Community Support as a Moderator of Postdisaster Mental Health Symptoms in Urban and Nonurban Communities

West, Jenny; Price, Matthew; Gros, Kirstin Stauffacher; Ruggiero, Kenneth J.

doi:10.1017/dmp.2013.74

Cited by 24 publications

(35 citation statements)

References 31 publications

(54 reference statements)

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“…This is, especially important in the context of poverty, [8, 40] structural conflict, humanitarian crisis [41] or disasters [42–45]. SC may have a significant influence on the capacity of local communities to adapt to sudden environmental events such as flooding, drought, the ongoing climate change effects [46–48] or other environmental disasters [49–51]. SC can strengthen the trust between communities and local authorities, enabling better coordination of preventive and reconstructive efforts [52, 53] with social support measures [54].…”

Section: Introductionmentioning

confidence: 99%

Mental health impact of social capital interventions: a systematic review

Flores

Fuhr

Bayer

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

105

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Purpose Mental disorders are a major contributor to the global burden of disease and disability, and can be extremely costly at both individual and community level. Social capital, (SC) defined as an individual’s social relationships and participation in community networks, may lower the risk of mental disorders while increasing resilience capacity, adaptation and recovery. SC interventions may be a cost-effective way of preventing and ameliorating these conditions. However, the impact of these SC interventions on mental health still needs research. Methods We conducted a systematic review of SC-based interventions to investigate their effect on mental health outcomes from controlled, quasi-experimental studies or pilot trials. We searched twelve academic databases, three clinical trials registries, hand-searched references and contacted field experts. Studies’ quality was assessed with the Cochrane Risk of Bias tools for randomized and non-randomized studies. Results Seven studies were included in the review, published between 2006 and 2016. There was substantial heterogeneity in the definitions of both SC and mental disorders among the studies, preventing us from calculating pooled effect sizes. The interventions included community engagement and educative programs, cognitive processing therapy and sociotherapy for trauma survivors, and neighbourhood projects. Conclusions There are paucity of SC interventions investigating the effect on mental health outcomes. This study showed that both SC scores and mental health outcomes improved over time but there was little evidence of benefit compared to control groups in the long term. Further high-quality trials are needed, especially among adverse populations to assess sustainability of effect.

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Section: Introductionmentioning

confidence: 99%

Mental health impact of social capital interventions: a systematic review

Flores

Fuhr

Bayer

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

105

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“…As a result, potentially long-term needs, such as psychological issues, are not well addressed. Such challenges are especially problematic in rural and nonurban locations because there are typically fewer available resources (Norris, 2002; West, Price, Gros, & Ruggiero, 2013). Adolescents with post-disaster mental health difficulties are unlikely to be identified and receive treatment as a result.…”

mentioning

confidence: 99%

Access and completion of a web-based treatment in a population-based sample of tornado-affected adolescents.

Price¹,

Yuen²,

Davidson³

et al. 2015

Psychological Services

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Although web-based treatments have significant potential to assess and treat difficult to reach populations, such as trauma-exposed adolescents, the extent that such treatments are accessed and used is unclear. The present study evaluated the proportion of adolescents who accessed and completed a web-based treatment for post-disaster mental health symptoms. Correlates of access and completion were examined. A sample of 2,000 adolescents living in tornado-affected communities was assessed via structured telephone interview and invited to a web-based treatment. The modular treatment addressed symptoms of PTSD, depression, and alcohol and tobacco use. Participants were randomized to experimental or control conditions after accessing the site. Overall access for the intervention was 35.8%. Module completion for those who accessed ranged from 52.8% to 85.6%. Adolescents with parents who used the Internet to obtain health-related information were more likely to access the treatment. Adolescent males were less likely to access the treatment. Future work is needed to identify strategies to further increase the reach of web-based treatments to provide clinical services in a post-disaster context.

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“…Research has demonstrated that increased perceived support from social networks (individual and a larger community) reduced the long-term effects of disaster exposure on mental health in a sample of hurricane survivors. 14 Similarly, increased social support can be associated with reduced symptoms of posttraumatic stress disorder (PTSD), depression, and generalized anxiety disorder in adults who were exposed to Hurricane Andrew. Social support also was found to be related to measures of general distress in a sample of individuals exposed to Hurricane Katrina.…”

Section: Discussionmentioning

confidence: 99%

Developing a Comprehensive Trauma- and Resiliency- Focused Program After Superstorm Sandy in New York City

Scigliano

Roncaglione

Madrid

2018

Disaster med. public health prep.

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To contribute to the ongoing discourse about successful programming supporting intermediate behavioral and mental health needs of vulnerable communities affected by disaster, this article presents the Children’s Health Fund (CHF) Sandy Recovery and Resiliency Program as a descriptive case study for a multifaceted, community-based approach to building resiliency, coping, and socioemotional skills in an underserved community in New York City that was affected by Superstorm Sandy. The case study involves retrospective review and analysis of qualitative and quantitative data that were collected as part of routine care and program implementation. From the analysis emerged a program consisting of 3 components: (1) delivery of workshops and community events to decrease stigma and build community-wide resilience, (2) delivery of workshops for students and educators in the local school to increase coping skills as well as referrals to clinical mental health care, and (3) provision of mental health care via a mobile mental health clinic. As a result, we found that following periods of excessive trauma, children and families require a broad-based approach to mental health support. Additionally, the use of the mobile clinic abated most common access barriers and served as a proxy of the concern of the organization for the community. (Disaster Med Public Health Preparedness. 2018;page 1 of 5)

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Community Support as a Moderator of Postdisaster Mental Health Symptoms in Urban and Nonurban Communities

Cited by 24 publications

References 31 publications

Mental health impact of social capital interventions: a systematic review

Mental health impact of social capital interventions: a systematic review

Access and completion of a web-based treatment in a population-based sample of tornado-affected adolescents.

Developing a Comprehensive Trauma- and Resiliency- Focused Program After Superstorm Sandy in New York City

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