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  • Oil spill's psychological toll quietly mounts

    Oil spill's psychological toll quietly mounts

    Posted:<SCRIPT type=text/javascript orgFontSize="10px"> wnRenderDate('Sunday, June 27, 2010 4:01 PM EST', '', true);</SCRIPT> Jun 27, 2010 3:01 PM CDT <NOSCRIPT orgFontSize="10px"></NOSCRIPT><!--END wnDate-->Updated:<SCRIPT type=text/javascript orgFontSize="10px"> wnRenderDate('Sunday, June 27, 2010 4:02 PM EST', '', true);</SCRIPT> Jun 27, 2010 3:02 PM CDT <NOSCRIPT orgFontSize="10px"></NOSCRIPT><!--END wnDate--><!--END WNStoryHeader-->

    <SCRIPT type=text/javascript>if (PLATFORM.EventMan) PLATFORM.EventMan.triggerEvent('WNStoryRelatedBoxd one');</SCRIPT><!--END WNStoryRelatedBox-->By JANET McCONNAUGHEY and MITCH STACY
    Associated Press Writers
    NEW ORLEANS (AP) - TheGulf of Mexico oil disaster feels far worse to shrimper Ricky Robin than Katrina, even though he's still haunted by memories of riding out the hurricane on his trawler and of his father's suicide in the storm's aftermath.

    The relentless spill is bringing back feelings that are far too familiar to Robin and others still dealing with the physical and emotional toll wrought by Katrina five years ago.

    "I can't sleep at night. I find myself crying sometimes," said Robin, of Violet, a blue-collar community on the southeastern edge of the New Orleans suburbs, along the highway that hugs the levee on the Mississippi River's east bank nearly all the way to the Gulf.

    Psychiatrists who treated people after Katrina and have held group sessions in oil spill-stricken areas say the symptoms showing up are much the same: Anger. Anxiety. Drinking. Depression. Suicidal thoughts.

    "Everybody's acting strange," said Robin, 56. "Real angry, frustrated, stressed out, fighting brothers and sisters and mamas and family."
    Fishing families, the backbone of the coastal economy, are especially hard-pressed as the waters that make up their livelihood are sporadically closed because of fears the oil will taint fish, oysters and shrimp.

    Oil field workers, whose salaries are among the best the region can offer, worry about their industry's long-term future.

    And there is still the rebuilding after Katrina, which in August 2005 devastated a swath from Louisiana to Alabama - almost as big as the area affected by the oil - killing more than 1,600 and forever changing the region's relationship with the water.

    No one is fishing any more out of Zeke's Landing Marina in Orange Beach, Ala., though most charter boat captains are making some money pulling boom and doing other jobs in BP's cleanup program.

    Looking at oil all day can be harder than staying home, said Joe Nash, a boat captain there. "Seeing everything that you've been used to for years kind of slowly going away from you, it's overwhelming," he said. "Because you can't do anything about it."

    That helplessness, coupled with the uncertainty about what's going to happen with the spill and when the next check from BP PLC will arrive, leaves boat captain George Pfeiffer angry all the time.

    "Our families want to know what's going on," said Pfeiffer, 55, who keeps two charter boats at Zeke's Landing. "When we get home, we're stressed out and tired, and they want answers and we don't have any."

    His wife cries, a lot.

    "I haven't slept. I've lost weight," said Yvonne Pfeiffer, 53. "My shoulders are in knots. The stress level has my shoulders up to my ears."

    Social services agencies have not seen a significant increase in people seeking help since the spill began, but that doesn't mean the need isn't there, said Jeffrey Bennett, executive director of the Gulf Coast Mental

    Health Center in Gulfport, Miss., whose state saw oil wash up on the mainland for the first time Sunday.

    "Unfortunately, the people most affected, shrimpers and fishermen, are not people who traditionally seek mental health services," Bennett said. "They're kind of tough characters, and look at being depressed or not being able to handle their own problems as weakness."

    On Sunday evening, many in Alabama's coastal fishing community planned to attend services for a popular charter captain who committed suicide on his docked boat. Authorities had no way to know whether his death had anything to do with the spill, but they hoped it would move others to seek help.

    John Ziegler, a spokesman for the Alabama Department of Mental Health, said no one had walked into counseling centers set up in fishing communities since the disaster. Then on Friday, two days after the captain's death, five people came in saying they needed help because of the spill.

    As news of the captain's death spread east to Pensacola, Fla., Baptist Health Care's Lakeview Center publicized its 24-hour help line, and several calls about the spill came in the following day.

