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Chapter 29 - Mental Healthcare Required by People Who Are Affected by Major Incidents and Pandemics: Lessons from Research

from Section 4 - Responses to Meet the Mental Health Needs of People Affected by Emergencies, Major Incidents, and Pandemics

Published online by Cambridge University Press:  11 January 2024

By
Jonathan I Bisson
Edited by
Richard Williams ,
Verity Kemp ,
Keith Porter ,
Tim Healing  and
John Drury
Richard Williams
Affiliation:
University of South Wales
Verity Kemp
Affiliation:
Independent Health Emergency Planning Consultant
Keith Porter
Affiliation:
University of Birmingham
Tim Healing
Affiliation:
Worshipful Society of Apothecaries of London
John Drury
Affiliation:
University of Sussex
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Summary

Although many people will experience a mental health reaction to major incidents and pandemics, only a minority of people affected are likely to require mental healthcare. Most people will not develop a mental disorder, but common conditions will be precipitated, such as adjustment disorders, anxiety disorders, depressive disorders, post-traumatic stress disorder (PTSD), and substance use disorders. Other conditions include complex PTSD, prolonged grief disorder, psychosis, somatic symptom disorders, and neuropsychiatric consequences of infection in pandemics. The evidence for the prevention of mental disorders through formal interventions is very limited, and contrasts with strong evidence for effective treatments. In order to provide optimal care following major incidents and pandemics a biopsychosocial framework is appropriate, with mental health service provision being part of a whole system approach. A seamless, person-centred mental healthcare pathway for those affected would probably involve first responders, primary care, secondary physical care, the third sector, and social care.

Keywords

biopsychosocial modelearly interventionmajor incidentmental healthcarepandemicpost-traumatic stress disorderpreventionPTSD
Type
Chapter
Information
Major Incidents, Pandemics and Mental Health
The Psychosocial Aspects of Health Emergencies, Incidents, Disasters and Disease Outbreaks
 , pp. 213 - 222
Publisher: Cambridge University Press
Print publication year: 2024

