Trauma, Natural Disaster, and the Transition to Adulthood Hurricane Katrina 2005 Timeline - Hurricane Katrina came into the Gulf on August 25, and increased to a Category 5 (winds peaking at 175 mph) by August 28. - Mandatory evacuation of New Orleans ordered on August 28. - Estimates are that ~1M (of ~1.2M) residents evacuated. - Landfall in Louisiana: August 29. Category 3 with winds of ~125 mph. - Extensive wind damage. - 53 levee breaches produced extensive flooding: - 80% of the city of New Orleans was flooded as of September 2, with water levels reaching 20 feet. - It took weeks to pump the city out. - Both a “natural” and “man made” disaster. Hurricane Katrina Overall effects: - Total costs estimated to be $81.2 billion. - $30 billion in Federal aid. - 1836 deaths, majority in Louisiana. - 90,000 square miles declared a disaster area (Equal to the entire land mass of the UK) - Displaced 650,000 people - Destroyed 217,000 homes - 60% of housing stock in New Orleans city was destroyed - 30% of housing stock in New Orleans MSA was destroyed New Orleans City lost 29.1% of its population between 2000 and 2010. (Detroit lost 22.2%) The Opening Doors Sample N=1019, at baseline 92% female 85% black 19% married Average age 26 98% ever worked 71% receiving government benefits. 52% currently employed 43% first in family to attend college 69% had access to a working car Average age of children 3 years A disproportionate number come from the 9th Ward. Baseline Survey 11/03-2/05 N=1019 12 Month Survey Sample A 12/04-8/05 N=492 Post Katrina Survey Sample A 5/06-2/07 N=402 Response Rate 82% Qualitative Interviews N=57 Hurricane Katrina 8/25/05 Second Follow Up Spring 09-10 Samples A and B 1019 eligible N=720 Response Rate 70.6% Genetic Study N=270 Post Katrina 12 Month Sample B 3/06-2/07 N=309 Response Rate 58% Qualitative Interviews N=63 Qualitative Interviews N=120 First Wave Conducted after the 2006-2007 survey and linked to survey responses (57 interviews) Second Wave Conducted after the 2009-2010 survey and linked to survey and previous qualitative responses. (63 interviews) Equal number of people who were back in New Orleans, and who had relocated to Texas. Covered Hurricane Experiences, life history, politics, intergroup relations, experiences of young adulthood, and questions about how their children are doing. Transcribed and coded using Atlas Ti. Interviews were linked to the longitudinal survey data to contextualize the interviews and to give a rich understanding of the trajectories of individuals. Advantages of Our Sample Most studies of disasters do not have data on people before the disaster. We had two waves of data on Sample A and one wave on Sample B before the hurricane. Our data included - physical and mental health - economic resources - social support - social trust - future aspirations and expectations - measures such as optimism, self esteem, confidence Disasters have unequal impacts, generally exacerbating inequality and differentially affecting women, the poor, and racial minorities The scope of Katrina makes it a very unusual and important disaster Disasters are seldom studied longitudinally. We really do not know a lot about long term recovery. Distribution of individual applications for assistance from FEMA in 2007 at the Metro area level. Longitudinal Data on Resources and Outcomes The Overall Picture Psychological Resilience—defined as a return to pre-disaster levels of psychological functioning is the normal reaction to a disaster, even though it is remarkable. Post traumatic growth is also widespread. Defined as subjective psychological gains directly related to the trauma they endured. There is a lot of research on psychological resilience, very little on how social and economic resistance is related to it. We know that community ties and social networks as well as socioeconomic resources are required for social well being. How does this affect recovery? Recovery in New Orleans overall has been market driven, with federal money distributed on an individual basis. New Orleans is recovering—but it is a changed city. Post Katrina it is smaller, older, more educated, less poor, fewer renters, fewer households with kids. New Orleans has its lowest poverty rate since 1979. People who did not return are more likely to be poor, African American households with children. Dilemma that they face: better individual opportunities outside New Orleans vs. the sense of community they had. A false dilemma? Katrina Traumas In the week after Hurricane Katrina hit was there a time when you: