pece_annotation_1476633377
Andreas_RebmannThe article talks about emergency responders and how debriefing was critical in maintaining mental health for them and other sufferers of trauma.
The article talks about emergency responders and how debriefing was critical in maintaining mental health for them and other sufferers of trauma.
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.
It has been cited 39 times as of 10/23 according to google scholar, the majority of these being disaster/mental health related articles.
The authors used their knowledge of the subject and an extensive amount of articles and publications they referenced in order to create a summary of the subject and where it is moving toward.
Dr. Emily Goldmann graduated from the University of Michigan with her PhD in Epidemiology and Columbia University with a Bachelor’s in economics and Chinese. Dr. Goldmann is currently a clinical assistant Professor of Global Public Health at New York University. “I am currently on the faculty of NYU's College of Global Public Health, in the Division of Social Epidemiology. My current research focuses on the intersection between physical and mental health in older adults, specifically trajectories of depressive symptoms following stroke. I also have a strong interest in the characterization, prevention, and treatment of mental illness in low-resource settings globally. I currently teach a master's level course in global mental health and an introductory course in epidemiology to undergraduate students.” (LinkedIn profile)
Dr. Sandro Galea graduated from University of Toronto with his MD, Harvard with a MPH, and Columbia with a DPH. Dr. Galea works as a physician and epidemiologist at Boston University School of Public Health. “In his scholarship, Dr Galea is centrally interested in the social production of health of urban populations, with a focus on the causes of brain disorders, particularly common mood-anxiety disorders and substance abuse. He has long had a particular interest in the consequences of mass trauma and conflict worldwide, including as a result of the September 11 attacks, Hurricane Katrina, conflicts in sub-Saharan Africa, and the American wars in Iraq and Afghanistan. ” (Boston University Biography)
Psychological first aid (PFA) administration is the main focus of the emergency response solution.
PFA has eight main action items to administration:
Contact and engagement, safety and comfort, stabilization, information gathering: current needs and concerns, practical assistance, connection with social supports, information on coping, and linkage with collaborative services. (nctsn.org)
The authors reference main research articles and books written about the subject from the past.
They also reference epidemiological and sociological studies in supporting their mental health arguements.
Other health references, such as the DSM and Indexes are referenced in the article.
Substance abuse post-disaster
Comorbidity of mental disorders
Post-disaster social support systems
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.
"At this point, the burden of mental disorders after disasters has been well documented, and interest in the course of trajectory of psychological symptoms following disasters is growing."
"Persons who live in a community where a disaster hsa occured may differ in their degree of exposure in the event. They may be affected directly, being present at the disaster site, or indirectly, having loved ones present at the disaster site or seeing images of the disaster in the media."
"Ongoing stressors such as job loss, property damage, marital stress, physical health conditions related to the disaster, and displacement are often experienced by those affected by the disaster... Low levels of and reductions in social support are also associated iwth post-disaster psychological symptoms."