Measuring the Impact of Hurricane Katrina on Access to a Personal Healthcare Provider: The Use of the National Survey of Children's Health for an External Comparison Group This paper examined the effect of Hurricane Katrina on children’s access to personal healthcare providers and evaluated the use of propensity score methods to compare a nationally representative sample of children, as a proxy for an unexposed group, with a smaller exposed sample. 2007 data from the Gulf Coast Child and Family Health (G-CAFH) Study, … Continue reading “Measuring the Impact of Hurricane Katrina on Access to a Personal Healthcare Provider: The Use of the National Survey of Children’s Health for an External Comparison Group” Learn More
Children as Bellwethers of Recovery: Dysfunctional Systems and the Effects of Parents, Households, and Neighborhoods on Serious Emotional Disturbance in Children After Hurricane Katrina Background: Over 160 000 children were displaced from their homes after Hurricane Katrina. Tens of thousands of these children experienced the ongoing chaos and uncertainty of displacement and transiency, as well as significant social disruptions in their lives. The objectives of this study were to estimate the long-term mental health effects of such exposure among … Continue reading “Children as Bellwethers of Recovery: Dysfunctional Systems and the Effects of Parents, Households, and Neighborhoods on Serious Emotional Disturbance in Children After Hurricane Katrina” Learn More
Measuring Individual Disaster Recovery: A Socioecological Framework Background: Disaster recovery is a complex phenomenon. Too often, recovery is measured in singular fashion, such as quantifying rebuilt infrastructure or lifelines, without taking in to account the affected population’s individual and community recovery. A comprehensive framework is needed that encompasses a much broader and far-reaching construct with multiple underlying dimensions and numerous causal pathways; … Continue reading “Measuring Individual Disaster Recovery: A Socioecological Framework” Learn More
Emergency Response and Public Health in Hurricane Katrina: What Does it Mean to Be a Public Health Emergency Responder? Since 9/11, federal funds directed toward public health departments for training in disaster preparedness have dramatically increased, resulting in changing expectations of public health workers’ roles in emergency response. This article explores the public health emergency responder role through data collected as part of an oral history conducted with the 3 health departments that responded … Continue reading “Emergency Response and Public Health in Hurricane Katrina: What Does it Mean to Be a Public Health Emergency Responder?” Learn More
Legacy of Katrina: The Impact of a Flawed Recovery on Vulnerable Children of the Gulf Coast It is estimated that in the aftermath of Hurricane Katrina, which made landfall on August 29th, 2005 and was followed a month later by Hurricane Rita, approximately 1.5 million people, including some 163,000 children were displaced in Louisiana and Mississippi alone. Since children and families who had the means fled the city, those who were … Continue reading “Legacy of Katrina: The Impact of a Flawed Recovery on Vulnerable Children of the Gulf Coast” Learn More
Recovery Research, Katrina's Fifth Anniversary, and Lessons Relearned What may be called “disaster science” is a broad field that begins with understanding hazards, risks, and population vulnerabilities and moves on to establishing best-practice models of response, mitigation, and recovery. Gaps abound in our collective knowledge in all of these areas, and it is fair to suggest that we have only begun to scratch … Continue reading “Recovery Research, Katrina’s Fifth Anniversary, and Lessons Relearned” Learn More
Second Wind: The Impact of Hurricane Gustav on Children and Families Who Survived Katrina The category 2 Hurricane Gustav made landfall on the Louisiana Coast on Sept. 1, 2008, nearly three years to the day after Hurricane Katrina, resulting in an evacuation of approximately 2 million people and considerable property damage. Although it did not match the intensity or consequence of Hurricane Katrina, the experience of anticipating and responding … Continue reading “Second Wind: The Impact of Hurricane Gustav on Children and Families Who Survived Katrina” Learn More
