Narratives of recovery after floods: Mental health, institutions, and intervention
Narratives of recovery after floods: Mental health, institutions, and intervention
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DOI：
10.1016/j.socscimed.2018.09.024
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发表时间：
2018-11-01
影响因子：
5.4
通讯作者：
Adger, W. Neil
中科院分区：
文献类型：
--
作者：
Butler, Catherine;Walker-Springett, Kate;Adger, W. Neil
越来越多的证据表明，洪水事件会影响受灾者的心理健康，人们认识到，洪水事件后的恢复期对结果尤为重要。先前关于洪水的研究认为，在漫长的恢复过程中，当公共当局和机构提供的支持减少，与保险公司等私人行为者的互动开始不那么明确时，就会出现恢复缺口。这一概念强调了当局和其他机构对恢复进程的支持和干预的重要性。迄今为止，很少有研究专门关注这些关系以及它们在康复过程中对人们心理健康的影响。本研究考察了个体从洪水事件中恢复的过程，重点关注与机构的互动在心理健康旅程轨迹中的作用。该分析采用叙事方法对英国萨默塞特郡9名房屋在2013/14年度被洪水淹没的个人进行了为期15个月的深度重复访谈。研究结果有力地证明，机构支持在个人经历洪水后心理健康恢复过程中发挥了重要作用。这些数据揭示了在恢复过程中不同时期保持心理和情绪弹性的策略，并表明在特定情况下，机构行动和感知到的支持缺失都会影响洪水事件的心理健康负担。
There is increasing evidence that flood events affect the mental health of those experiencing them, with recognition that the period of recovery after the event is particularly important to outcomes. Previous research on flooding has argued that there is a recovery gap that occurs during the long process of recovery at the point when the support provision from public authorities and agencies diminishes, and less well-defined interactions with private actors, such as insurers, begin. This concept highlights the importance of the support and intervention from authorities and other institutions for recovery processes. To date, little research has focused specifically on these relationships and their consequences for people's mental wellbeing through recovery. This study examines the processes of individuals' recovery from flood events, focusing on the role of interaction with agencies in the trajectories of mental health journeys. The analysis applies a narrative approach to in-depth repeated interviews carried out over a fifteen-month period with nine individuals whose homes were inundated by floods in 2013/14 in Somerset, UK. The results suggest strong evidence for institutional support having an important role in how individuals experience their post-flood mental health recovery journeys. The data reveal strategies to maintain psychological and emotional resilience at distinct periods during recovery, and show that both institutional actions and the perceived absence of support in specific circumstances affect the mental health burden of flood events.