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应对灾难:卡特里娜飓风过后重建心理健康服务

Working through disaster: re-establishing mental health care after Hurricane Katrina.

机构信息

Department of Planning, Policy, and Design, School of Social Ecology, University of California-Irvine, CA, USA.

出版信息

Disaster Med Public Health Prep. 2012 Oct;6(3):311-5. doi: 10.1001/dmp.2012.12. Epub 2012 Apr 16.

DOI:10.1001/dmp.2012.12
PMID:22508995
Abstract

OBJECTIVE

Our research explored how mental health care providers continued to work during and after Hurricane Katrina.

METHODS

We interviewed 32 practitioners working in the New Orleans mental health care community during and after Hurricane Katrina. Through qualitative data analysis, we developed three temporal periods of disruption: the evacuation period, the surreal period, and the new normal period. We analyzed the actions informants took during these time periods.

RESULTS

The mental health care providers adapted to disruption by displaying two forms of flexibility: doing different tasks and doing tasks differently. How much and how they engaged in these forms of flexibility varied during the three periods.

CONCLUSIONS

Informants' actions helped to create system resilience by adjusting the extent to which they were doing different tasks and the ways in which they were doing tasks differently during the three time periods. Their flexibility allowed them to provide basic care and adapt to changed circumstances. Their flexibility also contributed to maintaining a skilled workforce in the affected region.

摘要

目的

本研究探讨了心理健康护理人员在卡特里娜飓风期间和之后如何继续工作。

方法

我们在卡特里娜飓风期间和之后采访了新奥尔良心理健康护理社区的 32 名从业者。通过定性数据分析,我们开发了三个中断时间期:疏散期、超现实期和新常态期。我们分析了信息提供者在这些时间段内采取的行动。

结果

心理健康护理提供者通过表现出两种形式的灵活性来适应中断:做不同的任务和以不同的方式做任务。他们在这三个时期参与这些形式的灵活性的程度不同。

结论

信息提供者的行动通过调整他们做不同任务的程度以及在三个时期做任务的方式,有助于创造系统的弹性。他们的灵活性使他们能够提供基本护理并适应变化的环境。他们的灵活性还有助于在受灾地区维持一支熟练的劳动力队伍。

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