Policies on Covid-19 coronavirus in adult group residential setting
March 28, 2020 9:03 AM   Subscribe

Group residential settings and the coronavirus -- need citations and info for a facility trying to set specific policies on what happens if a resident has the virus. This is a supported-living facility for adults with disabilities including developmental/intellectual disabilities. Staff are often in all-day one-on-one contact with residents, and many residents can't be left alone or necessarily follow instructions. Looking for links: good policies from such facilities; best-practice statements from professional or official groups; basic science on transmission of the virus; info on special risks to this population.

This is in the US. The facility is already taking basic precautions like no visitors, lots of hand washing and surface cleaning, staff who feel sick stay home. They're working closely with the local health board and other relevant authorities, but they don't have masks or other protective equipment and the local authority hasn't been able to help much in practical terms. They've been told there is basically no testing available except for people who already need to be hospitalized.
posted by LobsterMitten to Health & Fitness (9 answers total) 1 user marked this as a favorite
 
I've found the CDC web site to very good in terms of guidance. Here is their page on Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance).

They also have Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. Now I realize an adult residential setting isn't exactly the same as a nursing home or assisted living facility but there is probably some overlap.
posted by selfmedicating at 9:38 AM on March 28, 2020


Public Health England have issued guidance for supported living provision, if that is helpful to you or anyone else.
posted by plonkee at 10:11 AM on March 28, 2020


The Washington State Department of Health has published Guidance for Foster Care Group Home Facilities (Updated March 18, 2020) and Recommendations for Long Term Care Facilities During COVID-19 Outbreak, which includes links to a variety of resources. (via the Washington DOH Resources and Recommendations page, which includes additional resources)
posted by katra at 2:38 PM on March 28, 2020


The North Carolina DHHS has published a variety of COVID-19: Long-Term Care Facilities resources, including Interim Guidance for Congregate Living Settings (March 26, 2020), N.C. Interim Guidance for Long-Term Care Settings (March 25, 2020), and Guidance for Infection Control and Prevention in Adult Care Homes and Family Care Homes (updated March 6, 2020).
posted by katra at 2:47 PM on March 28, 2020


The Virginia Health Care Association | Virginia Center for Assisted Living "has complied a roundup of information and resources related to the coronavirus / COVID-19 to help long term care providers prevent the spread of the disease," including COVID-19: What Assisted Living Facilities, PACE Sites, Adult Day Centers and Group Homes Need to Know – Webinar Slides (March 20, 2020) and Communal Dining Guidance (March 15, 2020).
posted by katra at 2:59 PM on March 28, 2020


How long does the coronavirus live on surfaces? (USA Today, Mar. 25, 2020)

Outbreak guidelines for high-risk institutions version 2 (March 13, 2020), and Respiratory health for better COVID-19 outcomes (March 16, 2020), via Stopping the CoronaVirus Pandemic, New England Complex Systems Institute
posted by katra at 5:33 PM on March 28, 2020


From the Administration for Community Living's Coronavirus disease 2019 (COVID-19) page:
Information for people with developmental disabilities

* Thank you to Green Mountain Self-Advocates for creating this booklet about COVID-19. It was created by people with disabilities, for people with disabilities. Thank you also to the California DD Council for translating it into Spanish.
* University of North Carolina: Supporting Individuals with Autism Through Uncertain Times
* Emergency communication tool from Temple University Institute on Disabilities: Communication during times of emergency is critical. However, many individuals may not use verbal communication due to their disability, injury, or shock. These communication tools may be used during times of emergency when spoken English or Spanish may not be an option.
English Emergency Communication Tool (PDF)
Spanish Emergency Communication Tool (PDF)

[...] Updated: Resources for Health Professionals and First Responders

New! AADMD Resources for Those Serving People with Intellectual and Developmental Disabilities AADMD's Coronavirus Center is a resource and knowledge-sharing hub for individuals, caregivers, and, in particular, health care workers serving people with intellectual and developmental disabilities.
posted by katra at 11:32 PM on March 28, 2020






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