    "People saying they were sad, they were angry, they were grieving, they have lost a lot," marketing director Tish Pennewill said. "Grandmothers talking about how they took the children to the beach for the summer and could no longer do that. People wondering if it was ever going to be the same."

    Even people whose livelihoods aren't affected by the spill find themselves crying on beaches, like Nancy Salinas, who was on Penascola Beach last week when Florida officials closed it because oil was washing up. "It just breaks your heart," she said. "I can't get my feet in the water."

    Mental health professionals say it is too early to have reliable data to understand the full severity of stress issues spawned by the spill.

    However, their work so far indicates the problem is taking root, and the backdrop of Katrina means it is likely to get worse. Tropical systems such as the one that swirled over the Yucatan Peninsula on Sunday won't help matters, even though it was forecast to bypass the spill.

    "This is a second round of major trauma for children and families still recovering from Katrina. It represents uncharted territory," said Dr. Irwin Redlener, a pyschiatrist at Columbia University and member of the National Commission on Children and Disasters who has worked with Katrina survivors.

    Dr. Howard Osofsky, chair of the psychiatry department at LSU Health Sciences Center, said focus groups he's monitored in spill-affected areas confirmed those emotions.

    Ziegler, the Alabama mental health chief, said counselors have gone out to marinas, docks and other places frequented by fishermen and others affected by the spill.

    "They've had folks break down and weep," he said. "They've had people share some of their deepest feelings about their future and how they're feeling now that things seem imminent."

    In Mississippi, Bennett's group is working with Catholic Social Services in Biloxi on a proposal to train people in fishing communities to work as "peer listeners" to try to identify people who might be having problems and encourage them to seek help.

    The social and psychological toll on residents of the Gulf will last long after the oil is cleaned up, say veterans of the Exxon Valdez spill in 1989.

    "Every day you're dealing with this thing," said John Calhoun, former mayor of Homer, whose community was devastated. "If you're not working on it, you're worrying about it. Frankly, they sold a lot of alcohol during this time. I saw some of the toughest guys I know break down in tears because the stress had gotten to them."

    Michael Herz, who served on the commission that investigated Alaska's spill, visited the Gulf and said it was like seeing it all over again, only worse.

    "It took away livelihoods and it split families," he said. "Some members of family took money from Exxon and others were so upset they didn't. The rate of mental health, spousal abuse, alcoholism all skyrocketed."

    Robin, the Louisiana shrimper, fears the spill will have similar effects on himself and his neighbors.

    "This is a slow-moving hurricane," he said. "You're looking at it, and you can't do nothing about it."


  • #2
    Re: Oil spill's psychological toll quietly mounts

    A suicide reminds Gulf coast of mental toll from BP oil spill

    By Robert Samuels
    Miami Herald
    Published: Monday, Jun. 28, 2010 - 9:00 am
    Last Modified: Monday, Jun. 28, 2010 - 9:45 am


    <!-- CLOSE: #story_header -->ORANGE BEACH, Ala. ? The marina at Zeke's Landing is now hallowed waters, a somber place shaken by the death of an experienced boat captain everyone called "Rookie.''

    His namesake, a yellow 50-footer, is still parked at station B-3, with three wreaths and a bouquet of dandelions on its deck. Friends laid them in honor of Allen "Rookie'' Kruse, the 55-year-old charter fisherman who lost his livelihood, then took his life.

    His death last week, the first known suicide related to the spill, gave this 11-mile hideaway the kind of attention it never wanted. It has become Exhibit A for a problem that experts fear is moving faster than the oil slick: a mental toll that will lead to violence, depression and suicide.

    Throughout the tar-stained Gulf, elected leaders are choking up at meetings and residents are losing sleep over whether the next sunrise will bring more tarballs.

    The mayor of Bayou La Batre, Ala., has reported that calls of domestic violence there have tripled. In Chauvin, La., a man sits catatonic in front of CNN, while his friend planted a sign saying "Our Way of Life: It's Oil Gone.''

    "I don't know what we can do,'' said Mark Jones, Sr., an out-of-work shrimper. "Our heritage is being washed away.''

    The events are reminiscent of what happened in communities along the Prince William Sound after the Exxon Valdez oil spill, said J. Steven Picou, an environmental sociologist who researches the lingering psychological effects of disasters.

    During Exxon Valdez, the nearby city of Cordova saw increases in divorces and suicides. Fisherman suffered from bouts of depression or anxiety. The first suicide, Picou said, came four years after that spill.

    In the Gulf, it has taken a little more than two months.

    This is the psychological response to a "technological disaster,'' Picou said. It's different from the response to acts of God ? natural disasters that evoke united calls to rebuild. Those come with the knowledge that every storm will, one day, blow over.

