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  1. Department of Defense Pre-Deployment Health Assessment
    Source: U.S. Department of Defense (DOD) (DOD)
    Date Published: 10/2015
    Format: PDF
    Annotation: The purpose of the Department of Defense (DoD) Pre-Deployment Health Assessment (DD Form 2795, October 2015) is to document deployment-related health evaluations and evaluations of specific deployment-related conditions. It also contains standard health assessment tools that can be used for evaluating patients with deployment-related concerns. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Moderate
    Population: Military
    Length: 13 questions for the participant, and 15 questions directed only to the interviewer/provider; this does not include subsets of questions.
    Time to Complete: Not specified/given
    Administered by: Specialist/Doctor/Expert
    Language(s): English
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Nevin RL. Low validity of self-report in identifying recent mental health diagnosis among U.S. service members completing Pre-Deployment Health Assessment (PreDHA) and deployed to Afghanistan, 2007: a retrospective cohort study. BMC Public Health. 2009 Oct 8;9:376. doi: 10.1186/1471-2458-9-376. PubMed PMID: 19811664; PubMed Central PMCID: PMC2764708. https://www.ncbi.nlm.nih.gov/pubmed/19811664. Subscription not required.

    Contact information:

    Institution: Department of Defense (DoD) Deployment Health Clinical Center
    Address: Walter Reed National Military Medical Center Building 8, 2nd Floor, Room 2220, 8901 Wisconsin Avenue Bethesda, MD 20814
    Phone: 866-559-1627; 301-400-1517; DSN: 301-469-1517
    Fax: 301-400-2907
    Email: WRNMMC-PDHealth@health.mil
    Web: http://www.PDHealth.mil
    Includes Research Tools: Yes.
    ID: 8641. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  2. Caregiver Self-Assessment Questionnaire
    Source: American Medical Association (AMA) (AMA)
    Date Published: 7/2014
    Format: PDF
    Annotation: The Caregiver Health Self-Assessment Questionnaire was originally developed and tested by the American Medical Association. The questionnaire can help caregivers look at their own behavior and health risks. With their healthcare provider's help, this questionnaire can also help caregivers make decisions that may benefit both the caregiver and the older person. The questionnaire can help healthcare providers to identify and provide preventive services to an at-risk population that may be hidden. It may also improve communication and enhance the healthcare provider-caregiver health partnership. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Easy
    Flesch-Kincaid Reading Level: 7
    Population: High Risk/Special/Unique Populations
    Length: 18 questions
    Administered by: Self Administered/Self Report
    Language(s): English, Greek, Spanish
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Epstein-Lubow G, Gaudiano BA, Hinckley M, Salloway S, Miller I.W. Evidence for the validity of the American Medical Association's Caregiver Self-Assessment Questionnaire as a screening measure for depression. J Am Geriatr Soc. 2010 Feb;58(2):387-8. PubMed PMID: 20370867. https://www.ncbi.nlm.nih.gov/pubmed/20370867. Subscription required.

    Roberts YH, Huang CY, Crusto CA, Kaufman JS. Health, emergency department use, and early identification of young children exposed to trauma. J Emerg Med. 2014 May;46(5):719-24. doi: 10.1016/j.jemermed.2013.11.086. Epub 2014 Feb 26. PubMed PMID: 24565881; PubMed Central PMCID: PMC4004686. https://www.ncbi.nlm.nih.gov/pubmed/24565881. Subscription not required.

    Contact information:

