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Community Assessment for Public Health Emergency Response (CASPER) One Year Following the Gulf Coast Oil Spill: Alabama and Mississippi, 2011

  • Danielle Buttke (a1), Sara Vagi (a1), Amy Schnall (a1), Tesfaye Bayleyegn (a1), Melissa Morrison (a2), Mardi Allen (a3) and Amy Wolkin (a1)...

On April 20, 2010, the Deepwater Horizon drilling unit exploded off the coast of Louisiana, resulting in 11 deaths and the largest marine petroleum release in history. Previous oil spill disasters have been associated with negative mental health outcomes in affected communities. In response to requests from Mississippi and Alabama, potential mental health issues resulting from this event were identified by implementing a novel use of a Community Assessment for Public Health Emergency Response (CASPER) in the months immediately following the Gulf Coast oil spill.


This assessment was repeated one year later to determine long-term mental health needs and changes.


A two-stage sampling method was used to select households, and a questionnaire including the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System (BRFSS) questions was administered. Weighted cluster analysis was conducted, and BRFSS questions were compared to the most recent BRFSS reports and the 2010 results.


In 2011, 8.8%-15.1% of individuals reported depressive symptoms compared to 15.4%–24.5% of individuals in 2010, with 13.2%-20.3% reporting symptoms consistent with an anxiety disorder compared to 21.4%-31.5% of individuals in 2010. Respondents reporting decreased income following the oil spill were more likely to report mental health symptoms compared to respondents reporting no change in income.


Overall, mental health symptoms were higher in the three assessment areas compared to BRFSS reports, but lower than 2010 surveys. These results suggest that mental health services are still needed, particularly in households experiencing decreased income since the oil spill.

ButtkeD, VagiS, SchnallA, BayleyegnT, MorrisonM, AllenM, WolkinA. Community Assessment for Public Health Emergency Response (CASPER) One Year Following the Gulf Coast Oil Spill: Alabama and Mississippi, 2011. Prehosp Disaster Med. 2012;27(6):1-7.

Corresponding author
Correspondence: Danielle Buttke, DVM, PhD, MPH National Center for Environmental Health Division of Environmental Hazards and Health Effects Centers for Disease Control and Prevention 4770 Buford Highway NE MS/ F57 Chamblee, GA 30341 USA E-mail
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1.Labson VF, Clark RN, Swazye GA, et al. Estimated Minimum Discharge Rates of the Deepwater Horizon Spill—Interim Report to the Flow Rate Technical Group from the Mass Balance Team. Geological Survey Open-File Report 2010-1132:4.
2.Antonio FJ, Mendes RS, Thomaz SM. Identifying and modeling patterns of tetrapod vertebrate mortality rates in the Gulf of Mexico oil spill. Aquat Toxicol. 2011;105(1-2):177-179.
3.Goldstein BD, Osofsky HJ, Lichtveld MY. The Gulf Oil spill. N Engl J Med. 2011;364(14):1334-1348.
4.Arata CM, Picou JS, Johnson GD, McNally TS. Coping with technological disaster: an application of the conservation of resources model to the Exxon Valdez oil spill. J Traumatic Stress. 2000;13(1):23-39.
5.Institute of Medicine (US) Committee to Review the Federal Response to the Health Effects Associated with the Gulf of Mexico Oil Spill; Goldman L, Mitchell A, Patlak M, editors. Review of the Proposal for the Gulf Long-Term Follow-Up Study: Highlights from the September 2010 Workshop. Washington, DC: National Academies Press (US); 2010.
6.Buttke D, Vagi S, Bayleyegn T, Sircar K, Strine T, Morrison M, Allen M, Wolkin A. Mental health needs assessment after the Gulf Coast Oil Spill—Alabama and Mississippi, 2010. Prehosp Disaster Med. [In Press].
7. Department of Health and Human Services (DHHS), Centers for Disease Control and Prevention (CDC). Community Assessment for Public Health Emergency Response (CASPER) Toolkit. Atlanta: CDC; 2009. Accessed January 3, 2012.
8.Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284-1292.
9.Kroenke K, Spitzer RL, Williams JB, et al. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317-325.
10. Gulf Coast Business Council Research Foundation. Mississippi Gulf Coast Regional Brief: Second Quarter 2010. Published August 2010. Accessed November 2, 2010.
11.Bisgaier J, Rhodes KV. Cumulative adverse financial circumstances: associations with patient health status and behaviors. Health Soc Work. 2011;36(2):129-137.
12.Scutella R, Wooden M. The effects of household joblessness on mental health. Soc Sci Med. 2008;67(1):88-100.
13.Davalos ME, French MT. This recession is wearing me out! Health-related quality of life and economic downturns. J Ment Health Policy Econ. 2011;14(2):61-72.
14.Chen J, Vargas-Bustamante A. Estimating the effects of immigration status on mental health care utilizations in the United States. J Immigr Minor Health. 2011;13(4):671-680.
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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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