Rapid Community Participatory Assessment of Health Care in Post-Storm New Orleans

Springgate, Benjamin; Allen, Charles E.; Jones, Catherine M.; Lovera, Shaula; Meyers, Diana; Campbell, Larry X.; Palinkas, Lawrence A.; Wells, Kenneth B.

doi:10.1016/j.amepre.2009.08.007

Cited by 29 publications

(32 citation statements)

References 10 publications

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“…Regional hospitals and community-based resources absorbed the heavy load of navigating displaced people and others in need of care to with little to no system-wide support. 1,[11][12][13] Although disaster management plans now more clearly defi ne the role of public health in emergency response and address the importance of patient education and activation on how to use health care resources and manage health during and in the aft ermath of disaster, strategies to increase emergency response capacity do not include a plan for patient-centered tools and skills to be reinforced by a navigator or coach. 5,14 Despite the potential for navigation programs in mitigating health consequences of disaster, no research has been conducted on how the patient navigation framework could be successfully embedded into Gulf Coast health systems, nor have researchers examined how an evidence-based intervention could be implemented within existing community-academic partnerships associated with environmental health, disaster management, and reproductive health initiatives.…”

mentioning

confidence: 97%

“…Those most vulnerable included women, children, the elderly, the disabled, chronic disease suff erers, and the mentally ill; these groups lacked the resources to advocate for themselves and play an active role in their health care. 1,11 The public health frontline experienced the rawness of the broad physical and human devastation. Regional hospitals and community-based resources absorbed the heavy load of navigating displaced people and others in need of care to with little to no system-wide support.…”

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confidence: 99%

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Reproductive Health Assessment After Disasters: Embedding a Toolkit within the Disaster Management Workforce to Address Health Inequalities among Gulf-Coast Women

Arosemena¹,

Fox²,

Lichtveld³

2013

hpu

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Gulf Coast women are especially vulnerable to the effects of disaster and for many this vulnerability is compounded by existing poor health-related quality of life. Post-Hurricane Isaac, a baseline survey battery utilizing the Reproductive Health Assessment After Disasters (RHAD) Toolkit, the Medical Outcomes Study Social Support Survey, and the Edinburgh Postnatal Depression Scale were used quantitatively to assess reproductive health risks, services, and outcomes and to explore the psychosocial effects of disaster among pregnant and postpartum women aged 18-45 years (N=300). The pilot study included trained community health workers and patient navigators to implement a community needs assessment in Southeast Louisiana. The community health navigation corps administered RHAD and the brief psychosocial battery to gain a closer understanding of post-disaster reproductive health needs. Findings demonstrate the importance of making a transition from patient navigation into disaster management in order to reduce fragmentation in health care systems and to implement innovative approaches in survey methodology.

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confidence: 97%

mentioning

confidence: 99%

Reproductive Health Assessment After Disasters: Embedding a Toolkit within the Disaster Management Workforce to Address Health Inequalities among Gulf-Coast Women

Arosemena¹,

Fox²,

Lichtveld³

2013

hpu

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“…Even well-developed plans and resources for disaster response may themselves be impacted by the disaster, as was evidenced by the physical damage to the health care systems and dislocation of health services providers in New Orleans during and after the Hurricane Katrina disaster. 24 Nevertheless, several studies have pointed to the importance of having in place certain critical components of the health care system infrastructure prior to such an occurrence. For instance, Meredith and colleagues 19 described two conceptual frameworks to guide hospitals and clinics in managing the behavioral health impacts of disasters.…”

Section: Tier I Interventionsmentioning

confidence: 99%

Behavioral Health and Disasters: Looking to the Future

Palinkas

2014

J Behav Health Serv Res

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Along with other manmade and natural disasters, oil spills produce profound and long-term impacts on the behavioral health of their survivors. While previous and ongoing research has focused on producing evidence of the breadth and depth of these impacts, future efforts must begin to translate this evidence into developing and implementing policies, programs and practices that effectively contribute to their prevention and mitigation. Drawing upon a conceptual framework of the behavioral health impacts of oil spills developed from data collected in the aftermath of the Exxon Valdez oil spill in 1989, this paper examines potential interventions designed to prevent or mitigate biopsychosocial, interpersonal and intrapersonal impacts on behavioral health. Future efforts to translate behavioral health research into effective practice will require the formation and maintenance of academic-community partnerships for the purpose of building resilience to these impacts and providing targeted services to those most vulnerable to their long-term consequences.

