Thinking holistically about the impact of disasters means we need to be willing to drill down from the macro to the individual level.
At the macro level, infrastructure may be compromised or destroyed and that creates one set of problems. If a bridge is lost, an entire community may be isolated.
On an intermediate level, discreet neighborhoods left isolated by the loss of the bridge may be impacted in terms of overall survival and recovery. No one wants to return to a place where they cannot access health care, get groceries, or buy gasoline.
If we go down to the individual level, then we face a new set of challenges. Even if the bridge is rebuilt, the grocery store opens back up, and the gas station is pumping gas, we are still left with considerations about the impacts on individuals and their families.
If you will here permit me to speak from experience, I can tell you that, after experiencing Hugo in 1989 for many years afterward, I had a very sinking feeling when June 1st rolled around and we faced a new hurricane season. Every day I felt a sense of dread as I checked the National Hurricane Center’s website to see tropical activity (something I do even now). I saw similar effects on many friends. Instead of being thrilled with summertime and vacations, we all took on a somber look. Some finally decided to move away from Charleston.
Experts tell us that many people suffer various psychological effects from disasters. Many exhibit mild to severe signs of Post Traumatic Stress Disorder (PTSD). Depression is another observed effect.
Most of us are familiar with the effects of depression—if we watch TV at all, then we likely see one or two ads for drugs used to treat it. Though we commonly associate PTSD with soldiers who suffer the horrors of combat, the US Department of Veteran’s Affairs excellent website on PTSD (http://www.ptsd.va.gov/index.asp) includes disaster victims among those who suffer from it. It lists no less that twenty-four common effects ranging from emotional to severe physical reactions, including violent behavior.
Post-disaster, stress levels for those with jobs and families to support certainly will increase dramatically. They need to work, perhaps repair their homes or adapt to temporary housing, tend to their children (who are another psychological issue in and of themselves) and try to be an anchor. Children will not only be affected by this, but also suffer their own problems. Older people may feel helpless and endure increased isolation.
To an extent, we can predict those more likely to suffer from PTSD. They would be those that had emotional or psychological problems before the disaster or loss a loved one—even a family pet.
It is not hard to imagine the effects PTSD and depression can have. Jobs may be lost. Drug and alcohol abuse likely will increase. In short, the post-disaster effects of depression and PTSD will ripple upward from the individual to the community.
There is no question this affects community resilience. Experts are beginning to look at strategies to reduce the psychological consequences of disasters. Some are as simple as encouraging people to talk to others about the disaster. Some suggest we provide more immediate post-disaster counseling. We need better data. But we also know a lot.
Planning to recover means not just ensuring that the infrastructure is restored and economic recovery is set in motion. It means we also must think about keeping individuals whole as well.




