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Stress has considerable impacts on human health, potentially leading to issues such as fatigue, anxiety and depression. Resource loss, a common outcome of disasters, has been found to contribute to stress among disaster survivors. Prior research focuses heavily on clinical mental health impacts of disaster experience, with less research on the effect of cumulative stress during long-term recovery. To address this gap, the purpose of this paper is to examine the influence of stressors including resource loss and debt on mental health in a sample of households in Moore, Oklahoma, impacted by a tornado in 2013.

For this pilot study, questionnaires were mailed to households residing along the track of the May 2013 tornado in Moore, OK. Descriptive statistics were calculated to report sample characteristics and disaster experience. Independent associations between disaster losses and demographic characteristics with the outcome mental health were examined with χ² and unadjusted logistic regression analysis. Adjusted logistic regression models were fit to examine resource loss and mental health.

Findings suggest that the tornado had considerable impacts on respondents: 56.24 percent (n=36) reported that their homes were destroyed or sustained major damage. Greater resource loss and debt were associated with mental health distress during long-term recovery from the Moore, OK, 2013 tornadoes.

The association between resource loss and mental health point to a need for interventions to mitigate losses such as bolstering social support networks, incentivizing mitigation and reducing financial constraints on households post-disaster.

This study contributes to a better understanding of long-term, accumulated stress post-disaster and the impact on health to a literature heavily focused on clinical outcomes.

The current pandemic and ongoing climate risks highlight the limited capacity of various systems, including health and social ones, to respond to population-scale and long-term threats. Practices to reduce the impacts on the health and well-being of populations must evolve from a reactive mode to preventive, proactive and concerted actions beginning at individual and community levels. Experiences and lessons learned from the pandemic will help to better prevent and reduce the psychosocial impacts of floods, or other hydroclimatic risks, in a climate change context.

The present paper first describes the complexity and the challenges associated with climate change and systemic risks. It also presents some systemic frameworks of mental health determinants, and provides an overview of the different types of psychosocial impacts of disasters. Through various Quebec case studies and using lessons learned from past and recent flood-related events, recommendations are made on how to better integrate individual and community factors in disaster response.

Results highlight the fact that people who have been affected by the events are significantly more likely to have mental health problems than those not exposed to flooding. They further demonstrate the adverse and long-term effects of floods on psychological health, notably stemming from indirect stressors at the community and institutional levels. Different strategies are proposed from individual-centered to systemic approaches, in putting forward the advantages from intersectoral and multirisk researches and interventions.

The establishment of an intersectoral flood network, namely the InterSectoral Flood Network of Québec (RIISQ), is presented as an interesting avenue to foster interdisciplinary collaboration and a systemic view of flood risks. Intersectoral work is proving to be a major issue in the management of systemic risks, and should concern communities, health and mental health professionals, and the various levels of governance. As climate change is called upon to lead to more and more systemic risks, close collaboration between all the areas concerned with the management of the factors of vulnerability and exposure of populations will be necessary to respond effectively to damages and impacts (direct and indirect) linked to new meteorological and compound hazards. This means as well to better integrate the communication managers into the risk management team.

The psychological and behavioral consequences of the Deepwater Horizon oil spill disaster were among the most widespread, long term, and costly of all oil spill-related disasters. However, many people were resilient, and understanding the factors associated with resilience in the immediate aftermath of this disaster are needed to guide early interventions. The paper aims to discuss this issue.

In total, 133 adults from the Northeast Gulf Coast participated in a study of mental health outcomes during the oil spill and one year later. Participants completed a battery of measures that assessed their basic demographics, income status, perceived environmental risk (i.e. characteristic way people think about and interpret environmental risks), self-reported resilience (i.e. ability to “bounce back” after a disaster), and mental health status.

Results of univariate analyses indicated similar, elevated levels of mental health problems at both time points; however, environmental risk perception was higher one year post-spill than during the spill. In multivariate analyses, income stability, increased time, higher self-reported resilience, and lower environmental risk perception were associated with better mental health outcomes while age and gender had no association.