Prevalence and Predictors of Mental Health Distress Post-Katrina: Findings From the Gulf Coast Child and Family Health Study Background: Catastrophic disasters often are associated with massive structural, economic, and population devastation; less understood are the long-term mental health consequences. This study measures the prevalence and predictors of mental health distress and disability of hurricane survivors over an extended period of recovery in a postdisaster setting. Methods: A representative sample of 1077 displaced or … Continue reading “Prevalence and Predictors of Mental Health Distress Post-Katrina: Findings From the Gulf Coast Child and Family Health Study” Learn More
Meeting Mental Health Needs Following a Natural Disaster: Lessons From Hurricane Katrina Hurricane Katrina had a devastating impact on hundreds of thousands of Louisiana and Mississippi families. Housing was destroyed, jobs were lost, and family members were separated, sometimes in different states and without communication. Postdisaster stress reactions were common, with vulnerable individuals most affected. Mental health services were not adequate to meet immediate needs, and postdisaster … Continue reading “Meeting Mental Health Needs Following a Natural Disaster: Lessons From Hurricane Katrina” Learn More
Lessons from Katrina – What Went Wrong, What Was Learned, Who’s Most Vulnerable If humans did not occupy the planet, disasters would never occur. Massive climatic events, earthquakes, volcanic eruptions, and tsunamis would be regular occurrences, of course, and the earth would look like a dynamic cauldron of natural activity, changing the look and the balance of nature and natural events continuously and randomly. What morphs these natural … Continue reading “Lessons from Katrina – What Went Wrong, What Was Learned, Who’s Most Vulnerable” Learn More
Mental Health Services in Louisiana School-Based Health Centers Post-Hurricanes Katrina and Rita Following Hurricanes Katrina and Rita, Louisiana school-based health centers (SBHCs) were called on to respond to a sharp increase in mental health needs, especially for displaced students coping with grief, loss, trauma, and uncertainty. To assess the impact of the hurricanes on the students and the needs of SBHC mental health providers (MHPs), we surveyed … Continue reading “Mental Health Services in Louisiana School-Based Health Centers Post-Hurricanes Katrina and Rita” Learn More
The Legacy of Katrina's Children: Estimating the Numbers of Hurricane-Related At-Risk Children in the Gulf Coast States of Louisiana and Mississippi The 2005 hurricane season, which included hurricanes Katrina, Rita and Wilma, exacted a monumental toll on the people and infrastructure of the Gulf Coast region in the southern United States. Disaster-related losses were estimated to have exceeded $110 billion. Much has been written about the short-term effects on the local housing stock, economy, and populations. … Continue reading “The Legacy of Katrina’s Children: Estimating the Numbers of Hurricane-Related At-Risk Children in the Gulf Coast States of Louisiana and Mississippi” Learn More
The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina: Executive Summary Six months after Hurricane Katrina hit the Gulf Coast, a Columbia-led research team conducted a random household survey of people who had been displaced by the disaster in Louisiana. Mental health disability and psychological strain were rampant, people’s lives were chaotic, and their futures were uncertain. The children who had been displaced were often socially … Continue reading “The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina: Executive Summary” Learn More
The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina Six months after Hurricane Katrina hit the Gulf Coast, a Columbia-led research team conducted a random household survey of people who had been displaced by the disaster in Louisiana. Mental health disability and psychological strain were rampant, people’s lives were chaotic, and their futures were uncertain. The children who had been displaced were often socially … Continue reading “The Recovery Divide: Poverty and the Widening Gap Among Mississippi Children and Families Affected by Hurricane Katrina” Learn More
Critical Concepts for Children in Disasters Identified by Hands-on Professionals: Summary of Issues Demanding Solutions Before the Next One This supplement contains many hands-on experiences of pediatricians and others who cared for children during the Hurricane Katrina disaster. They have all offered significant insightful suggestions to help planners better prepare for care of children during the next disaster. Pediatricians and other providers need to educate families on many aspects of disaster planning. Families should … Continue reading “Critical Concepts for Children in Disasters Identified by Hands-on Professionals: Summary of Issues Demanding Solutions Before the Next One” Learn More
