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首页> 外文期刊>Journal of health services research & policy >Responding to the mental health consequences of the 2015-2016 terrorist attacks in Tunisia, Paris and Brussels: implementation and treatment experiences in the United Kingdom
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Responding to the mental health consequences of the 2015-2016 terrorist attacks in Tunisia, Paris and Brussels: implementation and treatment experiences in the United Kingdom

机译：应对2015-2016突尼斯，巴黎和布鲁塞尔的恐怖主义攻击的心理健康后果：联合王国的实施和治疗经验

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Objectives To explore whether the Screen and Treat Programme to support United Kingdom citizens potentially affected by terrorist attacks in Tunisia (2015), Paris (2015) and Brussels (2016) was effective in identifying and referring people to mental health services, to examine the programme's acceptability to users and to understand how agencies involved worked together. Methods Individuals offered screening by the programme (n = 529) were invited to participate in the study and were sent a questionnaire. Follow-up interviews were conducted with questionnaire respondents who consented and with employees of agencies involved in the programme's planning and delivery. Seventy-seven people affected by the attacks completed questionnaires, 35 of those were also interviewed, and 1 further person only participated in an interview. Eleven people from agencies organizing and delivering the programme and five clinician-managers were also interviewed. Results Most service users said the attacks had a major impact on their lives. Many reported anxiety, depression, difficulty going out or travelling, sleep problems, panic attacks, flashbacks and hyper-vigilance. A third had reduced their working hours and a similar proportion had taken sick leave. Two-thirds sought help from their General Practitioner (GP) before being contacted by the programme, but almost all thought their GP had not been helpful in dealing with post-traumatic stress disorder (PTSD) or referring to appropriate care. Several people were prescribed psychotropic medication; only a few were referred to mental health professionals. Many participants used help offered by organizations external to National Health Service, with mixed experiences. Waiting times for treatment varied from no delay to a few months. Most interviewees thought the programme should have started sooner and provided more information about sources of support. Most users found treatment received via the programme helpful. Professionals involved in organizing and delivering the programme thought that bureaucratic delays in setting it up were key limitations on effectiveness. Clinician interviewees thought an outreach approach was needed to identify at-risk individuals. Conclusions Users who took part in the programme were satisfied with their treatment, although many thought it should have been offered sooner. Funding and data sharing between agencies were the main barriers to timely contact with affected individuals. Self-referral, GP identification of PTSD and GP referral to appropriate care were regarded as ineffective, suggesting that people affected by similar future incidents should be supported better and assisted more promptly to access treatment.
机译：目标探讨屏幕和治疗方案是否支持突尼斯（2015年），巴黎（2015年）和布鲁塞尔（2016年）和布鲁塞尔（2016）潜在潜在受恐怖主义袭击影响的恐怖袭击事件，有效地识别和推荐人们进行精神卫生服务，审查该计划对用户的可接受性，并了解所涉及的代理商在一起。方法邀请由计划（n = 529）筛选的个人参加该研究，并发送问卷。随访采访是通过调查问卷受访者进行，他们同意和参与该计划规划和交付的机构雇员。受到攻击影响的七十七人已完成调查问卷，其中35个也接受了采访，另外1人仅参加面试。还采访了来自各机构组织和交付该计划和五名临床医生管理人员的11人。结果大多数服务用户表示，袭击对他们的生活产生了重大影响。许多人报告焦虑，抑郁，出门或旅行，睡眠问题，恐慌攻击，闪回和超级警惕。三分之一减少了他们的工作时间，并且存在类似的比例。在该计划联系之前，三分之二寻求一般从业者（GP）的帮助，但几乎所有认为他们的GP都没有帮助处理创伤后的应激障碍（PTSD）或参考适当的护理。几个人被规定的精神药物;只有少数人提到心理健康专业人士。许多参与者使用由国家卫生服务外部的组织提供的帮助，具有混合体验。等待时的治疗时间因几个月而不变。大多数受访者认为该计划应该越早开始，并提供有关支持来源的更多信息。大多数用户发现通过程序提供有用的处理。参与组织和交付该计划的专业人士认为，官僚延迟在设定它的情况下是有效性的关键局限性。临床医生受访者认为需要一个外联方法来识别风险的个人。结论参加该计划的用户对其治疗感到满意，尽管许多人认为应该迟早提供。代理商之间的资金和数据共享是与受影响的个人及时接触的主要障碍。自我推荐，PTSD和GP转诊的GP识别被认为是无效的，这表明应更好地支持受相似未来事件的人们，并更迅速地支持获得治疗。

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