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This dissertation presents research conducted during the hurricane seasons of 2017 and 2018 in New Orleans, Louisiana. The research’s purpose was to assess citizen perceptions of evacuation support services offered during mandatory evacuation events. A prospective quantitative survey and qualitative, open-ended, semi-structured interview assessed perceptions. Both research methods were designed and assessed using the constructs of the Health Belief Model, a public health model created to assess perceived barriers, benefits, risks, severity, self-efficacy, and cues to action regarding health programming. Quantitative research yielded 211 surveys, representing opinions of New Orleans residents within 1-km Euclidian distance of an evacuation pick-up marker. Qualitative research yielded 20 interviews detailing perceptions of evacuation support in New Orleans across Evacuspot zones. Quantitative findings found that: social support systems influence decisions to evacuate and influence varies by race; gendered preference for evacuating in New Orleans is higher for males; pet ownership lowers evacuation preference; the elderly have a lower preference for evacuation; disability status does not impact evacuation preference; there is no association found in awareness of evacuation assistance programming by education level, but there is an association by race; there is no association found between homeowners and non-homeowners in self-reported evacuation compliance; and, trust in the City of New Orleans varies significantly by race and education level. Qualitative findings included perceived barriers of pet ownership, finances, age, anxiety, property ownership, traffic, lack of preparedness messaging, low levels of trust in city services, and misunderstanding of programming; perceived benefits of personal comfort; risk perceptions that were influenced by perceptions of city competency; low perceived self-efficacy to use evacuation programming; few local cues to action to utilize programming; and perceptions of severity influenced by x misunderstandings of the Saffir-Simpson scale. Results led to conclusions regarding the current prospective efficacy of City-Assisted Evacuation in New Orleans, and enabled recommendations for improving programming strategies. This research seeks to move evacuation behavior research from vulnerability-factor based research to multi-variable, intersectional, community informed assessment strategies, and contributes to literature on proactive emergency management strategies and expressed preference approach research.
Disasters can cause long-term disruptions to the routines of individuals and communities, placing survivors at risk of developing serious mental health and substance abuse problems. Disaster behavioral health services provide emotional support, help normalize stress reactions, assess recovery options, and encourage healthy coping behaviors. They also connect survivors to community resources that can assist the recovery process. Today’s increasing frequency and intensity of disasters merit greater focus on the development of modalities for intervention and mitigation against the psychological impacts of disaster. In Behavioral Health Response to Disasters, professionals with years of practice, research, and national advisory board service review and discuss key topics in the field. Highlighting the themes of cultural competence and evidence-based practice, this volume: Presents an interdisciplinary approach to examining specific disaster behavioral health topics Considers how an individual’s culture may impact willingness to seek out and accept services Incorporates research on vulnerable or at-risk populations who are likely to suffer disproportionately more adverse psychological consequences of disaster Discusses clinical studies of cognitive behavioral treatments for disaster-related distress and post-traumatic stress disorder In the past two decades, disaster behavioral health research, policy, and practice have grown exponentially. This volume covers the wide variety of issues in this emerging field, highlighting concerns that we must address in order to create more disaster-resilient communities.
This contributed volume examines the intersection of trauma and disaster behavioral health from a lifespan perspective, filling a critical gap in the literature on disaster mental health research. In the chapters, the contributors evaluate behavioral data of adults exposed to various environmental events in both the United States (i.e., the 2017 Hurricanes Irma in Florida and Harvey in Houston) and abroad (i.e., missile fire in the 2014 Israel-Gaza conflict). Contributors also suggest future directions, practices, and policies for trauma and disaster response. The three parts of the book provide an overview of disaster behavioral health across the lifespan, propose practical applications of research theories to psychosocial problems resulting from disasters and trauma, and evaluate disaster and trauma interventions from a macro-level perspective. Topics explored among the chapters include: Integrating Trauma-Informed Principles into Disaster Behavioral Health Targeting Older Adults Cultural Competence and Disaster Mental Health When Disasters Strike: Navigating the Challenges of “Sudden Science” Frameworks of Recovery: Health Caught at the Intersection of Housing, Education, and Employment Opportunities After Hurricane Katrina Substance Use Issues and Behavioral Health After a Disaster Psychosocial Recovery After Natural Disaster: International Advocacy, Policy, and Recommendations The Intersection of Trauma and Disaster Behavioral Health is a vital resource for researchers whose expertise covers the domains of trauma, health and wellness, and natural and technological disasters. The book also is a useful supplement to graduate courses in psychology, sociology, social work, disaster science, human ecology, and public health.