    But technological disasters can divide communities as they wonder who to blame. With an oil spill, Picou say, residents see an accident with no end in sight -- an amorphous blob that endangers the uniqueness of their communities.

    "Something that people thought was practically impossible has happened,'' said Picou, a professor at the University of South Alabama. "There will be severe and long-lasting impacts and this will probably not be the last suicide.''

    Picou lives in the city where Kruse shot himself, one of the many beach towns along the Gulf with a population that typically swells with tourists during the summer.

    The shorelines here are lined with resorts, high-rises and townhomes the color of Easter eggs. From the west, visitors see a Ferris Wheel billed as the largest in the Southeast.

    Nowadays, those resorts are half-empty. All one has to do is peek out of the gondola at the top of the 117-foot Ferris Wheel to see why:

    Sheens of oil in the distance.

    Orange boom floating on emerald waters.

    Plastic bags of toxic waste stacked on the beach like menacing sand castles.

    Last summer, easily 1,000 people a day roamed popular Zeke's Landing, perhaps listening to a musician strumming a guitar of playing saxophone.

    Last weekend, just a handful strolled along the wooden planks. An overhead radio played Bon Jovi's "Livin' On a Prayer.''

    Charter fishermen typically would take out groups of 30 on expeditions.

    Now, the only way to make money is join up with BP's Vessels of Opportunity program where they search for oil. They return with the bottom of their boats coated in crude.

    "But the thing is, no one chooses this lifestyle for the money,'' said dockmaster Thad Stewart. "There's a relationship between people and the water down here that makes all this hard to swallow. They move here to see a pack of dolphins go through in the morning, and pelicans and osprey dive. It's food for our soul, and it's all being threatened.''

    More than 20 years ago, Allen "Rookie'' Kruse decided he'd rather be fishing than continue his day job as a UPS supervisor in a nearby county. Friends describe him as patient, persistent and very precise.

    His boat was always the cleanest, and his crewmates marveled at his organization. Clients loved his easy-going attitude. Every summer, they'd come back to him.

    After hurricanes and a sagging economy, he and the other charter captains were anticipating the best summer in years.

    Then the oil spilled out and the phone stopped ringing.

    His wife Tracy, who sells seafood in nearby Foley, saw her business plummet.

    Rookie thought BP's oil search program would be his buoy. But his hope soon turned to frustration.

    The consummate professional, Rookie felt disheartened by the mandatory training sessions for skills he already had, the lack of organization.

    After hours of searching for oil, he'd return in a daze.

    "The first day he came back, I said, 'Hey Rookie, what'd you think?,' '' said Courtney Williams, his Web designer. "He said his mind was so messed up he couldn't even think.''

    Over the next two weeks, the joking Kruse became more reserved. He lost about 30 pounds. And last Wednesday, while his crew readied themselves for a day's work, he went into the wheelhouse, took out a gun he kept for protection and put a bullet through his head.

    The crew were saddened, but not totally surprised.

    "Everybody said something had changed in him, he had been really quiet and down,'' recalled Stewart, the dockmaster. "And I thought about why I didn't notice it. I started looking around, then it hit me: Everybody's been like that. Everyone's down.''

    BP has sent grief counselors to the area.

    Picou, the sociologist, has begun distributing a handbook called "Coping with Technological Disasters'' to help independent business owners and the community understand what might lie ahead.

    But it's a hard group to penetrate. They are a self-reliant, independent bunch who have made their lot in life through hard work, not talking openly about their feelings.

    "The only way we can help people is through outreach,'' Picou said.

    In private, the captains talk about shorter tempers and more drinking on the docks. If they had a bad day, they would calm themselves by going out and catching some snapper to toss on the grill.

    Now they can't fish. They can only hope that capturing oil from the Gulf while working for BP will restore their old vocations.

    "Rookie'' was honored Sunday in a private service. His identical twin, Frank, said he hoped his brother's death will encourage others along the beach to seek mental health treatment.

    In the coming days, Frank Kruse said he would fulfill his brother's wish.

    "He wanted his ashes to be spread in his favorite spots along the water,'' Frank recalled. "There was this one spot where he trained dolphins. Wild dolphins. He would go over and they'd come out so he could feed them.''
    But Frank isn't sure when he'll be able to head to that special spot. That depends on which way the wind blows and the oil goes.



    Comment


    • #3
      Re: Oil spill's psychological toll quietly mounts

      DHH Secretary Requests $10 Million from BP to Provide Mental Health Services to Residents Affected by the Oil Spill

      BATON ROUGE (June 28, 2010) - In a letter to BP America's Chief Operating Officer Doug Suttles on Monday, Louisiana Department of Health and Hospitals Secretary Alan Levine requested $10 million from BP to provide mental health services to Louisiana residents affected by the oil spill.

