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The Utility of and Risks Associated With the Use of Spontaneous Volunteers in Disaster Response: A Survey

  • Lauren M. Sauer (a1) (a2), Christina Catlett (a1), Robert Tosatto (a3) and Thomas D. Kirsch (a1) (a2)
Abstract Objective

The use of spontaneous volunteers (SV) is common after a disaster, but their limited training and experience can create a danger for the SVs and nongovernmental voluntary organizations (NVOs). We assessed the experience of NVOs with SVs during disasters, how they were integrated into the agency's infrastructure, their perceived value to previous responses, and liability issues associated with their use.


Of the 51 National Voluntary Organizations Active in Disasters organizations that were contacted for surveys, 24 (47%) agreed to participate.


Of the 24 participating organizations, 19 (72%) had encountered SVs during a response, most (79%) used them regularly, and 68% believed that SVs were usually useful. SVs were always credentialed by 2 organizations, and sometimes by 6 (31%). One organization always performed background checks; 53% provided just-in-time training for SVs; 26% conducted evaluations of SV performance; and 21% provided health or workers compensation benefits. Two organizations reported an SV death; 42% reported injuries; 32% accepted legal liability for the actions of SVs; and 16% were sued because of actions by SVs.


The use of SVs is widespread, but NVOs are not necessarily structured to incorporate them effectively. More structured efforts to integrate SVs are critical to safe and effective disaster response. (Disaster Med Public Health Preparedness. 2014;8:65-69)

Corresponding author
Correspondence and reprint requests to: Lauren Sauer, MS, Johns Hopkins University, Department of Emergency Medicine, 5801 Smith Ave, Davis Bldg, Ste 3220, Baltimore, MD 21209 (e-mail
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1. GlynnSA, BuschMP, SchreiberGB, etal. Effect of a national disaster on blood supply and safety: the September 11 experience. JAMA. 2003;289(17):2246-2253.
2. Center on Philanthropy at Indiana University, the Association of Fundraising Professionals. America gives: survey of Americans’ generosity after September 11. Indianapolis, IN: University of Indiana; January 2002. Accessed on December 13, 2011.
3. ShirlockMF. Charitable contributions for Haiti's earthquake victims. Washington, DC: Congressional Research Service; January 22, 2010. Accessed on December 13, 2011.
4. The American Red Cross. USA: A year of healing - The American Red Cross response to Hurricanes Katrina, Rita and Wilma. Relief Web. 21 August 2006. Accessed on March 4, 2014.
5. Illinois Terrorism Task Force Committee on Volunteers and Donations. Community Guidelines for Developing a Spontaneous Volunteer Plan; February 2005. Accessed on March 1, 2012.
6. Van HovingDJ, WallisLA, DocratF, De VriesS. Haiti disaster tourism—a medical shame. Prehosp Disaster Med. 2010;25(3):201-202.
7. BirnbaumML. STOP!!!!!. Prehosp Disaster Med. 2010;25(2):97-98.
8. KendraJM, WachtendorfT. Rebel food…renegade supplies: convergence after the World Trade Center attack. Newark, DE: Disaster Research Center, University of Delaware; 2002. preliminary paper 316.
9. National Voluntary Organizations Active in Disasters website. Accessed March 2102.
10. NojiEK, ArmenianHK, OganessianA. Issue of rescue and medical care following the 1988 Armenian earthquake. Int J Epidemiol. 1993;22(6):1070-1076.
11. MacintyreAG, BarberaJA, SmithER. Surviving collapses structure entrapment after earthquakes: a “time-to-rescue” analysis. Prehosp. Disaster Med. 2006;21(1):4-17.
12. Volunteer Florida. Unaffiliated Volunteers in Response and Recovery. Tallahassee, FL: Volunteer Florida; February 27, 2005. Accessed on March 1, 2102.
13. SteffenSL, FothergillA. 9/11 volunteerism: a pathway to personal healing and community engagement. Social Sci. J. 2009;46:29-46.
14. ClukeyL. Transformative experiences for Hurricanes Katrina and Rita disaster volunteers. Disasters. 2010;34(3):644-656.
15. GuylerDelva J. Americans arrested taking children out of Haiti. Reuters website; January 30, 2010. Accessed March 1, 2012.
16. ZupkoK. Why your practice must do background checks. J Med Pract Manage. 2007;22(5):98-300.
17. SeggieJ. Trust me, I'm a ‘doctor’: of bogus doctors, medical imposters and medical fraudsters. SAMJ. 2011;101(4):207.
18. HodgeJG, GableLA, CalvesSH. Volunteer health professionals and emergencies: assessing and transforming the legal environment. Biosecur Bioterr. 2005;3(3):216-223.
19. FernandezLS, BarberaJA, van DorpJR. Strategies for managing volunteers during incident response: a systems approach. Homeland Security Affairs. 2006;2(3). Accessed December 13, 2011.
20. AakkoE, WeedN, KonradR, WiesmanJ. Rethinking volunteer management using a centralized volunteer staging and training area. Disaster Med Public Health Prep. 2008;2:127-129.
21. Federal Emergency Management Agency. National response framework volunteer and donations management support annex. Accessed February 8, 2012.
22. HsuEB, ThomasTL, BassEB, WhyneD, KelenGD, GreenGB. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6:19.
23. SubbaraoI, LyznickiJM, HsuEB, etal. A consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Prep. 2008;2:57-68.
24. Points of Light Foundation, Volunteer Center National Network, NVOAD, UPS Foundation. Managing spontaneous volunteers in times of disaster: the synergy of structure and good intentions. Washington, DC: Points of Light Foundation, Volunteer Center National Network; 2006. Accessed February 8, 2012.
25. SwygardH, StaffordRE. Effects on health of volunteers deployed during a disaster. Am Surg. 2009;75:747-753.
26. FitchE. Managing the risks of incorporating volunteers into public health emergency response: the other side of the liability issue. Disaster Med Public Health Prep. 2010;4(3):252-254.
27. DebchoudhuryI, WelchAE, FaircloughMA, etal. Comparison of health outcomes among affiliated and lay disaster volunteers enrolled in the World Trade Center Health Registry. Prevent Med. 2011;53(6):359-363.
28. ThormarSB, GersonsBPR, JuenB, MarschangA, DjakababaMN, OlffM. The mental health impact of volunteering in a disaster setting, a review. J Nerv Ment Dis. 2010;198:529-538.
29. The Final Sacrifice of a Gallant Nurse. People Magazine. May 8, 1995; vol 43:18.,,20105677,00.html. Accessed February 23, 2012.
30. HodgeJG, PepeRP, HenningWH. Voluntarism in the wake of Hurricane Katrina: the Uniform Emergency Volunteer Health Practitioners Act. Disaster Med Public Health Prep. 2007;1(1):44-50.
31. CarpenterM, HodgeJGJr, PepeRP. Deploying and using volunteer health practitioners in response to emergencies: proposed uniform state legislation provides liability protections and workers’ compensation coverage. Am J Disaster Med. 2008;3(1):17-23.
32. Federal Emergency Management Agency. Citizen Corps Liability Guide: An Overview of Legal Issues and Approaches to Address Liability for Emergency Volunteers.Washington, DC: Federal Emergency Management Agency. Accessed November 14, 2013.
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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