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A mental health program for ground zero rescue and recovery workers: cases and observations.

Authors
Katz-CL; Smith-R; Silverton-M; Holmes-A; Bravo-C; Jones-K; Kiliman-M; Lopez-N; Malkoff-L; Marrone-K; Neuman-A; Stephens-T; Tavarez-W; Yarowsky-A; Levin-S; Herbert-R
Source
Psychiatr Serv 2006 Sep; 57(9):1335-1338
NIOSHTIC No.
20031444
Abstract
Clinical vignettes from the World Trade Center Worker and Volunteer Mental Health Monitoring and Treatment Program at the Mount Sinai Medical Center in New York City are presented. The hospital-based program pairs mental health screenings with federally funded occupational medical screenings to identify persons with mental health problems related to their rescue and recovery roles. The program also provides on-site mental health treatment. The cases illustrate the diverse mental health needs of the rescue and recovery workers, some of whom initially sought treatment years after September 11, 2001. The cases show that in addition to symptoms of posttraumatic stress disorder, workers experienced survivor guilt, distressing memories of childhood trauma, shame associated with intense feelings, substance abuse relapse, psychosis, and problems with family relationships.
Keywords
Psychological-adaptation; Psychological-disorders; Psychological-effects; Psychological-factors; Psychological-fatigue; Psychological-processes; Psychological-reactions; Psychological-responses; Psychological-stress; Psychological-testing; Mental-health; Mental-fatigue; Mental-processes; Mental-stress; Children; Families; Substance-abuse; Stress
Contact
Mount Sinai Department of Social Work, New York City
CODEN
PSSEFQ
Publication Date
20060901
Document Type
Journal Article
Email Address
craiglkatz@gmail.com
Funding Type
Cooperative Agreement
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U10-OH-008225; Cooperative-Agreement-Number-U10-OH-008232
Issue of Publication
9
ISSN
1075-2730
Priority Area
Services
Source Name
Psychiatric Services
State
NY
Performing Organization
Mount Sinai School of Medicine of New York University
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