title: Responding to the needs of children and families after a disaster: linkages between unmet needs and caregiver functioning.
abstract: Disasters may negatively influence caregivers' ability to respond to the needs of their families. In this context, service organizations' response to families' needs may affect caregivers' symptoms and parenting. Interviews were conducted with caregivers affected by Hurricane Katrina approximately 1 year (T(1); N = 68) and 2 years posthurricane (T(2); N = 52). Caregivers reported high levels of service needs and unmet needs for themselves and their child(ren) and family at both time points. Regression analyses indicated that after accounting for hurricane exposure: (a) child unmet service needs significantly contributed to T(1) caregiver distress, (b) caregiver service needs and child unmet needs were associated with higher levels of posttraumatic stress symptoms, and (c) caregiver unmet needs related to greater strain at T(1). At T(2), after accounting for T(1) scores, service need variables did not contribute to distress or posttraumatic stress symptoms. Caregiver strain at T(1) and T(1) child service needs were associated with greater T(2) strain. These findings highlight the importance of extending the availability of services beyond the initial postdisaster recovery period to better meet the needs of caregivers and families.
authors.affiliation: University of North Carolina at Charlotte, NC, USA. rpkilmer@uncc.edu
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Kilmer
authors.forename: Virginia
authors.initials: V
authors.lastname: Gil-Rivas
mesh_terms: D000328:Adult; D017028:Caregivers / Q000458:organization & administration*; D002648:Child; D002662:Child Health Services; D055867:Cyclonic Storms; D004190:Disasters; D005190:Family; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008145:Louisiana; D008297:Male; D008922:Mississippi; D016487:Parenting; D012044:Regression Analysis; D012947:Social Work
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