Hurricane Katrina Community Advisory Group

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)进行的精神健康需求评估跟踪调查，超过我们最初获得资助的两波(基线和一年跟踪)。这一请求是基于这样一种认识，即卡特里娜飓风过后造成的巨大破坏和缓慢的重建速度可能会导致精神障碍的延迟和恢复速度慢于更典型的灾难，因此必须将需求评估跟踪延长到最初计划的12个月后续行动期之后。我们还寻求支持，将参加CAG家庭的儿童和青少年加入样本，以审查卡特里娜飓风对年轻人心理健康的影响。另外两次面谈将在基线后两年和三年进行。我们还寻求支持，以分析这些结果，准备科学报告，并准备和归档公共使用数据集。该项目与国家精神卫生研究所的使命密切相关。补充调查中的数据将对受灾地区的精神卫生规划人员具有很大的实用价值，对于促进我们对重大灾难后精神疾病的风险和保护因素的了解具有相当大的科学价值。目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地区的居民，并被招募参加CAG，其中将随着时间的推移重复进行调查，以跟踪飓风的恢复过程。多个名单样本框架(例如，联邦应急管理局救济样本、美国红十字会救济样本、综合安全名单样本)被用来招募样本，以处理许多符合条件的人在招募时因飓风而流离失所并居住在该国其他地方的实际问题。加权被用来调整选择的差异概率和无应答偏倚。为期一年的后续采访已接近尾声。现在将细化样本，以包括居住在CAG家庭中的500名儿童(4-12岁)和500名青少年(13-17岁)的概率分样本，他们将在成人样本的两年和三年后续调查的同时接受访谈。对基线数据的分析已经产生了关于精神疾病的流行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迟发性精神障碍、康复速度、治疗模式以及这些结果的滞后预测因素。该项目与公共卫生高度相关，因为有效的公共卫生规划需要获得有关未得到满足的治疗需求的准确数据。目前的样本提供了关于受卡特里娜飓风影响的人口的唯一此类数据。由于基础设施重建的长期性，以及我们将比典型的灾害研究中跟踪样本的时间长得多的事实，该项目对于促进对与灾害有关的精神病理学的科学理解，特别是关于疾病病程预测因素的信息具有很高的相关性。项目说明：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，超过我们最初获得资助的两波(基线和一年后续行动)，因为我们认识到，卡特里娜飓风后的巨大破坏和缓慢的重建速度可能会导致延迟发病的精神障碍和比更典型的灾难中更慢的恢复。我们还建议将参与家庭的儿童和青少年加入样本，以审查卡特里娜飓风对年轻人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规划需要获得关于未得到满足的治疗需求的准确数据，而目前的样本提供了关于受卡特里娜飓风影响的人口的唯一此类数据。

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.