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Feasibility of Disaster Mental Health Preparedness Training for Black Communities

Published online by Cambridge University Press:  15 August 2013

Danielle J. Laborde ,
Kathryn Magruder ,
Joanne Caye  and
Theodore Parrish
Danielle J. Laborde*
Affiliation:
HERMES, LLC, Wilmington, North Carolina
Kathryn Magruder
Affiliation:
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina
Joanne Caye
Affiliation:
Department of Social Work, University of North Carolina, Chapel Hill
Theodore Parrish
Affiliation:
North Carolina Central University, Durham
*
Address correspondence and reprint requests to Danielle Laborde, PhD, HERMES, LLC, 409 Clearbrook Drive, Wilmington, NC 28409 (e-mail [email protected]).
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Abstract

Objectives

To test the feasibility of developing evidence-based mental health training to build capacity to respond to natural disasters in black communities and the adaptation of a train-the-trainer (TTT) model for black community leaders and clinical providers in distressed areas at risk of natural disasters.

Methods

A core curriculum was developed based on a training needs assessment and resource review. Participants were recruited using network sampling in eastern North Carolina. The core curriculum was tested for usability, revised, and then pilot tested among five mental health providers. Three of the five were trained to lead one-day workshops tailored for black community leaders and clinical providers. Process data were collected, and workshop participants completed posttraining knowledge tests, evaluation forms, and debriefing focus groups.

Results

Ten providers and 13 community leaders pilot tested the training. Posttest knowledge scores were generally higher among clinical providers. Perceived effectiveness of training was higher among community-based organization leaders than clinical providers. Evaluations indicated that the workshop components were culturally relevant and well received by all participants. We identified ways to facilitate recruitment, provide optional e-learning, evaluate effectiveness, and extend trainer support in future field trials.

Conclusion

The curriculum and TTT model provide culturally competent disaster mental health preparedness training for black communities. (Disaster Med Public Health Preparedness. 2013;7:302-312)

Keywords

disastermental healthtrainingtrain-the-trainerminorityblackAfrican American
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 3 , June 2013 , pp. 302 - 312
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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References