Responding to an Emerging Humanitarian Crisis in Louisiana and Mississippi: Urgent Need for Health Care "Marshall Plan" It is now clear that massive challenges are facing the recovery efforts in the Gulf Coast region ravaged by Hurricanes Katrina and Rita, as well as the flooding of New Orleans. Evacuees from the hardest hit communities who are currently in extended shelter status, particularly those with limited economic means, may already formally fall under … Continue reading “Responding to an Emerging Humanitarian Crisis in Louisiana and Mississippi: Urgent Need for Health Care “Marshall Plan”” Learn More
Chronicles From Out-of-State Professionals: Providing Primary Care to Underserved Children After a Disaster: A National Organization Response Hundreds of thousands of lives in the Gulf Coast region were affected by Hurricane Katrina. The Children’s Health Fund (CHF) responded rapidly to the needs of children and their families after the hurricane. CHF is a national organization that supports direct health services, education, and advocacy for medically underserved children. Although CHF’s principle mission is … Continue reading “Chronicles From Out-of-State Professionals: Providing Primary Care to Underserved Children After a Disaster: A National Organization Response” Learn More
Mental health in the Wake of Hurricane Katrina: Science to Practice This article talks about the programs that were developed post-Katrina in accordance with the mental health facilities and care programs. The Children’s Health Fund was funded 20 years ago to provide medical services to underserved children and families through mobile units. We have found mobile units to be effective ways of delivering services to people … Continue reading “Mental health in the Wake of Hurricane Katrina: Science to Practice” Learn More
On the Edge: Children and Families Displaced by Hurricanes Katrina andRita Face a Looming Medical and Mental Health Crisis: Executive Summary The individuals and families who were displaced by Hurricanes Katrina and Rita and who have ended up in FEMA-subsidized community housing in Louisiana are facing a second crisis, one in which untreated and undertreated chronic medical problems and incipient mental health issues will overwhelm patients and providers. Among the displaced, children may be particularly vulnerable. … Continue reading “On the Edge: Children and Families Displaced by Hurricanes Katrina andRita Face a Looming Medical and Mental Health Crisis: Executive Summary” Learn More
On the Edge: Children and Families Displaced by Hurricanes Katrina and Rita Face a Looming Medical and Mental Health Crisis The individuals and families who were displaced by Hurricanes Katrina and Rita and who have ended up in FEMA-subsidized community housing in Louisiana are facing a second crisis, one in which untreated and undertreated chronic medical problems and incipient mental health issues will overwhelm patients and providers. Among the displaced, children may be particularly vulnerable. … Continue reading “On the Edge: Children and Families Displaced by Hurricanes Katrina and Rita Face a Looming Medical and Mental Health Crisis” Learn More
Challenges in Meeting Immediate Emotional Needs: Short-term Impact of a Major Disaster on Children's Mental Health: Building Resiliency in the Aftermath of Huricanne Katrina Disasters, whether resulting from terrorism or natural events, have a dramatic impact on the health and well-being of children. Studies after the terror attacks of September 11, 2001, in New York City and the 1995 Oklahoma City bombing and countless reports on the impact of natural disasters on children show that a child’s mental health … Continue reading “Challenges in Meeting Immediate Emotional Needs: Short-term Impact of a Major Disaster on Children’s Mental Health: Building Resiliency in the Aftermath of Huricanne Katrina” Learn More
Katrina, Rita, and the Failure of Imagination Americans have had to deal with disaster preparedness for decades, anticipating events such as industrial accidents, power plant meltdowns, natural disasters, and nuclear attacks. Since September 11, 2001, the nation has spent unprecedented resources, created new federal, state, and local agencies, and greatly intensified efforts to prepare for catastrophes. But when Hurricane Katrina hit, we … Continue reading “Katrina, Rita, and the Failure of Imagination” Learn More