+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Prioritizing "psychological" consequences for disaster preparedness and response: a framework for addressing the emotional, behavioral, and cognitive effects of patient surge in large-scale disasters

Prioritizing "psychological" consequences for disaster preparedness and response: a framework for addressing the emotional, behavioral, and cognitive effects of patient surge in large-scale disasters

Disaster Medicine and Public Health Preparedness 5(1): 73-80

While information for the medical aspects of disaster surge is increasingly available, there is little guidance for health care facilities on how to manage the psychological aspects of large-scale disasters that might involve a surge of psychological casualties. In addition, no models are available to guide the development of training curricula to address these needs. This article describes 2 conceptual frameworks to guide hospitals and clinics in managing such consequences. One framework was developed to understand the antecedents of psychological effects or "psychological triggers" (restricted movement, limited resources, limited information, trauma exposure, and perceived personal or family risk) that cause the emotional, behavioral, and cognitive reactions following large-scale disasters. Another framework, adapted from the Donabedian quality of care model, was developed to guide appropriate disaster response by health care facilities in addressing the consequences of reactions to psychological triggers. This framework specifies structural components (internal organizational structure and chain of command, resources and infrastructure, and knowledge and skills) that should be in place before an event to minimize consequences. The framework also specifies process components (coordination with external organizations, risk assessment and monitoring, psychological support, and communication and information sharing) to support evidence-informed interventions.

(PDF emailed within 0-6 h: $19.90)

Accession: 055186648

Download citation: RISBibTeXText

PMID: 21402830

DOI: 10.1001/dmp.2010.47

Related references

Psychological effects of patient surge in large-scale emergencies: a quality improvement tool for hospital and clinic capacity planning and response. Prehospital and Disaster Medicine 25(2): 107-114, 2010

Disaster preparedness is everyone's responsibility. HHS's assistant secretary for preparedness and response talks about how we all have a role to play in getting ready for pandemics and disasters. Health Progress 88(6): 70-73, 2007

Population-based triage management in response to surge-capacity requirements during a large-scale bioevent disaster. Academic Emergency Medicine 13(11): 1118-1129, 2006

Neurodevelopmental consequences of pediatric cancer and its treatment: applying an early adversity framework to understanding cognitive, behavioral, and emotional outcomes. Neuropsychology Review, 2017

El niƱo phenomenon and natural disasters: public health interventions for disaster preparedness and response. Revista Peruana de Medicina Experimental Y Salud Publica 33(2): 300-310, 2016

Addressing the imbalance: empowering older people in disaster response and preparedness. International Journal of Older People Nursing 5(1): 77-80, 2011

Adverse consequences of glucocorticoid medication: psychological, cognitive, and behavioral effects. American Journal of Psychiatry 171(10): 1045-1051, 2015

Review of Recent Large-Scale Burn Disasters Worldwide in Comparison to Preparedness Guidelines. Journal of Burn Care & Research, 2016

At capacity and beyond. Ideas such as 'surge' hospitals are getting a more careful look as healthcare wrestles with planning for large-scale disasters. Modern Healthcare 35(39): 6-7, 16, 1, 2005

Using Insights From Behavioral Economics to Strengthen Disaster Preparedness and Response. Disaster Medicine and Public Health Preparedness 10(5): 768-774, 2016

Effects of providing measures against earthquakes: experimental studies on the perceived risks of disasters and disaster preparedness intentions in Japan. Natural Hazards 90(3): 1329-1348, 2018

Survey of dental healthcare system preparedness for large-scale disaster. Kokubyo Gakkai Zasshi. Journal of the Stomatological Society, Japan 74(2): 143-154, 2007

Psychological impact of the animal-human bond in disaster preparedness and response. Journal of Psychiatric Practice 10(6): 368-374, 2004

The integration of mental and behavioral health into disaster preparedness, response, and recovery. Disaster Medicine and Public Health Preparedness 6(1): 60-66, 2012

Utility of fear severity and individual resilience scoring as a surge capacity, triage management tool during large-scale, bio-event disasters. Prehospital and Disaster Medicine 21(5): 290-6; Discussion 297-8, 2007