Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-17T16:28:30.108Z Has data issue: false hasContentIssue false

Developing a Comprehensive Trauma- and Resiliency- Focused Program After Superstorm Sandy in New York City

Published online by Cambridge University Press:  20 November 2018

Maria Scigliano*
Affiliation:
Children’s Health Fund, Medical Affairs, New York, New York
Virginia Roncaglione
Affiliation:
Children’s Health Fund, Medical Affairs, New York, New York
Paula A. Madrid
Affiliation:
Children’s Health Fund, Medical Affairs, New York, New York
*
Correspondence and reprint requests to Maria Scigliano, Children’s Health Fund, Medical Affairs, New York, NY, 10027-4472 (e-mail: mariacscigliano@gmail.com).

Abstract

To contribute to the ongoing discourse about successful programming supporting intermediate behavioral and mental health needs of vulnerable communities affected by disaster, this article presents the Children’s Health Fund (CHF) Sandy Recovery and Resiliency Program as a descriptive case study for a multifaceted, community-based approach to building resiliency, coping, and socioemotional skills in an underserved community in New York City that was affected by Superstorm Sandy. The case study involves retrospective review and analysis of qualitative and quantitative data that were collected as part of routine care and program implementation. From the analysis emerged a program consisting of 3 components: (1) delivery of workshops and community events to decrease stigma and build community-wide resilience, (2) delivery of workshops for students and educators in the local school to increase coping skills as well as referrals to clinical mental health care, and (3) provision of mental health care via a mobile mental health clinic. As a result, we found that following periods of excessive trauma, children and families require a broad-based approach to mental health support. Additionally, the use of the mobile clinic abated most common access barriers and served as a proxy of the concern of the organization for the community. (Disaster Med Public Health Preparedness. 2018;page 1 of 5)

Type
Concepts in Disaster Medicine
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Abramson, D, Stehling-Ariza, T, Garfield, R, et al. Prevalence and predictors of mental health distress post-Katrina: findings from the Gulf Coast Child and Family Health Study. Disaster Med Public Health Prep. 2008 Jun;2(2):77-86. doi: 10.1097/DMP.0b013e318173a8e7Google Scholar
2. US Department of Health and Humans Services. At risk individuals. Public Health and Medical Emergency Support for a Nation Prepared. http://www.phe.gov/Preparedness/planning/abc/Pages/at-risk.aspx. Published August 5, 2016. Accessed April 15, 2018.Google Scholar
3. Stamm, BH. Secondary Traumatic Stress: Self-care Issues for Clinicians, Researchers, and Educators. Lutherville, MD: Sidran Press; 1995.Google Scholar
4. Pfefferbaum, B, Flynn, BW, Schonfeld, D, et al. The integration of mental and behavioral health into disaster preparedness, response, and recovery. Disaster Med Public Health Prep. 2012;6(1):60-66.Google Scholar
5. Committee on Post-Disaster Recovery of a Community’s Public Health, Medical, and Social Services; Board on Health Sciences Policy; Institute of Medicine. Healthy, Resilient, and Sustainable Communities After Disasters: Strategies, Opportunities, and Planning for Recovery. Washington, DC: National Academies Press; 2015 Sep 10. doi: 10.17226/18996Google Scholar
6. Blake, E, Kimberlain, T, Berg, R, et al, Tropical cyclone report Hurricane Sandy. National Hurricane Center website. http://www.nhc.noaa.gov/data/tcr/AL182012_Sandy.pdf. Published February 12, 2013. Accessed October 15, 2015.Google Scholar
7. Sullivan, K, Uccellini, L. Hurricane/Post-Tropical Cyclone Sandy service assessment. National Oceanic and Atmospheric Administration website. http://www.weather.gov/media/publications/assessments/Sandy13.pdf. Published May 2013. Accessed October 20, 2015.Google Scholar
8. Department of City Planning, City of New York. Community district needs, Borough of Brooklyn. City of New York website. https://www1.nyc.gov/assets/planning/download/pdf/about/publications/bkneeds_2012.pdf. Published 2011. Accessed July 15, 2018.Google Scholar
9. US Department of Education, Institute of Education Sciences, National Center for Education Statistics. Table: enrollment characteristics 2011-2012. National Center for Education Statistics website. https://nces.ed.gov/ccd/. Published 2013. Accessed July 15, 2018.Google Scholar
10. Yu, SWY, Hill, C, Ricks, ML, et al. The scope and impact of mobile health clinics in the United States: a literature review. Int J Equity Health. 2017;16:178. doi: 10.1186/s12939-017-0671-2Google Scholar
11. Madrid, P, Sinclair, H, Bankston, A, et al. Building integrated mental health and medical programs for vulnerable populations post-disaster: connecting children and families to a medical home. Prehosp Disaster Med. 2012 Jun;23(4):314-321.Google Scholar
12. US Department of Health and Human Services, Children’s Bureau. Trauma-focused cognitive behavioral therapy for children affected by sexual abuse or trauma [Issue Brief]. Child Welfare Information Gateway. https://www.childwelfare.gov/pubPDFs/trauma.pdf. Published 2012. Accessed September 2015.Google Scholar
13. Madrid, P, Grant, R. Meeting mental health needs following a natural disaster: lessons learned from Hurricane Katrina. Prof Psychol. 2008;39(1):86-92.Google Scholar
14. West, J, Price, M, Stauffacher-Gross, K, et al. Community support as a moderator of post disaster mental health symptoms in urban and nonurban communities. Disaster Med Public Health Prep. 2013;7(5):443-451.Google Scholar
15. Yu, SWY, Hill, C, Ricks, ML, et al. The scope and impact of mobile health clinics in the United States: a literature review. Int J Equity Health. 2017;16(1):178. doi: 10.1186/s12939-017-0671-2Google Scholar