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The article is supported through the recollection of the past decade of research on this topic of mental health effects due to disasters. First, the article delves into the PTSD and MDD mental illness association with disasters and the background of theses disorders. The authors then utilize numerous epidemiological studies that have been developed and discussed on the matter over that last 190 years. Experiences of those that are dealing with mental illnesses are also utilized as supporting evidence of the effect disasters have on mental health conditions on those effected.

Emily Goldmann, PhD, MPH, is an Assistant Research Professor of Global Public Health at the College of Global Public Health. Her work focuses on social and environmental determinants of mental health conditions such as posttraumatic stress disorder and depression, as well as the mental health consequences of acute health events. She believes that context is important when thinking about mental health conditions and that the causes of mental illnesses are embedded in all aspects of life. She has also worked as an epidemiologist at the NYC Dept of Health and Mental Hygiene in the Bureau of Adult Mental Health following Hurricane Sandy. 

Sandro Galea, MD, MPH, DrPH is a physician and epidemiologist. He is the Robert A. Knox Professor and Dean at the Boston University School of Public Health. He has served as the Anna Cheskis Gelman and Murray Charles Gelman Professor and Chair of the Department of Epidemiology at the Columbia University Mailman School of Public Health. He has also held leadership positions at the University of Michigan and at the New York Academy of Medicine. His interests lie in the social production of health of urban populations, with a focus on the causes of brain disorders such as mood-anxiety disorders and substance abuse. He also works on the consequences of mass trauma worldwide. He has published over 600 scientific journal articles, 50 chapters, and 10 books and has received funding from NIH and CDC. His medical degree is from the University of Toronto, and his graduate degrees are from Harvard and Columbia with an honorary doctorate from the University of Glasgow. He has held several prestigous leadership positions. 

"Health care service delivery may be challenging in the post-disaster environment and often requires coordination and cooperation among levels of government, health services programs, schools, media, and community organizations  "

"The first challenge lies in identifying the correct sampling frame, which generally comprises all persons affected by the disaster. The sampling frame may be even more difficult to identify in natural disasters, when the geographic area of impact is larger and less defined."

"The second challenge lies in finding potential participants and completing interviews. Widespread displacement and communication breakdown may make it difficult to reach per- sons who have experienced the disaster, and if they can be reached, they may be consumed with recovery efforts and may not agree to participate in research .  "

"Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control.  "

This article investigates the current state of disaster mental health research. They look at the presentation, burden, correlates, and treatment of mental disorders following disasters and look at the challenges surrounding those aspects of research. 

The article discusses major psychopathology that is found in populations affected by disasters. They investigate disorders such as PTSD and MDD and pre-disaster risk factors associated with them. They discuss vulnerable groups, such as women and children. They also look at during and post-disaster factors and how they correlate to an increase in mental health disorders. 

This report then discusses current interventions utilized and their effects on the prevalence of mental health issues. An issue they address is that many victims or those suffering do not seek help, making accurate research difficult.

1. The article delves into the presence of comorbidities that exist and how they can cause the development of menta illness. With this respect, it would be up to the response team to recognize vulnerable populations to ensure that adequate support. A background of these PTSD and MDD are presented using previous research as a backing. 
2. Also, the article explores pre, peri, and post factors and how emergency response can better prepare in order to minimize the effects of mental illnesses. Personal anecdotes and case studies helped affirm this point and crate a strong backing. 
3. Statistics and information about demographics helped create a whole picture that showed which groups would need to be targeted for help. It also helped create a framework for future reearch and assistance that would be needed. 

1. "First, disasters threaten harm or death to a large group of people, regardless of the actual extent of lives lost (48). Second, they affect social processes, causing disruption of services and social networks and communal loss of resources (42, 50). Third, they involve secondary consequences, namely identifiable mental and physical health outcomes, among those affected"
2. "Having the capacity to continue functioning after a traumatic event is common and characteristic of normal coping and adaptation"

3. "The key functions of pre-disaster preparation efforts are to prevent or minimize exposure to potentially traumatic disaster-related events and reduce likelihood of additional post-disaster stressors, which are both associated with post-disaster mental disorders."

Research using data from previous studies, interviews, and case studies helped the authors produce their claims. A strength to their methods is that they used anecdotes from not only doctors, but patients as well. Statistical data analysis also helped shape the argument about lack of mental health assistance and research. Their own professional capacity and knowledge also helped present their argument and formulate a cohesive, wholesome discussion.

The main point made about emergency response is the need for debriefing and how crucial that is for first responders as well as victims of trauma. They also highlight that emergency responders are some of the sufferers of mental illness and that debriefing could be a way to reduce that statistic. 

Google scholar shows that this article has been cited 39 times. The articles usually have to do with trauma and psychopathology of post-disaster mental health. 

The bibliography for this report is extensive, with 5 of Galea's work used as a citation. Most of the citations are scholarly journal articles, showing that these authors did in depth research to form their discussion and arguments.