pece_annotation_1474824205
joerene.avilesThe program was funded by NY Governor Andrew Cuomo, who gave $15 million to create the college.
The program was funded by NY Governor Andrew Cuomo, who gave $15 million to create the college.
Many studies look at intimate partner voilence (IPV), but only two previous studies look at it specifically related to a natural disaster, so this research is inventive in that way. It uses data from a larger study of the area that was hit by Katrina. The data was obtained through interviews, and in the period of time 6 months before Katrina to 6 months after, measures of psychological and physical IPV are analyzed. These measures were also compared to a scale of how stressful the individual's life had been in that time frame, which was reached based on answers to questions about how Katrina affected the individual.
The study analyzes the high incarceration rates in the U.S. as an epidemic connected to the lack of public health resources available to populations being arrested.
" we aim to provide an overall picture of what we have learned from decades of research on the presentation, burden, correlates, and treatment of mental disorder following disasters. We also describe challenges to studyingdisaster-relatedpsychopathologyandlimitationsinourcurrentmethodologiesandoffer directions for future research."
"Childrenexposedtodisastersareparticularlyvulnerabletopsychologicalproblems,mostcommonly symptoms of anxiety (e.g., PTSD, panic, phobias) and depression but also acute stress reactionsandadjustmentdisorder(27).Elevatedvulnerabilityamongchildrenmaybeafunctionof their being less equipped to cope with what they have experienced (49)."
"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"
The main findings in the article include the development of mental health disorders in disaster victims, looking at risks, psychopathology, course of the disorders, prevention, treatment and recovery.
The argument is supported through research into political trends - the survivors gave up their own values to support anyone that could help them. There were interviews with the survivors and those living in the area - they dicussed how their lives changed, their inability to find work and their health issues that started immediately or soon after the disaster. The authors also did research of programs to help the survivors - looking at the compensation they could recieve, options for working, how to get healthcare, etc.
The stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.