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Journal of Urban Health : Bulletin of the New York Academy of Medicine logoLink to Journal of Urban Health : Bulletin of the New York Academy of Medicine
. 2002 Sep;79(3):322–331. doi: 10.1093/jurban/79.3.322

Mental health needs in New York state following the september 11th attacks

Daniel Herman 1,2,, Chip Felton 3, Ezra Susser 1,2
PMCID: PMC3456790  PMID: 12200501

Abstract

In October 2001, the New York State Office of Mental Health and the Department of Epidemiology of the Mailman School of Public Health of Columbia University conducted a rapid assessment of the nature and magnitude of mental health needs in the state resulting from the September 11th terrorist attacks on the World Trade Center. This effort was carried out during a period of great turmoil and uncertaintyas New Yorkers responded to the shocking events of this unprecedented disaster. Using the limited data available at the time, we estimated that over 520,000 persons in New York Cityand the surrounding counties would experience posttraumatic stress disorder resulting from exposure to the attacks, and that more than 129,000 would seek treatment for this disorder during 2002. This assessment is part of an ongoing collaborative process between public and academic partners; the effort is designed to strengthen the capacityof the mental health sytem to respond to current and future terrorism. Estimates from this initial assessment will be refined over time as further data concerning the impact of the September 11th attacks become available.

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References

  • 1.Schuster MA, Stein BD, Jaycox L, et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med. 2001;345:1507–1512. doi: 10.1056/NEJM200111153452024. [DOI] [PubMed] [Google Scholar]
  • 2.Project Liberty Crisis Counseling Assistance and Training Program, Regular Services Program Application. Albany, NY: New York State Office of Mental Health; 2001. [Google Scholar]
  • 3.Herman D, Felton C, Susser E. New York State Mental Health Needs Assessment Related to Terrorist Attacks in the United States. Albany, NY: New York State Office of Mental Health; 2001. [Google Scholar]
  • 4.Norris FH. 50,000 Disaster Victims Speak: an Empirical Review of the Empirical Literature, 1981–2001. National Center for PTSD, Center for Mental Health Services (SAMSHA); 2001.
  • 5.North C, Smith E, Spitznagel E. Posttraumatic stress in survivors of a mass shooting. Am J Psychiatry. 1994;151:82–88. doi: 10.1176/ajp.151.1.82. [DOI] [PubMed] [Google Scholar]
  • 6.Palinkas L, Downs SM, Petterson JS, Russel J. Social, cultural, and psychological impacts of the Exxon Valdez oil spill. Hum Org. 1993;52:1–13. [Google Scholar]
  • 7.North CS, Nixon SJ, Shariat S, et al. Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA. 1999;282:755–762. doi: 10.1001/jama.282.8.755. [DOI] [PubMed] [Google Scholar]
  • 8.Sprang G. Post-disaster stress following the Oklahoma City bombing: an examination of three community groups. J Interpers Violence. 1999;14:169–183. doi: 10.1177/088626099014002005. [DOI] [Google Scholar]
  • 9.Pfefferbaum B, Call JA, Lensgraf SJ, et al. Traumatic grief in a convenience sample of victims seeking support services after a terrorist incident. Ann Clin Psychiatry. 2001;13:19–24. doi: 10.1023/a:1009008614219. [DOI] [PubMed] [Google Scholar]
  • 10.Boyer B, Knolls M, Kadcalas C, Tollen L, Swartz M. Prevalence and relationships of posttraumatic stress in families experiencing pediatric spinal cord injury. Rehabil Psychol. 2000;45:339–355. doi: 10.1037/0090-5550.45.4.339. [DOI] [Google Scholar]
  • 11.Kohn R, Levav I. Bereavement in disaster: an overview of the research. Int J Ment Health. 1990;19:61–76. [Google Scholar]
  • 12.Rizzone LP, Stoddard FJ, Murphy JM, et al. Posttraumatic stress disorder in mothers of children and adolescents with burns. J Burn Care Rehabil. 1994;15:158–163. doi: 10.1097/00004630-199403000-00010. [DOI] [PubMed] [Google Scholar]
  • 13.Yehuda R. Parental PTSD as a risk factor for PTSD. In: Yehuda R, editor. Risk Factors for Posttraumatic Stress Disorder. Washington, DC: American Psychiatric Press; 1999. pp. 93–121. [Google Scholar]
  • 14.Zisook S, Chentsova-Dutton Y, Shuchter SR. PTSD following bereavement. Ann Clin Psychiatry. 1998;10:157–163. doi: 10.1023/a:1022342028750. [DOI] [PubMed] [Google Scholar]
  • 15.Galea S, Ahern J, Resnick H, et al. Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346:982–987. doi: 10.1056/NEJMsa013404. [DOI] [PubMed] [Google Scholar]
  • 16.Galea S, Resnick H, Ahern J, et al. Posttraumatic stress disorder in Manhattan, New York City, after September 11th terrorist attacks. J Urban Health. 2002;79:340–353. doi: 10.1093/jurban/79.3.340. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.A Community Needs Assessment of Lower Manhattan Following the World Trade Center Attack. New York, NY: New York City Dept of Health; 2001. [Google Scholar]
  • 18.Blanchard EB, Jones-Alexander J, Buckley TC, et al. Psychometric properties of the PTSD Checklist (PCL) Behav Res Ther. 1996;34:669–673. doi: 10.1016/0005-7967(96)00033-2. [DOI] [PubMed] [Google Scholar]
  • 19.Schnurr PP, Jankowski MK. Physical health and post-traumatic stress disorders: review and synthesis. Semin Clin Neuropsychiatry. 1999;4:295–304. doi: 10.153/SCNP00400295. [DOI] [PubMed] [Google Scholar]
  • 20.Friedman MJ, Schnurr PP, McDonagh-Coyle A. Post-traumatic stress disorder in the military veteran. Psychiatr Clin North Am. 1994;17:265–277. [PubMed] [Google Scholar]
  • 21.Davis L, Siegel LJ. Posttraumatic stress disorder in children and adolescents: a review and analysis. Clin Child Fam Psychol Rev. 2000;3:135–154. doi: 10.1023/A:1009564724720. [DOI] [PubMed] [Google Scholar]
  • 22.McNally R. Stressors that produce post traumatic stress disorder in children. In: Davidson FE Jr, editor. Posttraumatic Stress Disorder: DSM-IV and Beyond. Washington, DC: American Psychiatric Press; 1993. pp. 57–74. [Google Scholar]
  • 23.Shalev AY. What is posttraumatic stress disorder? J Clin Psychiatry. 2001;62(suppl 17):4–10. [PubMed] [Google Scholar]
  • 24.Kessler RC, Sonnega A, Bromet E, et al. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52:1048–1060. doi: 10.1001/archpsyc.1995.03950240066012. [DOI] [PubMed] [Google Scholar]
  • 25.Breslau N. Outcomes of posttraumatic stress disorder. J Clin Psychiatry. 2001;62(suppl 17):55–59. [PubMed] [Google Scholar]
  • 26.Yule W, Bolton D, Udwin O, et al. The long-term psychological effects of a disaster experienced in adolescence: I: The incidence and course of PTSD. J Child Psychol Psychiatry. 2000;41:503–511. doi: 10.1111/1469-7610.00635. [DOI] [PubMed] [Google Scholar]
  • 27.Kessler RC, Zhao S, Katz SJ, et al. Past-year use of outpatient services for psychiatric problems in the National Comorbidity Survey. Am J Psychiatry. 1999;156:115–123. doi: 10.1176/ajp.156.1.115. [DOI] [PubMed] [Google Scholar]

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