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A Brief Report of Surveillance of Traumatic Experiences and Exposures After the Earthquake-Tsunami in American Samoa, 2009

Published online by Cambridge University Press:  15 August 2013

Michael E. King ,
Merritt D. Schreiber ,
Stephen E. Formanski ,
Sinclair Fleming ,
Tesfaye M. Bayleyegn  and
Siitia S. Lemusu
Michael E. King*
Affiliation:
Air Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia
Merritt D. Schreiber
Affiliation:
Center for Public Health and Disasters, School of Public Health, University of California, Los Angeles (UCLA) Center for the Health Sciences, Los Angeles, California
Stephen E. Formanski
Affiliation:
Region III Office of Preparedness and Emergency Operations, Office of the Assistant Secretary for Preparedness and Response, US Department of Health and Human Services, Philadelphia, Pennsylvania
Sinclair Fleming
Affiliation:
Center for Public Health and Disasters, School of Public Health, University of California, Los Angeles (UCLA) Center for the Health Sciences, Los Angeles, California
Tesfaye M. Bayleyegn
Affiliation:
Health Studies Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia
Siitia S. Lemusu
Affiliation:
American Samoa Department of Health, Pago Pago, American Samoa
*
Address correspondence and reprint requests to Michael E. King, MSW, PhD, Air Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS F-58, Atlanta, GA 30341 (e-mail [email protected]).
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Abstract

Context

Rapid mental health surveillance during the acute phase of a disaster response can inform the allocation of limited clinical resources and provide essential household-level risk estimates for recovery planning.

Objective

To describe the use of the PsySTART Rapid Mental Health Triage and Incident Management System for individual-level clinical triage and traumatic exposure assessment in the aftermath of a large-scale disaster.

Methods

We conducted a cross-sectional, comparative review of mental health triage data collected with the PsySTART system from survivors of the September 2009 earthquake-tsunami in American Samoa. Data were obtained from two sources—secondary triage of patients and a standardized community assessment survey—and analyzed descriptively. The main outcome measures were survivor-reported traumatic experiences and exposures—called triage factors—associated with risk for developing severe distress and new mental health disorders following disasters.

Results

The most common triage factors reported by survivors referred for mental health services were “felt extreme panic/fear” (93%) and “felt direct threat to life” (93%). The most common factor reported by persons in tsunami-affected communities was “felt extreme panic or fear” (75%). Proportions of severe triage factors reported by persons living in the community were consistently lower than those reported by patients referred for mental health services.

Conclusions

The combination of evidence-based mental health triage and community assessment gave hospital-based providers, local public health officials, and federal response teams a strategy to match limited clinical resources with survivors at greatest risk. Also, it produced a common operating picture of acute and chronic mental health needs among disaster systems of care operating in American Samoa.(Disaster Med Public Health Preparedness. 2013;7:327-331)

Keywords

surveillancemental healthdisasters
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 3 , June 2013 , pp. 327 - 331
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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References

