{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:05:07Z","timestamp":1792184707091,"version":"4.4.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"unspecified","delay-in-days":368,"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=\"S193578932400137X_sec1\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>On July 28, 2022, eastern Kentucky experienced the state\u2019s deadliest flood in recorded history. In response to ongoing mental health concerns from community members who survived the flood, local health department directors in affected communities requested technical assistance from the Kentucky Department for Public Health and the Centers for Disease Control and Prevention.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S193578932400137X_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Two simultaneous Community Assessments for Public Health Emergency Response (CASPERs) were conducted 6 weeks after the flood. Four counties were assessed in each CASPER. EpiInfo7 was used to calculate the unweighted and weighted frequencies and percentages to estimate the number and percentage of households with a particular response in each CASPER.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S193578932400137X_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Approximately a third (30.5%) of households in CASPER 1 and approximately 40% of households in CASPER 2 reported experiencing \u22651 mental health problems. Individual-level mental health questions from a modified 3-stage CASPER found approximately 15% of persons in both CASPERs reported a Patient Health Questionnaire-2 (PHQ-2) score \u22653 and approximately 20% of persons in both CASPERs reported Generalized Anxiety Disorder-2 (GAD-2) score \u22653.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S193578932400137X_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>These findings indicated households experienced mental health problems after the flood. Depression and anxiety were prevalent among persons living in flood-affected areas. If ever needed, households preferred to receive mental health services in-person and locally.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2024.137","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T11:43:55Z","timestamp":1735904635000},"source":"Crossref","is-referenced-by-count":1,"title":["Assessing Mental Health Effects of Eastern Kentucky Households After the State\u2019s Deadliest Flood: Using a Community Assessment for Public Health Emergency Response (CASPER)"],"prefix":"10.1017","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7444-9017","authenticated-orcid":false,"given":"Oshea","family":"Johnson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilanthi","family":"Balasuriya","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":"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":"Doug","family":"Thoroughman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"S193578932400137X_r13","unstructured":"13. Wilson, BW , Hatting, T. The Future of Rural Behavioral Health. National Rural Health Association Policy Brief; 2015."},{"key":"S193578932400137X_r12","unstructured":"12. Rural Health Information Hub. Rural Mental Health. 2021. Accesssed January 22, 2023. ruralhealthinfo.org\/topics\/mental-health."},{"key":"S193578932400137X_r14","unstructured":"14. Medicare Payment Advisory Commission. Medicaid and CHIP Payment and Access Commission. Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid; 2018."},{"key":"S193578932400137X_r21","unstructured":"21. DATA USA. Kentucky River Area Development District Puma, Deloitte, KY , 2022. 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Community Assessment for Public Health Emergency Response (CASPER) toolkit: 3rd Edition. 2019. Accessed September 9, 2022. CASPER: Community Assessment for Public Health Emergency Response Toolkit, 3RD edition (cdc.gov). https:\/\/www.cdc.gov\/nceh\/casper\/docs\/CASPER-toolkit-3_508.pdf."},{"key":"S193578932400137X_r8","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5236-9"},{"key":"S193578932400137X_r25","first-page":"1","article-title":"Mental Health Surveillance Among Children \u2013 United States, 2013-2019","volume":"2","author":"Bitsko","year":"2022","journal-title":"Morb Mort Week Rep."},{"key":"S193578932400137X_r5","unstructured":"5. The White House. President Joseph R. Biden, Jr. Approves Kentucky Disaster Declaration. The White House, July 29, 2022. 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Accessed October 22, 2022. https:\/\/news.yahoo.com\/death-toll-historic-eastern-kentucky-164208487.html?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuYmluZy5jb20v&gucereferrer_sig=AQAAANPoWPrchOyeDwM58vlRUYt7EyEiuva9h_f7S-YCKEr1VVIU-izdSvt3cY_SmvS4Xd_DIu3RYVrIVP3LftCk0P0GvsftqarGpTMEem."},{"key":"S193578932400137X_r10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0038964"},{"key":"S193578932400137X_r17","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000093487.78664.3C"},{"key":"S193578932400137X_r15","first-page":"97","article-title":"Mental health and mental disordrs\u2013a rural challenge: A literature review","volume":"1","author":"Gamm","year":"2010","journal-title":"Rural Healthy People."},{"key":"S193578932400137X_r19","volume-title":"The Surgeon General\u2019s Call to Action to Prevent Suicide","year":"1999"},{"key":"S193578932400137X_r20","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-012-9299-6"},{"key":"S193578932400137X_r6","first-page":"5","article-title":"The human impact of floods: a historical review of events 1980-2009 and systematic literature review","author":"Doocy","year":"2013","journal-title":"PLos Currents"},{"key":"S193578932400137X_r4","unstructured":"4. Beshear, A , Adam, M. Executive Order: State of Emergency. July 28, 2022. Accessed October 3, 2022. https:\/\/governor.ky.gov\/attachments\/20220728_State_of_Emergency_Eastern_Kentucky_Flooding.pdf."},{"key":"S193578932400137X_r11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0119929"},{"key":"S193578932400137X_r1","unstructured":"1. National Weather Service. Historic July 26-July 30th, 2022 Eastern Kentucky Flooding. National Oceanic and Atmospheric Administration, 2022. Accessed November 12, 2022. https:\/\/www.weather.gov\/jkl\/July2022Flooding."},{"key":"S193578932400137X_r22","unstructured":"22. U. S. Census Bureau. Our Changing Population: Kentucky. USA FACTS, July 2022. Accessed February 8, 2023. https:\/\/usafacts.org\/data\/topics\/people-society\/population-and-demographics\/our-changing-population\/state\/kentucky\/."},{"key":"S193578932400137X_r27","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2018.01.041"},{"key":"S193578932400137X_r9","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-4000-2"},{"key":"S193578932400137X_r18","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-5-200703060-00004"},{"key":"S193578932400137X_r2","unstructured":"2. Elamroussi, A , Paget, S , Feldman, J. Months After Disastrous Flooding in Eastern Kentucky, the Death Toll has Risen to 43, Governor says. CNN, October 14, 2022. Accessed January 11, 2023. https:\/\/www.cnn.com\/2022\/10\/14\/weather\/kentucky-flooding-death-roll-rises\/index.html."}],"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\/S193578932400137X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T11:44:01Z","timestamp":1735904641000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S193578932400137X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":27,"alternative-id":["S193578932400137X"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2024.137","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":"e331"}}