1.Andrulis, DP, Siddiqui, NJ, Gantner, JL. Preparing racially and ethnically diverse communities for public health emergencies. Health Aff (Millwood). 2007;26(5):1269-1279.Google Scholar
2.Davidson, JR, McFarlane, AC. The extent and impact of mental health problems after disaster. J Clin Psychiatry. 2006;67(suppl 2):9-14.Google ScholarPubMed
3.World Health Organization (WHO). Briefing note on psychosocial/mental health assistance to the tsunami affected region, World Health Organization; 2006.Google Scholar
4.Fothergill, A, Maestas, EG, Darlington, JD. Race, ethnicity and disasters in the United States: a review of the literature. Disasters. 1999;23(2):156-173.CrossRefGoogle ScholarPubMed
5.Peacock, WG, Morrow, BH, Gladwin, H. Hurricane Andrew: Ethnicity, Gender and the Sociology of Disasters. Miami, Florida: Routledge; 1997.Google Scholar
6.Cross, AR. Hurricanes Katrina, Rita, and Wilma: the unprecedented American Red Cross response. 2005. http://www.redcross.org/sponsors/drf/hurrstewreport_05.html. Accessed October 22, 2010.Google Scholar
7. Centers for Disease Control and Prevention (CDC). Mental Health and Psychosocial Preparedness Education: A Compilation from the Centers for Public Health Preparedness. Center for Public Health Preparedness; September 2005.Google Scholar
8.Abramson, D, Park, Y, Redlener, I, et al. Children as bellwethers of recovery: dysfunctional systems and the effects of parents, households, and neighborhoods on serious emotional disturbance in children after Hurricane Katrina. Disaster Med Public Health Prep. 2010;4:S17-S27.CrossRefGoogle ScholarPubMed
9. World Health Organization (WHO). Single-session psychological debriefing: not recommended. Geneva, Switzerland: World Health Organization; September 18, 2005.Google Scholar
10.National Institute of Mental Health (NIMH). Mental Health and Mass Violence: Evidence-based Early Psychological Intervention for Victims/Survivors of Mass Violence. Washington, DC: National Institute of Mental Health; 2002.Google Scholar
11.Honore, RL. Health disparities: barriers to a culture of preparedness. J Public Health Manag Pract. 2008;14(suppl):S5-S7.Google Scholar
12.Ritchie, EC, Watson, PJ, Friedman, MJ, eds Interventions Following Mass Violence and Disasters: Strategies for Mental Health Practice. New York, New York: The Guilford Press; 2006.Google Scholar
13.James, RK. Crisis Intervention Strategies, 6th ed. Belmont, California: Brooks-Cole/Thompson; 2008.Google Scholar
14.Kutcher, S, Chehil, S, Cash, C, Millar, J. A competencies-based mental health training model for health professionals in low and middle income countries. World Psychiatry. 2005;4(3):177-180.Google Scholar
15.van Ommeren, M, Saxena, S, Saraceno, B. Mental and social health during and after acute emergencies: emerging consensus? Bull World Health Organ. 2005;83(1):71-75, discussion 75-76.Google Scholar
16.Magruder, K, Mollica, R, Friedman, M. Mental health services research: implications for survivors of torture. In: Gerrity E, Keane T, Tuma F, eds. The Mental Health Consequences of Torture and Related Violence. New York, New York: Kluwer Academic/Plenum Publishers; 2001.Google Scholar
17.Everly, GS Jr, Barnett, DJ, Sperry, NL, Links, JM. The use of psychological first aid (PFA) training among nurses to enhance population resiliency. Int J Emerg Ment Health. 2010;12(1):21-31.Google ScholarPubMed
18.Rose, M, Bisson, J, Churchill, R, etal. Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database Syst Rev. 2005:3.Google Scholar
19.van Emmerik, AA, Kamphuis, JH, Hulsbosch, AM, Emmelkamp, PM. Single session debriefing after psychological trauma: a meta-analysis. Lancet. 2002;360(9335):766-771.CrossRefGoogle ScholarPubMed
20.World Health Organization (WHO). Mental Health in Emergencies: Mental and Social Aspects of Health of Populations Exposed to Extreme Stressors. Geneva, Switzerland: Department of Mental Health and Substance Dependence; 2003.Google Scholar
21.Parker, CL, Barnett, DJ, Everly, GS Jr, Links, JM. Expanding disaster mental health response: a conceptual training framework for public health professionals. Int J Emerg Ment Health. 2006;8(2):101-109.Google Scholar
22.Broach, J, Manuell, M-E, Milsten, A. Disaster medicine and emergency preparedness training for health care institutions. AMA J Ethics. 2010;12(9):714-716.Google Scholar
23.Young, BH, Ruzek, JI, Wong, M, etal. Disaster mental health training: guidelines, considerations, and recommendations. In: Ritchie EC, Watson PJ, Friedman MJ, eds. Interventions Following Mass Violence and Disasters: Strategies for Mental Health Practice. New York, New York: Guilford Publications; 2006.Google Scholar
24.Kawachi, I, Subramanian, SV. Measuring and modeling the social and geographic context of trauma: a multilevel modeling approach. JT rauma Stress. 2006;19(2):195-203.Google Scholar
25. Collaborating Agencies Responding to Disasters (CARD). Fear-free preparedness for nonprofits, faith agencies, and vulnerable communities; 2010. http://www.FirstVictims.org. Accessed October 22, 2010.Google Scholar
26.Lichterman, JDA. A “community as resource” strategy for disaster response. Public Health Rep. 2000;115(2-3):262-265.CrossRefGoogle Scholar
27.Fjord, L. Disasters, race and disability: [un]seen through the political lens on Katrina. J Race Policy. 2007;3(1):46-66.Google Scholar
28. Substance Abuse and Mental Health Services Administration (SAM-HSA). Crisis counseling assistance and training program: Training Manual for Mental Health and Human Service Workers in Major Disasters; 2007.Google Scholar
29.Schoch-Spana, M, Franco, C, Nuzzo, JB, Usenza, C. Working Group on Community Engagement in Health Emergency Planning. Community engagement: leadership tool for catastrophic health events. Biosecur Bioterror. 2007;5(1):8-25.Google Scholar