1.Jaffe, BE, Gelfenbaum, G, Buckley, Ml, etal; U.S. Geological Survey. The limit of inundation of the September 29, 2009, tsunami on Tutuila, American Samoa: U.S. Geological Survey Open-File Report 2010-1018. http://pubs.usgs.gov/of/2010/1018/.Published2010. Accessed February 24, 2010.Google Scholar
2.Pynoos, R, Schreiber, M, Steinberg, A, etal. Children and terrorism. In: Saddock B, Saddock V, eds. Comprehensive Textbook of Psychiatry. Vol 8. New York, NY: Lippincott Williams & Wilkins; 2004.Google Scholar
3.Schreiber, M. Learning from 9/11: toward a national model for children and families in mass casualty terrorism. In: Daneli Y, Dingman R, eds. On the Ground After September 11: Mental Health Responses and Practical Knowledge Gained. New York, NY: Haworth Press; 2005:605-609.Google Scholar
4.Institute of Medicine. Guidance for establishing crisis standards of care for use in disaster situations: a letter report. Washington, DC: The National Academies Press; 2009.Google Scholar
5.Gurwitch, RH, Kees, M, Becker, SM, Schreiber, M, Pfefferbaum, B, Diamond, D. When disaster strikes: responding to the needs of children. Prehosp Disaster Med. 2004;19(1):21-28.Google Scholar
6.Thienkrua, W, Cardozo, BL, Chakkraband, MLS, etal; Thailand Post-Tsunami Mental Health Study Group. Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):549-559.Google Scholar
7.Marshall, GN, Schell, TL, Elliott, MN, Rayburn, NR, Jaycox, LH. Psychiatric disorders among adults seeking emergency disaster assistance after a wild-land-urban interface fire. Psychiatr Serv. 2007;58(4):509-514.Google Scholar
8.Centers for Disease Control and Prevention. Community Assessment for Public Health Emergency Response (CASPER) Toolkit. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2009.Google Scholar
9.Robert, T. Stafford Disaster Relief and Emergency Assistance (Stafford) Act, 42USC5121; 1988.Google Scholar
10.Schreiber, M, Pynoos, R. Post traumatic reactions in children exposed to fire disaster. Paper presented at the 42nd Annual Meeting of the American Academy of Child and Adolescent Psychiatry; 1995; New Orleans, Louisiana.Google Scholar
11.Kessler, RC, Galea, S, Jones, RT, Parker, HA. Hurricane Katrina Community Advisory Group. Mental illness and suicidality after Hurricane Katrina. Bull World Health Organ. 2006;84(12):930-939.CrossRefGoogle ScholarPubMed
12.Reissman, D, Schreiber, MD, Shultz, JM, etal. Disaster mental and behavioral health. In: Koenig KL, Schultz CH, eds. Disaster Medicine. Cambridge, United Kingdom: Cambridge University Press; 2008.Google Scholar
13.Foa, EB, Cahill, SP, Boscarino, JA, etal. Social, psychological, and psychiatric interventions following terrorist attacks: recommendations for practice and research. Neuropsychopharmacology. 2005;30(10):1806-1817.Google Scholar
14.Bryant, RA, Moulds, ML, Nixon, RV. Cognitive behaviour therapy of acute stress disorder: a four-year follow-up. Behav Res Ther. 2003;41(4):489-494.Google Scholar
15.Sijbrandij, M, Olff, M, Reitsma, JB, Carlier, IV, de Vries, MH, Gersons, BP. Treatment of acute posttraumatic stress disorder with brief cognitive behavioral therapy: a randomized controlled trial. Am J Psychiatry. 2007;164(1):82-90.Google Scholar
16.Centers for Disease Control and Prevention (CDC). Epidemiologic assessment of the impact of four hurricanes--Florida, 2004. MMWR Morb Mortal Wkly Rep. 2005;54(28):693-697.Google Scholar
17.Ursano, RJ, Fullerton, CS, Weisaeth, L, etal. Public health and disaster mental health: preparing, responding, and recovering. In: Ursano RJ, Fullerton CS, Weisaeth L, Raphael B, eds. Textbook of Disaster Psychiatry. London, United Kingdom: Cambridge University Press; 2007.Google Scholar
18.Centers for Disease Control and Prevention (CDC). CDC assessment of health-related needs after hurricanes Katrina and Rita—Orleans and Jefferson Parishes, New Orleans Area, Louisiana, October 17-22, 2005. MMWR Morb Mortal Wkly Rep. 2006;55(2):38-41.Google Scholar
19.Centers for Disease Control and Prevention (CDC). Surveillance in hurricane evacuation centers--Louisiana, September-October 2005. MMWR Morb Mortal Wkly Rep. 2006;55(2):32-35.Google Scholar
20.National Biodefense Science Board. Disaster mental health recommendations: report of the Disaster Mental Health Subcommittee of the National Biodefense Science Board. http://www.hhs.gov/aspr/conferences/nbsb/dmhreport-final.pdf. Published November 18, 2008. Accessed May 5, 2009.Google Scholar