评估将受桑迪飓风影响的成年人纳入精神卫生保健计划的可行性和有效性。
Assessing the Feasibility and Effectiveness of a Linkage Into Mental Health Care Program for Adults Affected by Hurricane Sandy.
机构信息
Department of Occupational Medicine, Epidemiology and Prevention, Northwell Health, Great Neck, NY, USA.
Feinstein Institutes for Medical Research, Manhasset, NY, USA.
出版信息
Disaster Med Public Health Prep. 2022 Sep 5;17:e238. doi: 10.1017/dmp.2022.176.
OBJECTIVE
Research indicates that greater exposure to Hurricane Sandy is associated with increased mental health difficulties. This study examined whether Project Restoration, a program that linked adults into mental health care (L2C), was effective in reducing post-Sandy mental health difficulties as compared to a cohort of adults matched on mental health difficulties that were not linked into post-Sandy mental health care.
METHODS
Project Restoration participants (n = 52) with elevated self-reported mental health difficulties had the option to enroll into L2C. Project LIGHT (n = 63) used similar methodologies but did not have a L2C component and served as the matched control group.
RESULTS
Multivariable modeling showed significant decreases in all mental health difficulties except for depression in the Project Restoration group, whereas there were no significant decreases in LIGHT. The decrease in anxiety from baseline to follow-up was significantly greater for Project Restoration as compared to LIGHT.
CONCLUSION
Findings confirm the powerful impact community outreach and treatment have on reducing mental health difficulties after a disaster.
目的
研究表明，接触“桑迪”飓风的程度越大，心理健康问题就越严重。本研究旨在探讨项目修复（Project Restoration），即一个将成年人与心理健康护理联系起来的项目（L2C），与未参与飓风后心理健康护理的匹配成年患者队列相比，是否能有效减少桑迪飓风后的心理健康问题。
方法
有较高自我报告心理健康问题的项目修复参与者（n=52）可选择参加 L2C。项目 LIGHT（n=63）使用类似的方法，但没有 L2C 部分，作为匹配对照组。
结果
多变量模型显示，除抑郁症外，所有心理健康问题均有显著改善，而 LIGHT 组则无显著改善。与 LIGHT 组相比，Project Restoration 组的焦虑症从基线到随访的下降幅度显著更大。
结论
研究结果证实了社区外展和治疗在灾后减少心理健康问题方面的强大影响。
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