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Mental health status of World Trade Center rescue and recovery workers and volunteers - New York City, July 2002 - August 2004.

Authors
Smith-RP; Katz-CL; Holmes-A; Herbert-R; Levin-S; Moline-J; Landsbergis-P; Stevenson-L; North-CS; Larkin-GL; Baron-S; Hurrell-JJ Jr.
Source
MMWR 2004 Sep; 53(35):812-815
NIOSHTIC No.
20025406
Abstract
After the September 11, 2001, attacks on the World Trade Center (WTC), a comprehensive screening program was established to evaluate the physical and mental health of rescue and recovery workers and volunteers. Persons were eligible for this program if they participated in the WTC rescue or recovery efforts and met specific time criteria for exposure to the site. During July 16, 2002--August 6, 2004, the program evaluated 11,768 workers and volunteers. This report summarizes data analyzed from a subset of 1,138 of the 11,768 participants evaluated at the Mount Sinai School of Medicine during July 16--December 31, 2002. On the basis of one or more standardized screening questionnaires, approximately half (51%) of participants met threshold criteria for a clinical mental health evaluation. Continued surveillance is needed to assess the long-term psychological impact of the aftermath of the 9/11 attacks and to determine needs for continued treatment. The program was approved by an institutional review board, and informed consent was obtained for data aggregation and analyses. Participants were asked to complete standardized, self-administered questionnaires that screened for symptoms of anticipated postdisaster mental health conditions. The questionnaires used were the General Health Questionnaire-28 (GHQ), which identifies general psychiatric symptoms (1); Post Traumatic Stress Disorder (PTSD) Symptom Checklist (PCL), which identifies possible cases of PTSD (2); Patient Health Questionnaire (PHQ), which identifies panic, generalized anxiety, and depression (3); CAGE Questionnaire, which identifies likely alcohol dependence and abuse (4); and Sheehan Disability Scale, which measures functioning at home and work (5). Participants who met threshold criteria or acknowledged suicidal ideation or substantial disability on any questionnaire were referred for clinical evaluations by mental health professionals on the same day.
Keywords
Mental-disorders; Mental-health; Emergency-responders; Emotional-stress; Rescue-workers; Region-2; Questionnaires; Medical-screening; Medical-surveys; Surveillance-programs; Disabled-workers
CODEN
MMWRB6
Publication Date
20040910
Document Type
Journal Article
Funding Type
Cooperative Agreement
Fiscal Year
2004
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U10-OH-008225; Cooperative-Agreement-Number-U10-OH-008232
Issue of Publication
35
ISSN
0892-3787
NIOSH Division
DSHEFS
Priority Area
Services
Source Name
Morbidity and Mortality Weekly Report
State
MO; NY; OH; TX
Performing Organization
Mount Sinai School of Medicine of New York University
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