Most people exposed to disasters cope well. Others, however, develop posttraumatic stress disorder (PTSD)–a mental disorder characterised by symptoms of intrusion, avoidance, and hyperarousal–requiring input from specialist mental health services. To date, relatively little research has evaluated these services, and less is known about characteristics of people seeking treatment and their treatment outcomes. In 2010 and 2011, a series of major earthquakes occurred in the Canterbury region of Aotearoa New Zealand, resulting in initiation of the Adult Specialist Services for Earthquake Trauma Treatment (ASSETT) service to provide cognitive behavioural therapy (CBT) for people with earthquake-related PTSD or subthreshold PTSD symptoms. The current research used systematic literature review methods, in conjunction with data collected from people seeking treatment with the ASSETT service, to address issues relevant to the development of disaster mental health responses, particularly specialist mental health services. A systematic review was conducted synthesising research examining mental health service use among adults exposed to natural disasters. A second systematic review and meta-analysis evaluated psychological interventions for earthquake-related PTSD. A series of studies then utilised diagnostic interview and self-report data collected from people seeking treatment with the ASSETT service (n = 184). Data were collected on factors relating to sociodemographics, pre-earthquake mental disorders, current psychological functioning, degree of objective and subjective earthquake exposure, and life events. These studies examined factors distinguishing treatment-seeking participants from earthquake-exposed Canterbury residents who coped well; differences associated with different prior mental disorders and timing of treatment presentation; and outcomes of CBT provided by the service. Four overarching themes emerged across study findings. The first related to the role of objective and subjective disaster exposure in the development of post-disaster mental health outcomes. Subjective peritraumatic responses were found to be an important factor distinguishing treatment-seeking participants from those who coped well following the earthquakes, independent of objective exposure severity. Heightened peritraumatic responses were also associated with poorer treatment outcome, although not beyond their association with pre-treatment PTSD severity and degree of comorbidity. The second theme related to the role of pre-trauma mental health in the development of post-disaster mental health outcomes. Participants with a history of pre-earthquake mental disorder presented with more comorbid disorders than participants with no prior disorder, but reported comparable degrees of PTSD severity and similar treatment outcomes. The third theme related to temporal considerations for disaster mental health responses. Participants who presented at later time points tended to be older and were more likely to have subthreshold PTSD symptoms, but had similar treatment outcomes as those who presented at earlier time points. The fourth theme related to treatment of severe and ongoing earthquake-related distress. CBT without a formal exposure component was associated with clinically significant improvements on a range of outcome measures, with group and individual-based treatment associated with comparable outcomes. Findings of the current research suggest people seeking treatment for severe and ongoing disaster-related distress are not homogenous, and are likely to present for treatment at different time points, have varied mental health histories, and report diverse disaster experiences. CBT is an effective treatment for severe and ongoing post-disaster distress when delivered in real-world mental health service settings. Group CBT represents an efficient, scalable, and effective treatment format for post-disaster distress, and may be an attractive option for treating widespread need using limited resources.
The North Canterbury and Marlborough regions of Aotearoa | New Zealand were severely impacted by almost 30,000 landslides triggered during the 2016 Kaikōura Earthquake. Of these landslides approximately 200 dammed rivers. In the study area near Waiau, rupture of The Humps and Leader faults (and associated ground motions) initiated at least 42 co-seismic landslides. The Leader Landslide is the largest of these landslides, with an area of approximately 600,000 m2 and a volume of 6-8 million m3. The landslide buried approximately 980 m of active Leader River bed length and dammed the river. The dam produced four lakes, with two remaining today and two having been breached by partial landslide collapse and knickpoint migration in the year following the earthquake. As of 2025, the landslide dam has not been completely breached and Lake Rebekah remains. The Leader Landslide dam presents a unique opportunity to chart the evolution of the active riverbed pre- and post-earthquake, for up to 2 km downstream of Lake Rebekah. The river’s evolutionary timeline was observed using LiDAR, satellite aerial imagery, and drone surveys from 2001 to 2024 to develop maps and topographic difference models. Key timeframes for riverbed change events were also constrained with information and dated photography gathered from previous communications with the landowners at Woodchester Station, where the landslide is located. Finally, Schmidt Hammer testing of the Pliocene-Miocene Greta Siltstone Formation was conducted to investigate the role of bedrock strength on the rate of riverbed erosion. I present the history of evolution of the Leader River, pre- and post-earthquake, and consider factors impacting riverbed morphology changes. Despite the stability of Lake Rebekah, these data show that the position and morphology of the Leader River has changed significantly in response to the landslide, with the formation of two knickpoint waterfalls up to 14 m-high, four waterbodies, and diversion of the river around the landslide toe. Evolution of the river is characterised by longer periods of stasis (e.g., months to years) punctuated by rapid changes in riverbed morphology (e.g., hours to weeks) associated with incision and aggradation. In particular, the knickpoints migrated upstream at variable spatial and temporal rates. Factors controlling the rates of processes include; rain-storm events, partial lake outburst flooding, spatial changes in Pliocene-Miocene siltstone bed induration and landowner intervention to stabilise the landslide dam. An overarching conclusion of this thesis is that landforms can develop rapidly (i.e., hours to weeks) and in the absence of historical accounts, could be interpreted to have formed over hundreds to thousands of years.
