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[Psychological support for disaster victims: an evidence-based care model]
Rodrigo A Figueroa1, Humberto Marín, Matías González
1Centro De Medicina Aeroespacial, Fuerza Aérea de Chile, Las Condes Santiago, Chile. rfiguerc@uc.cl
Summary
Psychological support for disaster victims should follow a five-level model, prioritizing psychological first aid. Only those with diagnosed psychiatric disorders require psychotherapy or medication.
Area of Science:
- Disaster mental health
- Psychological support strategies
- Evidence-based interventions
Context:
- Disaster victims often require tailored psychological support.
- Existing research comprises 36 meta-analyses and systematic reviews.
- A tiered approach is necessary for effective disaster response.
Purpose:
- To develop a local psychological support model for disaster victims.
- To synthesize evidence from meta-analyses and systematic reviews.
- To define appropriate levels of care based on victim needs.
Summary:
- A five-echelon support model is proposed: diffusion, social support, general medical care, general psychiatric care, and expert psychiatric care.
- Psychological first aid is recommended for most victims.
- Psychotherapy and psychotropic medication are reserved for individuals with formal psychiatric disorders.
Impact:
- Provides a framework for evidence-based psychological care in disaster settings.
- Guides the allocation of mental health resources post-disaster.
- Enhances the effectiveness of psychological interventions for disaster survivors.
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