WTC Screening, Monitoring, and Treatment Program

描述(由申请人提供)：这是一项将治疗部分纳入贝尔维尤医院/纽约大学(NYU)医学院当前的世界贸易中心(WTC)筛查和监测计划的提案。WTC监测计划成立于2002年，由一组职业医学诊所组成，为9-11事件及之后受事件影响的工人提供全面的医疗筛查、转诊和福利咨询。纽约大学/贝尔维尤计划最初是在2002年提出的，是纽约大学/贝尔维尤医院与不同组织之间的合作，包括兄弟会警察组织、金属贸易部，以及拉丁美洲工人项目和超越世贸中心网络等社区组织。我们将继续与这些组织合作，同时扩大我们的外联努力，将纽约市其他工会和社区组织的工作人员和志愿者包括在内。贝尔维尤/纽约大学项目在肺部和重症护理医学部、贝尔维尤/纽约大学职业和环境医学诊所以及纽约大学/贝尔维尤精神病学系之间建立了强有力的合作关系。初步评估显示，呼吸和精神健康状况普遍存在。我们将继续这一筛查和监测计划，并提议在该计划中增加一个治疗部分。我们预计，提供综合的全面筛查、监测和治疗计划将增加转诊到我们计划的人数，并提高我们的保留率。我们项目中的医生对WTC救援人员的需求很敏感。这一全面的计划还将提高贝尔维尤和其他大量外部医生对这一患者群体的持续需求和新出现的疾病趋势的敏感性。拟议的计划利用肺部和职业医学专家、普通内科医生和护士的组合，在心理学家、社会工作者和医疗助理的支持下，将大大改善临床护理的连续性和协调性，并对这类患者进行长期随访。

DESCRIPTION (provided by applicant): This is a proposal to incorporate a treatment component into the current World Trade Center (WTC) Screening and Monitoring program at Bellevue Hospital / New York University (NYU) School of Medicine. The WTC monitoring program, established in 2002, consists of a group of occupational medicine clinics that provide comprehensive medical screening, referrals and benefits counseling to workers affected by the events on and after 9-11. The NYU / Bellevue program was originally proposed in 2002 as a collaboration between New York University / Bellevue Hospital and diverse organizations including the Fraternal Order of Police, the Metal Trades Department, and community organizations such as the Latin American Workers Project and the Beyond Ground Zero network. We will continue to work with these organizations while extending our outreach efforts to include workers and volunteers from other unions and community organizations throughout New York City. The Bellevue / NYU program has developed a strong collaboration among the Division of Pulmonary and Critical Care Medicine, the Bellevue/NYU Occupational and Environmental Medicine Clinic, and the NYU/Bellevue Department of Psychiatry. The initial evaluations have revealed prevalence of respiratory and mental health conditions. We will continue this screening and monitoring program and propose to add a treatment component to the program. We anticipate that offering an integrated comprehensive screening, monitoring, and treatment program will increase the number of referrals to our program and improve our retention rate. Physicians in our program are sensitive to the needs of the WTC rescue workers. This comprehensive program will also heighten the sensitivity of large numbers of other Bellevue and outside physicians to the ongoing needs and emerging disease trends of this patient population. The proposed program, utilizing a mix of pulmonary and occupational medicine specialists, general internists, and nurses, supported by a psychologist, social worker, and medical assistants, will offer much improved continuity and coordination of clinical care and long term follow-up of this group of patients.