Improved social services and the burden of post-traumatic stress disorder among economically vulnerable people after a natural disaster: a modelling study  Gregory H Cohen, MPhil, Shailesh Tamrakar, MS, Sarah Lowe, PhD, Laura Sampson, BA, Catherine Ettman, BA, Prof Dean Kilpatrick, PhD, Benjamin P Linas, MD, Prof Kenneth Ruggiero, PhD, Prof Sandro Galea, MD  The Lancet Planetary Health  Volume 3, Issue 2, Pages e93-e101 (February 2019) DOI: 10.1016/S2542-5196(19)30012-9 Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 1 Hurricane Sandy model overview (A) and schematic of mental health treatment effectiveness (B) Arrows indicate associations between model variables (A). Effectiveness is ranked according to combinations of an agent's current housing conditions and income decline; shaded boxes represent the presence of a given condition (B). The Lancet Planetary Health 2019 3, e93-e101DOI: (10.1016/S2542-5196(19)30012-9) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 2 Prevalence and persistence of post-traumatic stress disorder among the full population and agents with displacement and income loss SSCM=social services case management. The Lancet Planetary Health 2019 3, e93-e101DOI: (10.1016/S2542-5196(19)30012-9) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 3 Risk differences for prevalence and persistence of post-traumatic stress disorder among the full population and agents with displacement and income loss SSCM=social services case management. The Lancet Planetary Health 2019 3, e93-e101DOI: (10.1016/S2542-5196(19)30012-9) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 4 Risk ratios for prevalence and persistence of post-traumatic stress disorder among the full population and agents with displacement and income loss SSCM=social services case management. The Lancet Planetary Health 2019 3, e93-e101DOI: (10.1016/S2542-5196(19)30012-9) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 5 Post-traumatic stress disorder cases remitted per 100 cases under each treatment condition, among the full population and agents with displacement and income loss SSCM=social services case management. The Lancet Planetary Health 2019 3, e93-e101DOI: (10.1016/S2542-5196(19)30012-9) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions