Lessons Learned From a Quad-State Postdisaster Project

Hansel, Tonya Cross; Osofsky, Howard J.; Langhinrichsen‐Rohling, Jennifer; Osofsky, Joy D.; Rehner, Timothy; Wornell, Cory; Speier, Anthony H.; Brazeal, Michelle; Arthur, Elizabeth; Rohrer, Glenn E.

doi:10.1097/jac.0000000000000254

Cited by 6 publications

(1 citation statement)

References 29 publications

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“…“Without mental health there can be no true physical health.” Dr. Brock Chisholm, the first Director-General of the World Health Organization, famously stated this more than 60 years ago ( 1 ). Despite decades of advancement, evidence-based mental health interventions have failed to permeate low- and middle-income countries (LMICs) or refugee populations ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Reaching the Unreached: Bridging Islam and Science to Treat the Mental Wounds of War

et al. 2021

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Radical new paradigms are needed to equip non-professionals and leverage community faith-based infrastructure to address the individual and communal wounds of war- and conflict-related trauma. Muslims in war-torn regions like Somalia experience high rates of trauma and posttraumatic stress; yet, lack of providers, potential stigma, and lack of integration with one's faith are substantial barriers to care. In this pre-post feasibility clinical trial (NCT03761732), mosque leaders implemented a brief, group- and mosque-based intervention, Islamic Trauma Healing, targeting trauma-related psychopathology and community reconciliation for trauma survivors (N = 26) in Somaliland, Somalia. Leaders were trained in a brief 2-day training, with supervision provided remotely via WhatsApp. This six-session intervention combines empirically-supported trauma-focused psychotherapy and Islamic principles, focusing on wisdom from the lives of the Prophets and turning to Allah in dua about trauma. There were large, clinically meaningful effects for PTSD (g = 1.91), depression (g = 2.00), somatic symptoms (g = 2.73), and well-being (g = 1.77). Qualitative data from group members highlighted how well the program was aligned with their Islamic faith, built community, and need to expand the program. These results highlight the feasibility of this non-expert, easily up-scalable mental health approach in war-torn Muslim regions and refugee communities. This program has the potential to provide a low-cost, self-sustaining, Islam-based intervention addressing the psychological wounds of war consistent with the IOM's call to develop novel approaches to address unmet clinical needs.ClinicalTrials.govIdentifier: NCT03761732.

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Section: Introductionmentioning

confidence: 99%

Reaching the Unreached: Bridging Islam and Science to Treat the Mental Wounds of War

et al. 2021

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Broadening the Mandate of the Incident Command System to Address Community Mental and Behavioral Health Effects as Part of the Federal Response to Disasters

Goldstein

2020

Curr Envir Health Rpt

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COVID-19 Mental Health Disparities

et al. 2021

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Communities of color in the United States have been disproportionately impacted by the COVID-19 pandemic. Studies exploring the mental health implications of these disparities have only just begun to emerge. The purpose of this study is to better understand mental health concerns and test whether social determinants of health and COVID-19-related experiences influence these concerns. In April 2020, we launched a community-based survey for adults across the United States. A total of 341 respondents completed the survey, which included questions about demographics, depression, social isolation, work environment, and preexisting mental health conditions. We generated matched controls by adding county data from the Robert Wood Johnson Foundation to our survey. Chi square, Pearson product-moment correlation, point biserial correlation, and logistic regression were estimated. Our analysis revealed that respondents who identified as Latinx, Latin@, or Hispanic were 10 times more likely to meet the threshold score for depression. Similarly, individuals with prior mental health conditions and those who expressed feelings of social isolation due to COVID-19 were 3 times more likely to meet the threshold score for depression. These results confirm our hypothesis that communities of color will likely experience disproportionate mental health impacts of COVID-19-specifically, the mental health sequela that emerge from exposure, cumulative burden, and social isolation. We discuss the implications for expanding access and quality of health and mental health services to address current inequities.

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Lessons Learned From a Quad-State Postdisaster Project

Cited by 6 publications

References 29 publications

Reaching the Unreached: Bridging Islam and Science to Treat the Mental Wounds of War

Reaching the Unreached: Bridging Islam and Science to Treat the Mental Wounds of War

Broadening the Mandate of the Incident Command System to Address Community Mental and Behavioral Health Effects as Part of the Federal Response to Disasters

COVID-19 Mental Health Disparities

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