Research undertaken and literature reviewed show that major natural disasters present considerable risk to Governors Bay. Earthquakes, and resulting secondary hazards from natural disasters, could lead to the isolation of the Governors Bay community for an extended period. In particular, the rupture of the Alpine Fault and the resulting mega-quake could leave Governors Bay isolated for well over three weeks. Weaknesses in existing infrastructure in Governors Bay further places residents at risk. Therefore, it is essential that residents are prepared for a period of extended isolation, with little to no access to clean water, power, internet and cellular coverage. Ultimately, community preparedness will be the key to maintaining social cohesion and saving lives during an emergency event. The community hub in Governors Bay establishes a pre-determined locale for community co-ordination, collection, and distribution of supplies as well as a functional place to go when all else fails.
Effective management of waste and debris generated by a disaster event is vital to ensure rapid and efficient response and recovery that supports disaster risk reduction (DRR). Disaster waste refers to any stream of debris that is created from a natural disaster that impacts the environment, infrastructure, and property. This waste can be problematic due to extensive volumes, environmental contamination and pollution, public health risks, and the disruption of response and recovery efforts. Due to the complexities in dealing with these diverse and voluminous materials, having disaster waste management (DWM) planning in place pre-event is crucial. In particular, coordinated, interagency plans that have been informed by estimates of waste volumes and types are vital to ensure management facilities, personnel, and recovery resources do not become overwhelmed. Globally, a priority when formulating DWM plans is the robust estimation of disaster waste stream types and volumes. This is a relatively under-researched area, despite the growing risk of natural disasters and increasingly inadequate waste management facilities. In Aotearoa New Zealand, a nation-wide DWM planning tool has been proposed for local government use, and waste amounts from events such as the Christchurch Earthquakes have been estimated. However, there has been little work undertaken to estimate waste types and volumes with a region-specific, multi-hazard focus, which is required to facilitate detailed regional DWM planning. This research provides estimates of potential disaster waste volumes and types in the Waitaha-Canterbury region of the South Island (Te Waipounamu) for three key hazard scenarios: a M8.0 Alpine Fault earthquake with a south-to-north rupture pattern, a far-sourced tsunami using a maximum credible event model for a Peru-sourced event, and major flooding using geospatial datasets taken from available local government modelling. Conducted in partnership with Environment Canterbury and Canterbury CDEM, this estimation work informed stakeholder engagement through multi-agency workshops at the district level. This research was comprised of two key parts. The first was enhancing and extending a disaster waste estimation model used in Wellington and applying it to the Canterbury region to quantify waste volumes and types. The second part was using this model and its estimates to inform engagement with stakeholders in multi-agency, district-level workshops in Kaikōura, Hurunui, and Waimakariri. In these workshops, the waste estimates were used to catalyse discussion around potential issues associated with the management of disaster waste. Regionally, model estimates showed that the earthquake scenario would generate the highest total volume of disaster waste (1.94 million m³), compared to the tsunami scenario (1.89 million m³) and the flood scenario (173,900 m³). Flood waste estimates are likely underrepresented due to limited flood modelling coverage, but still provide a valuable comparison. Whilst waste estimates differ significantly between districts, waste volumes were shown to be not solely dependent on building/population density. The district-level workshops showed that DWM challenges revolved around logistical constraints, public concerns, governance complexities, and environmental issues. Future work should further enhance this estimation model and apply it to other regions of Aotearoa New Zealand, to help develop a set of cohesive DWM plans for each region. The waste estimation model could also be adapted and applied internationally. The findings from this research provide a foundation for advancing DWM planning and stakeholder engagement in the Waitaha-Canterbury region. By offering region-specific waste estimates across multiple hazard scenarios, this work supports district councils and emergency managers in developing informed, proactive strategies for disaster preparedness and response. The insights gained from district-level workshops highlight key challenges that must be addressed in future planning. These outcomes contribute to a broader research agenda for DWM in Aotearoa New Zealand, and offer a framework adaptable to international contexts.
