Skip to main content
International Journal of Methods in Psychiatric Research logoLink to International Journal of Methods in Psychiatric Research
. 2008 Nov 26;17(Suppl 2):S6–S20. doi: 10.1002/mpr.269

Sample and design considerations in post‐disaster mental health needs assessment tracking surveys

Ronald C Kessler 1,, Terence M Keane 2,, Robert J Ursano 3,, Ali Mokdad 4, Alan M Zaslavsky 1
PMCID: PMC3081100  NIHMSID: NIHMS119338  PMID: 19035440

Abstract

Although needs assessment surveys are carried out after many large natural and man‐made disasters, synthesis of findings across these surveys and disaster situations about patterns and correlates of need is hampered by inconsistencies in study designs and measures. Recognizing this problem, the US Substance Abuse and Mental Health Services Administration (SAMHSA) assembled a task force in 2004 to develop a model study design and interview schedule for use in post‐disaster needs assessment surveys. The US National Institute of Mental Health subsequently approved a plan to establish a center to implement post‐disaster mental health needs assessment surveys in the future using an integrated series of measures and designs of the sort proposed by the SAMHSA task force. A wide range of measurement, design, and analysis issues will arise in developing this center. Given that the least widely discussed of these issues concerns study design, the current report focuses on the most important sampling and design issues proposed for this center based on our experiences with the SAMHSA task force, subsequent Katrina surveys, and earlier work in other disaster situations. Copyright © 2008 John Wiley & Sons, Ltd.

Keywords: disaster, epidemiology, needs assessment survey, PTSD

Full Text

The Full Text of this article is available as a PDF (245.0 KB).

