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Updated: Jul 20, 2026

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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Clients' satisfaction with Project Liberty counseling services
Carlos T Jackson1, George Allen, Susan M Essock
1Department of Psychiatry, Division of Health Services Research, Mount Sinai School of Medicine, New York City, USA.
Psychiatric Services (Washington, D.C.)
|September 14, 2006
Summary
Project Liberty counseling services received high satisfaction ratings from 9/11 attack survivors. Counselors were effective in providing accessible, acceptable, and useful mental health support.
Area of Science:
- Psychiatry
- Public Health
- Disaster Mental Health
Background:
- The September 11, 2001 attacks on the World Trade Center necessitated widespread mental health support.
- Project Liberty was established to provide counseling services to affected individuals.
Purpose of the Study:
- To assess client satisfaction with service quality and effectiveness of Project Liberty counseling.
- To evaluate the accessibility, acceptability, and utility of post-disaster mental health services.
Main Methods:
- Anonymous questionnaires and telephone interviews were administered to 607 service recipients.
- Satisfaction was measured across 11 service quality dimensions and 4 effectiveness domains.
- Effectiveness domains included daily responsibilities, relationships, physical health, and community involvement.
Main Results:
- At least 89% of recipients rated services as good or excellent.
- High ratings were observed across all 11 quality dimensions and 4 effectiveness domains.
- Counselor respect for clients and cultural sensitivity were particularly well-regarded.
Conclusions:
- Project Liberty counselors were largely successful in delivering accessible, acceptable, and useful services post-disaster.
- Client satisfaction indicates the effectiveness of the provided mental health interventions.
- Cost-effective evaluations can integrate with evidence-based practice for efficient interventions.
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