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References

Williams, R, Bisson, J, Kemp, V. OP94: Principles for Responding to People’s Psychosocial and Mental Health Needs After Disasters. Royal College of Psychiatrists, 2014.Google Scholar
Bonanno, GA. Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely adverse events? Am Psychol 2004; 59: 20–28.CrossRefGoogle Scholar
Bryant, RA, Nickerson, A, Creamer, M, O’Donnell, M, Forbes, D, Galatzer-Levy, I, et al. Trajectory of post-traumatic stress following traumatic injury: 6-year follow-up. Br J Psychiatry 2015; 206: 417–23.CrossRefGoogle Scholar
Stancombe, J, Williams, R, Drury, J, Collins, H, Lagan, L, Barrett, A, et al. People’s experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017. BJPsych Open 2022; 8: e41.Google Scholar
Bryant, RA. Post-traumatic stress disorder: a state-of-the-art review of evidence and challenges. World Psychiatry 2019; 18: 259–69.Google Scholar
Brewin, CR, Andrews, B, Valentine, JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol 2000; 68: 748–66.CrossRefGoogle ScholarPubMed
World Health Organization. International Classification of Diseases for Mortality and Morbidity Statistics 11th revision. World Health Organization, 2018 (https://icd.who.int/browse11/l-m/en).Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 5th ed. American Psychiatric Association, 2013.Google Scholar
Galea, S, Nandi, A, Vlahov, D. The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev 2005; 27: 78–91.CrossRefGoogle ScholarPubMed
Beaglehole, B, Mulder, RT, Frampton, CM, Boden, JM, Newton-Howes, G, Bell, CJ. Psychological distress and psychiatric disorder after natural disasters: systematic review and meta-analysis. Br J Psychiatry 2018; 213: 716–22.CrossRefGoogle ScholarPubMed
Shevlin, M, McBride, O, Murphy, J, Gibson Miller, J, Hartman, TK, Levita, L, et al. Anxiety, depression, traumatic stress and COVID-19-related anxiety in the UK general population during the COVID-19 pandemic. BJPsych Open 2020; 6: e125.Google Scholar
Pierce, M, Hope, H, Ford, T, Hatch, S, Hotopf, M, John, A, et al. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry 2020; 7: 883–92.Google Scholar
Kwong, ASF, Pearson, RM, Adams, MJ, Northstone, K, Tilling, K, Smith, D, et al. Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts. Br J Psychiatry 2021; 218: 334–43.CrossRefGoogle ScholarPubMed
Fancourt, D, Steptoe, A, Bu, F. Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. Lancet Psychiatry 2021; 8: 141–9.CrossRefGoogle Scholar
Cénat, JM, Blais-Rochette, C, Kokou-Kpolou, CK, Noorishad, P, Mukunzi, JN, McIntee, S, et al. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: a systematic review and meta-analysis. Psychiatry Res 2021; 295: 113599.Google Scholar
Greenberg, N, Weston, D, Hall, C, Caulfield, T, Williamson, V, Fong, K. Mental health of staff working in intensive care during Covid-19. Occup Med 2021; 71: 62–7.Google Scholar
d’Ettorre, G, Ceccarelli, G, Santinelli, L, Vassalini, P, Innocenti, GP, Alessandri, F, et al. Post-traumatic stress symptoms in healthcare workers dealing with the COVID-19 pandemic: a systematic review. Int J Environ Res Public Health 2021; 18: 601.CrossRefGoogle ScholarPubMed
Lewis, KJS, Lewis, C, Roberts, A, Richards, NA, Evison, C, Pearce, H, et al. The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness. BJPsych Open 2022; 8: e59.CrossRefGoogle ScholarPubMed
Lewis, C, Lewis, K, Roberts, A, Evison, C, Edwards, B, John, A, et al. COVID-19 related posttraumatic stress disorder in adults with lived experience of psychiatric disorder. Depress Anxiety 2022; 39: 564–72.Google Scholar
Butler, M, Pollak, TA, Rooney, AG, Michael, BD, Nicholson, TR. Neuropsychiatric complications of COVID-19. BMJ 2020; 371: m3871.Google Scholar
Greenhalgh, T, Knight, M, A’Court, C, Buxton, M, Husain, L. Management of post-acute covid-19 in primary care. BMJ 2020; 370: m3026.Google Scholar
Bisson, JI, Astill Wright, L, Jones, KA, Lewis, C, Phelps, AJ, Sijbrandij, M, et al. Preventing the onset of post traumatic stress disorder. Clin Psychol Rev 2021; 86: 102004.Google Scholar
Rose, A, Bisson, J, Churchill, R, Wessely, S. Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database Syst Rev 2002; 2: CD000560.Google Scholar
National Institute for Health and Care Excellence. Post-Traumatic Stress Disorder. NICE Guideline [NG116]. National Institute for Health and Care Excellence, 2018 (www.nice.org.uk/guidance/ng116).Google Scholar
Wu, S, Zhu, X, Zhang, Y, Liang, J, Liu, X, Yang, Y, et al. A new psychological intervention: “512 Psychological Intervention Model” used for military rescuers in Wenchuan Earthquake in China. Soc Psychiatry Psychiatr Epidemiol 2012; 47: 1111–19.Google Scholar
International Society for Traumatic Stress Studies (ISTSS). Posttraumatic Stress Disorder Prevention and Treatment Guidelines: Methodology and Recommendations. ISTSS, 2019 (https://istss.org/getattachment/Treating-Trauma/New-ISTSS-Prevention-and-Treatment-Guidelines/ISTSS_PreventionTreatmentGuidelines_FNL-March-19-2019.pdf.aspx.).Google Scholar
Roberts, N, Kitchiner, N, Kenardy, J, Lewis, C, Bisson, J. Early psychological intervention following recent trauma: a systematic review and meta-analysis. Eur J Psychotraumatol 2019; 10: 1695486.CrossRefGoogle ScholarPubMed
Astill Wright, L, Sijbrandij, M, Sinnerton, R, Lewis, C, Roberts, NP, Bisson, JI. Pharmacological prevention and early treatment of post-traumatic stress disorder and acute stress disorder: a systematic review and meta-analysis. Transl Psychiatry 2019; 9: 334.Google Scholar
National Institute for Health and Care Excellence. Depression in Adults: Recognition and Management. Clinical Guideline [CG90]. National Institute for Health and Care Excellence, 2020 (www.nice.org.uk/guidance/cg90/evidence/full-guideline-pdf-4840934509).Google Scholar
National Institute for Health and Care Excellence. Generalised Anxiety Disorder and Panic Disorder in Adults: Management. Clinical Guideline [CG113]. National Institute for Health and Care Excellence, 2019 (www.nice.org.uk/guidance/cg113).Google Scholar
National Institute for Health and Care Excellence. Alcohol-Use Disorders: Diagnosis, Assessment and Management of Harmful Drinking (High-Risk Drinking) and Alcohol Dependence. Clinical Guideline [CG115]. National Institute for Health and Care Excellence, 2011 (www.nice.org.uk/guidance/cg115).Google Scholar
Lewis, C, Roberts, NP, Andrew, M, Starling, E, Bisson, JI. Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis. Eur J Psychotraumatol 2020; 11: 1729633.Google Scholar
Phoenix Australia. The Australian Guidelines for the Prevention and Treatment of Acute Stress Disorder (ASD), Posttraumatic Stress Disorder (PTSD) and Complex PTSD. Phoenix Australia, 2020 (www.phoenixaustralia.org/australian-guidelines-for-ptsd/).Google Scholar
Bisson, JI, Ariti, C, Cullen, K, Kitchiner, N, Lewis, C, Roberts, NP, et al. Guided, internet based, cognitive behavioural therapy for post-traumatic stress disorder: pragmatic, multicentre, randomised controlled non-inferiority trial (RAPID). BMJ 2022; 377: e069405.Google Scholar
Bisson, JI, Tavakoly, B, Witteveen, AB, Ajdukovic, D, Jehel, L, Johansen, VJ, et al. TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process. Br J Psychiatry 2010; 196: 69–74.Google Scholar
Hobfoll, SE, Watson, P, Bell, CC, Bryant, RA, Brymer, MJ, Friedman, MJ, et al. Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence. Psychiatry 2007; 70: 283–315.Google Scholar
Brewin, CR, Fuchkan, N, Huntley, Z, et al. Outreach and screening following the 2005 London bombings: usage and outcomes. Psychol Med 2010; 40: 2049–57.CrossRefGoogle ScholarPubMed
Rona, RJ, Burdett, H, Khondoker, M, Chesnokov, M, Green, K, Perent, D, et al. Post-deployment screening for mental disorders and tailored advice about help-seeking in the UK military: a cluster randomised controlled trial. Lancet 2017; 389: 1410–23.Google Scholar
Rona, RJ, Hooper, R, Jones, M, Hull, L, Browne, T, Horn, O, et al. Mental health screening in armed forces before the Iraq war and prevention of subsequent psychological morbidity: follow-up study. BMJ 2006; 333: 991.Google Scholar
Welsh Government. Prudent Healthcare. Welsh Government, 2016 (https://gov.wales/prudent-healthcare).Google Scholar

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