Integrating Mental and Behavioral Health into Primary Care Clinics to Develop a System of Care Following the Deepwater Horizon Oil Spill

Author(s):  
Howard Osofsky ◽  
Joy Osofsky ◽  
John Wells ◽  
Carl Weems ◽  
Tonya Hansel ◽  
...  
2018 ◽  
Vol 46 (2) ◽  
pp. 294-305 ◽  
Author(s):  
Stacy Buckingham-Howes ◽  
Katherine Holmes ◽  
J. Glenn Morris ◽  
Lynn M. Grattan

2014 ◽  
Vol 2014 (1) ◽  
pp. 300245 ◽  
Author(s):  
Jennifer Langhinrichsen-Rohling ◽  
Mattie Kahn ◽  
Candice N. Selwyn ◽  
Adrianne C. McCullars ◽  
Mai Var ◽  
...  

On April 20th, 2010, the Deepwater Horizon oil spill occurred in the Gulf of Mexico. This spill affected approximately 181 miles of Gulf Coast shoreline and impacted the livelihood of residents within Lower Alabama. Previous studies have shown increased behavioral health symptoms following high magnitude natural disasters. Symptom expression typically adheres to one of several trajectories: recovery, evidenced by gradual declines in symptoms over time, or delayed disruptions in functioning, evidenced by gradual increases in symptoms over time. However, very few existing studies have investigated the long term behavioral health effects of a large-scale technological disaster. Surveillance of mental and behavioral health symptoms over time can inform needed resiliency-restoring and recovery-related service provision resources. Using health surveillance methodology, plots were developed to depict the trajectory of behavioral health symptoms expressed by service-seeking Alabama Gulf Coast residents (n = 3,731 people) within impacted areas of Mobile and Baldwin counties. The presented data represents information gathered from disaster- deployed mental health service providers (e.g., number of patients treated and their behavioral health symptoms) in order to monitor fluctuations in behavioral health indicators across the recovery period. Six distinct time points were included in the analyses (6, 12, 18, 24, 30, and 36 months post-spill) Results demonstrate a period of recovery between 6 months and 18 months post-spill as evidenced by a gradual decline in behavioral health symptoms. However, beginning around 18 months post-spill and continuing through Year 3, delayed disruptions in functioning were evidenced by gradually increasing reports of behavioral health symptoms over time. Plots of symptom type and frequency will be presented as these demonstrate the need for programs such as the Gulf Region Health Outreach Program (GRHOP).Overall, the current study offers insight into the pattern of behavioral health responses experienced by Coastal Alabama residents over the three year period following the Deepwater Horizon oil spill. Results suggest that behavioral health symptoms in need of treatment still persist, with a trend of increasing symptoms present over the past year and a half. Several factors may be impacting continued symptom expression including ongoing litigation related to the oil spill, a lack of behavioral health care capacity within the Gulf Coast region, and the large percentage of individuals within the region who are experiencing on-going poverty and a lack of access to affordable health care.


2014 ◽  
Vol 42 (1) ◽  
pp. 6-22 ◽  
Author(s):  
Deborah W. Gould ◽  
Judith L. Teich ◽  
Michael R. Pemberton ◽  
Carol Pierannunzi ◽  
Sharon Larson

2018 ◽  
Vol 13 (03) ◽  
pp. 497-503 ◽  
Author(s):  
Lynsay Ayer ◽  
Charles Engel ◽  
Andrew Parker ◽  
Rachana Seelam ◽  
Rajeev Ramchand

ABSTRACTObjectiveThe purpose of this study was to examine the associations between oil spill exposure, trauma history, and behavioral health 6 years after the Deepwater Horizon oil spill (DHOS). We hypothesized that prior trauma would exacerbate the relationship between oil spill exposure and behavioral health problems.MethodsThe sample included 2,520 randomly selected adults in coastal areas along the Gulf of Mexico. Participants reported their level of oil spill exposure, trauma history, depression, anxiety/worry, illness anxiety, and alcohol use.ResultsIndividuals with more traumatic experiences had a significantly higher risk for all measured behavioral health problems after controlling for demographic factors and DHOS exposure. Those with higher levels of DHOS exposure were not at greater risk for behavioral health problems after controlling for prior trauma, with the exception of illness anxiety. There was no evidence that trauma history moderated the association between DHOS exposure and behavioral health.ConclusionsFindings suggest that trauma exposure may be a better indicator of long-term behavioral health risk than DHOS exposure among disaster-prone Gulf Coast residents. DHOS exposure may be a risk factor for illness anxiety but not more general behavioral health concerns. Trauma history did not appear to exacerbate risk for behavioral health problems among Gulf residents exposed to the DHOS. (Disaster Med Public Health Preparedness. 2019;13:497-503)


2016 ◽  
Vol 561 ◽  
pp. 51-68 ◽  
Author(s):  
AWJ Demopoulos ◽  
JR Bourque ◽  
E Cordes ◽  
KM Stamler

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