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“…1 Community-based participatory research (CBPR) is recommended for addressing health disparities. [20][21][22][23] While CBPR studies recommend improving depression services by including social and community services settings, [24][25][26][27] we know of no application of CBPR to describe the depression services received by clients across service settings in underresourced communities. To do so, we use baseline data from a community-partnered, participatory randomized trial that screened clients for depression in healthcare and nonhealthcare settings.…”

Section: Main Measuresmentioning

confidence: 99%

Community-Partnered Evaluation of Depression Services for Clients of Community-Based Agencies in Under-Resourced Communities in Los Angeles

et al. 2013

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BACKGROUND:As medical homes are developing under health reform, little is known regarding depression services need and use by diverse safety-net populations in under-resourced communities. For chronic conditions like depression, primary care services may face new opportunities to partner with diverse community service providers, such as those in social service and substance abuse centers, to support a collaborative care model of treating depression. OBJECTIVE: To understand the distribution of need and current burden of services for depression in underresourced, diverse communities in Los Angeles. DESIGN: Baseline phase of a participatory trial to improve depression services with data from client screening and follow-up surveys. PARTICIPANTS: Of 4,440 clients screened from 93 programs (primary care, mental health, substance abuse, homeless, social and other community services) in 50 agencies, 1,322 were depressed according to an eight-item Patient Health Questionnaire (PHQ-8) and gave contact information; 1,246 enrolled and 981 completed surveys. Ninety-three programs, including 17 primary care/public health, 18 mental health, 20 substance abuse, ten homeless services, and 28 social/other community services, participated. MAIN MEASURES:Comparisons by setting in 6-month retrospective recall of depression services use. KEY RESULTS: Depression prevalence ranged from 51.9 % in mental health to 17.2 % in social-community programs. Depressed clients used two settings on average to receive depression services; 82 % used any setting. More clients preferred counseling over medication for depression treatment. CONCLUSIONS: Need for depression care was high, and a broad range of agencies provide depression care. Although most participants had contact with primary care, most depression services occurred outside of primary care settings, emphasizing the need to coordinate and support the quality of community-based services across diverse community settings.KEY WORDS: depression services; community-partnered; participatory research; CPPR; CBPR; community-based; under-resourced. J Gen Intern Med 28(10):1279-87 DOI: 10.1007/s11606-013-2480-7 © Society of General Internal Medicine 2013 BACKGROUND Current healthcare reforms call for expansions of primary care and integrated medical homes for safety-net populations. 1,2 Primary care is a "de facto" mental health setting, 3 where rates of recognition and treatment for depression are lower than in specialty mental health settings. 4 While collaborative care is effective for primary care depressed patients, [5][6][7] little is known about how to conceptualize depression management in neighborhoods with high rates of poverty and ethnic minority representation. 8 Neighborhood poverty is predictive of depression onset, 9 and while prevalence of depressive disorders is similar for Latinos and African Americans relative to non-Hispanic whites, 10,11 African Americans may have greater severity when depressed. 12 Ethnic and socioeconomic disparities in access to and quality of mental health...

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Rapid Community Participatory Assessment of Health Care in Post-Storm New Orleans

Cited by 29 publications

References 10 publications

Reproductive Health Assessment After Disasters: Embedding a Toolkit within the Disaster Management Workforce to Address Health Inequalities among Gulf-Coast Women

Reproductive Health Assessment After Disasters: Embedding a Toolkit within the Disaster Management Workforce to Address Health Inequalities among Gulf-Coast Women

Behavioral Health and Disasters: Looking to the Future

Community-Partnered Evaluation of Depression Services for Clients of Community-Based Agencies in Under-Resourced Communities in Los Angeles

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