Context and Ethnic Diversity: Children’s Responses to 9/11

Details

• Personal Author:
  Amsel L ; Geronazzo-Alman L ; Hoven CW ; Mazzula S ; Musa GJ
• Description:
  Understanding the effects of mass trauma, such as 9/11, on the development and mental health outcomes of exposed youth is a Public Health priority of the first order. Previous studies, including a study by our own research group, known as the New York City Board of Education Study (NYC-BOE, Pl: Hoven), have documented increased rates of mental health (MH) disorders in school children six months after 9/11. While some exposed children respond with resilience and go on to normal adult development, others are plagued by ongoing MH issues. Yet, relatively little is known about how selected environmental contexts, in which children live during and after a trauma, impacts the effect that the trauma has on their long- and short-term MH outcomes. If post-disaster interventions are to significantly improve, we need to know more about which contexts should receive immediate interventions post-disaster Fortunately, two very recent advances in psychiatric research serve to aid in addressing this issue. 1- The development of a more contextualized view of the role that race/ethnicity play in MH, as exemplified by the DSM-S's "Cultural Formulation Interview" (CFI). The CFI captures the rich interactive contexts which place race/ethnicity in a broader framework of the experienced cultural and physical environment. Applying this framework focuses our attention, not only on trauma and its outcome, but on the intervening environmental experience that determines how the trauma ultimately affects development. 2- There is the beginning of a movement away from simple diagnostic categorization towards a dimensional view of MH, dysfunction, and wellness, as exemplified by the Research Domain Criteria project (RDoC) launched by NIMH, in 2010. RDoCs encourages evaluating a more comprehensive set of emotional and behavioral difficulties than those captured by diagnostic symptoms alone. This Trauma, Context and Outcome (TCO) Study used data from the NYC-BOE Study (which includes extensive information on family characteristics) in conjunction with databases on neighborhood and school characteristics, to examine how race/ethnicity interacts with the child's environment (family and neighborhood) to affect the impact of trauma on dimensional MH outcomes among youth exposed to 9/11. Our ultimate goal is to understand how these environmental factors influence a post-traumatic pathway to either resilience or MH difficulties. This research will facilitate a new and more complete understanding of post-9/11 MH among NYC's children. [Description provided by NIOSH]
• Subjects:
  Environment Environmental Monitoring Mental Health Minority Health Nervous System Occupational Health Race Factors Safety
• Keywords:
  Children Clinical Symptoms Disaster Recovery Environmental Factors Environmental Monitoring Mental Health Minority Health Post-traumatic Stress Disorder Psychological Disorders Psychological Responses PTSD Racial Factors

  More +
• Series:
  Grant Final Reports
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Final Cooperative Agreement Report
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OEP - Office of Extramural Programs
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-33
• NIOSHTIC Number:
  nn:20053014
• NTIS Accession Number:
  PB2019-100185
• Citation:
  Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, U01-OH-010721, 2017 Sep; :1-33
• Contact Point Address:
  Christina W. Hoven, Research Foundation for Mental Hygiene, Inc., 1051 Riverside Drive, ; New York, NY 10032
• Email:
  hoven@nyspi.columbia.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  New York State Psychiatric Institute, New York
• Peer Reviewed:
  False
• Start Date:
  20150701
• Source Full Name:
  National Institute for Occupational Safety and Health
• End Date:
  20170630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1695e13e6d672304c0c947f470c881e5e7caa0a216096fe0eea3532b910baf49b34b43fd121c1b7811c1f45b7ce66c2e892292d470a378558e074782b05d917b
• Download URL:
  https://stacks.cdc.gov/view/cdc/218739/cdc_218739_DS1.pdf
• File Type:
  [PDF - 1.53 MB ]