Disaster Psychiatry: Readiness, Evaluation, and Treatment

by
Edition: 1st
Format: Paperback
Pub. Date: 2011-04-01
Publisher(s): AMERICAN PSYCHIATRIC PUBLISHING INC
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Summary

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 Treatmentoffers an explicit and practical discussion of the evidence base for recommendations for psychiatric evaluation and interventions for disaster survivors. Disasteris 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 Horizonoil 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 Treatmentis 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.

Table of Contents

Contributorsp. xi
Preface and Acknowledgmentsp. xv
Introductionp. xix
Readiness
Preparation and Systems Issues: Integrating Into a Disaster Responsep. 3
Communicating Risk Before, During, and After a Disasterp. 19
Rescuing Ourselves: Self-Care in the Disaster Response Communityp. 35
Needs Assessmentp. 49
Evaluationp. 49
Psychiatric Evaluationp. 71
Special Populationsp. 89
Serious Mental Illnessp. 111
Substance Abusep. 121
Personality Issuesp. 147
Injuries and Triage of Medical Complaintsp. 159
Grief and Resiliencep. 179
Intervention
Psychological First Aidp. 203
Group and Family Interventionsp. 213
Psychotherapiesp. 227
Psychopharmacology: Acute Phasep. 241
Psychopharmacology: Postacute Phasep. 261
Child and Adolescent Psychiatry Interventionsp. 287
Geriatric Psychiatry Interventionsp. 313
Emerging and Other Topics
Psychiatrists as Ambassadorsp. 329
Legal and Ethical Issuesp. 345
Telepsychiatry in Disasters and Public Health Emergenciesp. 359
Appendixes
Key Readings and Resourcesp. 369
Answers to Review Questionsp. 373
Indexp. 379
Table of Contents provided by Ingram. All Rights Reserved.

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