30.Sussman, LK, Robins, LN, Earls, F. Treatment-seeking for depression by black and white Americans. Soc Sci Med. 1987;24(3):187-196.CrossRefGoogle ScholarPubMed
31.Whaley, AL, Geller, PA. Ethnic/racial differences in psychiatric disorders: a test of four hypotheses. Ethn Dis. 2003;13(4):499-512.Google Scholar
32.Cohen, R. Post-disaster mobilization and crisis counseling: guidelines and techniques for developing crisis-oriented services for disaster victims. In: Roberts A, ed. Crisis Intervention Handbook: Assessment, Treatment, and Research. Independence, Kentucky: Wadsworth; 1990.Google Scholar
33.Rao, K. Psychosocial support in disaster-affected communities. Int Rev Psychiatry. 2006;18(6):501-505.Google Scholar
34.Summerfield, DA. “Disaster mental health”: lessons from Aberfan. BMJ. 2005;330(7485):254. Clin Res Ed.Google Scholar
35.Townsend, M, Weisler, R. Postdisaster psychiatry: lessons from Katrina. Med-scape Psychiatry and Mental Health; 2007.Google Scholar
36.Somasundaram, DJ, van de Put, WA. Management of trauma in special populations after a disaster. J Clin Psychiatry. 2006;67(suppl 2):64-73.Google ScholarPubMed
37.Centers for Disease Control and Prevention (CDC). Public Health Work book to Define, Locate and Reach Special, Vulnerable and At-Risk Populations in an Emergency (Draft). Atlanta, Georgia. Centers for Disease Control and Prevention. 2007;16:2007. CDC.Google Scholar
38.Athey, J, Moody-Williams, J. Developing Cultural Competence in Disaster Mental Health Programs: Guiding Principles and Recommendations. Rockville, Maryland: US Department of Health and Human Services; 2003. DHHS Pub. No. SMA 3828.Google Scholar
39.Solis, GY, Hightower, HC, Kawaguchi, J. Guidelines on Cultural Diversity and Disaster Management. Vancouver, British Columbia: The Disaster Preparedness Resources Centre, The University of British Columbia; 1997.Google Scholar
40.Thorne, CD, Oliver, M, Al-Ibrahim, M, Gucer, PW, McDiarmid, MA. Terrorism-preparedness training for non-clinical hospital workers: tailoring content and presentation to meet workers’ needs. J Occup Environ Med. 2004;46(7):668-676.Google Scholar
41.McCabe, OL, Lating, JM, Everly, GS Jr, etal. Psychological first aid training for the faith community: a model curriculum. Int J Emerg Ment Health. 2007;9(3):181-191.Google ScholarPubMed
42.McCabe, OL, Mosley, AM, Gwon, HS, etal. The tower of ivory meets the house of worship: psychological first aid training for the faith community. Int J Emerg Ment Health. 2007;9(3):171-180.Google Scholar
43.Kutcher, S, Chehil, S. Application of a needs-driven, competencies-based mental health training program to a post-disaster situation: the Grenada experience. Am J Disaster Med. 2008;3(4):235-240.Google Scholar
44.Rogers, EM. Diffusion of Innovations, 5th ed. New York, New York: The Free Press; 2003.Google Scholar
45.DeWolfe, D. Field Manual for Mental Health and Human Service Workers in Major Disasters. Washington, DC: National Mental Health Services Knowledge Exchange Network; 2000.Google Scholar
46.Galambos, C. Natural Disasters: Health and Mental Health Considerations. Health Soc Work. 2005;30(2):83-86.Google Scholar
47.National Association of County and City Health Officials (NACCHO). Disaster Mental Health Response Handbook. New South Wales, Australia: Department of Health; 2007.Google Scholar
48. Substance Abuse and Mental Health Services Administration (SAMHSA) Flynn B. Mental Health All-Hazards Disaster Planning Guidance; 2003.Google Scholar
49.Stanley, JM. Disaster competency development and integration in nursing education. Nurs Clin North Am. 2005;40(3):453-467, viii.Google Scholar
50.Calhoun, JG, Rowney, R, Eng, E, Hoffman, Y. Competency mapping and analysis for public health preparedness training initiatives. Public Health Rep. 2005;120(suppl 1):91-99.Google Scholar
51.Laborde, DJ, Brannock, K, Parrish, T. Assessment of training needs for disaster mental health preparedness in black communities. J Natl Med Assoc. 2011;103(7):624-634.Google Scholar
52.Everly, GS Jr, Beaton, RD, Pfefferbaum, B, Parker, CL. On academics: training for disaster response personnel: the development of proposed core competencies in disaster mental health. Public Health Rep. 2008;123(4):539-542.Google Scholar
53.Bernal, G, Bonilla, J, Bellido, C. Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. J Abnorm Child Psychol. 1995;23(1):67-82.Google Scholar
54.Rosenfeld, L, Caye, J, Ayalon, O, etal. When Their World Falls Apart: Helping Families and Children Manage the Effects of Disaster. Washington, DC: NASW Press; 2004.Google Scholar
55.Hawley, SR, Hawley, GC, St Romain, T, Ablah, E. Quantitative impact of mental health preparedness training for public health professionals. Biosecur Bioterror. 2007;5(4):347-352.Google Scholar
56.Ruzek, J, Walser, RD, Naugle, AE, etal. Cognitive-behavioral psychology: implications for disaster and terrorism response. Prehosp Disaster Med. 2008;23(5):397-410.CrossRefGoogle ScholarPubMed
57.Onwuegbuzie, AJ, Collins, K. A typology of mixed methods sampling designs in social science research. Qual Rep. 2007;12(2):281-316.Google Scholar
58.US Department of Health and Human Services (USDHHS). Developing Cultural Competence in Disaster Mental Health Programs: Guiding Principles and Recommendations. Rockville, Maryland: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2003.Google Scholar
59.Cross, W, Cerulli, C, Richards, H, He, H, Herrmann, J. Predicting dissemination of a disaster mental health” train-the-trainer” program. Disaster Med Public Health Prep. 2010;4(4):339-343.Google Scholar