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Systematic Consensus Building on Disaster Mental Health Services After the Great East Japan Earthquake by Phase

Published online by Cambridge University Press:  23 April 2015

Maiko Fukasawa ,
Yuriko Suzuki ,
Satomi Nakajima ,
Keiko Asano ,
Tomomi Narisawa  and
Yoshiharu Kim
Maiko Fukasawa*
Affiliation:
National Institute of Mental Health, National Center of Neurology and Psychiatry
Yuriko Suzuki
Affiliation:
National Institute of Mental Health, National Center of Neurology and Psychiatry
Satomi Nakajima
Affiliation:
National Institute of Mental Health, National Center of Neurology and Psychiatry
Keiko Asano
Affiliation:
National Institute of Mental Health, National Center of Neurology and Psychiatry Graduate School of Musashino University
Tomomi Narisawa
Affiliation:
Translational Medical Center, National Center of Neurology and Psychiatry, Tokyo, Japan.
Yoshiharu Kim
Affiliation:
National Institute of Mental Health, National Center of Neurology and Psychiatry
*
Correspondence and reprint requests to Maiko Fukasawa, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8553, Japan (e-mail: [email protected]).
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Abstract

Objective

We intended to build consensus on appropriate disaster mental health services among professionals working in the area affected by the Great East Japan Earthquake.

Methods

We focused on the first 3 months after the disaster, divided into 3 phases: immediate aftermath, acute phase, and midphase. We adopted the Delphi process and asked our survey participants (n=115) to rate the appropriateness of specific mental health services in each phase and comment on them. We repeated this process 3 times, giving participants feedback on the results of the previous round. Through this process, we determined the criterion for positive consensus for each item as having the agreement of more than 80% of the participants.

Results

We found that the importance of acute psychiatric care and prescribing regular medication for psychiatric patients gained positive consensus in the immediate aftermath and acute phase. Counseling and psychoeducation after traumatic events or provision of information gained consensus in the acute phase and midphase, and screening of mental distress gained consensus in the midphase.

Conclusions

Higher priority was given to continuous psychiatric services in the immediate aftermath and mental health activities in later phases. (Disaster Med Public Health Preparedness. 2015;9:359–366)

Keywords

disastermental health servicesacute period
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 4 , August 2015 , pp. 359 - 366
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Suzuki, Y, Kim, Y. The great east Japan earthquake in 2011; toward sustainable mental health care system. Epidemiol Psychiatr Sci. 2012;21:7-11.CrossRefGoogle ScholarPubMed
2. National Information Center of Disaster Mental Health. Report on the survey of “Kokoro-no-care team” dispatched after the Great East Japan Earthquake; 2012. http://saigai-kokoro.ncnp.go.jp/activity/pdf/activity04_02.pdf. Accessed November 6, 2014.Google Scholar
3. Kim, Y. Guidelines for local mental health care activities after a disaster. National Center of Neurology and Psychiatry website. http://www.ncnp.go.jp/nimh/seijin/EnglishDisasterMentalHealth.pdf. Published 2003. Accessed November 6, 2014.Google Scholar
4. Kim, Y. Great East Japan earthquake and early mental-health-care response. Psychiatry Clin Neurosci. 2011;65:539-348. doi: 10.1111/j.1440-1819.2011.02270.x CrossRefGoogle ScholarPubMed
5. Suzuki, Y, Fukasawa, M, Nakajima, S, et al. Development of disaster mental health guidelines through the Delphi process. Int J Ment Health Syst. 2012;6:7. doi: 10.1186/1752-4458-6-7 CrossRefGoogle ScholarPubMed
6. Linstone, H, Turoff, M. The Delphi method: techniques and applications. Addison-Wesley. http://is.njit.edu/pubs/delphibook/. Published 1975. Accessed November 6, 2014.Google Scholar
7. Bisson, JI, Tavakoly, B, Witteveen, AB, et al. TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process. Br J Psychiatry. 2010;196:69-74. doi: 10.1192/bjp.bp.109.066266 CrossRefGoogle ScholarPubMed
8. Kelly, CM, Jorm, AF, Kitchener, BA. Development of mental health first aid guideline on how a member of the public can support a person affected by a traumatic event: a Delphi study. BMC Psychiatry. 2010;10:49-63. doi: 10.1186/1471-244X-10-49 CrossRefGoogle ScholarPubMed
9. Turpin, G, Downs, M, Mason, S. Effectiveness of providing self-help information following acute traumatic injury: randomised controlled trial. Br J Psychiatry. 2005;187:76-82.CrossRefGoogle ScholarPubMed
10. Scholes, C, Turpin, G, Mason, S. A randomised controlled trial to assess the effectiveness of providing self-help information to people with symptoms of acute stress disorder following a traumatic injury. Behav Res Ther. 2007;45:2527-2536.CrossRefGoogle ScholarPubMed
11. The European Network for Traumatic Stress (TENTS). The TENTS guidelines for psychosocial care following disasters and major incidents. TENTS website. http://www.tentsproject.eu/_site1264/dbfiles/document/_~57~__7E64_7ETENTS_Full_guidelines_booklet_A5_FINAL_24-04.pdf. Published 2008. Accessed November 6, 2014.Google Scholar
12. Te Brake, H, Dückers, M, De Vries, M, et al. Early psychosocial interventions after disasters, terrorism, and other shocking events: guideline development. Nurs Health Sci. 2009;11:336-343. doi: 10.1111/j.1442-2018.2009.00491.x CrossRefGoogle ScholarPubMed
13. Roberts, NP, Kitchiner, NJ, Kenardy, J, et al. Early psychological interventions to treat acute traumatic stress symptoms. Cochrane Database Syst Rev. 2010;3:CD007944. doi: 10.1002/14651858.CD007944.pub2 Google Scholar
14. Fukasawa, M, Suzuki, Y, Nakajima, S, et al. Similarities and differences of systematic consensus on disaster mental health services between Japanese and European experts. J Trauma Stress. 2013;26:201-208. doi: 10.1002/jts.21787 CrossRefGoogle ScholarPubMed
15. Brewin, CR, Rose, S, Andrews, B, et al. Brief screening instrument for post-traumatic stress disorder. Br J Psychiatry. 2002;18:158-162.CrossRefGoogle Scholar
16. Brewin, CR, Fuchkan, N, Huntley, Z, et al. Outreach and screening following the 2005 London bombings: usage and outcomes. Psychol Med. 2010;40:2049-2057. doi: 10.1017/S0033291710000206 CrossRefGoogle ScholarPubMed
17. National Child Traumatic Stress Network and National Center for PTSD. Psychological first aid: field operations guide. 2nd ed. NCTSN & NCPTSD. http://www.nctsn.org/sites/default/files/pfa/english/1-psyfirstaid_final_complete_manual.pdf. Published 2006. Accessed November 6, 2014.Google Scholar
18. World Health Organization, War Trauma Foundation, World Vision International. Psychological first aid: guide for field workers. Geneva, Switzerland: WHO. http://whqlibdoc.who.int/publications/2011/9789241548205_eng.pdf. Published 2011. Accessed November 6, 2014.Google Scholar