I explore the hypothesis that Hurricane Katrina in August 2005 raised perceived background risks, which had spillover effects on behavioral health outcomes of mental health and substance use. I estimate the effect that Katrina had in the nondamaged storm surge region, in time intervals leading up to and after the hurricane, compared to areas impervious to hurricanes. I find causal evidence that Katrina increased poor mental health days by 18.8% for the first month after Katrina, and increased smoking among lifetime smokers until 2007. Effects were larger in counties with disproportionate risk to storm surge and for low-educated individuals.
The government’s response to Hurricane Katrina, one of the most devastating natural disasters in U.S. history, suffered numerous criticisms. Nearly every assessment pointed to failure, from evaluations of President George W. Bush, FEMA, and the Department of Homeland Security to the state of Louisiana and the city administration of New Orleans. In Managing Hurricane Katrina: Lessons from a Megacrisis, Arjen Boin, Christer Brown, and James A. Richardson deliver a more nuanced examination of the storm’s aftermath than the ones anchored in public memory, and identify aspects of management that offer more positive examples of leadership than bureaucratic and media reports indicated. Katrina may be the most extensively studied disaster to date, but the authors argue that many academic conclusions are inaccurate or contradictory when examined in concert. Drawing on insights from crisis and disaster management studies, Boin, Brown, and Richardson apply a clear framework to objectively analyze the actions of various officials and organizations during and after Katrina. They specify critical factors that determine the successes and failures of a societal response to catastrophes and demonstrate how to utilize their framework in future superdisasters. Going beyond previous assessments, Managing Hurricane Katrina reconsiders the role of government in both preparing for a megacrisis and building an effective response network at a time when citizens need it most.
Crisis and Disaster Counseling: Lessons Learned from Katrina and Other Disasters is a core textbook that addresses crisis mental health by examining three major crises/disasters that have occurred in the last decade: Hurricane Katrina, Virginia Tech, and September 11. An overview of the disaster response field is highlighted by focusing on current theoretical perspectives which have provided a framework for culturally and ecologically appropriate interventions. Case studies in each chapter discuss evidence based practice approaches that show appropriate interventions. This book features a practical, skill-building approach.
This contributed volume examines the intersection of trauma and disaster behavioral health from a lifespan perspective, filling a critical gap in the literature on disaster mental health research. In the chapters, the contributors evaluate behavioral data of adults exposed to various environmental events in both the United States (i.e., the 2017 Hurricanes Irma in Florida and Harvey in Houston) and abroad (i.e., missile fire in the 2014 Israel-Gaza conflict). Contributors also suggest future directions, practices, and policies for trauma and disaster response. The three parts of the book provide an overview of disaster behavioral health across the lifespan, propose practical applications of research theories to psychosocial problems resulting from disasters and trauma, and evaluate disaster and trauma interventions from a macro-level perspective. Topics explored among the chapters include: Integrating Trauma-Informed Principles into Disaster Behavioral Health Targeting Older Adults Cultural Competence and Disaster Mental Health When Disasters Strike: Navigating the Challenges of "Sudden Science" Frameworks of Recovery: Health Caught at the Intersection of Housing, Education, and Employment Opportunities After Hurricane Katrina Substance Use Issues and Behavioral Health After a Disaster Psychosocial Recovery After Natural Disaster: International Advocacy, Policy, and Recommendations The Intersection of Trauma and Disaster Behavioral Health is a vital resource for researchers whose expertise covers the domains of trauma, health and wellness, and natural and technological disasters. The book also is a useful supplement to graduate courses in psychology, sociology, social work, disaster science, human ecology, and public health.
In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.