After the Storm — Health Care Infrastructure in Post-Katrina New Orleans

Berggren, Ruth E.; Curiel, Tyler J.

doi:10.1056/nejmp068039

Cited by 97 publications

(59 citation statements)

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“…9 The Deputy Coroner of New Orleans recently reported a near 3-fold increase in the suicide rate in Orleans Parish, from 9 to 26 per 100 000, in the first 4 months after Katrina. 10 Although most officials agree that the suicide rates have increased, these numbers should be considered estimates at this time because of considerable problems with accurately estimating population sizes, selfinflicted deaths that are still unclassified, and other coding problems.…”

Section: Mortality Suicide and Homicide Ratesmentioning

confidence: 99%

Mental Health and Recovery in the Gulf Coast After Hurricanes Katrina and Rita

Weisler

Barbee²,

Townsend

2006

JAMA

173

126

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Section: Mortality Suicide and Homicide Ratesmentioning

confidence: 99%

Mental Health and Recovery in the Gulf Coast After Hurricanes Katrina and Rita

Weisler

Barbee²,

Townsend

2006

JAMA

173

126

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“…Furthermore, following the disaster there was widespread loss of mental health care facilities, treatments, and personnel, as well as the employment, financial resources, and insurance to pay for care (9,34,35). These losses were greatest in New Orleans perhaps explaining why reductions in existing treatments were more common there than in other affected areas.…”

Section: Discussionmentioning

confidence: 99%

Disruption of Existing Mental Health Treatments and Failure to Initiate New Treatment After Hurricane Katrina

Wang

Gruber²,

Powers³

et al. 2008

AJP

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“…In addition, because of loss of employment many people lost financial resources and insurance to pay for care. For example, according to estimates made soon after the disaster, there were only two psychiatric beds available in all of New Orleans and its surrounding suburbs (13,31,32).…”

Section: Discussionmentioning

confidence: 99%

“…Entire delivery systems were destroyed, and people with mental disorders may have been unable to overcome the formidable financial, structural, and other barriers to obtaining care (13). Attitudinal barriers and competing demands may have prevented even those with access from obtaining effective treatments (14,15).…”

mentioning

confidence: 99%

Mental Health Service Use Among Hurricane Katrina Survivors in the Eight Months After the Disaster

Wang

Gruber

Powers³

et al. 2009

FOC

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Objective-This study examined use of mental health services among adult survivors of Hurricane Katrina in order to improve understanding of the impact of disasters on persons with mental disorders.Methods-A geographically representative telephone survey was conducted between January 19 and March 31, 2006, with 1,043 displaced and nondisplaced English-speaking Katrina survivors aged 18 and older. Survivors who reported serious and mild-moderate mood and anxiety disorders in the past 30 days and those with no such disorders were identified by using the K6 scale of nonspecific psychological distress. Use of services, system sectors, and treatments and reasons for not seeking treatment or dropping out were recorded. Correlates of using services and dropping out were examined.Results-An estimated 31% of respondents (N=319) had evidence of a mood or anxiety disorder at the time of the interview. Among these only 32% had used any mental health services since the disaster, including 46% of those with serious disorders. Of those who used services, 60% had stopped using them. The general medical sector and pharmacotherapy were most commonly used, although the mental health specialty sector and psychotherapy played important roles, especially for respondents with serious disorders. Many treatments were of low intensity and frequency. Undertreatment was greatest among respondents who were younger, older, never married, members of racial or ethnic minority groups, uninsured, and of moderate means. Structural, financial, and attitudinal barriers were frequent reasons for not obtaining care. Conclusions-FewKatrina survivors with mental disorders received adequate care; future disaster responses will require timely provision of services to address the barriers faced by survivors.Even before Hurricane Katrina struck in late August 2005, people in the U.S. Gulf Coast were among the sickest, poorest, and most underserved in the country (1). Their burdens were severely compounded by the subsequent devastation and displacements experienced by 1.5 million inhabitants in an area the size of Great Britain (2,3). More than $100 billion in federal aid has already been allocated or requested, much of it initially focused on addressing immediate needs for shelter, food, injuries, and other acute medical conditions (4-11).

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After the Storm — Health Care Infrastructure in Post-Katrina New Orleans

Cited by 97 publications

References 0 publications

Mental Health and Recovery in the Gulf Coast After Hurricanes Katrina and Rita

Mental Health and Recovery in the Gulf Coast After Hurricanes Katrina and Rita

Disruption of Existing Mental Health Treatments and Failure to Initiate New Treatment After Hurricane Katrina

Mental Health Service Use Among Hurricane Katrina Survivors in the Eight Months After the Disaster

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