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The H1N1 Crisis: A Case Study of the Integration of Mental and Behavioral Health in Public Health Crises

tetano

Editor, Senior Moderator
Disaster Med Public Health Prep. 2012 Mar;6(1):67-71.
The H1N1 Crisis: A Case Study of the Integration of Mental and Behavioral Health in Public Health Crises.
Pfefferbaum B, Schonfeld D, Flynn BW, Norwood AE, Dodgen D, Kaul RE, Donato D, Stone B, Brown LM, Reissman DB, Jacobs GA, Hobfoll SE, Jones RT, Herrmann J, Ursano RJ, Ruzek JI.
Source

Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (Dr Pfefferbaum); Division of Developmental and Behavioral Pediatrics, National Center for School Crisis and Bereavement, Cincinnati Children's Hospital Medical Center, Ohio (Dr Schonfeld); Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland (Dr Flynn); Center for Biosecurity, University of Pittsburgh Medical Center, Baltimore, Maryland (Dr Norwood); Division for At-Risk Individuals, Behavioral Health, and Community Resilience, Office of the Assistant Secretary for Preparedness and Response, Office of the Secretary, US Department of Health and Human Services, Washington, DC (Dr Dodgen, Ms Kaul, and Mr Donato); Commissioned Corps Affairs, Food and Drug Administration, US Department of Health and Human Services, Rockville, Maryland (Ms Stone); Department of Aging and Mental Health, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa (Dr Brown); National Institute of Occupational Safety and Health, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Reissman); Disaster Mental Health Institute, University of South Dakota, Vermillion (Dr Jacobs); Department of Behavioral Sciences, Rush University Medical Center, Chicago, Illinois (Dr Hobfoll); Department of Psychology, Virginia Tech University, Blacksburg, Virginia (Dr Jones); National Association of County and City Health Officials, Washington, DC (Mr Herrmann); Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland (Dr Ursano); and National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, California (Dr Ruzek).
Abstract

In substantial numbers of affected populations, disasters adversely affect well-being and influence the development of emotional problems and dysfunctional behaviors. Nowhere is the integration of mental and behavioral health into broader public health and medical preparedness and response activities more crucial than in disasters such as the 2009-2010 H1N1 influenza pandemic. The National Biodefense Science Board, recognizing that the mental and behavioral health responses to H1N1 were vital to preserving safety and health for the country, requested that the Disaster Mental Health Subcommittee recommend actions for public health officials to prevent and mitigate adverse behavioral health outcomes during the H1N1 pandemic. The subcommittee's recommendations emphasized vulnerable populations and concentrated on interventions, education and training, and communication and messaging. The subcommittee's H1N1 activities and recommendations provide an approach and template for identifying and addressing future efforts related to newly emerging public health and medical emergencies. The many emotional and behavioral health implications of the crisis and the importance of psychological factors in determining the behavior of members of the public argue for a programmatic integration of behavioral health and science expertise in a comprehensive public health response.

PMID:
22490939
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/22490939
 
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