      The full text of the letter is below:


      Doug Suttles
      Chief Operating Officer
      BP America Inc.
      501 Westlake Park Blvd., WL1 - 25188
      Houston, TX 77079


      Dear Mr. Suttles:

      We are following up on our May 28th letter, which identified critical near-term issues related to the oil spill, its impact on the people affected, and our request for BP to immediately establish a business and community impact mitigation fund. Included in that request was $10 million to help mitigate the behavioral health impacts of the spill on affected individuals and families. Our teams of counselors imbedded in the im! pacted communities are now warning us of an emerging behavioral health crisis, and we therefore believe it is critical we reassert our request in an effort to be assertive in the provision of services.

      There exists anger, anxiety and uncertainty among the families and communities affected by the spill, which will easily manifest into addiction and various forms of mental health crisis if not confronted. Our Louisiana Spirit crisis counseling teams have already engaged and counseled almost 2,000 individuals in the affected areas, and are reporting palpable increases in anxiety, depression, stress, grief, excessive drinking, earlier drinking and suicide ideation. Community based organizations report similar findings. These are early warning signs of developing substance abuse and dependence, mental illness, suicide and familial breakdown including divorce, spouse abuse, and child abuse and neglect.

      The effects of parental stress, anger, anxiety, s! ubstance abuse and mental illness are especially insidious on children . After Hurricane Katrina, an Urban Institute paper concluded the ability of parents to help their children feel calm and secure is compromised by their own uncertainty and loss. They found "...if parents remain in limbo themselves, and particularly if sadness, stress, or depression continue to color their interactions with their children, the risks of derailing children's development deepen." Numerous national studies confirm that children of parents with substance abuse disorders are more likely to experience physical, sexual, or emotional abuse or neglect than children in other households.

      The requested $10 million will support six months of continued outreach activities of our department's Louisiana Spirit outreach teams, and provide a needed spectrum of therapeutic and psychiatric services through the locally governed human service districts and authorities and community based organizations. On behalf of the Greater New Orleans VOAD, Catholic Charities h! as submitted a separate request of $23,267,500 for six months - $3.2 million of which is identified for mental health services, with an additional request for Terrebonne and Lafourche parishes to follow in July. We are in full support of this request, which will provide critical mental health screening, education, crisis management and counseling services through organizations with strong community ties. These services complete the continuum needed to meet this crisis: Louisiana Sprit teams provide outreach and referrals to VOAD counseling and case management, and VOAD refers individuals and families with more severe mental health and addictive disorder needs to the locally governed and human service authorities.

      The speed with which we can initiate these services will greatly affect the longer-term behavioral health needs and will reduce the long-term costs of what is certain to be an ongoing challenge. We know from Louisiana's experience after Hurricane Kat! rina how mental illness and substance abuse will progress in these com munities if left untreated, and that early and consistent behavioral health supports and treatment can help mitigate the longer-term social damage. We will work in partnership with GNO VOAD and other local community-based organizations to identify any future needs beyond this critical six-month period, and will certainly plan to communicate those to you as the case warrants.

      Due to the urgency of this request, we ask for a response no later than one week from your receipt of this letter.


      Sincerely,
      Alan Levine
      Secretary

      Comment


      • #4
        Re: Oil spill's psychological toll quietly mounts

        DHH Secretary Levine Sends Letter to U.S. Health Secretary Underscoring Need for BP Funds for Mental Health Care, After BP Denied First Request

        Friday, July 09, 2010

        BATON ROUGE, La. - Louisiana Department of Health and Hospitals Secretary Alan Levine wrote to U.S. Health and Human Services Secretary Kathleen Sebelius underscoring the need for BP funds for mental health care, after BP denied the state's first request for funds.

        The full text of the letter is below:

        Dear Secretary Sebelius,

        Louisiana is facing an unprecedented behavioral health crisis as our families struggle with the devastating effects of the BP disaster on our coast. As you know, these same families have already endured multiple natural disasters and have been forced to rebuild their lives, in some cases from nothing, to reclaim their livelihoods and their very identity. Now, they face the continued uncertainty as this catastrophic technological disaster continues to wreak havoc in our communities.

        We understand you are visiting our state tomorrow, and we encourage you to make these emerging mental health concerns a top priority of your visit. We need you, as the nation's top health official, to engage directly in this emerging crisis and keep our families' plight in focus long after the leak is stopped. Their struggles will not end when the well is capped.

