A Mental Health Program for Ground Zero Rescue and Recovery Workers: Cases and Observations

Details

• Personal Author:
  Bravo C ; Herbert R ; Holmes A ; Jones K ; Katz CL ; Kiliman M ; Levin S ; Lopez N ; Malkoff L ; Marrone K ; Neuman A ; Silverton M ; Smith R ; Stephens T ; Tavarez W ; Yarowsky A
• Description:
  Clinical vignettes from the World Trade Center Worker and Volunteer Mental Health Monitoring and Treatment Program at the Mount Sinai Medical Center in New York City are presented. The hospital-based program pairs mental health screenings with federally funded occupational medical screenings to identify persons with mental health problems related to their rescue and recovery roles. The program also provides on-site mental health treatment. The cases illustrate the diverse mental health needs of the rescue and recovery workers, some of whom initially sought treatment years after September 11, 2001. The cases show that in addition to symptoms of posttraumatic stress disorder, workers experienced survivor guilt, distressing memories of childhood trauma, shame associated with intense feelings, substance abuse relapse, psychosis, and problems with family relationships. [Description provided by NIOSH]
• Subjects:
  Family Fatigue Mental Disorders Mental Health Occupational Health Safety Stress, Psychological
• Keywords:
  Children Families Mental-fatigue Mental-health Mental-processes Mental-stress Psychological-adaptation Psychological-disorders Psychological-effects Psychological-factors Psychological-fatigue Psychological-processes Psychological-reactions Psychological-responses Psychological-stress Psychological-testing Stress Substance-abuse

  More +
• ISSN:
  1075-2730
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  57
• Issue:
  9
• NIOSHTIC Number:
  nn:20031444
• Citation:
  Psychiatr Serv 2006 Sep; 57(9):1335-1338
• Contact Point Address:
  Mount Sinai Department of Social Work, New York City
• Email:
  craiglkatz@gmail.com
• Federal Fiscal Year:
  2006
• NORA Priority Area:
  Services
• Performing Organization:
  Mount Sinai School of Medicine of New York University
• Peer Reviewed:
  True
• Start Date:
  20040715
• Source Full Name:
  Psychiatric Services
• End Date:
  20090714
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bba8b352085ebabba074a4883712bacad869ed92f78966a2a3fee8c6b42e0506f2f8aa35fe827bc88d0168ae619a4d650111ce0c2aedf900740f34a7e2f16dc4
• Download URL:
  https://stacks.cdc.gov/view/cdc/185740/cdc_185740_DS1.pdf
• File Type:
  [PDF - 170.45 KB ]