Toward Developing Postdisaster Community Interventions

描述（由申请人提供）：为了弥合经常注意到的差距， 在灾害心理健康领域的研究和实践，候选人 寻求从进行相对基础的研究， 自然灾害对发展中国家和 评价积极促进残疾人社会心理康复的干预措施 灾难的余波。一位格鲁吉亚州立大学的社区心理学教授 大学，候选人发表了68篇文章和章节，并已被 自1986年以来一直由NTMH赠款资助。虽然她学习了 暴力和丧亲之痛的影响，以及创伤的流行病学， 和创伤后应激障碍，在过去的15年里，她的大部分工作都与灾难有关， 强调灾后恢复如何与动员和 社会资源恶化。文化如何塑造这些过程 性别在她的工作中越来越重要，她目前正在 灾难恢复纵向研究的首席研究员， 墨西哥在这项研究中，从两个社区随机抽取样本， 曾于一九九九年经历大规模水浸及山泥倾泻， 使用综合访谈，在术后6、12、18和24个月时， 包括选定的CIDI模块（MDD，PTSD）以及多种措施， 目前的症状和物质，社会和心理资源。规范 所有措施都由候选人提供？创伤的流行病学研究 墨西哥根据先前的理论和经验工作，候选人 提出，制定干预战略至关重要， 以社区为中心，文化敏感，资源提供和数据为基础。 干预的目标是建立社区？的能力，使 知情的选择，同时认识到选择仍然是社区？S 自己的.为申请人提供所需的技能和观点， 行动研究，培训计划纳入了实际的实地经验， 医学人类学的高级培训，以及对 社区组织和干预文献。初步安排 已经做了现场经验与（a）中心心理健康 服务（SAMHSA），联邦机构负责提供服务， （B）人类学系和灾害研究中心 南佛罗里达大学管理和人道主义援助（c） 和国家创伤后应激障碍中心（灾难服务，帕洛阿尔托）。研究 计划整合候选人？秘书长关于资源调动的理论工作， 她目前对创伤和灾难的流行病学研究 在墨西哥的恢复，一个新提出的标准和创新做法的调查 灾难心理健康和广泛的跨学科奖学金。 建议的产品包括文献的综合评论和 初步方案模型和研究设计。

DESCRIPTION (provided by applicant): To bridge the often-noted gap between research and practice in the field of disaster mental health, the candidate seeks to make a career transition from conducting relatively basic research on the psychosocial consequences of natural disasters toward developing and evaluating interventions that actively promote psychosocial recovery in the wake of disasters. A professor of community psychology at Georgia State University, the candidate has published 68 articles and chapters and has been continuously funded by grants from NTMH since 1986. Although she has studied the effects of violence and bereavement, as well as the epidemiology of trauma and PTSD, most of her work over the past 15 years has concerned disasters, with an emphasis on how postdisaster recovery is linked to the mobilization and deterioration of social resources. How these processes are shaped by culture and gender has become increasingly central in her work, and she is presently the principal investigator of a longitudinal study of disaster recovery in Mexico. In this study, samples selected randomly from two communities that experienced massive flooding and landslides in 1999 are being interviewed at points 6, 12, 18, and 24 months postevent using a comprehensive interview that includes selected CIDI modules (MDD, PTSD) as well as multiple measures of current symptoms and material, social, and psychological resources. Norms for all measures are provided by the candidate?s epidemiologic study of trauma in Mexico. On the basis of prior theoretical and empirical work, the candidate proposes that it is critical to develop intervention strategies that are community centered, culturally sensitive, resource providing, and data based. The intervention objective is to build the community?s capacity to make informed choices, while recognizing that the choices remain the community?s own. To provide the applicant with the skills and perspectives required for action research, the training plan incorporates practical field experiences, advanced training in medical anthropology, and directed reviews of the community organization and intervention literatures. Preliminary arrangements have been made for on-site experiences with (a) the Center for Mental Health Services (SAMHSA), the federal agency charged with providing services to disaster victims, (b) The Anthropology Department and Center for Disaster Management and Humanitarian Assistance at the University of South Florida, (c) and the National Center for PTSD (Disaster Services, Palo Alto). The research plan integrates the candidate?s theoretical work on resource mobilization and deterioration, her current epidemiologic studies of trauma and disaster recovery in Mexico, a newly proposed survey of standard and innovative practice in disaster mental health, and extensive interdisciplinary scholarship. Proposed products include integrative reviews of the literature and a preliminary program model and research design.