Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, University of Melbourne, Melbourne, Victoria 3010, Australia.
Psychiatr Serv. 2012 Sep 1;63(9):868-74. doi: 10.1176/appi.ps.201100534.
Although postdisaster mental health sequelae are recognized, the role of mental health services in primary care after disasters has not been investigated. This study examined the uptake of enhanced primary mental health services delivered via the Australian government mental health response to the 2009 Victorian bushfires and considered the consumer outcomes associated with them.
Data from a national Web-based minimum data set enabled description of consumers, sessions, and treatment outcomes. Key informant interviews provided supplementary qualitative data.
From January 2009 to June 2011, a total of 1,535 consumers received 9,949 sessions via enhanced primary mental health services. Most had depressive disorders, anxiety disorders, or both. Clinical outcomes data from standardized mental health outcome measures demonstrated statistically significant gains indicative of clinical improvement.
Primary mental health services were well utilized and received by bushfire-affected individuals in most areas and produced positive outcomes for consumers in terms of reducing symptoms and improving psychosocial functioning. Enhancing existing primary mental health services shows promise as a means of responding to bushfires and may be applicable internationally in other disaster contexts.
尽管人们已经认识到灾后心理健康后遗症，但在灾难发生后，基层医疗保健中的心理健康服务的作用尚未得到调查。本研究调查了通过澳大利亚政府对 2009 年维多利亚丛林大火的心理健康反应提供的强化基层心理健康服务的接受情况，并考虑了与之相关的消费者结果。
全国性网络最低数据集中的数据使消费者、会议和治疗结果得以描述。关键知情人访谈提供了补充定性数据。
从 2009 年 1 月至 2011 年 6 月，共有 1535 名消费者通过强化基层心理健康服务接受了 9949 次治疗。大多数人患有抑郁症、焦虑症或两者兼有。来自标准化心理健康结果测量的临床结果数据表明，症状明显改善，表明临床有所改善。
基层心理健康服务在大多数地区都得到了受灾个人的充分利用和接受，并在减轻症状和改善社会心理功能方面为消费者带来了积极的结果。加强现有的基层心理健康服务有望成为应对丛林大火的一种手段，在其他灾害情况下也可能在国际上适用。
