Brewin Chris R, Scragg Peter, Robertson Mary, Thompson Monica, d'Ardenne Patricia, Ehlers Anke
Traumatic Stress Clinic, London, UK.
J Trauma Stress. 2008 Feb;21(1):3-8. doi: 10.1002/jts.20310.
Following the 2005 London bombings, a novel public health program was instituted to address the mental health needs of survivors. In this article, the authors describe the rationale for the program, characteristics of individuals assessed within the program, and preliminary outcome data. In addition to validated screening instruments and routine service usage data, standardized questionnaire outcome measures were collected. Seventy-one percent of individuals screened positive for a mental disorder. Of those receiving a more detailed clinical assessment, PTSD was the predominant diagnosis. Preliminary outcome data on 82 patients revealed large effect sizes for treatment comparable to those previously obtained in randomized controlled trials. The program succeeded in its aim of generating many more referrals of affected individuals than came through normal referral channels.
2005年伦敦爆炸事件后，一项全新的公共卫生项目应运而生，旨在满足幸存者的心理健康需求。在本文中，作者阐述了该项目的基本原理、项目评估对象的特征以及初步的结果数据。除了经过验证的筛查工具和常规服务使用数据外，还收集了标准化问卷结果测量数据。71%的受筛查者被诊断为患有精神障碍呈阳性。在接受更详细临床评估的人群中，创伤后应激障碍（PTSD）是主要诊断结果。对82名患者的初步结果数据显示，治疗效果显著，与之前在随机对照试验中获得的效果相当。该项目成功实现了其目标，即通过该项目转介的受影响个体比通过正常转介渠道的多得多。
