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Disaster Mental Health Services:
A Guidebook for Clinicians and Administrators

by Bruce H. Young, Julian D. Ford, Josef I. Ruzek, Matthew J. Friedman, and Fred D. Gusman

Acknowledgements

About the Authors

Table of Contents

Maunual pages may be viewed online in HTML format. Main sections and the appendices are also available in PDF format.

 

Cover   (HTML/PDF)
Introduction   (HTML/PDF)

Defining Disaster
How This Guidebook Can Help
Disaster Mental Health Services
Emergency & Early Post-Impact Phase Administrative Tasks
Restoration Phase Administrative Tasks
Key Characteristics & Helping Behaviors of Disaster Mental
  Health Workers

1

1
3
4
8
9
10

Section I Stress Reactions of Survivors   (HTML/PDF)

Overview
Factors Associated with Disaster Stress
Extreme Peritraumatic Stress Reactions
Disaster Experiences Associated with Chronic PTSD
Other Factors Associated with Chronic PTSD
Prevalence of PTSD Following Disaster

13

13
14
20
25
26
27

Section II Helping Survivors   (HTML/PDF)

Emergency Phase On- & Off-Site Interventions
Summary of Basic Principles of Emergency Care
Early Post-Impact Phase
Restoration Phase Interventions
Special Populations
Older Adults

29

30
36
37
67
96
104

Section III Helping the Helpers   (HTML/PDF)

Stressors Associated with Disaster Work
Stress Reactions of Disaster Workers
Who Are Emergency Workers
The Rescue Work Culture
Guidelines to Consulting with Command Staff and Rescue Team Managers
  at the Scene of Operations

Defusing Interventions
Teaching Relaxation Techniques to Disaster Workers
Debriefing Rescue Workers

108

109
110
111
112
113

115
117
118

Section IV Helping Organizations   (HTML/PDF)

Five Key Steps to Organizational Disaster Mental Health Consulting
Organizational Stressors Associated with Disaster
Organizational Response Plan
Pre-Disaster Organization Preparedness
Establishing Disaster Mental Health Services

124

125
126
126
128
129

Section V Disaster Mental Health Services
  Team and Program Development   (HTML/PDF)

Team Formation & Selection
Staff Training
Development of Standard Operating Procedures
Stressors Associated with Disaster Mental Health Work
Disaster Mental Health Work Strategies for Self-Awareness,
  Self-Care, & Stress Management


130

130
131
132
134
135

Section VI Disaster Mental Health Services:
  The Big Picture   (HTML/PDF)

National Disaster Medical System
Disaster Declaration Process
Federal Response Plan
Federal, State, Local, Non-Profit, and Volunteer Agencies
  Offering Disaster Mental Health Services

138


139
140
141
142

Appendix A - List of Acronyms/Abbreviations   (HTML/PDF)

Appendix B - Resources   (HTML/PDF)

Appendix C - PTSD Screening Protocol for
                    Primary Care Settings   (HTML/PDF)

Appendix D - 2-Day Training General Outline   (HTML/PDF)

Appendix E - References & Recommended Reading   (HTML/PDF)

 

152

153

155


156

158

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The information on this Web site is presented for educational purposes only. It is not a substitute for informed medical advice or training. Do not use this information to diagnose or treat a mental health problem without consulting a qualified health or mental health care provider.

All information contained on these pages is in the public domain unless explicit notice is given to the contrary, and may be copied and distributed without restriction.

For more information call the PTSD Information Line at (802) 296-6300 or send email to ncptsd@ncptsd.org. This page was last updated on Tue Nov 21 16:07:55 2000.