Naslov
TENTS guidelines : development of post-disaster psychosocial care guidelines through a Delphi process

Autori
Bisson, Jonathan I. ; Tavakoly, Behrooz ; Witteveen, Anke B. ; Ajduković, Dean ; Jehel, Louis ; Johansen, Venke J. ; Nordanger, Dag ; Orengo Garcia, Francisco ; Punamaki, Raija-Leena ; Schnyder, Ulrich ; Sezgin, A. Ufuk ; Wittmann, Lutz ; Olff, Miranda

Izvornik
British journal of psychiatry (0007-1250) 196 (2010), 1; 69-74

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
disaster psychosocial care; post-disaster guidelines; Delphi process; responding to mass trauma

Sažetak
The article focuses on how best to plan and provide psychosocial care following disasters and presents the development of evidence-informed post-disaster psychosocial management guidelines. A three-round web-based Delphi process was conducted during which 106 experts rated the importance of statements generated from existing evidence using a one to nine scale. Participants reassessed their original scores in the light of others’ responses in the subsequent rounds. A total of 80 (72%) of 111 statements achieved consensus for inclusion. The statement ‘all responses should provide access to pharmacological assessment and management’ did not achieve consensus. The final guidelines recommend that every area has a multi-agency psychosocial care planning group, that responses provide general support, access to social, physical and psychological support and that specific mental health interventions are only provided if indicated by a comprehensive assessment. Trauma-focused cognitive–behavioural therapy (CBT) is recommended for acute stress disorder or acute post-traumatic stress disorder, with other treatments with an evidence base for chronic post-traumatic stress disorder being made available if trauma-focused CBT is not tolerated. The Delphi process allowed a consensus to be achieved in an area where there are limitations to the current evidence.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Psihologija

POVEZANOST RADA