An urban search and rescue team member walks by a home that was destroyed by a mudslide on January 11, 2018 in Montecito, California. 17 people have died and hundreds hundreds of homes have been destroyed or damaged after massive mudslides crashed through Montecito, California. (Justin Sullivan/Getty Images)
In many countries, especially those prone to natural disasters, trained mental health professionals are few and far between, making it nearly impossible to get diagnosed, much less receive treatment. In Mexico, which experienced two severe earthquakes in 2017, there are only 7.8 mental health professionals per 100,000 people.
In the United States, that ratio is drastically higher at 170 per 100,000. However, in most states the number of professionals is still far below that needed to adequately serve the population. In some U.S. territories, many of which are prone to natural disasters, Americans have virtually no access to mental health resources.
The consequences of mental trauma
Recognizing, diagnosing and treating mental trauma is crucial for the recovery of a community struck by disaster. Although mental trauma is largely hidden, it has tangible effects on individuals, households and communities.
The obvious effect is on the individuals who experience the trauma. Mental disorders, especially when they go untreated, can be disruptive to everyday life. As an example, PTSD often puts a strain on personal relationships, leading to isolation, and ultimately, it may become difficult for the sufferer to function fully in a job. Stress-induced mental disorders also can be the cause of physical illness, such as cardiovascular disease, obesity and high blood pressure.
Mental trauma also affects the whole family. In many of the countries most prone to disasters, there is little to no social safety net. If a family member experiences mental trauma that disrupts their ability to work, it jeopardizes access to food, water, education, housing and other goods critical for human well-being.
Ultimately, collective trauma can slow economic development as well, as members of the workforce lose productivity.
A better response
Given both the incidence and the long-lasting effects of mental trauma caused by disaster, it should be clear that addressing mental trauma in a disaster response is important. The Federal Emergency Management Agency provides some very limited resources for mental health response in U.S. domestic disasters, but in the U.S. response to disasters abroad, mental health is almost entirely absent. It is also absent from just about any other country responding to disaster domestically and abroad. That has to change if we want to limit the damage caused by disasters – damage that sometimes affects an entire generation.
However, to address the mental health consequences of disaster requires a long-term commitment to disaster response. Whereas searching for people in the rubble of fallen buildings concludes after a few days, treating mental trauma can take months or years. The commitment to mental health has to last far longer than the news cycle.