Centre for Health Development, World Health Organization, 1-5-1 Wakinohama-Kaigandori, Chuo-ku, Kobe 651-0073, Japan.
Laboratory for Imagination and Executive Functions, RIKEN Center for Brain Science, Wako-shi 351-0198, Japan.
Int J Environ Res Public Health. 2022 Mar 4;19(5):3022. doi: 10.3390/ijerph19053022.
This paper aims to provide preliminary evidence on the degree of consensus on the approach to long-term mental health and psychosocial support after a natural hazard event. We conducted an online survey among mental health experts in Japan. The questionnaire was divided into five categories: (A) terminology setting definition of "long-term", (B) priority in activity for long-term mental health support, (C) system and preparedness for better support, (D) transition from acute support to long-term support, and (E) actions to improve preparedness for future disasters. Invitations to participate in the survey were sent by e-mail in November 2017 to mental health experts in Japan, who had participated in workshops related to disaster mental health or trauma care organized by the National Institute of Mental Health over the last 15 years. Out of 1385 experts who received the invitation, a total of 305 participants responded to the survey. Participants were for the most part in agreement regarding focuses and required preparedness and actions for long-term support. There was still low consensus especially on defining the timeframe "long-term". The acute phase and long-term phase were identified as being different in dimension rather than category. Although caution is necessary around the representativeness of these findings, they will provide important scientific evidence for the development of future plans for a qualitative improvement in long-term mental health support.
本文旨在提供有关自然灾害事件后长期心理健康和心理社会支持方法的共识程度的初步证据。我们在日本的心理健康专家中进行了在线调查。问卷分为五类：(A)术语设置“长期”的定义，(B)长期心理健康支持活动的优先事项，(C)更好支持的系统和准备，(D)从急性支持向长期支持的过渡，以及(E)为未来灾难做好准备的行动。2017 年 11 月，通过电子邮件向过去 15 年参加过由国立精神卫生研究所组织的灾害心理健康或创伤护理相关研讨会的日本心理健康专家发出了参与调查的邀请。在收到邀请的 1385 名专家中，共有 305 名参与者对调查做出了回应。参与者在长期支持的重点和所需的准备和行动方面基本达成一致。特别是在定义“长期”的时间框架方面，仍然缺乏共识。急性期和长期期被认为是不同的维度，而不是类别。尽管需要对这些发现的代表性持谨慎态度，但它们将为未来制定长期心理健康支持质量改进计划提供重要的科学依据。
