• Merritt D Schreiber, Rob Yin, Mostafa Omaish, and Joan E Broderick.
• Center for Disaster Medical Sciences, Department of Emergency Medicine, University of California, Irvine School of Medicine, Orange, CA.
• Ann Emerg Med. 2014 Jul 1;64(1):59-65.

Study ObjectiveDisasters often cause psychological injury, as well as dramatic physical damage. Epidemiologic research has identified a set of disaster experiences and predisposing characteristics that place survivors at risk for post traumatic stress disorder (PTSD), depression, and anxiety. Rapid triage of at-risk survivors could have benefits for individual and population-level outcomes. We examine American Red Cross mental health risk surveillance data collected from October 29 to November 20, 2012, immediately after Hurricane Sandy in 8 lower New York State counties to evaluate the feasibility and utility of collecting these data.MethodsPsySTART, an evidence-based disaster mental health triage tool, was used to record survivor-reported risk factors after each survivor contact. Red Cross disaster mental health volunteers interfaced with survivors at disaster operation sites, including shelters, emergency aid stations, and mobile feeding and community outreach centers. Risk data were called into the operations center each day and reported by county.ResultsPsySTART risk surveillance data for 18,823 disaster mental health contacts are presented for adults and children. A total of 17,979 risk factors were reported. Overall levels of risk per contact were statistically different (χ(2)(1, N=6,045)=248.1; P<.001) across the 8 counties. Survivors with high levels of risk were found in locations apart from the areas with the greatest physical damage.ConclusionAggregated PsySTART data in Superstorm Sandy indicate substantial population-level impact suggestive of risk for disorders that may persist chronically without treatment. Mental health triage has the potential to improve care of individual disaster survivors, as well as inform disaster management, local health providers, and public health officials.Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

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