REFERENCES

  1. Abramson D, Garfield R (2006). On the Edge: Children and Families Displaced by Hurricanes Katrina and Rita Face a Looming Medical and Mental Health Crisis. New York: Mailman School of Public Health, Columbia University. [Google Scholar]
  2. Ben‐Ezra M, Essar N, Saar R (2006). Gender differences and acute stress reactions among rescue personnel 36 to 48 hours after exposure to traumatic event. Traumatology 12: 139–42. [Google Scholar]
  3. Boscarino JA, Adams RE, Stuber J, Galea S (2005). Disparities in mental health treatment following the World Trade Center Disaster: implications for mental health care and health services research. J Trauma Stress 18: 287–97. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Brewin CR, Andrews B, Valentine JD (2000). Meta‐analysis of risk factors for posttraumatic stress disorder in trauma‐exposed adults. J Consult Clin Psychology 68: 748–66. [DOI] [PubMed] [Google Scholar]
  5. Brick MJ, Dipko S, Presser S, Tucker C, Yuan Y (2006). Nonresponse bias in a dual frame sample of cell and landline numbers. Public Opinion Quarterly 70: 780–93. [Google Scholar]
  6. Brodie M, Weltzien E, Altman D, Blendon RJ, Benson JM (2006). Experiences of hurricane Katrina evacuees in Houston shelters: implications for future planning. Am J Public Health 96: 1402–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Castle K, Duberstein PR, Meldrum S, Conner KR, Conwell Y (2004). Risk factors for suicide in blacks and whites: an analysis of data from the 1993 National Mortality Followback Survey. Am J Psychiatry 161: 452–8. [DOI] [PubMed] [Google Scholar]
  8. Centers for Disease Control and Prevention (2005). Emergency Preparedness and Response: Strategic National Stockpile. Available: http://www.bt.cdc.gov/stockpile/index.asp [11 April 2006].
  9. Centers for Disease Control and Prevention (2006a). Assessment of health‐related needs after Hurricanes Katrina and Rita – Orleans and Jefferson Parishes, New Orleans area, Louisiana, October 17–22, 2005. MMWR Morb Mortal Wkly Rep 55: 38–41. [PubMed] [Google Scholar]
  10. Centers for Disease Control and Prevention (2006b). Surveillance in hurricane evacuation centers – Louisiana, September–October 2005. MMWR Morb Mortal Wkly Rep 55: 32–5. [PubMed] [Google Scholar]
  11. Chepenik LG, Have TT, Oslin D, Datto C, Zubritsky C, Katz IR (2006). A daily diary study of late‐life depression. Am J Geriatr Psychiatry 14: 270–9. [DOI] [PubMed] [Google Scholar]
  12. deVries MW (1987). Investigating mental disorders in their natural settings. J Nerv Ment Dis 175: 509–13. [DOI] [PubMed] [Google Scholar]
  13. Dewan S, Connelly M, Lehren A (2006) Evacuees' lives still upended seven months after hurricane. New York Times 22 March, A1. [Google Scholar]
  14. Diener E, Seligman MEP (2004). Beyond money: toward an economy of well‐being. Psychological Science in the Public Interest 5: 1–31. [DOI] [PubMed] [Google Scholar]
  15. Fisher N, Turner SW, Pugh R, Taylor C (1994). Estimating numbers of homeless and homeless mentally ill people in north east Westminster by using capture‐recapture analysis. Br Med J 308: 27–30. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Flay BR, Kessler RC, Utts JM (1989). Evaluating media campaigns In Coyle SL, Boruch RF, Turner CF. (eds) Evaluating AIDS Prevention Programs. Washington, DC: National Academy Press, pp 3(1)–3(47). [Google Scholar]
  17. Fullerton CS, Ursano RJ, Wang L (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. Am J Psychiatry 161: 1370–6. [DOI] [PubMed] [Google Scholar]
  18. Galea S, Nandi A, Vlahov D (2005). The epidemiology of post‐traumatic stress disorder after disasters. Epidemiol Rev 27: 78–91. [DOI] [PubMed] [Google Scholar]
  19. Gidron Y (2002). Posttraumatic stress disorder after terrorist attacks: a review. J Nerv Ment Dis 190: 118–21. [DOI] [PubMed] [Google Scholar]
  20. Henker B, Whalen CK, Jamner LD, Delfino RJ (2002). Anxiety, affect, and activity in teenagers: monitoring daily life with electronic diaries. J Am Acad Child Adolesc Psychiatry 41: 660–70. [DOI] [PubMed] [Google Scholar]
  21. Ironson G, Wynings C, Schneiderman N, Baum A, Rodriguez M, Greenwood D, Benight C, Antoni M, LaPerriere A, Huang HS, Klimas N, Fletcher MA (1997). Posttraumatic stress symptoms, intrusive thoughts, loss, and immune function after Hurricane Andrew. Psychosom Med 59: 128–41. [DOI] [PubMed] [Google Scholar]
  22. Jin GZ, Sorensen AT (2006). Information and consumer choice: the value of publicized health plan ratings. J Health Econ 25: 248–75. [DOI] [PubMed] [Google Scholar]
  23. Kalton G, Anderson D (1986). Sampling rare populations. J Royal Stat Soc Series A149: 65–82. [Google Scholar]
  24. Kessler RC, Merikangas KR (2004). The National Comorbidity Survey Replication (NCS‐R): background and aims. Int J Methods Psychiatr Res 13: 60–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Kessler RC, Galea S, Jones RT, Parker HA (2006). Mental illness and suicidality after Hurricane Katrina. Bull World Health Organ 84: 930–9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM (2002). Short screening scales to monitor population prevalences and trends in non‐specific psychological distress. Psychol Med 32: 959–76. [DOI] [PubMed] [Google Scholar]
