Surviving Hurricane Katrina: Winds of Change Transform a New Orleans Addiction Treatment Agency

Hurricane Katrina's impact on the operations of the largest residential, addiction treatment organization in New Orleans is described. Pre‐ and post‐Katrina experiences are discussed and augmented with organizational performance data. Suggestions for future research are provided.     

First Year Post-Katrina: Changes in Occupational Performance and Emotional Responses

The purpose of this retrospective study was to determine whether Hurricane Katrina affected the occupational performance and emotional states of New Orleans area residents affected by the hurricane over the first year post-Katrina. A purposeful sample of 143 adults who lived in the New Orleans area just prior to Katrina completed a questionnaire one year after Katrina. Participants were asked to rate their satisfaction with their occupational performance and emotional states at four time periods: August 2005, before Katrina; September 2005, one month after Katrina; March 2006, six months post-Katrina; and September 2006, one year post-Katrina. The most notable findings were that both satisfaction with occupational performance and emotional states showed marked declines during the month immediately following Katrina, with some recovery six months post-Katrina, and further recovery a year after Katrina. At one year post-Katrina however, the recovery of satisfaction with occupational performance and emotional states approached, but did not quite reach pre-Katrina baseline responses. Further, women did not fare as well as men post-Katrina, on both variables. Limitations of the study, implications of findings for the theory and practice of occupational therapy in the area of disaster responses, and possible future research are discussed.     

Perspectives on the New Orleans Saints as a Vehicle for the Installation of Hope,Post Katrina

Abstract

The author discusses the effectiveness of popular culture as a tool for the instillation of hope within a community, using as an example the ways in which a National Football League team galvanized the residents of New Orleans in the 18 months following Hurricane Katrina. This article posits that the Saints supplied an impetus for transcendence and healing both individually and communally.     

Predicting mothers' reports of children's mental health three years after Hurricane Katrina

This study explored pathways through which hurricane-related stressors affected the psychological functioning of elementary school aged children who survived Hurricane Katrina. Participants included 184 mothers from the New Orleans area who completed assessments one year pre-disaster (Time 1), and one and three years post-disaster (Time 2 and Time 3, respectively). Mothers rated their children's behavior problems at Time 3 only (n = 251 children; 53.0% male; mean age: 10.19 years, SD = 1.68 years). A path analytic model indicated that hurricane-related stressors were associated with increased maternal psychological distress and school mobility in the first post-disaster year, which were associated with higher child internalizing and externalizing symptoms three years post-disaster. Mediation analysis indicated that hurricane-related stressors were associated with child symptoms indirectly, through their impact on maternal psychological distress. Findings underscore the importance of interventions that boost maternal and child mental health and support children through post-disaster school transitions.     

Hurricane Katrina and the Gulf Oil Spill: Lessons learned about short-term and long-term effects

The impact and lessons learned from Hurricane Katrina and the Gulf Oil Spill are described as an example of work done reflecting best practices and theory to gain a better understanding of risk and resilience for children and families. Hurricane Katrina, described as the worst natural disaster in the US history, resulted in traumatic separations of children and families and devastation of communities and schools. The impact was greater on families with fewer resources before the hurricane who were provided limited support to return and rebuild. Insufficient community support and economic resources contributed to prolonged traumatiaation and slow recovery. Many were still recovering from Hurricane Katrina when impacted by the Gulf Oil Spill. For families with multigenerational ties to the fishing and oil industries, the Gulf Oil Spill resulted in both cumulative trauma and increased risk. In implementing the behavioural health response, much was learned about promotive and protective factors for individual and community resilience. Services provided following the disasters were based on precepts of individual, family, and community resilience. To enhance recovery and support resilience, the development of regional coalitions across at risk areas provides important coordination before disasters occur for better preparation and response.     

The Psychological Impact From Hurricane Katrina: Effects of Displacement and Trauma Exposure on University Students

The following study examined the reactions of university students to Hurricane Katrina. A group of 68 New Orleans area students who were displaced from their home universities as a result of the hurricane were matched on race, gender, and age to a sample of 68 students who had been enrolled at Louisiana State University (LSU) prior to the hurricane. All students were enrolled at LSU at the time they participated in an online survey, conducted 3 months following the hurricane. The survey included symptom measures of depression, anxiety, stress, posttraumatic stress disorder (PTSD), and other variables. Results indicated displaced students experienced more trauma exposure and greater subsequent distress, more symptoms of PTSD, and more symptoms of depression. Moreover, traumatic exposure and distress from the traumatic exposure were found to fully mediate depressive symptoms and posttraumatic symptoms in the displaced students.     

