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首页> 外文期刊>Journal of psychiatric practice. >Services Provided by Volunteer Psychiatrists after 9/11 at the New York City Family Assistance Center: September 12-November 20, 2001
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Services Provided by Volunteer Psychiatrists after 9/11 at the New York City Family Assistance Center: September 12-November 20, 2001

机译：9/11之后的志愿精神科医生在纽约市家庭援助中心提供的服务：2001年9月12日至11月20日

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Objective. To characterize the experience of volunteer disaster psychiatrists who provided pro bono psychiatric services to 9/11 survivors in New York City, from September 12,2001 to November 20, 2001. Method. Disaster Psychiatry Outreach (DPO) is a non-profit organization founded in 1998 to provide volunteer psychiatric care to people affected by disasters and to promote education and research in support of this mission. Data for this study were collected from one-page clinical encounter forms completed by 268 DPO psychiatrists for 2 months after 9/11 concerning 848 patients served by the DPO 9/11 response program at the New York City Family Assistance Center. Results. In this endeavor, 268 psychiatrist volunteers evaluated 848 individuals and provided appropriate interventions. The most commonly recorded clinical impressions indicated stress-related and adjustment disorders, but other conditions such as bereavement, major depression, and substance abuse/dependence were also observed. Free samples were available for one sedative and one anxiolytic agent; not surprisingly, these were the most commonly prescribed medications. Nearly half of those evaluated received psychotrop-ic medications. Conclusions. In the acute aftermath of the attacks of September 11,2001, volunteer psychiatrists were able to provide services in a disaster response setting, in which they were co-located with other disaster responders. These services included psychiatric assessment, provision of medication, psychological first aid, and referrals for ongoing care. Although systematic diagnoses could not be confirmed, the fact that most patients were perceived to have a psychiatric diagnosis and a substantial proportion received psychotropic medication suggests potential specific roles for psychiatrists that are unique and different from roles of other mental health professionals in the early post-disaster setting. In addition to further characterizing post-disaster mental health needs and patterns of service provision, future research should focus on the short- and long-term effects of psychiatric interventions, such as providing acute psychotropic medication services and assessing the effectiveness of traditional acute post-disaster interventions including crisis counseling and psychological first aid.
机译：目的。为了描述自2001年9月12日至2001年11月20日在纽约市向9/11幸存者提供无偿精神病学服务的志愿者灾难精神病医生的经历。方法。 Disaster Psychiatry Outreach（DPO）是一个非营利性组织，成立于1998年，旨在为受灾人员提供志愿者精神病护理，并促进教育和研究工作以支持这一使命。该研究的数据收集自268名DPO精神科医生在9/11之后2个月内填写的一页临床遭遇表格，涉及纽约市家庭援助中心DPO 9/11反应计划所服务的848名患者。结果。在这项工作中，有268名精神科医生志愿者对848人进行了评估，并提供了适当的干预措施。最常记录的临床印象表明与压力有关和适应障碍，但也观察到其他情况，例如丧亲，重度抑郁和药物滥用/依赖性。免费提供一种镇静剂和一种抗焦虑药。毫不奇怪，这些是最常用的处方药。被评估者中将近一半接受了精神药物治疗。结论。在2001年9月11日袭击事件的严重后果之后，志愿精神病医生能够在灾难响应环境中提供服务，在该环境中，他们与其他灾难响应者共处一地。这些服务包括精神病学评估，药物治疗，心理急救和转诊以进行日常护理。尽管无法确定系统的诊断，但事实是大多数患者被认为患有精神病诊断，并且很大一部分患者接受了精神科药物治疗，这表明精神科医师可能具有独特的作用，与其他精神卫生专业人员在术后早期的作用不同。灾难环境。除了进一步确定灾后精神卫生需求和服务提供方式的特征外，未来的研究还应侧重于精神病干预措施的短期和长期影响，例如提供急性精神药物治疗和评估传统急性精神病治疗的有效性。灾难干预，包括危机咨询和心理急救。

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