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pece_annotation_1477278101

ciera.williams
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"Third, additional studies are needed of interventions that aim to prevent or reduce symptoms of mental illness among disaster victims (42, 49). Although some interventions have been deemed efficacious in randomized controlled studies, effectiveness studies are needed to evaluate how well interventions work in the general population with practicing clinicians (38) and how well they prevent or reduce comorbid depression and substance use disorders..."

"The disaster context introduces additional methodological challenges, over and above the challenges that affect all studies of mental health, in four key areas: defining the target population, obtaining a representative sample of affected persons from this population, implementing an appropriate study design, and measuring key constructs"

"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."

pece_annotation_1481684756

ciera.williams
Annotation of
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"If we weigh “evidence” by the pound or the page, we risk moving toward a monoculture of C.B.T"

"Stories capture small pictures, too. I’m thinking of the anxious older man given Zoloft. That narrative has power"

"For a variety of reasons, including a heightened awareness of medical error and a focus on cost cutting, we have entered an era in which a narrow, demanding version of evidence­based medicine prevails"

pece_annotation_1473044311

ciera.williams
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The author likely read through the referenced articles to find where they could be appropriately cited, and then conducted first hand interviews with select people (as mentioned in the notes) to put the information into context. Together, the multiple forms of media allow for a well-rounded point of view in writing the article, with various angles being well-represented throughout. 

pece_annotation_1474582302

ciera.williams
Annotation of
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The policy establishes the World Trade Center Health Program within the Department of Health and Human Services. It provides “medical monitoring and treatment benefits to eligible emergency responders and recovery and cleanup workers… who responded to the September 11, 2001, terrorist attacks and… initial health evaluation, monitoring, and treatment benefits to residents and other building occupants and area workers in New York City who were directly impacted and adversely affected by such attacks”

The program also establishes measures to prevent Fraud and a Quality Assurance program was also implemented. This includes measures to assure adherence to protocol, appropriate referrals, prompt communication of results to patients, and any other elements the program administrator deems necessary, with consultation from other sources.

pece_annotation_1475971072

ciera.williams
Annotation of
In response to

This article examines "chronic disaster syndrome," a situation that arises in the wake of a large-scale disaster that perpetuates the life in an emergency through government institutionalized and private-sector supported barriers. The article first looks at some of the physical and mental conditions that were created or exacerbated by the disaster. It then follows up with the government's betrayal of the people, first in providing support to the victims, and then actively barring victims from recovery. The article ends with the future in the wake of this disaster, including the "perpetuating of emergency" and continued institutions in place as a result of the hurricane.