A mental health program for ground zero rescue and recovery workers: Cases and observations
A mental health program for ground zero rescue and recovery workers: Cases and observations
复制标题
DOI：
10.1176/appi.ps.57.9.1335
复制
发表时间：
2006-09-01
影响因子：
3.8
通讯作者：
Herbert, Robin
中科院分区：
文献类型：
--
作者：
Katz, Craig L.;Smith, Rebecca;Herbert, Robin
介绍了纽约市西奈山医疗中心世界贸易中心工作人员和志愿者心理健康监测和治疗计划的临床片段。这项以医院为基础的计划将心理健康筛查与联邦政府资助的职业医疗筛查结合起来，以识别存在与其救援和康复角色相关的心理健康问题的人。该计划还提供现场心理健康治疗。这些案例说明了救援和恢复工作人员的不同心理健康需求，其中一些人最初在 2001 年 9 月 11 日之后寻求治疗。这些案例表明，除了创伤后应激障碍的症状外，工作人员还经历了幸存者内疚、童年创伤的痛苦记忆、与强烈感情相关的羞耻感、药物滥用复发、精神病和家庭关系问题。
Clinical vignettes from the World Trade Center Worker and Volunteer Mental Health Monitoring and Treatment Program at the Mount Sinai Medical Center in New York City are presented. The hospital-based program pairs mental health screenings with federally funded occupational medical screenings to identify persons with mental health problems related to their rescue and recovery roles. The program also provides on-site mental health treatment. The cases illustrate the diverse mental health needs of the rescue and recovery workers, some of whom initially sought treatment years after September 11, 2001. The cases show that in addition to symptoms of posttraumatic stress disorder, workers experienced survivor guilt, distressing memories of childhood trauma, shame associated with intense feelings, substance abuse relapse, psychosis, and problems with family relationships.