Katrina Traumas Percent Did not have enough fresh water to drink 26 Did not have enough food to eat 35 Felt your life was in danger 32 Didn’t have medicine you needed 32 Needed medical care and couldn’t get it 30 With a family member who needed medical care and could not get it. 33 Didn’t know if child/children were safe 23 Didn’t know if other family members were safe 77 Were any of your relatives or close friends killed because of Hurricane Katrina or Rita? 31 Mean # Katrina Traumas 3.14 Trauma Exposure • 80.8% experienced home damage • 32.1% experienced the death of a friend or relative (Paxson, et al. 2012.) • Rise in domestic violence and stressed relationships with partners, even among people who had not experienced this before (Lowe, Rhodes, & Scoglio, in press). Post traumatic growth 5 subscales Relating to Others - “I have a greater sense of closeness to others” New Possibilities - “I developed new interests” Personal Strength - “ I have a greater feeling of self reliance” Spiritual Change - “I have a stronger religious faith” Appreciation of life - “I have a greater appreciation for the value of my own life” Post-traumatic growth • PTG was found to be strongly positively associated with symptoms of PTSD • Only those participants with high levels of PTSD at both time points maintained high levels of PTG over time (Lowe, Manove, & Rhodes, 2012). Religion and PTG • Pre-disaster religious involvement and faith were predictive of better post-disaster social resources which, in turn, were associated with lower levels of psychological distress (Chan, Perez, & Rhodes, 2010). • Religious coping affected post-hurricane outcomes (Chan, Perez, & Rhodes, 2012). Child Functioning • Concerns about child welfare affected maternal mental health (Lowe, Chan, & Rhodes 2011). • There were strong associations between child externalizing and internalizing symptoms and maternal psychological functioning (Lowe, Godoy, Carter, & Rhodes, 2012). Post traumatic growth 5 subscales Relating to Others - “I have a greater sense of closeness to others” New Possibilities - “I developed new interests” Personal Strength - “ I have a greater feeling of self reliance” Spiritual Change - “I have a stronger religious faith” Appreciation of life - “I have a greater appreciation for the value of my own life” Post-traumatic growth PTG was found to be strongly positively associated with symptoms of PTSD - Only those participants with high levels of PTSD at both time points maintained high levels of PTG over time (Lowe, Manove, & Rhodes, 2012). Other Findings Most people report personal and spiritual growth from the experience. Those who blamed God or who thought that God was punishing them were the most psychologically distressed four years later. For people with low social support at baseline, pet loss was the most significant predictor of psychological distress, and for many it was long lasting. People who had high Psychological Distress at baseline significantly overestimated flood depths, relative to geocoded data. Optimism was one of the best predictors of who did not evacuate. Studies to Date College Re-enrollment Religion Pet Loss Pre-disaster social support Barriers to Community College Completion Child-related stressors Geographic Mobility Natural mentors Relocation Decision Making Intimate relationships Neighborhood Attainment Interviewer race Employment Trajectories Decisions to evacuate Changes in BMI Resilience Trajectories Post Traumatic Growth Children’s Functioning Conservation of Resources Theory Combining Quantitative and Qualitative Methods Transition to Adulthood Current studies • Exposure meta-analysis • PTG as a personality construct • Disaster and Health (BMI) • Legal issues, housing, etc. • Community College students How effective is youth mentoring? When are programs most beneficial? How does mentoring promote positive youth development? What are the implications for policy, practice, and research? 