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psychiatric care during disasters

Lucie Chauvelin, Morgane Gindt, Bertrand Olliac, Philippe Robert, Susanne Thümmler, Florence Askenazy
In the actual context of terrorism targeting children and families, it seems essential to describe different experiences of pediatric psychological emergency devices after such unexpected mass trauma. Here we testify our experience of the psychological emergency care setup dedicated to children and families during the first 48 hours after the terrorist attack of Nice, France, on July 14, 2016. Activated within the hour following the attack, the device included two child psychiatry teams turning over each day, receiving at least 163 individuals (99 children and 64 adults) within the first 2 days...
June 19, 2018: Disaster Medicine and Public Health Preparedness
Mimang Tembe, Sushma Dhakal, Ashis Shrestha, Josh Mugele, Darlene R House
OBJECTIVE: Natural disasters have a significant impact on the health sector. On April 25, 2015, Nepal was struck by a 7.8 magnitude earthquake. The aim of the study was to compare patient volumes and clinical conditions presenting to the emergency department pre- and post-earthquake. METHODS: A retrospective study was done at Patan Hospital Emergency Department in Kathmandu, Nepal. Volume, demographics, and patient diagnoses were collected for 4 months post-disaster and compared with cases seen the same months the year before the disaster to control for seasonal variations...
February 20, 2018: Disaster Medicine and Public Health Preparedness
Veronica Tucci, Nidal Moukaddam, Jonathan Meadows, Suhal Shah, Sagar C Galwankar, G Bobby Kapur
The media and public health generally focus on the biological and physical ramifications of epidemics. Mental health issues that coincide with emerging diseases and epidemics are rarely examined and sometimes, even eschewed due to cultural considerations. Psychiatric manifestations of various infectious diseases, especially with a focus on Ebola Virus disease (EVD) and Zika Virus, are discussed in this commentary to illustrate the continued need of care after the resolution of the actual illness. Various infectious diseases have associations with mental illness, such as an increased risk of obsessive-compulsive disorders and Tourette syndrome in children with Group B streptococcal infection...
October 2017: Journal of Global Infectious Diseases
Gabor D Kelen, Ruben Troncoso, Joshua Trebach, Scott Levin, Gai Cole, Caitlin M Delaney, J Lee Jenkins, James Fackler, Lauren Sauer
Importance: The capacity of pediatric hospitals to provide treatment to large numbers of patients during a large-scale disaster remains a concern. Hospitals are expected to function independently for as long as 96 hours. Reverse triage (early discharge), a strategy that creates surge bed capacity while conserving resources, has been modeled for adults but not pediatric patients. Objective: To estimate the potential of reverse triage for surge capacity in an academic pediatric hospital...
April 3, 2017: JAMA Pediatrics
ZhengJia Ren, HongTao Wang, Wei Zhang
The purpose of this study was to begin to generate an exploratory model of the disaster-related mental health education process associated with the training experiences of psychological relief workers active during the Sichuan earthquake in China. The data consisted of semi-structured interviews with 20 psychological relief workers from four different professions (social workers, psychiatric nurses, psychiatrists, and counsellors) regarding their experiences in training and ideas for improvement. The model explains the need to use a people-centred community interprofessional education approach, which focuses on role-modelling of the trainer, caring for relief workers, paying attention to the needs of the trainee, and building systematic interprofessional education strategies...
January 2017: Journal of Interprofessional Care
Niels Tangherlini, Julian Villar, John Brown, Robert M Rodriguez, Clement Yeh, Benjamin T Friedman, Paul Wada
OBJECTIVES: The San Francisco Fire Department's (SFFD; San Francisco, California USA) Homeless Outreach and Medical Emergency (HOME) Team is the United States' first Emergency Medical Services (EMS)-based outreach effort using a specially trained paramedic to redirect frequent users of EMS to other types of services. The effectiveness of this program at reducing repeat use of emergency services during the first seven months of the team's existence was examined. METHODS: A retrospective analysis of EMS use frequency and demographic characteristics of frequent users was conducted...
