{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:45:47Z","timestamp":1790779547467,"version":"4.1.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T00:00:00Z","timestamp":1733788800000},"content-version":"unspecified","delay-in-days":344,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789324001368_sec1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>On July 28, 2022, floods in eastern Kentucky displaced over 600 individuals. With the goal of understanding mental health needs of affected families, we surveyed households living in flood evacuation shelters after the 2022 Kentucky floods.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001368_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Families experiencing displacement from the 2022 Kentucky floods currently living in three different temporary shelter locations were surveyed via convenience sampling. A rapid community needs assessment involving in-person interviews using modified two stage cluster methodology (CASPER) was conducted between September 6-9, 2022.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001368_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Teams conducted 61 household interviews. Since the flood, 27.7% reported that their household received services from behavioral health and 19.6% received grief counseling. Experiencing agitation (36.7%), difficulty concentrating (47.5%), nightmares (62.3%), or suicidal thoughts\/self-harm (6.6%) were reported by households surveyed. Over one-fourth (27.0%) of individuals surveyed reported being depressed nearly every day. Over 20% reported anhedonia (inability to feel pleasure) nearly every day. Over 75% of individuals surveyed reported being anxious several days or more over the last two weeks. Over one-third of individuals (34.0%) reported being unable to stop worrying nearly every day. Of those individuals surveyed, 36.1% reported barriers to mental health services.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789324001368_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Symptoms of depressed mood, anhedonia, anxiety, and nightmares were prevalent in displaced families six weeks after the 2022 Kentucky floods. Providing and encouraging access to mental health services are important priorities during disaster recovery.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2024.136","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T14:13:33Z","timestamp":1733840013000},"source":"Crossref","is-referenced-by-count":3,"title":["Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods"],"prefix":"10.1017","volume":"18","author":[{"given":"Lilanthi","family":"Balasuriya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7444-9017","authenticated-orcid":false,"given":"Oshea","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Riley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony Scott","family":"Lockard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"McManus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Raleigh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Ellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Helene","family":"Schnall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2774-7767","authenticated-orcid":false,"given":"Arianna","family":"Hanchey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Darling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristy","family":"Bolen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doug","family":"Thoroughman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"key":"S1935789324001368_r6","unstructured":"6. Centers for Disease Control and Prevention. The CDC Field Epidemiology Manual. Natural and Human-Made Disasters. Accessed November 20, 2023. Natural and Human-Made Disasters | Epidemic Intelligence Service | CDC."},{"key":"S1935789324001368_r2","unstructured":"2. Childress, R , Estep, B , Honeycute Spears, V , et al. Siblings, grandparents, coal miners. These are the 45 victims of the 2022 Eastern KY floods. Accessed July 14, 2023. Who are the victims in the 2022 Eastern Kentucky floods? | Lexington Herald Leader."},{"key":"S1935789324001368_r18","unstructured":"18. National Oceanic and Atmospheric Administration. Weather Awareness for a Rural Nation (WARN): Developing Weather Safety Tools for Amish Communities. Accessed November 27, 2023. Weather Awareness for a Rural Nation (WARN): Developing weather safety tools for Amish communities | National Oceanic and Atmospheric Administration (noaa.gov)."},{"key":"S1935789324001368_r5","unstructured":"5. Substance Abuse and Mental Health Services Administration. Greater Impacts: How Disaster Affects People of Low Socioeconomic Status. Accessed November 20, 2023. Greater Impact: How Disasters Affect People of Low Socioeconomic Status (samhsa.gov)."},{"key":"S1935789324001368_r3","unstructured":"3. Gov. Beshear: $123 Million Available May 1 to Meet Housing Needs Following Natural Disasters. Accessed May 30, 2023. kentucky.gov\/Pages\/Activity-stream.aspx?n=GovernorBeshear&prId=1761."},{"key":"S1935789324001368_r7","unstructured":"7. National Oceanic and Atmospheric Administration. 2022 U.S. Billion-dollar Weather and Climate Disaster in Historical Context. Accessed November 20, 2023. 2022 U.S. billion-dollar weather and climate disasters in historical context | NOAA Climate.gov."},{"key":"S1935789324001368_r1","unstructured":"1. National Weather Service. Historic July 26th-July 30th, 2022, Eastern Kentucky Flooding. Accessed May3, 2023. Historic July 26th-July 30th, 2022, Eastern Kentucky Flooding (weather.gov)."},{"key":"S1935789324001368_r4","unstructured":"4. Ready. Coping with Disaster. Accessed November 20, 2023. Coping with Disaster | Ready.gov."},{"key":"S1935789324001368_r10","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4566"},{"key":"S1935789324001368_r17","unstructured":"17. Weather Awareness for Rural Nation. Weather Awareness for a Rural Nation (WARN) Taskforce. Accessed November 27, 2023. Home - Weather Awareness for a Rural Nation (WARN) Taskforce - Virtual Lab (noaa.gov)."},{"key":"S1935789324001368_r8","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2023.114"},{"key":"S1935789324001368_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jenvman.2020.111025"},{"key":"S1935789324001368_r9","doi-asserted-by":"publisher","DOI":"10.1038\/s43247-023-01165-x"},{"key":"S1935789324001368_r19","unstructured":"19. Federal Emergency Management Agency. National Disaster Housing Strategy. Accessed November 27, 2023. DRAFT NDHS (fema.gov)."},{"key":"S1935789324001368_r15","unstructured":"15. Pew Research Center. For 24% of Rural Americans, High-speed Internet is a Major Problem. Accessed November 5, 2023. For 24% of rural Americans, high-speed internet is a major problem | Pew Research Center."},{"key":"S1935789324001368_r14","doi-asserted-by":"publisher","DOI":"10.1097\/FCH.0000000000000306"},{"key":"S1935789324001368_r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2019.133586"},{"key":"S1935789324001368_r16","unstructured":"16. Pew Research Center. Some Digital Divides Between Rural, Urban, Suburban American Persist. Accessed November 1, 2023. Some digital divides between rural, urban, suburban America persist | Pew Research Center."},{"key":"S1935789324001368_r11","first-page":"44","article-title":"Lived experience of the disaster victims of South Indian floods 2015: a concatenated disaster crisis model using henomenographical Framework Analysis","volume":"19","author":"Ponnambily","year":"2018","journal-title":"Indian J Contin Nurs Educ."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789324001368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T14:13:39Z","timestamp":1733840019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789324001368\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":19,"alternative-id":["S1935789324001368"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2024.136","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e309"}}