Use of Mental Health Services by Nursing Home Residents After Hurricanes

Brown, Lisa M.; Hyer, Marjorie; Schinka, John A.; Mando, B.S. Ahed; Frazier, B.A. Darvis; Polivka-West, M.S.P. LuMarie

doi:10.1176/appi.ps.61.1.74

Cited by 10 publications

(13 citation statements)

References 5 publications

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“…Another notable gap revealed by earlier research examining the effects of hurricanes on nursing homes and supported by the findings of this study is that during disasters mental health is not a priority area Brown et al 2010;Laditka et al 2009). Although it is common practice to provide psychological first aid in response to people exposed to a potentially traumatic stressor, assisted living facility residents who are not sheltering in a public shelter run the risk of going untreated.…”

Section: Discussionsupporting

confidence: 40%

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

et al. 2015

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The study examined Florida assisted living facility staff perspectives of disaster preparedness, response, and recovery after the 2004 and 2005 hurricanes. A descriptive study using qualitative and quantitative approaches. One hundred seventy Florida assisted living facility staff who worked in areas under hurricane threat and provided care to residents during a hurricane. A questionnaire that was mailed or administered to staff attending a regional planning conference with quantitative and qualitative items. Of the 143 facilities that were affected by a hurricane, 77 % reported that they sheltered residents in place, while 23 % indicated that they evacuated for one or more of the hurricanes. Almost one-third of facilities lost telephone service and almost half lost electrical power during one or more of the hurricanes. Key topics noted by both evacuating facilities and those that sheltered in place were 1) decision-making, 2) planning, support, and supplies, 3) communication, and 4) electricity. Unique to assisted living facilities is the role of residents' family in assuming responsibility for evacuation and shelter during hurricanes. Facility staff at both evacuating and sheltering facilities indicated that the decision to evacuate or to shelter in place was difficult and the electrical power was critical to resident well-being. Assisted living facilities should develop disaster preparedness plans in conjunction with local and state emergency offices. Adequate disaster preparedness has implications for residents' safety as well as assisted living facility staff during disasters.

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Section: Discussionsupporting

confidence: 40%

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

et al. 2015

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“…Consistent with the findings of these government investigations, a statewide survey of Florida NH directors of nursing and administrators also revealed a need for disaster mental health services for residents (Brown et al, 2008). Yet a review of facility disaster plans and NH regulations in 2006 showed that procedures for providing residents with disaster mental health interventions were not included as part of the recovery process.…”

Section: Introductionmentioning

confidence: 58%

“…In contrast to community-dwelling elders, nursing home (NH) residents are at greater risk for disaster-related adverse psychological outcomes (Brown, Rothman, & Norris, 2007; Dosa et al, in press; Laditka et al, 2008); yet during the recovery phase they are consistently underserved in regards to psychological intervention (Brown, Hyer, & Polivka-West, 2007; Brown, Hyer, Schinka, Frazier, & Mando, 2008; Centers for Medicare and Medicaid Services [CMS], 2006). Until the publication of several government reports that specifically noted that NH residents experienced adverse psychological consequences due to the 2005 hurricanes, the disaster mental health needs of this subgroup were generally not recognized (Administration On Aging, 2006; CMS, 2006; Department of Health and Human Services, 2006).…”

Section: Introductionmentioning

confidence: 99%

A Pilot Study Evaluating the Feasibility of Psychological First Aid for Nursing Home Residents

Brown

Bruce

Hyer

et al. 2009

Clinical Gerontologist

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Objectives-The objectives of the pilot study were to modify existing psychological first aid (PFA) materials so they would be appropriate for use with institutionalized elders, evaluate the feasibility of using nursing home staff to deliver the intervention to residents, and solicit feedback from residents about the intervention. The STORM Study, an acronym for "services for treating older residents' mental health", is the first step in the development of an evidence-based disaster mental health intervention for this vulnerable and underserved population.Method-Demographic characteristics were collected on participating residents and staff. Program evaluation forms were completed by staff participants during the pilot test and nurse training session. Staff and resident discussion groups were conducted during the pilot test to collect qualitative data on the use of PFA in nursing homes.Results-Results demonstrate the feasibility of the PFA program to train staff to provide residents with PFA during disasters.Conclusions-Future research should focus on whether PFA improves coping and reduces stress in disaster exposed nursing home residents.

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“…Brown et al 38 Douglas et al 39 Falk et al 8 Gifford et al 3 Menon et al 40 qualitative and quantitative portion of the study in phases, such that 1 approach builds upon the findings of the other approach. Among 30 selected articles, 9 studies used connection approach to mix their data.…”

Section: Connectionmentioning

confidence: 99%

“…3 Researchers conducted qualitative data collection after an intervention to explore underlying factors influencing nursing home residents' use of mental health services after hurricanes. 38 …”

Section: Embeddingmentioning

confidence: 99%

The Use of “Mixing” Procedure of Mixed Methods in Health Services Research

Zhang¹,

2013

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Use of Mental Health Services by Nursing Home Residents After Hurricanes

Abstract: Nursing home staff should be trained to deliver disaster-related mental health intervention and in procedures for making referrals for follow-up evaluation and formal intervention.

Cited by 10 publications

References 5 publications

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

Experiences of Assisted Living Facility Staff in Evacuating and Sheltering Residents During Hurricanes

A Pilot Study Evaluating the Feasibility of Psychological First Aid for Nursing Home Residents

The Use of “Mixing” Procedure of Mixed Methods in Health Services Research

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