The Effect of Long-Term Relocation on Child and Adolescent Survivors of Hurricane Katrina

2013 ◽  
Vol 26 (5) ◽  
pp. 613-620 ◽  
Author(s):  
Tonya C. Hansel ◽  
Joy D. Osofsky ◽  
Howard J. Osofsky ◽  
Patricia Friedrich
Author(s):  
H. Wayne Nelson ◽  
Bo Kyum Yang ◽  
F. Ellen Netting ◽  
Erin Monahan

AbstractThe high elder care death toll of Hurricane Katrina in 2005, pushed the federally mandated Long-Term Care Ombudsman Program (LTCOP) into the unsought and unforeseen realm of disaster preparedness. This new role was an extension of the LTCOP’s historic resident’s rights investigative case advocacy. To assess if, how, and to what extent local ombudsmen adapted to this new function, 102 local LTCOP leaders completed a telephone survey based on the CMS Emergency Planning Checklist. This assessed their own and their programs’: (a) readiness to help facilities reduce disaster threats to residents, (b) familiarity with relevant disaster laws, rules, and resources; (c) readiness to help residents through the disaster cycle; and (d) levels of disaster training and/or their plans to provide such training to their staff and LTC stakeholders. Forty-two respondents (41.13%) had experienced a public disaster but over half or those responding (n = 56, 54.90%) felt fairly to somewhat prepared to help in a public crisis. After being ready to work away from their office during a crisis ($\overline{x}$ = 4.14, SD = 1.00) respondents felt most prepared “to assist during nursing home emergency closure and evacuation” ($\overline{x}$ = 3.86, SD = 1.09). t-tests revealed that respondents with a disaster experience were significantly more prepared in all assessed dimensions than as those without disaster experience. The study highlights the training needs of ombudsmen in high risk areas to better prepare them for disaster mitigation in nursing homes.


Author(s):  
Thitinart Sithisarn ◽  
Don T. Granger ◽  
Henrietta S. Bada

Abstract Background: Prenatal substance use is a major public health problem and a social morbidity, with consequences on the drug user and the offspring. Objective: This review focuses on the child and adolescent outcomes following in utero drug exposure. Methods: Studies on the effects of specific substances, legal and illegal; i.e., tobacco or nicotine, alcohol, marijuana, cocaine, opiates, and methamphetamine were evaluated and analyzed. Results: In general, manifestations of prenatal exposure to legal and illegal substances include varying deficits in birth anthropometric measurements, mild-to-moderate transient neurobehavioral alterations in infancy and long-term behavioral problems noted from early childhood to adolescence. Severity of expression of behavioral problems is influenced by environmental factors. Further, behavioral alterations following in utero drug exposure often exist with mental health co-morbidities. Conclusion: Because of the long-term consequences of prenatal drug exposure on child and adolescent mental health, health providers need to promote substance use prevention, screen for exposure effects and provide or refer affected youths for intervention services. Preventive measures and treatment should consider other factors that may further increase the risk of psychopathology in the exposed children.


Author(s):  
David Perkes ◽  

What is changing in the world so that the word “resilience” is so frequently used? 2015 marks the ten year anniversary of Hurricane Katrina and the five year anniversary of the Gulf of Mexico oil spill. The Gulf Coast Community Design Studio has been working on the Mississippi Gulf Coast since Hurricane Katrina and their work provides the vantage point of this paper. The Gulf Coast Community Design Studio is an off-campus research and service center of Mississippi State University College of Architecture, Art and Design located in Biloxi, Mississippi. It was created to respond to Hurricane Katrina and has evolved from disaster response to long-term efforts of resilience. The design studio’s evolution is not an isolated story. It is part of a national move toward resilience.


Disasters ◽  
2010 ◽  
Vol 34 (4) ◽  
pp. 1031-1044 ◽  
Author(s):  
Andrew Scott LaJoie ◽  
Ginny Sprang ◽  
William Paul McKinney

2017 ◽  
Vol 3 (1) ◽  
pp. 73 ◽  
Author(s):  
Nicholas S Bryner ◽  
Marisa Garcia-Lozano ◽  
Carl Bruch

The destructive impacts of Hurricane Katrina and Superstorm Sandy displaced large numbers of people. While some families were able to return home soon after the disasters, others struggled to do so and remained displaced for extended periods of time. Although much attention has been paid to the immediate response to natural disasters, research on policies and practices regarding long-term return migration has been largely overlooked. This article presents an overview of recent literature that addresses factors affecting displaced individuals’ decision to return home or relocate following these two disasters. It discusses five major factors influencing individual and household decisions regarding whether to return home, relocate, or remain in limbo if unable to achieve either. These include: (1) habitability of homes; (2) affordability of housing; (3) financial burdens; (4) slow restoration of public services and facilities; and (5) sense of place and identity. The article then assesses the types of policies that have been used with varying goals—promoting, discouraging, and, in some cases, prohibiting return. It presents four examples of policy tools that have influenced post-disaster return or relocation after Hurricane Katrina and Superstorm Sandy: (1) tax policies; (2) buyouts; (3) changes to building codes; and (4) revisions to the U.S. National Flood Insurance Program. The article concludes that a better understanding of factors affecting displaced persons can help policymakers meet their objectives of encouraging or inhibiting return to a specific site after a disaster.


2011 ◽  
Vol 9 (2) ◽  
pp. 39 ◽  
Author(s):  
Saher Selod, MA ◽  
Janice Heineman, PhD ◽  
Catherine O’Brien, MPH, MA ◽  
Scott P. King, PhD

Objectives: Although the consequences of Hurricane Katrina motivated considerable research into long-term care (LTC) facility preparedness, many questions still remain. This study examines the characteristics of LTC facility in relation to the level of preparedness to discern whether there are patterns that can inform future planning efforts. The data from PREPARE, a federally funded disaster preparedness program for LTC staff, are used in the analysis.Methods: More than 400 PREPARE participants completed both baseline and impact surveys as well as a demographic survey, allowing for an analysis of the characteristics and levels of disaster preparedness among participating LTC facilities. Crosstabs were run for the baseline and impact surveys against the demographic survey that the participants completed. Cluster analysis was performed to fit organizations into distinct groups based on their baseline responses to key preparedness domains.Results: The results of the crosstabs reveal the specific areas where LTC facilities have a more comprehensive disaster plan. For example, skilled nursing facilities appear to be more prepared than continuing care retirement communities (CCRCs); rural facilities seem to be more prepared than urban facilities; and facilities that are part of a chain did not emerge as being better equipped than independent facilities. Cluster analysis found three groups of organizations: “Resourceful but Hesitant,” “Unprepared,” and “Model Preparedness.”Conclusions: These findings have important implications for public health efforts surrounding disaster preparedness in LTC. The findings suggest that CCRCs deserve special attention in preparedness planning and that consideration in disaster planning is required in both rural and urban areas.


Sign in / Sign up

Export Citation Format

Share Document