{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T01:05:30Z","timestamp":1772759130220,"version":"3.50.1"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T00:00:00Z","timestamp":1524096000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X18000250_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>The Flint Community Resilience Group (Flint, Michigan USA) and the Centers for Disease Control and Prevention (CDC; Atlanta, Georgia USA) assessed behavioral health concerns among community members to determine the impact of lead contamination of the Flint, Michigan water supply.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X18000250_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A Community Assessment for Public Health Emergency Response (CASPER) was conducted from May 17 through May 19, 2016 using a multi-stage cluster sampling design to select households and individuals to interview.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X18000250_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>One-half of households felt overlooked by decision makers. The majority of households self-reported that at least one member experienced more behavioral health concerns than usual. The prevalence of negative quality of life indicators and financial concerns in Flint was higher than previously reported in the Michigan 2012 and 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X18000250_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The following can be considered to guide recovery efforts in Flint: identifying additional resources for behavioral health interventions and conducting follow-up behavioral health assessments to evaluate changes in behavioral health concerns over time; considering the impact of household economic factors when implementing behavioral health interventions; and ensuring community involvement and engagement in recovery efforts to ease community stress and anxiety.<\/jats:p><jats:p><jats:mixed-citation id=\"S1049023X18000250_ref1\" publication-type=\"other\"><jats:name name-style=\"western\"><jats:surname>Fortenberry<\/jats:surname><jats:given-names>GZ<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Reynolds<\/jats:surname><jats:given-names>P<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Burrer<\/jats:surname><jats:given-names>SL<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Johnson-Lawrence<\/jats:surname><jats:given-names>V<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Wang<\/jats:surname><jats:given-names>A<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Schnall<\/jats:surname><jats:given-names>A<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Pullins<\/jats:surname><jats:given-names>P<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Kieszak<\/jats:surname><jats:given-names>S<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Bayleyegn<\/jats:surname><jats:given-names>T<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Wolkin<\/jats:surname><jats:given-names>A<\/jats:given-names><\/jats:name>. <jats:article-title>Assessment of behavioral health concerns in the community affected by the Flint water crisis \u2014 Michigan (USA) 2016<\/jats:article-title>. <jats:source>Prehosp Disaster Med<\/jats:source>. <jats:year>2018<\/jats:year>;<jats:volume>33<\/jats:volume>(<jats:issue>3<\/jats:issue>):<jats:fpage>256<\/jats:fpage>\u2013<jats:lpage>265<\/jats:lpage>.<\/jats:mixed-citation><\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x18000250","type":"journal-article","created":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T08:15:24Z","timestamp":1524125724000},"page":"256-265","source":"Crossref","is-referenced-by-count":31,"title":["Assessment of Behavioral Health Concerns in the Community Affected by the Flint Water Crisis \u2014 Michigan (USA) 2016"],"prefix":"10.1017","volume":"33","author":[{"given":"Gamola Z.","family":"Fortenberry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Reynolds","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherry L.","family":"Burrer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Johnson-Lawrence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Schnall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Price","family":"Pullins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Kieszak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tesfaye","family":"Bayleyegn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Wolkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,4,19]]},"reference":[{"key":"S1049023X18000250_ref16","unstructured":"Centers for Disease Control and Prevention. 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