Oil spills are protracted disasters, and better mental health outcomes are linked to financial stability, as well as a belief in environmental restoration and one’s own capacity for resilience. Since resilience and environmental worry are potentially modifiable processes, they might be targeted in prevention and early intervention efforts in order to create more robust, prepared individuals in the face of an oil spill disaster.

This paper aims to address a gap in investigating specific impacts of climate change on mental health in the Pacific region, a region prone to extreme events. This paper reports on a study on the connections between climate change, public health, extreme weather and climate events (EWEs), livelihoods and mental health, focusing on the Pacific region Islands countries.

This paper deploys two main methods. The first is a bibliometric analysis to understand the state of the literature. For example, the input data for term co-occurrence analysis using VOSviewer is bibliometric data of publications downloaded from Scopus. The second method describes case studies, which outline some of the EWEs the region has faced, which have also impacted mental health.

The results suggest that the increased frequency of EWEs in the region contributes to a greater incidence of mental health problems. These, in turn, are associated with a relatively low level of resilience and greater vulnerability. The findings illustrate the need for improvements in the public health systems of Pacific nations so that they are in a better position to cope with the pressures posed by a changing environment.

This paper contributes to the current literature by identifying the links between climate change, extreme events, environmental health and mental health consequences in the Pacific Region. It calls for greater awareness of the subject matter of mental health among public health professionals so that they may be better able to recognise the symptoms and relate them to their climate-related causes and co-determinant factors.

The purpose of this paper is to provide empirical grounding on the management of inter-organizational roles in the delivery of mental health and psychosocial services (MHPSS) through the experiences of three disaster-stricken localities. It describes challenges in the provision of MHPSS, and offered implications to post-disaster management practices in a developing country context.

In total, 28 individual interviews and four focus group discussions were conducted among key informants in the three localities that experienced destructive typhoons. Thematic analysis, following the procedures of Braun and Clarke (2006), was used to examine patterns in the data.

The results surfaced disparate perspectives in the role and scope of MHPSS, lack of clarity in inter-organizational roles and service standards as well as contextual challenges in post-disaster MHPSS delivery. Specific issues pertaining to the absence of inter-organizational role clarity in MHPSS post-disaster response include varying perspectives on the role of local government employees as survivors and MHPSS providers; local government as facilitator of MHPSS efforts; the Department of Health as the lead agency for MHPSS; and standards on who can deliver MHPSS and train MHPSS responders.

The study is based on community accounts of MHPSS delivery during disasters. Future studies may focus on capturing longitudinal data that can further refine and enable the institutionalization of effective and sustainable MHPSS response.

The results suggest the importance of improving systems and structures for MHPSS response to enable effective multi-organization support in disaster scenarios. Findings also highlight the need to have guidelines anchored on international standards of MHPSS delivery that will be used by the designated agency leading and advocating MHPSS efforts. This lead agency may be tasked to operationally define MHPSS in a disaster context, develop guideposts and standards in MHPSS delivery as well as clarify roles and accountabilities of different organizations.

Existing literature often relied on the analysis of secondary evidence such as expert-driven state or national guidelines. This study provided rich empirical data from key organizational actors involved in MHPSS provision in disaster-stricken communities.

The purpose of this paper is to analyze factors associated with post-traumatic stress disorder (PTSD) among elderly who live in a post-earthquake area.

This was a cross-sectional study involving 152 elder people who survived the disaster and were selected conveniently. The study was conducted in two worst-affected districts of Lombok Utara regency. PTSD was diagnosed using a modified version of the Clinician-Administered PTSD Scale version 5 (CAPS-5). The demographic data were assessed using a self-developed questionnaire consisting of 13 items. All data were analyzed by descriptive analysis, χ² test and binary logistic regression with p<0.05.

Out of the 152 elder people, 91 (59.9 percent) suffered PTSD. Intrusion symptoms were the most common symptoms experienced by the respondents (94.1 percent). The factors associated with the PTSD in the elderly after the earthquake were having chronic illnesses (OR=2.490; 95% CI=1.151–5.385), public health center utilization (OR=2.200; 95% CI=1.068–4.535) and occupational status before the disaster (OR=2.726; 95% CI=1.296–5.730). These findings highlight that individual factors and access to health care services remain an important aspect of stress identification among the elderly following the disaster event.