    Institution: American Geriatrics Society
    Email: info@healthinaging.org
    Includes Research Tools: Yes.
    ID: 12889. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  3. Hurricane Sandy Assessment Survey
    Source: Icahn School of Medicine at Mount Sinai (ISMMS) (ISMMS)
    Date Published: 2013
    Format: PDF
    Annotation: This assessment survey may help collect and organize standardized information on potential occupational and environmental health risks during cleanup operations. It has been used as part of safety training assessment processes to identify relevant job hazard analyses (JHAs) based on the current Hurricane Sandy HASP (Occupational Safety and Health Administration's Health and Safety Plan). This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Moderate
    Flesch-Kincaid Reading Level: 5.7
    Population: Adults only
    Length: 47 questions
    Administered by: Lay Interviewer, Specialist/Doctor/Expert
    Language(s): English
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Contact information:
    Contact person: Alice Freund
    Institution: Mount Sinai School of Medicine
    Email: alice.freund@mssm.edu
    Includes Research Tools: Yes.
    ID: 11421. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  4. Victorian Disaster Mental Health Workforce Capacity Survey
    Source: University of Melbourne
    Date Published: 10/2012
    Format: PDF
    Annotation: The Victorian Disaster Mental Health Workforce Capacity Survey sought to examine the current state (i.e., the nature, scope, profile, and capacity) of the disaster mental health workforce in Victoria. See Appendix A: Survey Template of this document. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Easy
    Flesch-Kincaid Reading Level: 8.4
    Population: Residential/Workplace
    Length: 19 questions
    Administered by: Self Administered/Self Report
    Language(s): English
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Reifels L, Naccarella L, Blashki G, Pirkis J. Examining disaster mental health workforce capacity. Psychiatry. 2014 Summer;77(2):199-205. doi: 10.1521/psyc.2014.77.2.199. Epub 2014 May 29. PubMed PMID: 24865201. https://www.ncbi.nlm.nih.gov/pubmed/24865201. Subscription required.

    Contact information:

    Institution: University of Melbourne
    Address: University of Melbourne, Victoria 3010
    Phone: 13 MELB (13 6352)
    International Phone: +(61 3) 9035 5511
    Includes Research Tools: Yes.
    ID: 12935. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  5. Emergency Responder Health Monitoring and Surveillance: National Response Team Technical Assistance Document (TAD)
    Source: U.S. National Response Team (NRT) (NRT)
    Date Published: 1/26/2012
    Format: PDF
    Annotation: This 220-page document provides a set of guidelines and recommendations that address all aspects of protecting emergency responders. It is intended to be of use to all those involved in the deployment and protection of emergency responders, including incident management leadership; leadership of response organizations; health, safety, and medical personnel; and the workers themselves. It is intended to address all aspects of protecting emergency responders and should be applicable over the full range of emergency types and settings. It is the companion document to "Emergency Responder Health Monitoring and Surveillance: A Guide for Key Decision Makers." The tools section begins on page 68 of the Technical Assistance Document. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments....[more] [less]
    Type: Guideline/Assessment Tool
    Includes Research Tools: Yes.
    ID: 8247. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  6. Military Acute Concussion Evaluation (MACE)
    Source: U.S. Department of Defense (DOD) (DOD)
    Date Published: 2012
    Format: PDF
    Annotation: The purpose of the Military Acute Concussion Evaluation (MACE) from the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury is to evaluate a person in whom a concussion is suspected. The MACE is used to confirm the diagnosis and assess the current clinical status. Any one who was dazed, confused, "saw stars," or lost consciousness, even momentarily, as a result of an explosion/blast, fall, motor vehicle crash, or other event involving abrupt head movement, a direct blow to the head, or other head injury is an appropriate person for evaluation using the MACE. This resource was identified by the NIH Disaster Research Response program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Moderate
    Flesch-Kincaid Reading Level: 7.4
    Population: All/Anyone
    Length: 12 questions
    Administered by: Specialist/Doctor/Expert
    Language(s): English
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Bailie JM, et al. Profile Analysis of the Neurobehavioral and Psychiatric Symptoms Following Combat-Related Mild Traumatic Brain Injury: Identification of Subtypes. Journal Head Trauma Rehabil. Epub 2016 Jan-Feb;31(1):2-12 PubMed PMID: 26716696. http://www.ncbi.nlm.nih.gov/pubmed/26716696. Subscription required.

    Stocker RP, Cieply MA, Paul B, Khan H, Henry L, Kontos AP, Germain A. Combat-related blast exposure and traumatic brain injury influence brain glucose metabolism during REM sleep in military veterans. Neuroimage. 2014 Oct 1;99:207-14. doi: 10.1016/j.neuroimage.2014.05.067. Epub 2014 Jun 4. PubMed PMID: 24893322; PubMed Central PMCID: PMC4112017. http://www.ncbi.nlm.nih.gov/pubmed/24893322. Subscription not required.

