Culturally sensitive trauma informed care with persons from appalachia. Rich Greenlee, ph.d. Definition of culture.
Rich Greenlee, ph.d.
A former coal miner reported what it was like after he lost his job at the coal mine:
It was just, I don't know how you'd really explain it ex-
cept to say, you know, a lot of depression. A lot of sleepless
nights, and knowing', well my kids, can't have
shoes or clothes. Even the simplest things now, we say hey,
we ain't got the money. Like I say, it's still many nights, ya
know. It's just like the first day you lost your job. Maybe you
go through it three or four nights. Maybe some bill or the
taxes are up and you think, dog gone, another nail
in the coffin. And I don't know . . . we never really had anyone really close to us die in the family, but it's got to be a little bit on that order, but ya know, it takes a long time to heal and get over.
His wife goes on to say:
It destroyed his morale. He was useless, he was a
nobody, but after 2 years he's kind of comin' out of
it, a little bit.
Then there is anxiety and worry. The families worry about disconnection notices and not being able to pay their bills. For some of them the stress of it all has caused physical problems.
I used to worry about a lot of things and my hair fell out. Big
bald spots on my chin here and big bald spots on my head.
The doctor said it was worry and stress. I guess I couldn't
handle it. It was affecting me internally somehow.
When night comes I usually have a hard time sleeping cause
there's a lot on my mind. It has brought me to the point of
thinking that I was having a heart attack. It put me in coro-
nary care twice. It caused me to have a heart cath which was no treatment. But that's where it got me. And the doctor
said, "It's nothing but stress." He did the heart cath, and he
says, "Will, there's nothing there . . . and he says, "It's
stress." He says, whatever is causing it, you have to find a
way.., he says, get counseling. Find something as an outlet.
NATURAL DISASTERS trends)
PRACTICE CONSIDERATIONS trends)