Children and Youth with Special Healthcare Needs in Emergencies

Key points

  • Nearly 1 out of every 5 children in the United States has a special healthcare need.
  • Children with special healthcare needs are more vulnerable to disasters.
  • They can suffer long-term emotional and mental health effects.
  • Creating and practicing an emergency kit and care plan can help children stay safe and feel calm during an emergency.
  • Parents and caregivers should involve a child's healthcare provider and local emergency services in their planning.
A boy using a walker outside.

Background

Nearly 1 out of every 5 children in the United States has a special healthcare need.

Children and youth with special healthcare needs (CYSHCN) may have a physical, developmental, intellectual, behavioral, or emotional condition that requires specialized interventions or care.

Children are already more susceptible to disasters than adults because of their size and reliance on parents or caregivers. Children and youth with special healthcare needs might face certain barriers that make them even more vulnerable to disasters. For example, they may require medications or specialized equipment, have difficulty communicating their needs, or have a mobility impairment.

Before a disaster

Plan for children with special healthcare needs

Parents and caregivers should create an emergency care plan and an emergency care kit. If possible, the child should help with the plan.

Involve your child's healthcare provider. They can identify community support networks and check that the child's medical needs are included.

Practice the plan

Practice the plan with children with special healthcare needs. This will help them stay safe and feel calm during an emergency.

Special considerations for planning

Consider these factors in your plan:

  • Safe transportation for your child, their needs, and their equipment may not be accessible.
  • Local emergency shelters may not have resources or medications available.
  • Electricity may be out for a few days.

Here's what you can do:

  • Call your local Emergency Medical Services and the emergency management office in your area.
  • Let them know if:
    • Your child has special equipment needs.
    • Your child's equipment uses electricity to operate.
  • Ask them about:
    • Transportation for your child and equipment.
    • Shelter locations that can support your child's special healthcare needs.
  • Pack extra items in your kit.

During and after a disaster

During a disaster

  • Talk with your child about what is happening in a way that they can understand.
  • Use simple words and keep in mind your child's age and type of special need.
  • Watch your child's reactions and body language to see how they are feeling.

After a disaster

Disasters can have long-term effects on a child's mental and emotional health. They can be hard for children with special healthcare needs. Children with serious emotional and behavioral issues are at high risk for severe stress.

To ease these effects, keep your child's routine and environment as close to normal as possible.