Mental health of those directly exposed to the World Trade Center disaster: unmet mental health care need, mental health treatment service use, and quality of life

Details

• Personal Author:
  Brackbill RM ; Farfel MR ; Perlman SE ; Stellman SD ; Walker DJ
• Description:
  Mental health service utilization several years following a man-made or natural disaster can be lower than expected, despite a high prevalence of mental health disorders among those exposed. This study focused on factors associated with subjective unmet mental health care need (UMHCN) and its relationship to a combination of diagnostic history and current mental health symptoms, 5-6 years after the 9-11-01 World Trade Center (WTC) disaster in New York City, USA. Two survey waves of the WTC Health Registry, after exclusions, provided a sample of 36,625 enrollees for this analysis. Important differences were found among enrollees who were categorized according to the presence or absence of a self-reported mental health diagnosis and symptoms indicative of post-traumatic stress disorder or serious psychological distress. Persons with diagnoses and symptoms had the highest levels of UMHCN, poor mental health days, and mental health service use. Those with symptoms only were a vulnerable group much less likely to use mental health services yet reporting UMHCN and poor mental health days. Implications for delivering mental health services include recognizing that many persons with undiagnosed but symptomatic mental health symptoms are not using mental health services, despite having perceived need for mental health care. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Dust Emergencies Emergency Responders Hazardous Substances Health Care Facilities Workforce And Services Mental Health Occupational Health Safety Surveys And Questionnaires
• Keywords:
  Author Keywords: WTC Disaster Dust-exposure Emergency-responders Emergency-response Hazardous-materials Hazardous-waste-cleanup Health-care Health-services Health-surveys Health Related Quality Of Life Medical-care Medical-services Medical-treatment Mental-health Mental Health Service Use Multinomial Logistic Regression Rescue-workers Unmet Mental Health Care Need

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• ISSN:
  0277-9536
• 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
• Pages in Document:
  110-114
• Volume:
  81
• NIOSHTIC Number:
  nn:20042102
• Citation:
  Soc Sci Med 2013 Mar; 81:110-114
• Contact Point Address:
  R.M. Brackbill, New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, 2 Gotham Center, 42-09 28th Street, 7th Floor, Queens, NY 11101, USA
• Email:
  rbrackbi@health.nyc.gov
• Federal Fiscal Year:
  2013
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Social Science and Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6faccf181d58934c10a03cab223a41d5d6fb31517e24cafe43f4e47a270ea3ced60a5831200684e5e0bc71d489a734cb881330d2dd416a65896ceabc9549dcb3
• Download URL:
  https://stacks.cdc.gov/view/cdc/194433/cdc_194433_DS1.pdf
• File Type:
  [PDF - 184.67 KB ]