Reports from the Front: The Effects of Hurricane Katrina on Mental Health Professionals in New Orleans

Hurricane Katrina created an unprecedented mental health crisis in New Orleans. Once they could return to work, local mental health professionals attempted to treat survivors of the storm while dealing with the storm's impact on themselves. Those working in public settings were offered in-service training and supervision. But clinicians in private practice often found themselves bearing the brunt of posttraumatic uncertainty alone. The current paper includes four experiential reports from area clinicians describing their early struggles to maintain a sense of continuity in their ongoing clinical work, only to realize how much of the personal is also professional in the aftermath of a disaster of this magnitude, and how personal and professional inevitably inform one another when clinicians and patients survived similar dangers and losses. The introduction locates these four papers in the larger context of post-Katrina New Orleans and a program that was specifically tailored to meet the needs of local clinicians. This program demonstrated the ways in which psychoanalytic ideas can be used to give meaning to a traumatized mental health community's profound disorientation.     

A case-control study of psychosocial and aerobic exercise factors in women with symptoms of depression

The study is an examination of specific aspects of psychosocial constructs and health-promoting behavior that may be related to symptoms of depression. The authors used a case-control design to investigate possible differences between provisional social support, hardiness dimensions, and exercise behavior and related perceptions in a sample of 94 White, middle-aged women with and without symptoms of depression. The results indicated that women with symptoms of depression have significantly fewer (p < .001) specific forms of social support resources (i.e., reassurance of worth, social integration, guidance, and attachment) and significantly lower (p < .0001) perceptions of control and commitment in their lives. The results also indicated no difference in perceptions and behaviors related to physical activity between women with and without symptoms of depression. Those results suggest that provisional social support, as well as specific dimensions of hardiness, should be the focus of interventions for women with symptoms of depression.     

“Get Off My Property”: A Personal Narrative Addressing Violence Against African Americans by Law Enforcement Post–Hurricane Katrina

Thousands of African American New Orleanians were displaced in the aftermath of Hurricane Katrina. It appeared that every African American suddenly became a suspect, “fair game” to be hunted, especially by the police. This autoethnography chronicles the author's personal background, experiences, and resulting emotions of her father's encounter with law enforcement post–Hurricane Katrina. Law enforcement–initiated interventions are explored. The article concludes with recommendations for members of the counseling profession and law enforcement. Miles de personas afroamericanas de Nueva Orleans perdieron sus hogares como consecuencia del huracán Katrina. Y de repente, cada persona afroamericana pareció convertirse en sospechosa, “presa legítima” para la caza, especialmente por parte de la policía. Esta autoetnografía documenta los orígenes personales y experiencias de la autora, así como las emociones resultantes de la interacción de su padre con las fuerzas policiales tras el huracán Katrina. Se exploran las intervenciones iniciadas por las fuerzas policiales. El artículo concluye con una serie de recomendaciones para los profesionales de la consejería y las fuerzas policiales.     

The Evolutionary Role of Interorganizational Communication: Modeling Social Capital in Disaster Contexts

Employing a community ecology perspective, this study examines how interorganizational (IO) communication and social capital (SC) facilitated organizational recovery after Hurricane Katrina. In‐depth interviews with 56 New Orleans organizations enabled longitudinal analysis and a grounded theory model that illustrates how communication differentiated four phases of recovery: personal emergency, professional emergency, transition, rebuilding. Communicative action taking place across phases corresponds with the evolutionary mechanisms. Most organizations did not turn to interorganizational relationships (IORs) until the transitional phase, during which indirect ties were critical and incoming versus outgoing communication was substantively different. Organizations did not consistently use IO SC until the last phase. This study underlines the fact that organizations and their systems are fundamentally human and (re)constructed through communicative action.     

A preliminary investigation of family coping styles and psychological well-being among adolescent survivors of Hurricane Katrina.

The relation between family coping styles and psychological well-being was compared for adolescents (12-17 years) displaced by Hurricane Katrina and currently living in a relocation camp (n = 50) and nonaffected adolescents (n = 31) matched on age, race, and socioeconomic status. Adolescents in the Katrina sample reported a family mobilizing strategy that reflected an increased reliance and seeking of extra-familial, community-based support but lower self-esteem and more symptoms of distress and depression. Follow-up analyses suggested that the relations between group differences in participants' hurricane-related trauma experiences and greater psychological distress may be mediated in part by the family coping strategy; exposure to increased levels of community-provided support may have unintended consequences on adolescents' psychological health. These results highlight the importance of future research on both potential benefits and costs of family coping styles in adolescents affected by a large-scale disaster.     