30 # of Samples 25 20 Negative Effect Small Effect Small to Medium Effect Medium to Large Effect Large Effect 15 10 5 0 Effect on Youth Size of Effect on Youth Outcomes Effect sizes 0.5 Medium Effect 0.4 0.3 0.2 EmpiricallyBased Practices Small Effect 0.1 Theory-Based Practices 0 -0.1 0 1 2 3 4 5 6 7 Number of Practices 8 9 10 11 Study level variables (moderators) associated with different effects Youth, Mentor, Program Characteristics Effect Size Problem Behavior Involvement Yes: .29 No: .20 Youth Gender >50% Male: .25 <50% Male: .18 Individual/Environmental Risk Low/High: .33 High/Low: .31 Mentors trained Below avg: .19 Above avg: .24 Mentor role function: Advocacy Yes: .26 No: .20 Matching based on shared interests Yes: .44!!! No: .21 How effective is youth mentoring? When are programs most beneficial? How does mentoring promote positive youth development? What are the implications for policy, practice, and research? Stronger effects when… Youth with With moderate personal/environmental risk Who are male satisfactory, but not strong baseline relationships. Effects of Mentoring on Youth with Different Relational Profiles BASELINE Relationship s Poor Relationships Satisfactory but not Strong Strong Relationships Overall Academics .00 .21*** .05 Prosocial .04 .19* .04 Effort .05 .18* .00 Self-Esteem -.04 .07 -.01 (Schwartz, Rhodes, & Chan (2010). Developmental Psychology Stronger effects when… Mentors who Fit of background/ training with program goals Play an active, advocacy role Are sensitive to socioeconomic & cultural influences Have higher self-efficacy Hold positive attitudes toward youth Measuring mentors’ attitudes Grossman et al., 2007 • The scale asked mentors to rate how many “kids in your community” could be characterized by indicators of youth development: • work hard at school • respect adults • are trouble-makers • are fun to be around • expect things to be handed to them • try to do their best • are interested in learning Mentor attitudes and youth outcomes Karcher, Rhodes, Herrera, & Davidson (2010). Applied Developmental Science • Mentees who were paired with high school mentors with positive attitudes about youth were more emotionally engaged with mentor than those paired with more negative mentors • Those who were paired with mentors with negative attitudes about youth were less emotionally engaged Stronger effects when… Relationships characterized by consistency closeness structure appropriate meeting times duration The role of duration 19% 45% < 6 mos. 6-11 mos. 36% Grossman & Rhodes (2002). American Journal of Community Psychology 1 0 -1 -2 -3 -4 -5 Attendance < 6 months Abstinence 6-12 months Re-matching? Test of Time 2: Results Only youth in matches lasting 24 wks or more benefited academically All mentored youth were less likely to skip school, regardless of match length After controlling for selection bias: Positive academic impacts observed only for youth with intact matches No academic impact for youth with early terminations Negative academic impacts for rematched youth Grossman, Chan, Schwartz, & Rhodes (2013). American Journal of Community Psychology. What about gender? • Across two data sets, only a few differences• In Ed Study—boys in same gender matches showed lower rates of truancy • In BBBSA study-youth in cross-gender matches met more frequently and for a longer duration Stronger effects when… Programs characterized by careful recruitment training monitoring multi-modal matching on interest When we choose a goal and invest ourselves in it to the limits of concentration, whatever we do will be enjoyable. And once we have tasted this joy, we will redouble our efforts to taste it again. This is the way the self grows.” ― Mihaly Csikszentmihalyi, Flow: The Psychology of Optimal Experience How effective is youth mentoring? When are programs most beneficial? How does mentoring promote positive youth development? What are the implications for policy, practice, and research? Youth Positive outcomes To developmental processes… Youth Positive outcomes Mentor, parent, teacher, peer relationships Pathways of mentor influence mediator Parental/pee r relationship Social-emotional s development Mutuality Trust Empathy Mentor Relationship Identity development Cognitive development Interpersonal history, social competencies, relationship duration, developmental stage, family and community moderators moderators context Positive Outcomes e.g., reduced health risk, better psych. outcomes Pathways of mentor influence Scholastic Competence .26 .25 .08 Grades .29 Mentoring Quality of Parental relationship .22 .25 .26 .19 Self-worth Skipping School .09 .11 -.28 School value Child Development, (2002), 1662-1671 .18 Pathways of mentor influence -.46 Mentoring .23 Quality of Parental relationship .18 Self-worth -.08 -.04 .10 .14 Quality of Peer relationships Rhodes, Reddy, & Grossman (2005) Applied Development Science Substance Use Pathways of mentor influence Academic Attitudes .25 .78 Grades .27 Quality .27 of Mentoring Quality of Teacher relationship .13 .53 .32 -.28 Self-worth .09 Quality of Parent Relationship Chan,Rhodes, Schwartz, & Lowe (2013). Journal of School Psychology .18 School Behavior