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seanw146External data/studies as well as interviews with doctors, responders, and patients on the ground were used to produce the arguments used in the article.
External data/studies as well as interviews with doctors, responders, and patients on the ground were used to produce the arguments used in the article.
Emily Goldmann, PhD, is a Reserach Professor at the NYU College of Global Public Health. She's an epidemioloigist and enjoys the study of the causes of mental health conditions. She's trying to spread the study of mental illness to a global scale. She studied at Columbia University and recieved her PhD from University of Michigan.
Sandro Galea, MD, DPH, is a Dean at Boston University. His work focuses on causes of brain disorders and sociological effects on urban population's health.
The article discusses the need for emergency medical responders to be able to have a healthy and productive de-brief session. This is imparitive because, as the article discusses, responders are one of the first individuals to be affected by disasters because their diverse involvement in the clean up.
1) "These studies can help us understand what factors are associated with different courses of mental illness, which can help us identify the most vulnerable populations and inform tailored interventions"
2) "Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control."
3) “Exposure to disasters has been associated with a variety of mental health consequences. Although the majority of individuals cope well in the face of a disaster, a substantial proportion experience some psychological impairment, and a smaller proportion will go on to develop mental disorders.”
1) I did more research into our role and mental health in the EMS system as EMTs. I found this article to be particularly insightful: Managing Psychiatric Emergencies (http://www.emsworld.com/article/10931747/managing-psychiatric-emergencies).
2) Bettering and improving EMS care by bypassing EDs and transporting patients to mental hospitals.
(http://epmonthly.com/article/pilot-project-trains-ems-to-bypass-the-ed-with-mental-health-patients/)
3) Learned about FEMAs policies and programs for mental health following a disaster in the U.S. (https://www.fema.gov/recovery-directorate/crisis-counseling-assistance-training-program)
This article is supported with statistical studies and in-the-field interviews of clinicians and patients.
1) Past—the past is used as a guide to the future. Past research is used in the article such as from the Vietnam War.
2) Present—PTSD and MMD are explored in detail in areas that have been effected by it.
3) Future-- post-disaster plans and planning to better administer Psychological First Aid (PFA).
With its large amount of citations and a wide variety of sources, we can extrapolate that this research article was made with a good deal of time and care. There are even citations to other works by Galea, but it appears that the only original research done for the article was interviewing responders and patients.
The main focus of the article is mental health issues resulting in the aftermath of a major disaster. Mental health is rarely discussed in these types of environments but persists long after the dust has settled and the houses rebuilt. This article seeks to explore the current state of mental health care in disaster environments.