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Although the Sendai Framework for Disaster Risk Reduction 2015–2030 explicitly recognizes the need for psychosocial support and mental health services, the focus of this and many disaster risk reduction and management (DRRM) plans lies in the response, recovery, and rehabilitation phases. Less attention has been given to how mental health aspects affect the predisaster phase. This chapter explores the less understood concept of “resistance” in the perspectives model of disaster mental health, which is related to DRRM themes of “prevention and mitigation” and “preparedness” interventions. Four strategies are identified by which DRRM interventions can contribute to psychosocial support and mental health: increasing stress resistance, fostering cohesion and social support, fostering positive cognition, and building self-efficacy and hardiness. We review the cases of the Philippines, Indonesia, Myanmar, and Thailand and report existing socio-political DRRM initiatives for prevention, mitigation, and preparedness that can potentially enhance resistance as a predisaster intervention. Beyond medical services or clinical mental health interventions for select populations, DRRM interventions can benefit the general public. Despite natural intersections, there remains a need for deliberate and targeted initiatives that explore how vertical pyschosocial care programs can be created to straddle both DRRM and health sectors in practice.

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.

Disaster responders play a crucial role in providing aid to individuals and communities following catastrophic events. Being tasked to protect and preserve life and property, these groups of professionals are constantly exposed to various hazards, which puts them at risk of negative mental health consequences. This chapter describes and discusses these mental health effects and interventions for disaster responders in Southeast Asia. The chapter defines who the disaster responders are in Southeast Asian countries. Drawing from the literature, this chapter enumerates the various positive and negative psychological consequences of disaster response, and the risk and protective factors associated with disaster response work. This chapter also describes the different interventions, such as psychological first aid and psychotherapy, following the Inter-agency Standing Committee (IASC) (2007) guidelines on conducting mental health and psychosocial support services (MHPSS), and focusing on the Southeast Asian context. This chapter ends with a discussion of the different challenges of providing MHPSS in Southeast Asia and with some recommendations on how to improve the delivery of these services and the mental health of disaster responders in general.

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 chapter reviews the empirical evidence for Psychological First Aid (PFA) in the context and experience of the Southeast Asian (SEA) region. First, this chapter provides the definition and background of PFA and its core principles, to explain the basis for doing PFA as part of an integrated approach to disaster mental health. Second, the existing literature on the effectiveness of PFA is reviewed. Third, this chapter examines the application and adaptation of PFA in SEA. Implications and recommendations are provided at the end of the chapter.

Advances in disaster prevention and mitigation in Southeast Asia (SEA) have increasingly included plans for mental health and psychosocial support. However, substantial challenges remain, particularly in the areas of (a) disaster communication and preparedness, (b) institutionalized disaster education, (c) culturally adapted and evidence-based tools and interventions, (d) developing capacities and caring for disaster responders, and (e) enabling collective resilience. In addition, the impacts of poverty, lack of access to education, and other forms of marginalization result in less resources to prepare for hazardous event and increased vulnerability to environmental hazards for SEA countries. These issues highlight the need for SEA governments to address deeply rooted human development issues that put communities at risk and heighten vulnerabilities of SEA populations.

Southeast Asia (SEA) is a region highly susceptible to earthquakes, volcanic eruptions, and tsunamis, though the region has been underrepresented in disaster mental health research. This chapter addresses risk factors for SEA, including its disaster-prone location, the psychological toll of frequent disasters, and stigma and shame and lack of psychoeducation about psychological help-seeking. Collectivism, strong family ties, and religious faith are among SEA’s resilience factors. Culture should be heavily accounted for in mental health and psychosocial support (MHPSS), considering the wide array of cultural differences in spirituality, affect and expression, power distance, and gender and masculinity in SEA. Because culture affects treatment satisfaction, treatment engagement, and treatment outcomes, future research should explore how aspects of SEA culture impact accessibility and engagement in MHPSS.

Purpose – The author examines how perceived risk, criminal victimization, and community integration affect the mental health of hurricane evacuees. His objectives are (1) to examine how perceived risk and victimization influence mental health in post-disaster contexts, (2) to analyze how social support and community integration mediate the effects of perceived risk and victimization, and (3) to expand the theoretical applicability of the stress process model by analyzing perceived risk and victimization as stressors under disaster conditions.

Design/methodology/approach – The author uses survey data collected from 303 evacuees of Hurricanes Katrina and Rita residing in FEMA trailer park communities in Louisiana. He estimates four nested regression models predicting depression and anxiety.

Findings – As a personal judgment of perceived risk, feeling unsafe consistently harms mental health net of residential instability and victimization. Social support and social integration buffer the stress related to personal judgments of perceived risk and residential instability.

Originality/value of paper – Findings necessitate attention to residential stability, social integration, and community involvement in mitigating perceived risk, victimization, and poor mental health in post-disaster communities.