Article

Correlates of mental health services utilization 18 months and almost 4 years postdisaster among adults with mental health problems

Institute for Psychotrauma (IvP), Zaltbommel, The Netherlands.
Journal of Traumatic Stress (Impact Factor: 2.72). 12/2007; 20(6):1029-39. DOI: 10.1002/jts.20273
Source: PubMed

ABSTRACT The authors assess the correlates of mental health services utilization (MHS) after a disaster among adults with mental health problems. Data of a three-wave longitudinal study among adult survivors of a fireworks disaster (T1: 2-3 weeks, T2: 18 months, T3: almost 4 years postdisaster) were linked with their electronic medical records (N = 649). Multivariate logistic regression analyses showed that triple comorbidity of PTSD and high levels of anxiety and depression symptoms were positively associated with self-reported MHS utilization at T2 (n = 270) and T3 (n = 216). Private insurance, predisaster psychological problems, and relocation were associated with MHS utilization at T2 while female gender, being single, and migrant status was associated with MHS utilization at T3. Receiving treatment at T2 was positively associated with receiving treatment at T3, as opposed to medium optimism at T2.

Full-text

Available from: Rolf Kleber, May 25, 2015
1 Follower
 · 
69 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Social organizational stressors are well-known predictors of mental health disturbances (MHD). However, to what extent these stressors predict post-disaster MHD among employed victims hardly received scientific attention and is clearly understudied. For this purpose we examined to what extent these stressors independently predict MHD 1.5 years post-disaster over and above well-known risk factors such as disaster exposure, initial MHD and lack of general social support, life-events in the past 12 months and demographics (N=423). Exposure, social organizational stressors and support were significantly associated with almost all examined mental health disturbances on a bi-variate level. Multivariate logistic regression analyses showed that these stressors, i.e. problems with colleagues, independently predicted anxiety (Adj. OR=5.93), depression (Adj. OR=4.21), hostility (Adj. OR=2.85) and having two or more mental health disturbances (Adj. OR=3.39) in contrast to disaster exposure. Disaster exposure independently predicted symptoms of PTSD symptoms (Adj. OR=2.47) and agoraphobia (Adj. OR=2.15) in contrast to social organizational stressors. Importantly, levels of disaster exposure were not associated nor correlated with (levels of) social organizational stressors. Findings suggest that post-disaster mental health care programs aimed at employed affected residents, should target social organizational stressors besides disaster-related stressors and lack of general social support. © 2014 Elsevier Ireland Ltd. All rights reserved.
    Psychiatry Research 05/2014; 219:177–182. DOI:10.1016/j.psychres.2014.05.032 · 2.68 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The current study examined the impact of the Gulf Oil Spill and Hurricane Katrina, environmental attitudes, and environmental action among residents of the Mississippi Gulf Coast. The authors sought to determine if disaster impact, worry about the environment, or connection to nature was associated with environmental action following the oil spill and in general. We hypothesized that disaster impact and environmental attitudes would be significantly associated with environmental action. Surveys were administered to 1,108 individuals receiving mental health services in connection with the Gulf Oil Spill. Results indicated that disaster impact was correlated with environmental worry, connection to nature, and action. Additionally, environmental worry and connection to nature were significantly associated with action, as were the effects of Hurricane Katrina to a lesser degree. This study supplements the existing literature by examining environmental attitudes, disaster impact, and their association with environmental action following two disasters.
    Social Indicators Research 09/2013; 118(2). DOI:10.1007/s11205-013-0428-2 · 1.13 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study investigated the use of the facilities for the mental health by the population affected by the L'Aquila (Italy) 2009 earthquake. The data about the activities of the Mental Health Centre of L'Aquila during the years from 2008 to 2010 were obtained by the service Information System. In the months following the event the percentage of referrals was reduced. Failure to use specialized facilities after disasters should not be seen as reassuring. It is conceivable that a relevant rate of frank or sub-threshold psychopathology is present that the traditional mental health facilities may not be able to intercept.
    Community Mental Health Journal 12/2014; 51(4). DOI:10.1007/s10597-014-9822-8 · 1.03 Impact Factor