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: 8675444
• 负责人: EMANUELA TAIOLI
• 金额: $ 42.52万
• 依托单位: FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
• 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/8675444
• 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（申请人提供）：10月28日，飓风桑迪袭击了美国东海岸，影响了5000多万人的生活和福祉。大纽约市地区受到飓风重创。飓风造成的心理创伤，以及流离失所、重大财产损失、洪水、霉菌、长期缺乏暖气、水和电力等心理健康后果，沿着而来，都不得而知。可以从保健提供者、第一反应者、医院和收容所的轶事报告中得出估计数，但缺乏心理健康影响普遍程度的可靠数据。目前的研究旨在了解这场飓风的心理影响，以便为当前的干预和未来的预防工作提供信息。该应用程序代表了一个大型医院系统，北岸LIJ卫生系统（NSLIJHS）和拿骚县人类服务部之间的伙伴关系，该部门是监督该县所有精神卫生机构的机构。NSLIJHS由横跨拿骚县、萨福克县、皇后区、曼哈顿和斯塔顿岛的16家医院组成，涵盖了受飓风桑迪影响最严重的地区。目前项目的目标包括确定飓风暴露与各种心理健康症状和诊断之间的联系，同时确定最容易受到飓风心理健康影响的个人亚组。我们将使用多种方法来实现这一目标，包括来自拿骚、萨福克郡、皇后区或里士满（斯塔顿岛）县的至少500名居民的队列调查数据，以及来自NSLIJHS的14个急诊科（艾德）的急诊科数据。此外，我们还将利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示他们是第一反应者的心理影响。最终，我们的研究将产生两个重要的产品。首先是受飓风桑迪影响最严重的人在心理健康和福祉方面的脆弱性。这份简介将附有表格和其他用户友好的图表，供地方政府机构、精神卫生机构、应急准备机构、卫生保健工作者、和NSLIJHS（除其他外）以便继续将当前的干预战略针对受飓风影响最严重和最易受其影响的人，并通过指明地区和群体为应急准备工作提供信息在今后的自然灾害中优先考虑心理健康干预。第二，我们的工作 将产生一个飓风桑迪队列和数据库，可以跟踪和跟踪随着时间的推移。该数据库将提供给研究人员和其他主要利益攸关方，以研究飓风风险的长期影响，继续提供有关未来飓风和其他自然灾害应急准备的重要信息，并为社区团体和科学应急准备界提供更多资金，以促进未来的研究和干预工作。最终，我们认为这项工作是朝着建立NSLIJHS艾德综合征监测系统迈出的不可或缺的第一步，也是朝着建立应急准备研究中心迈出的第一步，该中心将为整个地区的社区团体和医疗保健提供者提供重要和及时的信息。由于研究和项目咨询委员会小组的所有成员已经与社区建立了密切的联系，因此本建议的目标是可行和合理的。在该项目的开发过程中，我们咨询了许多社区团体，包括政府机构成员、医院管理人员、社区联盟和网络成员等。此外，我们已证实这项计划在社会上的可行性，因为试验研究已成功进行，有107名参与者。我们计划在项目从实施到传播和翻译的每个步骤中与包括社区合作伙伴在内的主要利益相关者合作。我们的社区合作伙伴是项目有效性的关键，特别是在传播我们的研究成果、脆弱性概况和群组方面。 数据库我们将使用多种方法和媒体，有效地向地方和国家层面的关键群体进行宣传。此外，考虑到其中一名联合PI是人类服务部专员，并与政府机构有着密切的联系，包括应急准备小组，精神卫生机构和整个受影响地区的第一反应者，我们将很容易将我们的发现转化为公共卫生实践。