Responses of State Hospital Patients to Hurricane Iniki

Godleski, Linda; Luke, Kenneth N.; Dipreta, Janet E.; Kline, Amy E.; Carlton, Barry

doi:10.1176/ps.45.9.931

Cited by 6 publications

(10 citation statements)

References 2 publications

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“…Th ree studies have examined institutionalized populations with severe mental illness exposed to disasters, which allowed for verifi cation of clinical diagnosis both pre and postdisaster. In the fi rst study, Godleski, Luke, DiPreta, Kline, and Carlton ( 1994 ) reported on a group of 22 patients at a chronic rehabilitation unit that experienced a direct impact from Hurricane Iniki. Th e clinical status of the patients was assessed at three time periods during the storm, beginning 1 week aft er 9780521883870c15.indd 270 9780521883870c15.indd 270 4/9/2009 6:36:35 PM 4/9/2009 6:36:35 PM the storm and up to 12 months aft erward.…”

Section: Psychiatric Disabilitiesmentioning

confidence: 99%

The Effects of Disaster on the Mental Health of Individuals with Disabilities

Stough¹

2009

Mental Health and Disasters

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Section: Psychiatric Disabilitiesmentioning

confidence: 99%

The Effects of Disaster on the Mental Health of Individuals with Disabilities

Stough¹

2009

Mental Health and Disasters

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“…Many demonstrate an increased ability to handle this stress without decompensation from their primary illness. However, the literature review revealed that persons with SMI can also experience PTSD, depression, anxiety, and illness exacerbation after disaster (Chubb & Bisson, 1996;DeLisi et al, 2004;Taylor & Jenkins, 2004) and that those who functioned well had ample services extended to them (Godleski et al, 1994;Lachance et al, 1994;McMurray & Steiner, 2000). Specialized treatment needs should be planned for and provided to persons with SMI after disaster.…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, they assessed participants for DSM-III-R criteria for PTSD both 6 and 12 months after the hurricane. None of the patients met these criteria for PTSD after the disaster (Godleski et al, 1994). The authors concluded that the staff members' effective organizational approach was likely responsible for these outcomes.…”

Section: Inpatient Care Studiesmentioning

confidence: 95%

“…At the time of the study, 91% of the participant sample had been living with SMI for 10 years or more, and 100% of the participants had a primary psychotic disorder diagnosis such as schizophrenia. The assessments were based on retrospective chart reviews for three different time periods: during the hurricane, 1 week after the hurricane, and up to 1 year after the hurricane (Godleski et al, 1994). The research team assessed patients for acute decompensation during and after the hurricane, and they found that none of the inpatients experienced psychiatric decompensation.…”

Section: Inpatient Care Studiesmentioning

confidence: 99%

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Disaster Care for Persons With Psychiatric Disabilities

Person

Fuller

2007

Journal of Disability Policy Studies

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There is growing concern that the management of persons with psychiatric disabilities after disaster has been inadequate. Unfortunately, the literature is extremely limited, and empirical evidence on the best practices for addressing the needs of persons with psychiatric disabilities after disasters is sparse. A literature search of articles published in 3 widely used databases revealed only 12 articles on the topic. The 12 reviewed articles included persons with psychiatric disabilities after both natural disasters and acts of terrorism, both in close proximity to the disaster site and far away and in 3 different treatment modalities. All of the studies used clinically based samples. The available literature indicated that many persons with psychiatric disabilities demonstrate an ability to handle the stress of a disaster without decompensation from their primary illness. However, the literature also revealed that persons with severe mental illness (SMI) can experience posttraumatic stress disorder (PTSD), depression, anxiety, and illness exacerbation after disaster. There is evidence that persons with SMI can be resilient in the short term when they are enrolled in an assertive community treatment program prior to the disaster; however, the outcomes for people with severe mental illness in other treatment modalities are unclear. Well-designed studies with clinical and population-based samples on disaster reactions of persons with psychiatric disabilities are needed for disaster psychiatrists and emergency planners to develop empirically based treatment guidelines for this population.in the law as state and local governments, any department or other instrumentality of a state or local government, and certain transportation authorities. Emergency services, including state and local emergency operations, cannot legally discriminate against individuals with disabilities (Jones, 2005). One of the most important roles of local government is to protect its citizenry from harm, including helping people prepare for and respond to emergencies (Jones, 2005). Making local government emergency preparedness programs accessible to people with disabilities is a critical part of this responsibility and is also required by the ADA (Jones, 2005). Therefore, it is necessary for state and local governments to include adequate response and recovery plans for the psychiatrically disabled population in their emergency planning. The first step in developing proper disaster treatment and response protocols is a thorough assessment of the unique needs and responses of this population during times of disasters.One way to operationalize the term psychiatric disability is to use a benchmark of severity known as severe mental ill-

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“…When the group's post-disaster mental health status was compared with a group of similarly diagnosed individuals living near an unaffected nuclear plant, no differences in occurrence of anxiety or depression was found between the two groups. Three studies have examined clinically diagnosed pre-and post-disaster mental health in institutionalized populations with preexisting mental illness exposed to disasters (Stout and Knight, 1990;Godleski, Luke, DiPreta, Kline, and Carlton, 1994;Bystritsky, Vapnik, Maidment, Pynoos, & Steinberg, 2000). Findings suggest that individuals with preexisting mental illness do not acquire new disabilities following disaster, but the studied individuals were receiving ongoing psychiatric care in therapeutic environments, suggesting ongoing psychological treatment may be effective in preventing the occurrences of new mental illnesses.…”

Section: Mental Health Researchmentioning

confidence: 99%