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  • Chapter 34 - Case Study 1: The Omagh Bomb, the Mental Health Response, and the Lessons Learned

  • from Section 4 - Responses to Meet the Mental Health Needs of People Affected by Emergencies, Major Incidents, and Pandemics
  • Edited by Richard Williams, University of South Wales, Verity Kemp, Independent Health Emergency Planning Consultant, Keith Porter, University of Birmingham, Tim Healing, Worshipful Society of Apothecaries of London, John Drury, University of Sussex
  • Book:
    Major Incidents, Pandemics and Mental Health
    Published online:
    11 January 2024
    Print publication:
    01 February 2024, pp 252-256

  • Summary

    In 1998, 7 weeks after the Good Friday Agreement was endorsed, a car bomb exploded in Omagh in County Tyrone, killing 29 adults and children and two unborn babies. The local health and social care trust mobilised resources to create a comprehensive mental health response to the care needs of the victims and survivors. This service was evidence based, outcomes focused, and research orientated, and contributed to the international evidence base through a series of research studies that helped to inform the further development of the Ehlers and Clark model of post-traumatic stress disorder (PTSD), trauma-focused CBT approaches to treatment, and the developing concept of complex grief. The response led directly to creating a regionalised psychological trauma managed care network for Northern Ireland in an innovative approach of co-production (the Regional Trauma Network) and informed the implementation of a recognition scheme for victims and survivors (the Troubles Permanent Disablement Payment Scheme).