Principal Investigators: Courtney Welton-Mitchell & Leah James, University of Colorado.
This study aimed to evaluate a culturally-adapted community-based disaster mental health intervention. The intervention was designed to mitigate the impacts of an acute natural disaster among disaster-prone communities in Haiti (hurricanes, floods, earthquakes) and Nepal (floods, landslides). The study aimed to use a longitudinal randomised controlled trial design to determine if the intervention was effective in achieving its goal of enhancing community resilience. This would be achieved by improving mental health and increasing engagement in disaster preparedness and response, including enabling community members to care for themselves and provide assistance to others when a disaster strikes.
Programmes and Outcomes Achieved
This was a rapid response grant in which baseline data collection was undertaken with 480 people in each of the two settings (flood-prone areas in Haiti and Nepal) prior to the occurrence of a particular natural disaster. Participants in the intervention groups were then invited to a 3-day disaster resource building training – Enhancing Community Resilience in the Acute Aftermath of Disaster – which was conducted by local partner clinicians. Subsequently both settings suffered significant flooding events during 2014 (Haiti) and 2015 (Nepal), enabling the full research to be triggered. In the immediate aftermath of the flooding all groups were re-interviewed, and again 3 months subsequently.
Further work was planned by the study team to undertake additional statistical analysis and preparation of data sets for the public repository. Manuals were made publicly available for use in further settings.
Helping individuals to overcome mental health issues could enable communities to work together and take a proactive role in preparedness that will reduce the impact of natural disasters.
By Leah James, Courtney Welton-Mitchell, Merry Roche Stuart, Roger Noel and other SLM Haiti members: http://www.soulajelesprimoun.org/ January 2016 Soulaje Lespri Moun (SLM; “Relief for the Spirit” in Haitian Kreyol) is…View
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