The authors are Emily Goldmann and Sandro Galea. Goldmann is an epidemiologist who has a desire to understand the causes and consequences of mental illness. Galea is an emergency physician and epidemiologist who is interested in the social production of health of urban populations.
The program appears to be popular with both lawmakers and the public. Unfortunately, coverage of the organization appears to mostly come from articles about the founding physicians-- often in the form of alumni news. The foundation's home webpage does link to several outside articles and news sources involving relevant topics in prison health care. There also appears to be an on-going series in The Lancet focusing on HIV/AIDs, a main component of the Center's mission. Moreover, the Center seems to serve as a fantastic resource for the Warren Alpert Medical School students, as the school maintains a longstanding tradition of involvement in Rhode Island public health
The program does not offer specific licenses but provides knowlege and know how so those in all aspects of life can be trained. The given PDFs could also be used in conjunction to training provided by the IAEA.
The details from the text I looked up to further my understanding of the topic and/or emergency response was the author and how educated she was to speak on this matter, the 3 mile island disaster and what was done at the event for containment, and if emergency nuclear response teams need to exist today.
The study addresses vulnerable populations by presiding in an area of high culture and diversity. The study participants were from all backround and genders, so teh study would not be biased.
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.
Technical professionals can make use of data from this study to persuade the WHO of the need of global health prevention, through use of gathering supplies, placing infrastructure, and increasing the country's virability in terms of economic and health status. This study can be used to prevent dieases, prep for natural disasters and stree the need for cures for aliments common to these countries.
Three points that I followed up to advance my understanding was violence and EMS violence and the police, combative/patients with mental illness statistics nationwide.
The major stakeholders are those exposed to the contaminated water (and subsequently suffer from cancer and other major illnesses) and the Marine Corps. Unfortunately, the Marine Corps and other government agencies show fairly limited attempts to aid those fighting for information about Camp Lejeune. Moreover, several meetings within Washington DC reveal the nature of policy making; how special interest groups often overshadow the common welfare of the public. Jerry Ensingmer and his counterparts often deal with the harsh realities of fighting giants with slingshots, and often have to choose between family and trying to help those also effected by the contaminated water. There are many questions raised about how much governing bodies actually care about soldiers, and how deep the "semper fi" motto actually goes.