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pece_annotation_1480349009

tamar.rogoszinski

This report includes Recommendations towards the end that provides an analysis of the data collected and ways in which these can be improved and fixed in the community. Some include that insurance companies should cover transgender-related health care, ways to end violence against this community, that medical providers should avoid bias and provide proper, equal care, and that more data needs to be collected and obtained to continue in the fight against discrimination.

pece_annotation_1474166698

tamar.rogoszinski

The article cites various studies and uses the experiences of organizations in order to help plan for the future. The authors use the WHO and the CDC as these examples of experience. They draw upon the AIDS crisis as an example of global outreach and of a public health crisis. Innovation in science is discussed and ongoing research experiments. DOTS (Directly-Observed Treatment, Short Term) program is discussed as well and its shortcomings in dealing with TB.

pece_annotation_1477249879

Sara.Till

The overarching goal of the report appears to be an overarching analysis of the current systems in place to address and research mental health outcomes in disaster events. The article firstly presents comorbidities known to predispose individuals to development of mental illness.This would be in the hands of the response team to recognize that a certain population may be more predisposed to developing PTSD from the event-- such as children or females, who have shown increased levels of PTSD and MDD. Recognizing that students from an all-girl's K-12 School who have just come from, say, a forest fire will be more likely to develop mental health complications after the disaster than a population of older, male welders will help streamline appropriate responses.

Secondly, by exploring and recognizing these factors (pre, peri, post), emergency responses can help prepare and minimize mental health effects. For example, by implementing PFA in all government agencies, this help mitigate the traumatic effects of experiencing a disaster; PFA includes three distinct goals in treating these patients, including limiting stress reactions and regaining feelings of control. 

Thirdly, while studying mental health in the wake of disasters is crucial to ensuring successful and adequate interventions, there are four major challenges, all discussed in the report (defining target population, obtaining representative sample, implementing an appropriate study design, and measuring key constructs). The authors contend that for future research, several key changes can be made to benefit overall research outcomes. These include widening the scope of psycho-pathological inquiry from to include other disorders such as GAD and panic disorder, the time ranges studied (with higher emphasis on pre/peri factors to help tailor interventions), other factors that create predisposition, and further intervention implementation.

pece_annotation_1474478182

tamar.rogoszinski

They stress the importance of recordkeeping and how that has the ability to change the future outcomes of safety. I would imagine they stress it so intensely due to issues they had in the past. They also have the challenge of dealing with public sectors and workforces not in their jurisdiction. While they are helpful for those they cover, those they do not provide concern in that they can't protect the workers and avoid accidents and emergencies.