When asked what the key issue was in their state or region related to emergency/BT preparedness, 82% said that there is a lack of coordination of emergency and social service networks in their states/regions to provide and comprehensive resources to LTC communities. The PREPARE train-the-trainer program was created in response to the lack of emergency preparedness by SL and LTC residences. A grant was awarded to Mather LifeWays Institute on Aging by the Office of the Assistant Secretary for Preparedness and Response, . Department of Human Services to provide this training around the nation. By April 2007, over 3600 SL/LTC.