        Studies conducted after the Exxon Valdez spill definitively showed the long-lasting psychological impact of this kind of technological disaster, particularly on those who rely on the ecosystem for their livelihoods as do so many coastal Louisiana families. In its paper, "Coping With Technological Disasters: A User Friendly Guidebook," the Prince William Sound Regional Citizens Advisory Council writes, "Results of Exxon Valdez oil spill studies indicate that mental health impacts still persist 10 years post-spill. These impacts include disruption of family structure and unity, family violence, depression, alcoholism, drug abuse and psychological impairment." This was reaffirmed at the recent meeting of the Institute of Medicine in New Orleans, at which mental health concerns emerged as the priority health issue of this disaster.

        Our Louisiana Spirit crisis counseling teams have already engaged and counseled more than 2,000 individuals and are reporting increases in anxiety, depression, stress, grief, excessive and earlier drinking and suicide ideation. Community-based organizations report similar findings. We know that, left untreated, these symptoms can quickly develop into behavioral health problems that lead to the breakdown of the familial structures, domestic violence, abuse and neglect.

        We also know that Louisianians are suffering uniquely from the compounding effects of the disasters they have faced. Those disasters have taught us much about how insidious the effect of parental stress, anger, anxiety, substance abuse and mental illness are on children. Following Hurricane Katrina, an Urban Institute Paper found that "if parents remain in limbo themselves, and particularly if sadness, stress, or depression continues to color their interactions with their children, the risks of derailing children's development deepen."

        Time is simply not a luxury our families have. Still, we wait. More than a month ago, on May 28, we asked British Petroleum to fund mental health services to the affected region. Again, on June 28, we reiterated this request for $10 million in a letter to BP's COO, Doug Suttles. As of writing this, I have not heard one word, not even a courtesy call acknowledging receipt of our request, from BP.

        The requested $10 million would support six months of continued outreach activities of the Louisiana Spirit program and provide therapeutic and psychiatric services through our locally-governed human services districts and community-based organizations. We also have expressed our full support of similar requests by community groups who are providing mental health screenings, education, crisis management and counseling services in the affected communities. The speed with which we can fully implement these services will greatly affect the longer-term behavioral health needs and reduce the long-term costs of what is certain to be an ongoing challenge.

        Please speak out on this issue. We need your advocacy.

        Sincerely,

        Alan Levine

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        Comment


        • #5
          Re: Oil spill's psychological toll quietly mounts

          Gallup: Depression up 25 Percent on Gulf After Oil

          Gallup poll: 25 percent increase in depression cases along Gulf Coast since massive BP spill

          The Associated Press
          By JAY REEVES Associated Press Writer

          ORANGE BEACH, Ala. September 28, 2010 (AP)

          ORANGE BEACH ? Before the BP oil spill, the Gulf Coast was a place of abundant shrimping, tourist-filled beaches and a happy if humble lifestyle. Now, it's home to depression, worry and sadness for many.

          A Gallup survey released Tuesday of almost 2,600 coastal residents showed that depression cases are up more than 25 percent since an explosion killed 11 people and unleashed a three-month gusher of crude into the Gulf in April that ruined many livelihoods. The conclusions were consistent with trends seen in smaller studies and witnessed by mental health workers.

          People just aren't as happy as they used to be despite palm trees and warm weather. A "well-being index" included in the Gallup study said many coastal residents are stressed out, worried and sad more often than people living inland, an indication that the spill's emotional toll lingers even if most of the oil has vanished from view.

          Margaret Carruth is among those fighting to hang on.

          Her hairstyling business dried up after tourists stopped coming to the beach and locals cut back on nonessentials like haircuts. All but broke and unable to afford rent, Carruth packed her belongings into her truck and a storage shed and now depends on friends for shelter.

          "I'm a strong person and always have been, but I'm almost to the breaking point," says Carruth.

          The Gallup survey was conducted in 25 Gulf-front counties from Texas east to Florida over eight months before and after the spill, ending Aug. 6. People reported 25.6 percent more depression diagnoses after then spill than before it, although the study didn't conclude the additional cases were tied directly to the oil.

          The survey said people along the Gulf reported feeling sad, worried and stressed after the spill, while people living inland reported less over the same period. More than 40 percent of people in coastal areas reported feeling stress after the BP geyser blew, a 15 percent increase from before.

          The oil spill followed waves of hard luck for the Gulf region, including hurricanes and recession. Experts say it's impossible to determine how much of the current mental health downturn could have roots in problems other than crude washing into marshes and beaches, damaging the seafood and tourist industries...

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