Development of a vulnerability profile of the psychological sequelae of Hurricane

制定飓风心理后遗症的脆弱性概况

• 批准号: 9113131
• 负责人: EMANUELA TAIOLI
• 金额: $ 17.52万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9113131
• 关键词: Development; vulnerability; profile; psychological; sequelae

DESCRIPTION (provided by applicant): On October 28th Hurricane Sandy hit the East Coast of the US, affecting the lives and wellbeing of more than 50 million people. The greater New York City area was heavily struck by the hurricane. The psychological devastation of the hurricane, along with the mental health consequences of being displaced, major loss of property, flooding, mold, prolonged lack of heat, water and power, are unknown. Estimates can be drawn from anecdotal reports from health providers, first responders, hospitals and shelters, however, reliable data is lacking in terms of the prevalence of psychological health effects. The current study aims to understand the psychological impact of this hurricane in an effort to inform current intervention and future prevention efforts. This application represents a partnership between a large hospital system, the North Shore-LIJ Health System (NSLIJHS), and the Nassau County Department of Human Services which is the agency that oversees all mental health agencies in the county. NSLIJHS consists of 16 hospitals spanning across Nassau county, Suffolk county, Queens, Manhattan and Staten Island, encompassing areas most affected by Hurricane Sandy. The goals of the current project include establishing associations between exposure to the hurricane and various mental health symptoms and diagnoses while also defining subgroups of individuals who were most vulnerable to mental health effects due to the hurricane. We will accomplish this using multiple methodologies including survey data from a cohort of at least 500 individuals who reside in Nassau, Suffolk, Queens or Richmond (Staten Island) counties as well as using Emergency Department (ED) data from the 14 EDs that are part of the NSLIJHS. Further, we will also investigate the impact of various displacement strategies on the mental health of residents using the survey data and we will examine the psychological impact of the hurricane on those who indicate that they are first responders. Ultimately, our research will result in two significant products. The first is a vulnerability profle of those most affected by Hurricane Sandy in terms of psychological health and wellbeing. This profile will be accompanied by tables and other user-friendly charts and diagrams for local government agencies, mental health agencies, emergency preparedness agencies, health care workers, and the NSLIJHS (among others) to use in order to continue to target current intervention strategies for those highly affected by the hurricane and most vulnerable to its effects as well as to inform emergency preparedness efforts by indicating areas and groups to prioritize in terms of mental health intervention during future natural disasters. Second, our work will produce a Hurricane Sandy cohort and database that can be tracked and followed over time. The database will be available to researchers and other key stakeholders in order to examine the long-term impact of hurricane exposure, to continue to provide important information as to emergency preparedness for future hurricanes and other natural disasters, as well as for community groups and those in the scientific emergency preparedness community to leverage additional funding for future research and intervention endeavors. Ultimately, we see this work as an integral first step toward the development of a NSLIJHS ED syndromic surveillance system as well as a first step towards the development of an Emergency Preparedness Research Center that will provide important and timely information to community groups and health care providers throughout the region. The goals of this proposal are feasible and reasonable because of the strong community linkages that already exist by all members of the research and Project Advisory Board team. We consulted with many community groups including members of government agencies, hospital administrators, community coalitions and network members among many others in the development of this project. Further, we have already confirmed its feasibility in the community given the successful pilot study that was conducted with 107 participants. We plan to work collaboratively with key stakeholders including our community partners during each step of the project from implementation through dissemination and translation. Our community partners are key to the efficacy of the project especially in terms of the dissemination of our research findings, vulnerability profile and cohort database. We will use multiple methods and media to effectively disseminate to key groups on both local and national levels. Further, given that one of the co-PIs is the Commissioner of the Department of Human Services and has strong connections to government agencies including emergency preparedness groups, mental health agencies and first responders throughout the affected region, we will easily be able to translate our findings into public health practice.

描述（由申请人提供）：10月28日，桑迪飓风袭击了美国东海岸，影响了超过5000万人的生活和福祉。大纽约市地区被飓风袭击。飓风的心理破坏，以及流离失所，财产的重大损失，洪水，霉菌，长时间缺乏热量，水和力量的重大损失，这是未知的。可以从健康提供者，急救人员，医院和庇护所的轶事报告中得出估计，但是，在心理健康影响的患病率方面缺乏可靠的数据。当前的研究旨在了解该飓风的心理影响，以告知当前干预和未来的预防工作。该申请代表了大型医院系统，北岸-LIJ卫生系统（NSLIJHS）与拿骚县公共服务部之间的合作关系，该机构是负责监督该县所有精神卫生机构的机构。 NSLIJHS由16家医院组成，这些医院跨越拿骚县，萨福克县，皇后区，曼哈顿和史坦顿岛，涵盖受飓风桑迪影响最大的地区。当前项目的目标包括建立暴露于飓风与各种心理健康症状和诊断之间的关联，同时还定义了由于飓风而受到最容易受到心理健康影响的个人的亚组。我们将使用多种方法来完成此操作，包括来自至少500名居住在拿骚，萨福克，皇后区或里士满（史坦顿岛）县的人群的调查数据，以及使用NSLIJHS一部分的14个ED的急诊科（ED）数据。此外，我们还将使用调查数据调查各种流离失所策略对居民心理健康的影响，我们将研究飓风对那些表明他们是第一响应者的人的心理影响。最终，我们的研究将产生两种重要产品。第一个是在心理健康和福祉方面受到飓风桑迪影响的人们的脆弱性。此配置文件将伴随桌子和其他用户友好的图表和图表和图表，用于地方政府机构，精神卫生机构，紧急准备机构，卫生保健工作者和NSLIJHS（以及其他）（等）（等），以继续针对当前的干预策略，以实现其在飓风和最大程度上的努力，以实现飓风和最大程度的努力，以指示其在飓风中的努力，并在飓风中付出了努力，并将其付诸实践。未来的自然灾害。第二，我们的工作 将产生飓风桑迪队列和数据库，可以随着时间的流逝进行跟踪并遵循。该数据库将提供给研究人员和其他主要利益相关者，以研究飓风暴露的长期影响，继续为未来的飓风和其他自然灾害以及科学紧急备忘组中的社区群体以及科学紧急准备社区中的人员提供重要的信息，以便为未来的研究和干预措施提供额外的资金。最终，我们认为这项工作是朝着开发NSLIJHS ED综合症监测系统发展的第一步，也是朝着发展紧急情况准备研究中心发展的第一步，该准备中心将为整个地区的社区团体和卫生保健提供者提供重要的信息。该提案的目标是可行和合理的，因为研究和项目咨询委员会团队的所有成员已经存在着牢固的社区联系。我们与许多社区团体进行了咨询，包括政府机构，医院管理人员，社区联盟和网络成员以及许多其他社区成员的咨询。此外，鉴于与107名参与者进行了成功的试点研究，我们已经确认了它在社区中的可行性。我们计划在项目的每个步骤中与包括我们的社区合作伙伴在内的主要利益相关者合作，从实施到传播和翻译。我们的社区合作伙伴是该项目有效性的关键 数据库。我们将使用多种方法和媒体有效地传播到本地和国家一级的关键群体。此外，鉴于Co-Pis之一是人类服务部的专员，并且与政府机构建立了牢固的联系，包括紧急准备小组，精神卫生机构和整个受影响地区的急救人员，我们将很容易地将我们的发现转化为公共卫生实践。