•Psychological needs:

•Lost family member

•Suffered personal serious injury;

•Hx of psychiatric disease;

•Lost of home and possessions;

•Previously institutionalized for MH

•Suffered a pre-disaster stress;

•Poor/fixed income;

•Elderly;

•History of not handling similar situations well;

•Without support systems;

•Stages of emotional response

•Denial

•Strong emotional response

•Trembling, tightening of muscles, sweating, speaking with difficulty, weeping, heightened sensitivity, restlessness, sadness, anger, passivity;

•Acceptance

•recovery