It is becoming increasingly common for psychiatrists to be among the first responders when disaster strikes. More than 800 psychiatrists are believed to have responded to the 9/11 attacks. The first clinical manual on the best practices for helping those affected by disaster, Disaster Psychiatry: Readiness, Evaluation, and Treatment offers an explicit and practical discussion of the evidence base for recommendations for psychiatric evaluation and interventions for disaster survivors. Disaster is defined by the World Health Organization as a severe disruption, ecological and psychosocial, that greatly exceeds a community's capacity to cope. This manual takes an "all-hazards" approach to disasters and has application to natural occurrences such as earthquakes and hurricanes; accidental technological events such as airplane crashes; and willful human acts such as terrorism. The field of disaster psychiatry is more important than ever, in response to disasters such as the Deepwater Horizon oil spill in the Gulf of Mexico and the 2010 earthquake in Haiti.
Today, disaster psychiatry encompasses a wide spectrum of clinical interests, ranging from public health preparations and early psychological interventions to psychiatric consultation to surgical units and psychotherapeutic interventions to alleviate stress in children and families after school shootings, hurricanes, or civil conflict. Although disaster mental health is still a young field, research is gradually yielding methods for accurately identifying valid relationships among preexisting risk factors, postdisaster mental health problems, and effective interventions. With its practical approach to readiness, response, and intervention and its focus on evidence-based recommendations for psychiatric evaluation and interventions, Disaster Psychiatry: Readiness, Evaluation, and Treatment is an invaluable manual for educator and student alike.
The manual draws on a variety of sources, including the peer-reviewed scientific literature, the clinical wisdom imparted by front-line psychiatrists and other mental health professionals, and the experiences of those who have organized disaster mental health services, including the American Psychiatric Association and Disaster Psychiatry Outreach. Each chapter provides clear and concise information and in-depth review, followed by helpful study questions and answers. This book has been developed to give professionals the knowledge they need to respond swiftly and appropriately when disaster strikes.
Frederick J. Stoddard Jr., M.D., is Associate Clinical Professor of Psychiatry at Harvard Medical School, Massachusetts General Hospital, and Shriners Hospitals for Children, Boston, Massachusetts, and Chair of the Committee on Disasters and Terrorism of the Group for the Advancement of Psychiatry. Anand Pandya, M.D., is Vice Chair of the Department of Psychiatry and Behavioral Neurosciences at Cedars-Sinai Medical Center, Los Angeles, California; Associate Clinical Professor of Psychiatry at David Geffen School of Medicine at University of California Los Angeles; and Vice President of Disaster Psychiatry Outreach in New York, New York. Craig L. Katz, M.D., is Clinical Associate Professor of Psychiatry and Medical Education at Mount Sinai School of Medicine in New York City, and President of Disaster Psychiatry Outreach in New York, New York.
ContributorsPreface and AcknowledgmentsIntroductionPart I: ReadinessChapter 1. Preparation and Systems Issues: Integrating Into a Disaster ResponseChapter 2. Communicating Risk Before, During, and After a DisasterChapter 3. Rescuing Ourselves: Self-Care in the Disaster Response CommunityChapter 4. Needs AssessmentPart II: EvaluationChapter 5. Psychiatric EvaluationChapter 6. Special PopulationsChapter 7. Serious Mental IllnessChapter 8. Substance AbuseChapter 9. Personality IssuesChapter 10. Injuries and Triage of Medical ComplaintsChapter 11. Grief and ResiliencePart III: InterventionChapter 12. Psychological First AidChapter 13. Group and Family InterventionsChapter 14. PsychotherapiesChapter 15. Psychopharmacology: Acute PhaseChapter 16. Psychopharmacology: Postacute PhaseChapter 17. Child and Adolescent Psychiatry InterventionsChapter 18. Geriatric Psychiatry InterventionsPart IV: Emerging and Other TopicsChapter 19. Psychiatrists as AmbassadorsChapter 20. Legal and Ethical IssuesChapter 21. Telepsychiatry in Disasters and Public Health EmergenciesAppendixes:A Key Readings and ResourcesB Answers to Review QuestionsIndex
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