Elder people constitute a vulnerable group that is often forgotten and neglected during post-disaster recovery, though they have potentially higher psychosocial distress than younger age groups. This study was conducted to raise awareness about mental health problems suffered by the elderly.

This is the first study to apply CAPS-5 to assess PTSD among Indonesian elderly people following a natural disaster. This paper also provides insights that can be used by governments and other relevant parties to address PTSD problems suffered by many elderly people in a post-disaster area.

The December 2004 tsunami was one of the largest natural disasters in the recent history of Southeast Asia. This paper aims to unfold the experiences of tsunami victims in a highly affected region of Thailand and to examine their post‐tsunami health.

Ethnographic fieldwork was carried out in Khao Lak and Thi Muang, two major tsunami affected towns in southern Thailand in May 2007. Detailed informal interviews and participant observation were employed to obtain narratives of tsunami victims.

The research reveals that the health of the tsunami survivors has deteriorated, and that they are still experiencing psychological suffering two and a half years after the tsunami.

The long‐term health condition and care should be prioritized in post‐disaster management.

This paper argues that inner healing, which is not usually considered a priority in the development discourse, is essential to relieve the mental pain of tsunami survivors and to aid their post‐disaster recovery. It highlights that culturally pertinent inner healing is invaluable.

The purpose of this paper is to analyze the context of the emergence of a skin infection outbreak in the aftermath of Hurricane Matthew in Haiti and detail the role of community-based participatory research in mobilizing local action in a country with low state capacity.

While implementing a post-disaster study that combined a survey of 984 households and 69 community leaders with 23 focus groups, 60 ethnographic interviews and community mapping, a skin infection outbreak was detected. Using study results, the research team in partnership with different stakeholders responded to the outbreak with a health intervention.

The findings illustrate how pre-existing conditions shape local communities' vulnerability to health crises in the aftermath of disasters and the critical role research can play in informing the recovery processes. Community-based approaches to emergency health reinforced by multi-stakeholder partnerships with local government can strengthen post-disaster response and governance structures setting the groundwork for the development of local resilience.

The health intervention was implemented as a result of the study. Patients served were not derived from the study sample but were self-selected based on their need for skin-related medical treatment.

This article highlights the integral role research can play in identifying the health impacts of disaster events in vulnerable, hard-to-reach communities and strengthening government involvement in disaster governance.

Following recent flooding in New Zealand a brief review of research on psychosocial impacts of flooding was undertaken to identify lessons. The paper aims to discuss this issue.

A pragmatic review of the literature concerning psychosocial or mental health impact following flooding incidents in locations with similarities to New Zealand identified. In total, 12 papers from between 2008 and 2015 were reviewed to identify lessons for New Zealand.

The review findings illustrate how floods can have great impacts on people’s psychosocial needs and mental health. The extended timeframe and disruptive nature of the impacts of flooding are such that the effects of secondary stressors are highly significant as they prolong the welfare, physical and psychosocial needs of those affected.

This brief review provides important insights into the psychosocial impacts of flooding by examining research from similar areas to New Zealand.

A central tenet for safer communities is having a healthy police force. This study aims to understand what police forces should and need to be doing to safeguard police officer wellness by examining the existing scientific evidence on police well-being.

Drawing on the Scale for the Assessment of Narrative Articles, this paper has adopted a case study approach to examine effective practices and approaches for safeguarding police officer wellness.

The research presented in this paper yields fours themes, providing contemporary evidence for responding to and safeguarding police officer wellness.

This paper yields several implications for policy and practice. An evidence-based approach to be adopted by policing organisations for dealing with police officer wellness. An improvement to police officer support and prevention of stigma towards those who are suffering from poor mental health. Training for police managers in dealing with police officer wellness. Continuous monitoring and evaluation of police organisation efficacy in dealing with police officer wellness.

Much has been written about police officer mental health and well-being over the past decade, yet arguably, there has been limited attention paid to assessing the evidence and making sense of what this growing volume of research is advocating. This paper seeks to address this deficit in the research and provide a review of the published research with regards to police wellness.