Mental healthcare efforts for the public after the Great East Japan Earthquake "Guide to Good Mental Health for Those Affected by Natural Disasters" published by the Cabinet Office

Article (PDF Available)inBrain & development 35(3) · January 2013with24 Reads
DOI: 10.1016/j.braindev.2012.11.003 · Source: PubMed
Abstract
One year after the Great East Japan Earthquake, the Office of Policy for Suicide Prevention of the Cabinet Office published and distributed three stages of pamphlets under the supervision of the National Center of Neurology and Psychiatry, promoting understanding about mental healthcare for those affected by natural disasters. Pamphlets are meant for universal usage and have commonly been used not only in the area affected by the Great East Japan Earthquake but also where earthquakes have occurred in other regions since the Great East Japan Earthquake and in areas affected by typhoon and flood damage. We hope three kinds of pamphlets can be useful for not only in Japan but also outside Japan.

Full-text (PDF)

Available from: sciencedirect.com · License: CC BY-NC-ND
    • "A review of the natural and technological disaster literature reveals that post-traumatic stress disorder (PTSD) levels range from 30–40% in directly exposed victims and 5–10% in general population [2] . One year after the GEJE, the Cabinet Office of Policy for Suicide Prevention published pamphlets to promote a better understanding of mental healthcare for disaster affected citizens [3]. These pamphlets emphasized, the importance of psychological support to particularly vulnerable groups, including women, children, elderly, handicapped, those with pre-existing mental disorders patients, and the impoverished [4]. "
    [Show abstract] [Hide abstract] ABSTRACT: Objective This study investigated post-traumatic stress symptoms in relation to the population affected by the Fukushima Nuclear Disaster, one year after the disaster. Additionally, we investigated social factors, such as forced displacement, which we hypothesize contributed to the high prevalence of post-traumatic stress. Finally, we report of written narratives that were collected from the impacted population. Design and Settings Using the Impact of Event Scale-Revised (IES-R), questionnaires were sent to 2,011 households of those displaced from Fukushima prefecture living temporarily in Saitama prefecture. Of the 490 replies; 350 met the criteria for inclusion in the study. Multiple logistic regression analysis was performed to examine several characteristics and variables of social factors as predictors of probable post-traumatic stress disorder, PTSD. Results The mean score of IES-R was 36.15±21.55, with 59.4% having scores of 30 or higher, thus indicating a probable PTSD. No significant differences in percentages of high-risk subjects were found among sex, age, evacuation area, housing damages, tsunami affected, family split-up, and acquaintance support. By the result of multiple logistic regression analysis, the significant predictors of probable PTSD were chronic physical diseases (OR = 1.97), chronic mental diseases (OR = 6.25), worries about livelihood (OR = 2.27), lost jobs (OR = 1.71), lost social ties (OR = 2.27), and concerns about compensation (OR = 3.74). Conclusion Although there are limitations in assuming a diagnosis of PTSD based on self-report IES-R, our findings indicate that there was a high-risk of PTSD strongly related to the nuclear disaster and its consequent evacuation and displacement. Therefore, recovery efforts must focus not only on medical and psychological treatment alone, but also on social and economic issues related to the displacement, as well.
    Full-text · Article · Mar 2016
    • "The tsunami caused the destruction of more than 390,000 homes, forcing survivors to resettle into temporary housing. The disaster also caused physical and mental health problems (Moriyama and Kaga 2013; Ochi et al. 2013; Tuerk et al. 2013; Yamashita and Shigemura 2013 ) and disasterrelated stressors (Shultz et al. 2013). Residents of temporary housing face enormous psychological strain in coping with the loss of family, friends, and relatives; physical injury; changing living environments ; loss of property and jobs; and the disruption of social networks. "
    [Show abstract] [Hide abstract] ABSTRACT: The victims of the Great East Japan Earthquake and Tsunami have been forced to live in temporary housing, mainly by two different methods of resettlement: group allocation that preserved pre-existing local social ties and lottery allocation. We examined the effects of various factors, including the resettlement methods and social support, on mental health. From February to March 2012, we completed a cross-sectional survey of 281 refugees aged 40 years or older, who had lost their homes in the tsunami and were living in temporary housing in Iwanuma city. Psychological distress of the victims was assessed using the Kessler Psychological Distress Scale (K6) that consists of six self-reported items. Participants were also asked whether they had provided or received social support during this time. Participants were categorized as "providing social support" if they listened to someone else's concerns and complaints, or "receiving social support" if they have someone who listened to their concerns and complaints. After adjusting for age and sex, multiple log-binomial regression analysis showed that participants without social support had a higher risk of psychological distress. Group allocation victims were more likely to receive social support than those who underwent lottery allocation. However, the resettlement approach did not significantly correlate with distress. Other factors associated with a higher risk of psychological distress were a younger age (55 or younger), living with either 3 people or 6 or more people, and having a lower income. The present results suggest that social support promotes the mental health of disaster victims.
    Full-text · Article · Nov 2014
  • [Show abstract] [Hide abstract] ABSTRACT: Health care management in disasters is one of the main parts of disaster management. Health in disasters is affected by performance of various sectors, and has an interactive impact on various aspects of disaster management. The aim of this study was to identify the most important themes affecting the healthcare management in disaster. In this qualitative study with a content analysis approach, in-depth interviews in two steps with 30 disaster experts and managers were conducted to collect the data. Eleven themes affecting healthcare management in disasters were identified. These themes were related to human resources management, resources management, victims' management transfer, environmental hygiene monitoring, nutrition management, mental health control, inter-agency coordination, training, technology management, information and communication management, and budget management. Providing effective health care service in disasters requires a comprehensive look at the various aspects of disaster management. Effective factors on the success of healthcare in disaster are not limited to the scope of healthcare. There should be a close relationship and interaction between different sectors of disaster management.
    Full-text · Article · Jun 2015