The H1N1 crisis: a case study of the integration of mental and behavioral health in public health crises.
Pfefferbaum-B; Schonfeld-D; Flynn-BW; Norwood-AE; Dodgen-D; Kaul-RE; Donato-D; Stone-B; Brown-LM; Reissman-DB; Jacobs-GA; Hobfoll-SE; Jones-RT; Herrmann-J; Ursano-RJ; Ruzek-JI
Disaster Med Public Health Prep 2012 Mar; 6(1):67-71
In substantial numbers of affected populations, disasters adversely affect well-being and influence the development of emotional problems and dysfunctional behaviors. Nowhere is the integration of mental and behavioral health into broader public health and medical preparedness and response activities more crucial than in disasters such as the 2009-2010 H1N1 influenza pandemic. The National Biodefense Science Board, recognizing that the mental and behavioral health responses to H1N1 were vital to preserving safety and health for the country, requested that the Disaster Mental Health Subcommittee recommend actions for public health officials to prevent and mitigate adverse behavioral health outcomes during the H1N1 pandemic. The subcommittee's recommendations emphasized vulnerable populations and concentrated on interventions, education and training, and communication and messaging. The subcommittee's H1N1 activities and recommendations provide an approach and template for identifying and addressing future efforts related to newly emerging public health and medical emergencies. The many emotional and behavioral health implications of the crisis and the importance of psychological factors in determining the behavior of members of the public argue for a programmatic integration of behavioral health and science expertise in a comprehensive public health response.
Emergency-response; Disaster-planning; Disaster-prevention; Mental-health; Behavior; Behavior-patterns; Psychological-responses; Public-health; Management-personnel; Medical-services; Education; Training; Administration; Behavioral-disorders; Infectious-diseases; Infection-control; Emotional-stress; Viral-diseases; Viral-infections; Respiratory-system-disorders; Medical-rescue-services;
Author Keywords: communication and messaging; education and training; flu; intervention; mental and behavioral health; pandemic; vulnerable populations; disaster medicine; societies, medical; Disasater Medicine and Public Health Preparedness (Journal); medical journals; public health
Betty Pfefferbaum, MD, JD, Department of Psychiatry and Behavioral Sciences, College of Medicine, University of OklahomaHealth Sciences Center, PO Box 26901-WP 3470, Oklahoma City, OK 73126-0901
Disaster Medicine and Public Health Preparedness
OK; MD; OH; FL; SD; DC; IL; VA; CA