  27. Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM (2003). Screening for serious mental illness in the general population. Arch Gen Psychiatry 60: 184–9. [DOI] [PubMed] [Google Scholar]
  28. Kish L (1987). Statistical design for research. New York: John Wiley & Sons. [Google Scholar]
  29. Kohn R, Levav I, de Almeida JM, Vicente B, Andrade L, Caraveo‐Anduaga JJ, Saxena S, Saraceno B (2005). [Mental disorders in Latin America and the Caribbean: a public health priority]. Rev Panam Salud Publica 18: 229–40. [DOI] [PubMed] [Google Scholar]
  30. McDowell D, McCleary R, Meidinger EE, Hays RA (1980). Interrupted Time Series Analysis. Beverly Hills, CA: Sage Publications. [Google Scholar]
  31. Norris F (2005). Psychosocial Consequences of Major Hurricanes and Floods: Range, Duration, and Magnitude of Effects and Risk Factors for Adverse Outcomes: A National Center for PTSD fact sheet. Available: http://www.ncptsd.va.gov/facts/disasters/fs_range_hurricane.html [14 April 2005].
  32. North CS, Pfefferbaum B, Tivis L, Kawasaki A, Reddy C, Spitznagel EL (2004). The course of posttraumatic stress disorder in a follow‐up study of survivors of the Oklahoma City bombing. Ann Clin Psychiatry 16: 209–15. [DOI] [PubMed] [Google Scholar]
  33. Oetjen D, Fottler MD, Unruh LY, Rehman Z (2006). Consumer determinants of the use of health plan information in plan selection. Health Serv Manage Res 19: 232–50. [DOI] [PubMed] [Google Scholar]
  34. Oksenberg L, Vinokur A, Cannell CF (1979). The effects of instructions, commitment and feedback on reporting in personal interviews In Cannell CF, Oksenberg L, Converse JM. (eds) Experiments in Interviewing Techniques, DHEW Publication No (HRA) 78–3204. Washington, DC: Department of Health, Education, and Welfare, pp 74–108. [Google Scholar]
  35. Page S (2005). Many evacuees to stay away. USA Today 14 October, A1.
  36. Regier DA, Myers JK, Kramer M, Robins LN, Blazer DG, Hough RL, Eaton WW, Locke BZ (1984). The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. Arch Gen Psychiatry 41: 934–41. [DOI] [PubMed] [Google Scholar]
  37. Rogler LH, Cortes DE (1993). Help‐seeking pathways: a unifying concept in mental health care. Am J Psychiatry 150: 554–61. [DOI] [PubMed] [Google Scholar]
  38. Rosenbaum S (2006). US health policy in the aftermath of Hurricane Katrina. JAMA 295: 437–40. [DOI] [PubMed] [Google Scholar]
  39. Schonlau M, Fricker R, Elliott M (2002). Conducting Research Surveys via Email and the Web. Santa Monica, CA: RAND. [Google Scholar]
  40. Seeman I, Poe GS, McLaughlin JK (1989). Design of the 1986 National Mortality Followback Survey: considerations on collecting data on decedents. Public Health Rep 104: 183–8. [PMC free article] [PubMed] [Google Scholar]
  41. Shalev AY, Freedman S (2005). PTSD following terrorist attacks: a prospective evaluation. Am J Psychiatry 162: 1188–91. [DOI] [PubMed] [Google Scholar]
  42. Simeon D, Greenberg J, Nelson D, Schmeidler J, Hollander E (2005). Dissociation and posttraumatic stress 1 year after the World Trade Center disaster: follow‐up of a longitudinal survey. J Clin Psychiatry 66: 231–7. [DOI] [PubMed] [Google Scholar]
  43. Skinner C, Rao JNK (1996). Estimation in dual frame surveys with complex designs. J Am Stat Assoc 91: 349–56. [Google Scholar]
  44. Stone AA, Shiffman SS, DeVries MW (1999). Ecological momentary assessment In Diener E, Schwarz N, Kahneman D. (eds) Well‐being: The Foundation of Hedonic Psychology. New York: Russell Sage Foundation. [Google Scholar]
  45. Stuber JP, Galea S (2005). Barriers to mental health treatment after disasters. Psychiatr Serv 56: 1157–8. [DOI] [PubMed] [Google Scholar]
  46. Subar AF, Heimendinger J, Patterson BH, Krebs‐Smith SM, Pivonka E, Kessler RC (1995). Fruit and vegetable intake in the United States: the baseline survey of the Five A Day for Better Health Program. Am J Health Promot 9: 352–60. [DOI] [PubMed] [Google Scholar]
  47. US Environmental Protection Agency (2005). Norfolk Southern Graniteville Derailment: Final Information Update as of January 21, 2005. Atlanta, GA: Department of Health and Human Services, Public Health Service, Agency for Toxic Substances and Disease Registry, Division of Health Assessment and Consultation. [Google Scholar]
  48. Verbeke G, Molenberghs G (2001). Linear Mixed Models for Longitudinal Data. New York: Springer‐Verlag. [Google Scholar]
  49. Wang PS, Beck AL, Berglund P, McKenas DK, Pronk NP, Simon GE, Kessler RC (2004). Effects of major depression on moment‐in‐time work performance. Am J Psychiatry 161: 1885–91. [DOI] [PubMed] [Google Scholar]
  50. Watson PJ, Shalev AY (2005). Assessment and treatment of adult acute responses to traumatic stress following mass traumatic events. CNS Spectr 10: 123–31. [DOI] [PubMed] [Google Scholar]

Articles from International Journal of Methods in Psychiatric Research are provided here courtesy of Wiley

RESOURCES