Abstract
The September 11th terrorist attacks had a dramatic impact on the mental health of millions of Americans. The impact was particularly severe in New York City and surrounding areas within commuting distance of the World Trade Center. With support from the federal government, state and local mental health authorities rapidly mounted a large-scale public health intervention aimed at ameliorating the traumatic stress experienced by residents of the disaster area. The resulting program, named Project Liberty, has provided free public educational and crisis counseling services to tens of thousands of New Yorkers in its initial months of operation. Individuals served vary widely in the severity of experienced trauma and associated traumatic reactions. Data from logs kept by Project Liberty workers suggest that individuals with the most severe reactions are being referred to longer-term mental health treatment services.
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References
- 1.Schuster MA, Stein BD, Jaycox LH, et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Eng 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, Susser E, Felton C. Rates and Treatment Costs of Mental Disorders Stemming From the World Trade Center Terrorist Attacks: an Initial Needs Assessment. Albany, NY: New York State Office of Mental Health; 2002. [Google Scholar]
- 4.Norris FH, Byrne CM, Kaniasty K, Diaz E. 50,000 Disaster Victims Speak: an Empirical Review of the Empirical Literature, 1981–2001. Rockville, MD: Center for Mental Health Services; 2001. [DOI] [PubMed] [Google Scholar]
- 5.National Center for Post-Traumatic Stress Disorder. Effects of traumatic stress in a disaster situation; 2000. Available at: www.ncptsd.org/facts/diasters/fs. Date accessed: May 6, 2002.
- 6.Raphael B, Newman L. Disaster Mental Health Response Handbook. North Sydney, Australia: Centre for Mental Health and NSW Institute for Psychiatry; 2000. [Google Scholar]
- 7.King LA, King DW, Fairbank JA, Keane TM, Adams GA. Resilience-recovery factors in post-traumatic stress disorder among female and male Vietnam veterans: hardiness, postwar social support, and additional stressful life events. J. Pers Soc Psychol. 1998;74:420–434. doi: 10.1037/0022-3514.74.2.420. [DOI] [PubMed] [Google Scholar]
- 8.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]
- 9.Draft Consensus Statement. 1st Annual Consensus Workshop on Mass Violence and Early Intervention. Airlie Conference Center, Warrenton, VA; October 9–November 1, 2001.
- 10.Center for Mental Health Services. An overview of the crisis counseling assistance and training program. Available at: www.mentalhealth.org/cmhs/EmergencyServices/ccp_pg01.asp. Date accessed: May 5, 2002.
- 11.Galea S, Boscarino J, Resnick H, Vlahov D. Mental health in New York City after the September 11 terrorist attacks: results from two population surveys. In: Manderscheid RW, Henderson MJ, editors. Mental health, United State. Washington, DC: US: Goverment Printing Office; 2001. [Google Scholar]