Henley Robert, Marshall Randall, Vetter Stefan
Centre for Disaster and Military Psychiatry, University of Zurich, Birchstrasse 3, 8057, Zurich, Switzerland.
J Behav Health Serv Res. 2011 Jan;38(1):132-41. doi: 10.1007/s11414-010-9214-y.
Utilizing lessons learned from development and implementation of "Project Liberty" in New York City, created in response to the attacks of September 11, 2001, this paper explores the importance of integrating structured mental health services with community-based social service programs offered in large-scale humanitarian relief responses. Relevant international research studies illustrating similar integrated programs are also reviewed. The primary approach is community-based and resilience-enhancement focused, offering structure, stability, support, and community cohesion, with an added integrated screening component to identify persons with severe treatable mental health conditions. Because there is thus far little evidence that resilience-enhancing programs are effective for severe mental health conditions, a secondary program initiated in parallel would be staffed with more specialized providers offering services for those referred from the primary program. The key implication supports the establishment of more effective links between programs and professionals from different disciplines, who then can more effectively implement integrated program responses to large-scale disasters.
借鉴在纽约市开展和实施“自由项目”（该项目是针对2001年9月11日袭击事件而设立的）所吸取的经验教训，本文探讨了在大规模人道主义救援行动中，将结构化心理健康服务与基于社区的社会服务项目相结合的重要性。同时还回顾了说明类似综合项目的相关国际研究。主要方法是以社区为基础，注重增强复原力，提供结构、稳定性、支持和社区凝聚力，并增加一个综合筛查部分，以识别患有严重可治疗心理健康状况的人员。由于目前几乎没有证据表明增强复原力的项目对严重心理健康状况有效，因此将同时启动一个二级项目，配备更专业的服务人员，为从一级项目转介而来的人员提供服务。关键意义在于支持在不同学科的项目和专业人员之间建立更有效的联系，这样他们就能更有效地对大规模灾难实施综合项目应对措施。
