Flynn Brian W, Speier Anthony H
Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD, 20814, USA,
Curr Psychiatry Rep. 2014 Aug;16(8):457. doi: 10.1007/s11920-014-0457-9.
Disaster behavioral health is increasingly regarded as a central part of disaster preparedness, response and recovery. Legal and ethical issues have received relatively little attention and have sparked divergent opinions. Optimally, understanding and applying legal and ethical considerations requires an understanding of the evolution of the disaster behavioral health field and the context of disaster response and recovery. In addition, there are many legal and ethical questions identified for consideration, and many ways to approach reaching understanding and consensus. Traditionally, discussions of disaster behavioral health, including legal and ethical issues, have not included understanding decision making processes that occur in extreme circumstances. Models which interpret disaster response operations as complex adaptive systems are presented for consideration as useful tools for preparing mental health workers for effectively delivering services in acute disaster response environments.
灾难行为健康日益被视为灾难准备、应对和恢复的核心组成部分。法律和伦理问题相对较少受到关注，且引发了不同意见。理想情况下，理解和应用法律及伦理考量需要了解灾难行为健康领域的发展演变以及灾难应对和恢复的背景。此外，有许多法律和伦理问题有待确定以供考虑，也有许多达成理解和共识的方法。传统上，对灾难行为健康的讨论，包括法律和伦理问题，并未涉及对极端情况下决策过程的理解。将灾难应对行动解释为复杂适应系统的模型被作为有用工具提出，供心理健康工作者在急性灾难应对环境中有效提供服务时参考。
