Alcohol use in Polish 9/11 responders: implications for cross-cultural treatment

Details

• Personal Author:
  Akerele E ; Jutras-Aswad D ; Katz CL ; Kiliman M ; Marrone K ; Ozbay F ; Pilatowicz I
• Description:
  More than 35,000 individuals are estimated to have responded to the World Trade Center (WTC) site following the terrorist attacks of September 11, 2001. The federally funded WTC Medical Monitoring and Treatment Program (WTCMMTP) provides medical monitoring and occupational medicine treatment as well as counseling regarding entitlements and benefits to the workers and volunteers who participated in the WTC response. A major component of the WTCMMTP is the WTC Mental Health Program (WTCMHP), which offers annual mental health assessments and ongoing treatment for those found to have 9/11 associated mental health problems. In the program's 9.5 years of evaluating and treating mental health problems in thousands of Ground Zero responders, diversity in multiple domains (e.g., gender, family, profession and employment status, state of physical health, cultural identity, and immigration status) has been a hallmark of the population served by the program. To illustrate the types of issues that arise in treating this diverse patient population, the authors first present a representative case involving a Polish asbestos worker with an alcohol use disorder. They then discuss how accepted alcohol treatment modalities can and often must be modified in providing psychiatric treatment to Polish responders, in particular, and to foreign-born patients in general. Treatment modalities discussed include cognitive and behavioral therapy, relapse prevention strategies, psychodynamic therapy, motivational approaches, family therapy, group peer support, and pharmacotherapy. Implications for the practice of addiction psychiatry, cultural psychiatry, and disaster psychiatry are discussed. [Description provided by NIOSH]
• Subjects:
  Alcoholic Beverages Diagnosis Emergency Responders Health Care Facilities Workforce And Services Health Promotion Mental Disorders Mental Health Occupational Health Race Factors Risk Assessment Risk Factors Safety Stress, Psychological

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• Keywords:
  Addiction Alcohol Dependence Alcoholism Author Keywords: September 11, 2001 Clinical-diagnosis Cultural Psychiatry Disaster Psychiatry Emergency-responders Health-programs Medical-monitoring Mental-disorders Mental-health Psychological-disorders Psychological-reactions Psychological-stress Racial-factors Rescue-workers Risk-factors Statistical-analysis Surveillance-programs

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• ISSN:
  1527-4160
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; District of Columbia ; New Jersey ; New York ; OSHA Region 1 ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 6 ; Texas ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  55-63
• Volume:
  18
• Issue:
  1
• NIOSHTIC Number:
  nn:20047471
• Citation:
  J Psychiatr Pract 2012 Jan; 18(1):55-63
• Contact Point Address:
  Craig Katz, Mount Sinai School of Medicine, New York, NY 10029, USA
• Email:
  craig.katz@mssm.edu
• Federal Fiscal Year:
  2012
• Performing Organization:
  Mount Sinai School of Medicine - New York
• Peer Reviewed:
  True
• Start Date:
  20040601
• Source Full Name:
  Journal of Psychiatric Practice
• End Date:
  20100531
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9cbd56f8641d0d024f20c39921916627c00ef18b92524ee107e2c90e74f7b83bb05f2d07374fa8c350dd4acb52ea95964e412d8886fc1dab63b15dd1ed284946
• Download URL:
  https://stacks.cdc.gov/view/cdc/202527/cdc_202527_DS1.pdf
• File Type:
  [PDF - 2.46 MB ]