: Language Rights and the Stafford Act, available at:
http://www.advancingjustice-aajc.org/sites/aajc/files/FEMA-TheStaffordAct-
LanguageRights-FACTSHEET.pdf.
5 The examples described in this section are consistent with the goals of the DOJ’s Guidance to
Federal Financial Assistance Recipients Regarding Title VI Prohibition Against National Origin
Discrimination Affecting Limited English Proficient Persons (“DOJ LEP Guidance”), 67 Fed. Reg.
41455 (June 18, 2002). However, DOJ has not conducted an extensive review of the entities noted in
these examples, has not independently verified translated materials, nor reviewed how the policies
and practices are implemented. DOJ does not endorse or suggest that any particular program is
legally required. Language access coordinators and decision-makers should consult the LEP
Guidance documents that DOJ and other federal agencies have published, in conjunction with these
examples.
Complete printed PDF page 25
VIII
• 	Hurricane Katrina: Models for Effective Emergency Response in the Asian
American Community, available at: http://www.advancingjustice-
aajc.org/sites/aajc/files/KatrinawriteupFINAL.pdf.
An innovation of the Drexel University School of Public Health’s Center for
Health Equality and funded by the HHS Office of Minority Health, the National
Resource Center on Advancing Emergency Preparedness for Culturally Diverse
Communities is an online clearinghouse and information exchange portal designed
to facilitate communication, networking and collaboration to improve preparedness,
build resilience and eliminate disparities for culturally diverse communities in
public health emergencies. Diversitypreparedness.org provides translated
preparedness resources listed by language at:
http://www.diversitypreparedness.org/browse-resources/language/, and translated
documents (including training materials), listed by type of document at:
http://www.diversitypreparedness.org/browse-resources/multiple-categories/.
National Consensus Panel on Emergency Preparedness and Cultural
Diversity, with support from HHS’s Office of Minority Health, published a
Guidance for Integrating Culturally Diverse Communities into Planning for and
Responding to Emergencies which includes information on providing linguistically
appropriate communications, and is available here:
http://www.aha.org/content/11/OMHDiversityPreparednesToolkit.pdf.
The National Council of La Raza created a comprehensive guide to the provision
of emergency services to Latino communities, including the provision of services to
LEP communities, called Emergency Managers Tool Kit: Meeting the Needs of Latino
Communities available at:
http://publications.nclr.org/handle/123456789/382.
The United Nations Office for Disaster Risk Reduction has created glossaries
of emergency and disaster related terms, 2009 UNISDR Terminology on Disaster
Risk Reduction, and has obtained translations in twelve languages:
https://www.unisdr.org/we/inform/publications/7817. Glossaries can be very helpful
when working with interpreters, many of whom may not have specialized knowledge
in the area of emergency and disaster management.
Complete printed PDF page 26

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