Services provided by volunteer psychiatrists after 9/11 at the New York City family assistance center: September 12-November 20, 2001.
Services provided by volunteer psychiatrists after 9/11 at the New York City family assistance center: September 12-November 20, 2001.
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DOI：
10.1097/01.pra.0000375717.77831.83
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发表时间：
2010-05
影响因子：
1.9
通讯作者：
North CS
中科院分区：
文献类型：
--
作者：
Pandya A;Katz CL;Smith R;Ng AT;Tafoya M;Holmes A;North CS
描述 2001 年 9 月 12 日至 2001 年 11 月 20 日期间为纽约市 9/11 幸存者提供无偿精神科服务的灾难精神病学志愿者的经历。灾难精神病学外展 (DPO) 是一个非营利组织，成立于 1998 年，旨在为受灾害影响的人们提供志愿者精神科护理，并促进支持这一使命的教育和研究。这项研究的数据收集自 9/11 事件后 2 个月内 268 名 DPO 精神科医生填写的一页临床咨询表格，涉及纽约市家庭援助中心 DPO 9/11 响应计划所服务的 848 名患者。在这项工作中，268 名精神科医生志愿者对 848 人进行了评估并提供了适当的干预措施。最常记录的临床印象表明与压力相关和适应障碍，但也观察到其他情况，如丧亲之痛、重度抑郁和药物滥用/依赖。提供一种镇静剂和一种抗焦虑剂的免费样品；毫不奇怪，这些是最常用的处方药。近一半的接受评估者接受了精神药物治疗。 2001 年 9 月 11 日袭击事件发生后，志愿精神科医生能够在救灾环境中提供服务，他们与其他救灾人员在同一地点。这些服务包括精神评估、提供药物、心理急救以及转介持续护理。尽管系统诊断无法得到证实，但大多数患者被认为有精神病学诊断，并且相当大比例的患者接受了精神药物治疗，这一事实表明，在灾后早期，精神科医生的潜在特定作用是独特的，不同于其他心理健康专业人员的作用。除了进一步描述灾后心理健康需求和服务提供模式外，未来的研究还应侧重于精神干预措施的短期和长期影响，例如提供急性精神药物服务和评估传统灾后急性干预措施（包括危机咨询和心理急救）的有效性。
To characterize the experience of volunteer disaster psychiatrists who provided pro bono psychiatric services to 9/11 survivors in New York City, from September 12, 2001 to November 20, 2001. Disaster Psychiatry Outreach (DPO) is a non-profit organization founded in 1998 to provide volunteer psychiatric care to people affected by disasters and to promote education and research in support of this mission. Data for this study were collected from one-page clinical encounter forms completed by 268 DPO psychiatrists for 2 months after 9/11 concerning 848 patients served by the DPO 9/11 response program at the New York City Family Assistance Center. In this endeavor, 268 psychiatrist volunteers evaluated 848 individuals and provided appropriate interventions. The most commonly recorded clinical impressions indicated stress-related and adjustment disorders, but other conditions such as bereavement, major depression, and substance abuse/dependence were also observed. Free samples were available for one sedative and one anxiolytic agent; not surprisingly, these were the most commonly prescribed medications. Nearly half of those evaluated received psychotropic medications. In the acute aftermath of the attacks of September 11, 2001, volunteer psychiatrists were able to provide services in a disaster response setting, in which they were co-located with other disaster responders. These services included psychiatric assessment, provision of medication, psychological first aid, and referrals for ongoing care. Although systematic diagnoses could not be confirmed, the fact that most patients were perceived to have a psychiatric diagnosis and a substantial proportion received psychotropic medication, suggests potential specific roles for psychiatrists that are unique and different from roles of other mental health professionals in the early post-disaster setting. In addition to further characterizing post-disaster mental health needs and patterns of service provision, future research should focus on the short- and long-term effects of psychiatric interventions, such as providing acute psychotropic medication services and assessing the effectiveness of traditional acute post-disaster interventions including crisis counseling and psychological first aid.
影响因子：
0.5
作者：
North, Carol S.;King, Richard V.;Pepe, Paul E.
通讯作者：
Pepe, Paul E.