Balasuriya Lilanthi, Johnson Oshea, Riley Tammy, Lockard Anthony Scott, McManus Pamela, Raleigh Angela, Ellis Martha, Schnall Amy Helene, Hanchey Arianna, Darling Sandra, Bolen Kristy, Thoroughman Doug
Centers for Disease Control and Prevention, Atlanta, GA.
Kentucky Department for Public Health, Division of Epidemiology and Health Planning, Frankfort, KY.
Disaster Med Public Health Prep. 2024 Dec 10;18:e309. doi: 10.1017/dmp.2024.136.
On July 28, 2022, floods in eastern Kentucky displaced over 600 individuals. With the goal of understanding mental health needs of affected families, we surveyed households living in flood evacuation shelters after the 2022 Kentucky floods.
Families experiencing displacement from the 2022 Kentucky floods currently living in three different temporary shelter locations were surveyed via convenience sampling. A rapid community needs assessment involving in-person interviews using modified two stage cluster methodology (CASPER) was conducted between September 6-9, 2022.
Teams conducted 61 household interviews. Since the flood, 27.7% reported that their household received services from behavioral health and 19.6% received grief counseling. Experiencing agitation (36.7%), difficulty concentrating (47.5%), nightmares (62.3%), or suicidal thoughts/self-harm (6.6%) were reported by households surveyed. Over one-fourth (27.0%) of individuals surveyed reported being depressed nearly every day. Over 20% reported anhedonia (inability to feel pleasure) nearly every day. Over 75% of individuals surveyed reported being anxious several days or more over the last two weeks. Over one-third of individuals (34.0%) reported being unable to stop worrying nearly every day. Of those individuals surveyed, 36.1% reported barriers to mental health services.
Symptoms of depressed mood, anhedonia, anxiety, and nightmares were prevalent in displaced families six weeks after the 2022 Kentucky floods. Providing and encouraging access to mental health services are important priorities during disaster recovery.
2022年7月28日，肯塔基州东部的洪水致使600多人流离失所。为了解受灾家庭的心理健康需求，我们对2022年肯塔基州洪水后居住在洪水疏散避难所的家庭进行了调查。
通过便利抽样的方式，对2022年肯塔基州洪水后流离失所、目前居住在三个不同临时避难所地点的家庭进行了调查。2022年9月6日至9日，采用改良的两阶段整群抽样方法（社区快速评估程序）进行了快速社区需求评估，评估过程包括面对面访谈。
团队共进行了61户家庭访谈。自洪水发生以来，27.7%的受访者表示其家庭接受过行为健康服务，19.6%的受访者接受过悲伤辅导。接受调查的家庭报告称，他们出现过烦躁不安（36.7%）、注意力不集中（47.5%）、噩梦（62.3%）或自杀念头/自我伤害行为（6.6%）。超过四分之一（27.0%）的受访者表示几乎每天都感到沮丧。超过20%的受访者表示几乎每天都有快感缺失（无法感受愉悦）。超过75%的受访者表示在过去两周内焦虑了好几天甚至更长时间。超过三分之一（34.0%）的受访者表示几乎每天都无法停止担忧。在接受调查的人群中，36.1%的受访者表示在获取心理健康服务方面存在障碍。
2022年肯塔基州洪水六周后，流离失所家庭中普遍存在情绪低落、快感缺失、焦虑和噩梦等症状。在灾难恢复期间，提供并鼓励人们获取心理健康服务是重要的优先事项。