    Contact information:
    Institution: Defense and Veterans Brain Injury Center
    Phone: 800-870-9244
    Web: http://dvbic.dcoe.mil/
    Includes Research Tools: Yes.
    ID: 14796. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  7. WTC (World Trade Center) Health Registry: Interactive Health Data Tool Methods
    Source: City of New York, Department of Health and Mental Hygiene (NYC DOHMH) (NYC DOHMH)
    Date Published: 2003
    Format: Text
    Annotation: This resource provides data from the World Trade Center (WTC) Health Registry 2003/2004 baseline survey through the New York City Health Department's user-friendly EpiQuery system. Users can quickly and easily search for survey data based on enrollee demographic, eligibility category, type of exposure on 9/11, or WTC-related health condition. Identifying data are grouped together to protect enrollees' confidentiality. It also provides links to the Data File User's Manuals for 2003/2004 and 2006/2007. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments....[more] [less]
    Type: Guideline/Assessment Tool
    Includes Research Tools: Yes.
    ID: 8200. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  8. WTC (World Trade Center) Health Registry: Health Data Tools
    Source: City of New York, Department of Health and Mental Hygiene (NYC DOHMH) (NYC DOHMH)
    Date Published: 2003
    Format: Text
    Annotation: This resource provides data from all the World Trade Center Health Registry's surveys: Wave 1 Adult Survey (2003-2004), Wave 2 Adult Survey (2006-2008), and Wave 3 Adult Survey (2011-2012). Users also can quickly and easily search for Wave 1 survey data based on enrollee demographic, eligibility category, type of exposure on 9/11, or WTC-related health condition using the Epiquery interactive tool. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments....[more] [less]
    Type: Guideline/Assessment Tool
    Includes Research Tools: Yes.
    ID: 8201. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  9. Work Limitations Questionnaire
    Source: Mapi Research Trust
    Date Published: 1998
    Format: PDF
    Annotation: For details, see the record from HSRR (Health Services and Sciences Research Resources), a database of the U.S. National Library of Medicine. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Moderate
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Proprietary - Cost/Purchase required

    Citation(s):
    Alder D, et al. Psychiatric status and work performance of veterans of Operations Enduring Freedom and Iraqi Freedom. Psychiatr Serv. 2011; 62(1), 39-46. doi: 10.1176/ps.62.1.pss6201_0039. PMID: 21209298. https://www.ncbi.nlm.nih.gov/pubmed/21209298. Subscription not required.

    Contact information:
    Institution: Mapi Research Trust
    Address: 40 Court St., Suite 410, Boston, MA 02108
    Phone: 1-888-399-2731
    Includes Research Tools: Yes.
    ID: 15266. From: Disaster Lit®a database of the U.S. National Library of Medicine.

  10. Questionnaire on the Experience and Evaluation of Work (QEEW)
    Source: Disaster Research Response Program [National Institutes of Health] (DR2) (DR2)
    Date Published: 1994
    Format: Text
    Annotation: After 20 years of intensive usage, the Questionnaire on the Experience and Evaluation of Work (QEEW2.0) has grown into a unique set of brief survey scales. It is a versatile set of scales that is easily applicable in many practical settings, but which has also proven useful in scientific studies on the functioning of human capital in organizations. Psychosocial work characteristics are measured with scales to assess fatigue during work, need for recovery after work, symptoms of distress, depression, and post-traumatic stress disorder. The prevalence of self-reported mental health complaints is determined using the cut-off
    values. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Moderate
    Population: Residential/Workplace
    Time to Complete: 25 minutes
    Administered by: Self Administered/Self Report
    Language(s): English, Dutch
    ...[more] [less]
    Type: Guideline/Assessment Tool
    Access Notes: Site requires free registration.

    Permission/Request required

    Citation(s):
    van der Velden PG, Bosmans MW, Bogaerts S, van Veldhoven MJ. Social organizational stressors and post-disaster mental health disturbances: a longitudinal study. Psychiatry Res. 2014 Sep 30;219(1):177-82. doi: 10.1016/j.psychres.2014.05.032. Epub 2014 Jun 12. PubMed PMID: 24915898. https://www.ncbi.nlm.nih.gov/pubmed/24915898. Subscription required.
    Includes Research Tools: Yes.
    ID: 12932. From: Disaster Lit®a database of the U.S. National Library of Medicine.

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