A multi-level framework to guide mental health response following a natural disaster
Keywords:
disaster, mental health, community programmes, treatment interventions, trainingAbstract
AbstractNatural disasters can cause significant distress, grief, loss and hardship, and mental health is a key public health issue that needs to be addressed as part of a wider psychosocial response to assist affected communities. Most people who live through a natural disaster, including bereaved individuals, will not require the attention of specialist mental health professionals. In addition, because many people will cope or ‘bounce back’ on their own and with the support of others, we should be careful to not interfere with the natural coping processes of community members. In the aftermath of the Victorian bushfires in Australia in 2009, a three-level framework was developed that outlined three levels of response to enhance the capacity of lay community members as well as health and welfare personnel to provide evidence-informed care, support and interventions.
References
Berkowitz, S, Bryant, R, Brymer, M, Hamblen, J, Jacobs, A, Layne, C, Macy, R, Osofsky, H, Pynoos, R, Ruzek, J, Steinberg, A, Vernberg, E and Watson, P. 2010. Skills for psychological recovery: field operations guide, Victoria, , Australia: The National Center for PTSD and the National Child Traumatic Stress Network.
Boelen, P, de Keijser, J, Van den Hout, MA and Van den Bout, J. 2007. Treatment of complicated grief: a comparison between cognitive-behavioral therapy and supportive counseling. Journal of Consulting and Clinical Psychology, 75(2): 277–284.
Bonanno, GA, Brewin, CR, Kaniasty, K and la Greca, AM. 2010. Weighing the costs of disaster: consequences, risks, and resilience in individuals, families, and communities. Psychological Science in the Public Interest, 11(1): 1–49.
Brymer, MJ, Jacobs, AK, Layne, CM, Pynoos, RS, Ruzek, JI, Steinberg, AM, Vernberg, EM and Watson, PJ. 2006. Psychological first aid: field operations guide, 2nd ed, Victoria, , Australia: National Child Traumatic Stress Network and National Center for PTSD.
Forbes, D, Creamer, M, Bisson, J, Cohen, J, Crowe, B, Foa, E, Friedman, M, Keane, T, Kudler, H and Ursano, R. 2010a. A guide to guidelines for the treatment of PTSD and related conditions. Journal of Traumatic Stress, 23(5): 537–552.
Forbes, D, Fletcher, S, Wolfgang, B, Varker, T, Creamer, M, Brymer, MJ, Ruzek, JI, Watson, P and Bryant, RA. 2010b. Practitioner perceptions of skills for psychological recovery: a training programme for health practitioners in the aftermath of the Victorian bushfires. Australian and New Zealand Journal of Psychiatry, 44(12): 1105–1111.
Forbes D , Lau W , Creamer M , Bryant RA 2009 . Therapist resource for the psychological treatment of common mental health problems after trauma and disaster . Melbourne : Australian Centre for Posttraumatic Mental Health
Galea, S, Brewin, CR, Gruber, M, Jones, RT, King, DW, King, LA, Mcnally, RJ, Ursano, RJ, Petukhova, M and Kessler, RC. 2007. Exposure to hurricane-related stressors and mental illness after Hurricane Katrina. Archives of General Psychiatry, 64(12): 1427–1434.
Hobfoll, SE, Watson, P, Bell, CC, Bryant, RA, Brymer, MJ, Friedman, MJ, Friedman, M, Gersons, BPR, De Jong, JTVM, Layne, CM, Maguen, S, Neria, Y, Norwood, AE, Pynoos, RS, Reissman, D, Ruzek, JI, Shalev, AY, Solomon, Z, Steinberg, AM and Ursano, RJ. 2007. Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence. Psychiatry: Interpersonal and Biological Processes, 70(4): 283–315.
Mollica, RF, Cardozo, BL, Osofsky, HJ, Raphael, B, Ager, A and Salama, P. 2004. Mental health in complex emergencies. The Lancet, 364(9450): 2058–2067.
National Institute For Health And Clinical Excellence 2009 Depression: the treatment and management of depression in adults (update) . London : National Collaborating Centre for Mental Health .
Norris, F, Friedman, M and Watson, P. 2002. 60,000 disaster victims speak: part II. Summary and implications of the disaster mental health research. Psychiatry, 65(3): 240–260.
Shear, K, Frank, E, Houck, PR and Reynolds, CF. 2005. Treatment of complicated grief: a randomized controlled trial. JAMA, 293(21): 2601–2608.
Shear, K, Mclaughlin, KA, Ghesquiere, A, Gruber, MJ, Sampson, NA and Kessler, RC. 2011. Complicated grief associated with Hurricane Katrina. Depression and Anxiety, 28(8): 648–657.
Ursano, RJ, Fullerton, CS, Weisaeth, L and Raphael, B. 2007. “Individual and community responses to disasters”. In Textbook of disaster psychiatry, Edited by: Ursano, RJ, Fullerton, CS, Weisaeth, L and Raphael, B. Cambridge: Cambridge University Press.
Van Griensven, F, Chakkraband, MLS, Thienkrua, W, Pengjuntr, W, Lopes Cardozo, B, Tantipiwatanaskul, P, Mock, PA, Ekassawin, S, Varangrat, A, Gotway, C, Sabin, M and Tappero, JW. 2006. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA: The Journal of the American Medical Association, 296(5): 537–548.
Wade, D, Varker, T, Coates, S, Fitzpatrick, T, Shann, C and Creamer, M. 2013. A mental health training program for community members following a natural disaster. Disaster Health, 1: 1–4.
Zisook, S and Shear, K. 2009. Grief and bereavement: what psychiatrists need to know. World Psychiatry, 8(2): 67–74.