A Case-Control Study of Psychosocial and Aerobic Exercise Factors in Women With Symptoms of Depression

The study is an examination of specific aspects of psychosocial constructs and health-promoting behavior that may be related to symptoms of depression. The authors used a case-control design to investigate possible differences between provisional social support, hardiness dimensions, and exercise behavior and related perceptions in a sample of 94 White, middle-aged women with and without symptoms of depression. The results indicated that women with symptoms of depression have significantly fewer (p < .001) specific forms of social support resources (i.e., reassurance of worth, social integration, guidance, and attachment) and significantly lower (p < .0001) perceptions of control and commitment in their lives. The results also indicated no difference in perceptions and behaviors related to physical activity between women with and without symptoms of depression. Those results suggest that provisional social support, as well as specific dimensions of hardiness, should be the focus of interventions for women with symptoms of depression.     

Resource loss,religiousness, health,and posttraumatic growth following Hurricane Katrina

This study examined associations among resource loss, religiousness (including general religiousness, religious comfort, and religious strain), posttraumatic growth (PTG), and physical and mental health among a sample of Mississippi university students soon after Hurricane Katrina hit the Gulf coast in 2005. Resource loss was negatively associated with health, but positively associated with PTG. Religious comfort was associated with positive outcomes, and religious strain was associated with negative outcomes. Religious comfort buffered the negative effects of resource loss on emotional health. Ancillary analyses indicated that associations between resource loss and health were mediated by religious strain. Implications of this research are described for mental health practitioners engaged in disaster recovery work.     

Why Did They "Choose" to Stay? Perspectives of Hurricane Katrina Observers and Survivors

ABSTRACT— Models of agency—powerful implicit assumptions about what constitutes normatively "good" action—shaped how observers and survivors made meaning after Hurricane Katrina. In Study 1 , we analyzed how 461 observers perceived survivors who evacuated ( leavers ) or stayed ( stayers ) in New Orleans. Observers described leavers positively (as agentic, independent, and in control) and stayers negatively (as passive and lacking agency). Observers' perceptions reflected the disjoint model of agency, which is prevalent in middle-class White contexts and defines "good" actions as those that emanate from within the individual and proactively influence the environment. In Study 2 , we examined interviews with 79 survivors and found that leavers and stayers relied on divergent models of agency. Leavers emphasized independence, choice, and control, whereas stayers emphasized interdependence, strength, and faith. Although both leavers and stayers exercised agency, observers failed to recognize stayers' agency and derogated them because observers assumed that being independent and in control was the only way to be agentic.     

Hurricane Katrina's impact on the mental health of adolescent female offenders

Abstract

Exposure to multiple traumatic events and high rates of mental health problems are common among juvenile offenders. This study draws on Conservation of Resources (COR) stress theory to examine the impact of a specific trauma, Hurricane Katrina, relative to other adverse life events, on the mental health of female adolescent offenders in Mississippi. Teenage girls (N=258, 69% African American) were recruited from four juvenile detention centers and the state training school. Participants were interviewed about the occurrence and timing of adverse life events and hurricane-related experiences and completed a self-administered mental health assessment. Hierarchical linear regression models were used to identify predictors of anxiety and depression. Pre-hurricane family stressors, pre-hurricane traumatic events, hurricane-related property damage, and receipt of hurricane-related financial assistance significantly predicted symptoms of anxiety and depression. Findings support COR theory. Family stressors had the greatest influence on symptoms of anxiety and depression, highlighting the need for family based services that address the multiple, inter-related problems and challenges in the lives of female juvenile offenders.     

Personality, social support, and psychological distress in later life

A conceptual model was developed to address 2 issues that have received relatively little attention in the social support literature. First, an attempt was made to assess the interrelationships among 3 types or dimensions of supportive social relations. In addition, the impact of selected psychological and social factors on social support use was examined. Findings from a nationwide survey of older adults in the United Kingdom suggest that social contact tends to increase the amount of received support, and received support in turn tends to bolster perceptions of support availability in the future (i.e., anticipated support). With regard to the second issue, social roles (especially marital status) and social extraversion emerged as potentially important correlates of social support use in later life.     

Positive and negative responses to personal discrimination: does coping make a difference?

Although researches (e.g., K. L. Dion, K. K. Dion, & A. W.-p. Pak, 1992) have associated perceiving personal discrimination with negative psychological symptoms, group consciousness theorists (e.g., S. L. Bartky, 1977) have suggested that perceiving personal discrimination can be empowering. To attempt to reconcile these presumably opposing findings, the author suggested that the method of coping with perceiving personal discrimination would better predict whether the outcomes are negative or positive than would the perception of personal discrimination alone. Female university students (N = 262) in the United States completed questionnaires assessing perceptions of personal discrimination, psychological symptoms, and psychosocial behaviors. Coping mechanisms predicted psychosocial behaviors better than did personal discrimination: The more the participants used social support to cope, the more collective action and less helplessness behavior they reported. Also, the more the participants used avoidance to cope, the more helplessness behavior they reported.