December 2016: Prehospital and Disaster Medicine
Fangtao Tony He, Nneka Lundy De La Cruz, Donald Olson, Sungwoo Lim, Amber Levanon Seligson, Gerod Hall, Jillian Jessup, Charon Gwynn
OBJECTIVE: Hurricane Sandy made landfall on October 29, 2012, causing a coastal storm surge and extensive flooding, which led to the closure of several health care facilities in New York City (NYC) and prolonged interruptions in service delivery. The impact on mental health-related emergency department (ED) and inpatient hospital service utilization was studied. METHODS: Data came from the New York Statewide Planning and Research Cooperative System. We obtained mental health-related data among NYC residents from 2010 to 2013...
June 2016: Disaster Medicine and Public Health Preparedness
David J Grelotti, Amy C Lee, Joseph Reginald Fils-Aimé, Jacques Solon Jean, Tatiana Therosmé, Handy Petit-Homme, Catherine M Oswald, Giuseppe Raviola, Eddy Eustache
BACKGROUND: Worldwide, there is a gap between the burden of mental distress and disorder and access to mental health care. This gap is particularly large in low- and middle-income countries (LMICs). After the 2010 earthquake in Haiti, the international health care organizations Partners in Health and Zanmi Lasante worked to expand local mental health services in rural Haiti. OBJECTIVE: The aims of this study are to describe clinical characteristics of the patients served during a pilot project to deliver community-based psychiatric services in rural Haiti and to show how this experience complements the Mental Health Gap Action Programme ("mhGAP"), a tool developed by the World Health Organization to support mental health care delivery by nonspecialists in LMICs...
September 2015: Annals of Global Health
A Hasegawa, T Ohira, M Maeda, S Yasumura, K Tanigawa
The Fukushima accident was a compounding disaster following the strong earthquake and huge tsunami. The direct health effects of radiation were relatively well controlled considering the severity of the accident, not only among emergency workers but also residents. Other serious health issues include deaths during evacuation, collapse of the radiation emergency medical system, increased mortality among displaced elderly people and public healthcare issues in Fukushima residents. The Fukushima mental health and lifestyle survey disclosed that the Fukushima accident caused severe psychological distress in the residents from evacuation zones...
April 2016: Clinical Oncology: a Journal of the Royal College of Radiologists
Bryan Wexler, Mary-Elise Smith
In this article the authors provide an overview of some issues that inhibit disaster planning and response for people experiencing homelessness and discuss the planning process conducted for this population in Worcester, MA. People experiencing homelessness face numerous challenges in preparing for disasters both natural and human caused. Similarly, providers attempting to aid these individuals must recognize and overcome various factors that hamper efforts to provide assistance. People experiencing homelessness lack the general resources many in the United States take for granted, including food, shelter, communication methods, and transportation...
May 2015: Journal of Emergency Management: JEM
Matthew N Peters, John C Moscona, Morgan J Katz, Kevin B Deandrade, Henry C Quevedo, Sumit Tiwari, Andrew R Burchett, Thomas A Turnage, Kanwar Y Singh, Edmond N Fomunung, Sudesh Srivastav, Patrice Delafontaine, Anand M Irimpen
OBJECTIVE: To determine the prolonged effect of Hurricane Katrina on the incidence and timing of acute myocardial infarction (AMI) in the city of New Orleans. PATIENTS AND METHODS: Our study population consisted of 1476 patients with AMI before (August 29, 1999, to August 28, 2005) and after (February 14, 2006, to February 13, 2012) Hurricane Katrina at Tulane University Health Sciences Center to determine post-Katrina alterations in the occurrence and timing of AMI...
April 2014: Mayo Clinic Proceedings
Marie-Eve Raguenaud, Philippe Germonneau, Jackie Leseigneur, Jean-Jacques Chavagnat, Yvon Motreff, Martine Vivier-Darrigol, Philippe Pirard
INTRODUCTION: Following the Xynthia storm of February 2010 in France, an outreach program was initiated by the regional health authorities during the post-emergency phase to improve access to mental health care for the population exposed to the floods. The program was designed to complement routine health and social care services. It relied on a special telephone service and outreach consultations located in the town halls of the five most affected cities. The objective of this outreach service was to provide initial psychological counseling free of charge and without appointment...
