Suchergebnisse

This article compares six interventions to enhance community resilience. In this review, underlying principles for community resilience interventions are (a) use a multihazard approach relevant to the local context, (b) utilize community assessment, (c) focus on community engagement, (d) adhere to bioethical principles, (e) emphasize both assets and needs, and (f) encourage skill development. The interventions are compared with respect to parameters that address their foundation, methodology, and implementation.

Child development and adaptation are best understood as biological and psychological individual processes occurring within the context of interconnecting groups, systems, and communities which, along with family, constitute the child's social ecology. This first of two articles describes the challenges and opportunities within a child's social ecology, consisting of Micro-, Meso-, Exo-, and Macrosystems. The parent-child relationship, the most salient Microsystem influence in children's lives, plays an influential role in children's reactions to and recovery from disasters. Children, parents, and other adults participate in Mesosystem activities at schools and faith-based organizations. The Exosystem—including workplaces, spcial agencies, neighborhood, and mass media—directly affects important adults in children's lives. The Macrosystem affects disaster response and recovery indirectly through intangible cultural, social, economic, and political structures and processes. Children's responses to adversity occur in the context of these dynamically interconnected and interdependent nested environments, all of which endure the burden of disaster. Increased understanding of the influences of and the relationships between key components contributes to recovery and rebuilding efforts, limiting disruption to the child and his or her social ecology. A companion article (R. L. Pfefferbaum et al., in press) describes interventions across the child's social ecology.

This article describes an application of the Communities Advancing Resilience Toolkit Assessment Survey using a sample of affiliated volunteer responders. The Communities Advancing Resilience Toolkit Assessment Survey is a theory-based, evidence-informed instrument. Early applications of the survey identified four domains: Connection and Caring, Resources, Transformative Potential, and Disaster Management. The version of the instrument used in the current application added items related to Information and Communication, thus creating a fifth domain. The application confirmed the five-factor model and the instrument demonstrated good reliability. Affiliated volunteer responders served as key informants regarding community resilience because of their involvement in local disaster readiness and response. Home ownership and active membership in an affiliated volunteer responder group were associated with the total community resilience score and with multiple domain scores, suggesting the importance of community member investment and engagement for a community's resilience. Although the study sample involved affiliated volunteer responders, it is likely that engagement in other community organizations and activities may yield similar benefits for resilience.

This research examines mass media depictions of major American natural disasters that occurred between 2000 and 2010. Results indicate that mass media cover natural disasters for shorter periods of time than they do other issues; that media coverage tends to focus on the current impact of disasters on humans, the built environment, and the natural environment; that disaster economics is an important topic; that disaster media coverage generally focuses on the state and region related to the event; and that disaster news is largely about what is happening now.

The paper allows an explicit test of a sensation-seeking perspective to help account for substance use (legal and illegal) among a sample of nearly 1,600 high school students responding to a survey conducted in 1991. We present analyses specific to drinking alcohol, getting drunk, tobacco use, use of marijuana or hash, and use of harder drugs to determine if factors common to a sensation-seeking perspective help explain both the prevalence and frequency of substance use among adolescents. Findings provide strong support for considering sensation-seeking variables like thrillseeking, immediate gratification, and impulsivity to help explain self-reported substance use. Our results show that for each of the five substance delinquencies examined, sensation-seeking factors generate statistically significant influences. Results point toward intrinsic rewards that initially promote and subsequently reinforce substance use, and which center on the fun, thrills, and excitement of risky, illegal substance use, and the physiological high generated by drug or alcohol use. Finally, the relevance of a sensation-seeking approach to social learning theory is explored.

OBJECTIVE: The mental health effects of major terrorist attacks on diplomatic government personnel have not been well studied. This study examined the psychiatric and psychosocial effects of the 1998 terrorist bombing of the US Embassy in Nairobi, Kenya, on US government personnel exposed to the bombing. METHOD: At 8–10 months after the bombing, 179 US government employees (53 Americans, 126 Kenyans, 53% male, age mean=40.6 and SD=8.4 years ranging 21–65) were assessed with the Diagnostic Interview Schedule for DSM-IV for disaster-related psychiatric diagnoses and the Disaster Supplement Interview and Questionnaire about their immediate disaster experiences, subjective responses, mental health interventions/treatment, safety perceptions, and coping. RESULTS: About one-third (32%) of these US government personnel developed postdisaster psychiatric disorders, mostly bombing-related PTSD (20%), but few received psychiatric treatment. Prevalence rates of all postdisaster psychiatric disorders, including bombing-related PTSD, were similar between subgroups of Americans and Kenyans, despite the Kenyans reporting more direct disaster trauma exposures, subjective postdisaster distress, and posttraumatic stress symptoms. These US government personnel had fewer psychiatric consequences of the Nairobi bombing than their previously studied civilian counterparts. CONCLUSIONS: Possible explanatory factors in the lower prevalence of postdisaster psychopathology in these government personnel compared to the civilians are selection for greater personal resilience for government employment and stigma-based underreporting of mental health needs in governmental workplaces. Stigma is a potential barrier to psychiatric treatment that needs to be addressed in government workplaces.