Hurricane Katrina Community Advisory Group

卡特里娜飓风社区咨询小组

基本信息

批准号：
7556361
负责人：
RONALD C KESSLER
金额：
$ 58万
依托单位：
HARVARD MEDICAL SCHOOL
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-01-16 至 2010-12-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): We seek support to continue mental health needs assessment tracking surveys in the Hurricane Katrina Community Advisory Group (CAG) beyond the two waves (baseline and one-year follow-up) for which we were originally funded. This request is based on the realization that the enormous devastation and slow pace of reconstruction after Katrina are likely to lead to delayed-onset mental disorders and slower recovery than in more typical disasters, making it important for needs assessment tracking to be extended beyond the originally planned 12-month follow-up period. We also seek support to add children and adolescents from the participating CAG households to the sample in order to examine the impact of Katrina on the mental health of young people. The two additional interviews would occur two years and three years after baseline. We also seek support to analyze these results, to prepare scientific reports, and to prepare and archive a public use dataset. The project is strongly related to the mission of the National Institute of Mental Health. The data in the additional surveys will be of great practical value to mental health program planners in the affected areas and of considerable scientific value in advancing our understanding of risk and protective factors for mental illness after major disasters. The current research design is based on a probability sample of 3000 adults (ages 18+) who were residents of the areas affected by Hurricane Katrina and who were recruited to participate in a CAG in which surveys would be carried out repeatedly over time to track the course of recovery from the hurricane. Multiple list sample frames (e.g., FEMA relief sample, American Red Cross relief sample, integrated safe list samples) were used to recruit the sample in order to deal with the practical problem that many eligible people were displaced by the hurricane and lived elsewhere in the country at the time of recruitment. Weighting was used to adjust for differential probability of selection and non-response bias. A one-year follow-up interview is near completion. The sample will now be refined to include a probability sub-sample of 500 children (ages 4- 12) and 500 adolescents (ages 13-17) living in the CAG households who will be interviewed in conjunction with the two-year and three-year follow-up surveys of the adult sample. Analyses of the baseline data have already produced useful information about the prevalence and correlates of mental illness and barriers to seeking treatment. The follow-up surveys will allow us to monitor late-onset mental disorders, speed of recovery, patterns of treatment, and the time-lagged predictors of these outcomes. The project has high relevance to public health because efficient public health planning requires access to accurate data on unmet need for treatment. The current sample provides the only such data on the population affected by Hurricane Katrina. The project has high relevance for advancing scientific understanding of disaster-related psychopathology, especially information on predictors of course of illness, because of the protracted nature of the infrastructure reconstruction and the fact that we will be following the sample much longer than in typical disaster studies. Project Narrative: We seek support to continue mental health needs assessment tracking surveys in the Hurricane Katrina Community Advisory Group (CAG) beyond the two waves (baseline and one-year follow-up) for which we were originally funded based on the realization that the enormous devastation and slow pace of reconstruction after Hurricane Katrina are likely to lead to delayed-onset mental disorders and slower recovery than in more typical disasters. We also propose to add children and adolescents from the participating households to the sample in order to examine the impact of Katrina on the mental health and treatment of young people. These extensions of the current research have high relevance to public health because efficient public health planning requires access to accurate data on unmet need for treatment and the current sample provides the only such data on the population affected by Hurricane Katrina.

描述（由申请人提供）：我们寻求支持，以继续在卡特里娜飓风社区咨询小组（CAG）中进行精神健康需求评估跟踪调查，超出了我们最初资助的两个浪潮（基线和一年的随访）。该请求是基于意识到，卡特里娜飓风后重建的巨大破坏和缓慢的速度可能导致延迟发作的精神疾病和恢复速度慢于更典型的灾难，这对于需求评估跟踪至关重要，以超过原始计划的12个月的随访。我们还寻求支持将儿童和青少年从参与的CAG家庭增加到样本中，以研究卡特里娜飓风对年轻人心理健康的影响。基线后两年零三年进行另外两次访谈。我们还寻求支持分析这些结果，准备科学报告，并准备和归档公共用途数据集。该项目与国家心理健康研究所的使命密切相关。附加调查中的数据将对受影响地区的心理健康计划计划者具有巨大的实践价值，并且在促进我们对重大灾难后精神疾病的风险和保护因素的理解方面具有相当大的科学价值。当前的研究设计是基于3000名成年人（18岁以上）的概率样本，他们是受卡特里娜飓风影响的地区的居民，并被招募参加CAG，其中将随着时间的流逝反复进行调查，以跟踪从飓风中恢复的过程。使用多个列表样本框架（例如，FEMA救济样本，美国红十字会救济样本，集成的安全列表样本）用于招募样品，以应对许多合格的人被飓风流离失所，并在招募时居住在该国其他地方。加权用于调整选择和无响应偏置的差异概率。一年的后续采访即将完成。现在，该样本将被改进，包括500名儿童（4-12岁）和500名青少年（13-17岁）的概率子样本，他们居住在CAG家庭中，他们将与成人样本的两年和三年的随访调查一起接受采访。对基线数据的分析已经产生了有关精神疾病的患病率和相关性以及寻求治疗障碍的有用信息。后续调查将使我们能够监测晚发的精神障碍，恢复速度，治疗模式以及这些结果的时置预测指标。该项目与公共卫生具有很高的相关性，因为有效的公共卫生计划需要访问未满足治疗需求的准确数据。当前的样本提供了唯一有关受卡特里娜飓风影响的人口的数据。由于基础设施重建的旷日持久性质，该项目对促进与灾难有关的心理病理学的科学理解具有很高的意义，尤其是有关疾病的预测因素的信息，而且我们将遵循样本的事实比典型的灾难研究更长。项目叙述：我们寻求支持，以继续进行心理健康需求评估跟踪调查，在卡特里娜飓风社区咨询小组（CAG）之外的两波（基线和一年的随访）之外，我们最初是基于认识到，我们最初是基于巨大的灾难和慢速危机katrina katrina the extenters anders anders anders anders anders and shaps shaps and shapset and shapsets and and shapsets and shapset and shapset and shapset and shapsets and shapset and shapset and and and the and shaters sake and的速度。我们还建议将参与家庭的儿童和青少年添加到样本中，以研究卡特里娜飓风对年轻人的心理健康和治疗的影响。当前研究的这些扩展与公共卫生具有很高的相关性，因为有效的公共卫生计划需要访问未满足治疗需求的准确数据，而当前的样本则提供了唯一的有关受卡特里娜飓风影响的人群的数据。