October 2012: Prehospital and Disaster Medicine
Carol S North, David E Pollio, Rebecca P Smith, Richard V King, Anand Pandya, Alina M Surís, Barry A Hong, Denis J Dean, Nancy E Wallace, Daniel B Herman, Sarah Conover, Ezra Susser, Betty Pfefferbaum
OBJECTIVE: Several studies have provided prevalence estimates of posttraumatic stress disorder (PTSD) related to the September 11, 2001 (9/11) attacks in broadly affected populations, although without sufficiently addressing qualifying exposures required for assessing PTSD and estimating its prevalence. A premise that people throughout the New York City area were exposed to the attacks on the World Trade Center (WTC) towers and are thus at risk for developing PTSD has important implications for both prevalence estimates and service provision...
September 2011: Disaster Medicine and Public Health Preparedness
Alina Olteanu, Ruth Arnberger, Roy Grant, Caroline Davis, David Abramson, Jaya Asola
BACKGROUND: Hurricane Katrina made landfall in August 2005 and destroyed the infrastructure ofNew Orleans. Mass evacuation ensued. The immediate and long-lasting impact of these events on the mental health of children have been reported in survey research. This study was done to describe the nature of mental health need of children during the four years after Hurricane Katrina using clinical data from a comprehensive healthcare program. Medical and mental health services were delivered on mobile clinics that traveled to medically underserved communities on a regular schedule beginning immediately after the hurricane...
February 2011: Prehospital and Disaster Medicine
Margaret A Dolan, Joel A Fein
Emergency department (ED) health care professionals often care for patients with previously diagnosed psychiatric illnesses who are ill, injured, or having a behavioral crisis. In addition, ED personnel encounter children with psychiatric illnesses who may not present to the ED with overt mental health symptoms. Staff education and training regarding identification and management of pediatric mental health illness can help EDs overcome the perceived limitations of the setting that influence timely and comprehensive evaluation...
May 2011: Pediatrics
Peter V Rabins, Nancy E Kass, Lainie Rutkow, Jon S Vernick, James G Hodge
Identifying vulnerable groups and ensuring that their needs are met during disasters--whether naturally occurring or manmade--are vital aspects of preparedness planning. Developing preparedness strategies that are responsive to those at greatest risk is a moral mandate, justified by the principles of beneficence, justice, and respect for autonomy. Individuals with preexisting mental disorders and newly emergent psychological symptoms are particularly vulnerable to adverse outcomes during and after disasters...
June 2011: Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science
Toshiki Shioiri
No abstract text is available yet for this article.
2010: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
Jane Savage, Gloria Giarratano, Rosa Bustamante-Forest, Christine Pollock, Alfred Robichaux, Simone Pitre
PURPOSE AND DESIGN: The purpose of this cross-sectional, exploratory study is to describe perinatal moods and complementary alternative therapy (CAT) use among childbearing women living in New Orleans, post-Hurricane Katrina. How women coped with the disaster with limited access to mental health services was not known. METHOD: A convenience sample of 199 postpartal/expectant mothers completed two questionnaires. The Edinburgh Postnatal Depression Scale measured risk for perinatal depression (>10 for depression risk) and the Perinatal Alternative Therapy Index (PATI) obtained subjects' self-perceived overall scores for anxiety and overall mood, frequency and type of use of alternative therapies, and health behaviors...
June 2010: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Mayumi Kako, Sugako Ikeda
The recovery phase of disasters is long term and the victims require intensive support. Experiences in disasters can be traumatic and affect people physically and psychologically. Recovery is not only about the rebuilding of infrastructure in the affected area but also about the rehabilitation of people and the rebuilding of their life. The importance of long-term mental health care after disasters has been emphasized in the literature and the authors' volunteer participation during the Japanese Great Hanshin-Awaji Earthquake in 1995 reinforced its importance...
December 2009: Nursing & Health Sciences
For-Wey Lung, Yi-Ching Lu, Yong-Yuan Chang, Bih-Ching Shu
AIM: The aims of the study were to assess the psychological impact of SARS bio-disaster on healthcare workers. METHODS: The participants were 127 healthcare workers who had taken care of suspected SARS patients. All participants completed the Chinese Health Questionnaire (CHQ), Eysenck Personality Questionnaire, and Parental Bonding Instrument at the first stage and the CHQ again a year later. RESULTS: Healthcare workers that had mental symptoms at follow-up reported the symptoms were associated with daily-life stress and not the SARS crisis...
June 2009: Psychiatric Quarterly
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