CHALLENGES FOR MENTAL HEALTH SERVICES RAISED BY DISASTER PREPAREDNESS: MAPPING THE ETHICAL AND THERAPEUTIC TERRAIN

被引:4
|
作者
Rabins, Peter V. [1 ]
Kass, Nancy E. [2 ]
Rutkow, Lainie [2 ]
Vernick, Jon S. [2 ]
Hodge, James G., Jr. [3 ]
机构
[1] Johns Hopkins Univ Hosp, Johns Hopkins Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21287 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA
[3] Arizona State Univ, Sandra Day OConnor Coll, Tempe, AZ USA
关键词
PUBLIC-HEALTH; CONSEQUENCES; EMERGENCY; EXPOSURE; KATRINA; ISSUES;
D O I
10.1089/bsp.2010.0068
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Identifying vulnerable groups and ensuring that their needs are met during disasters-whether naturally occurring or manmade-are vital aspects of preparedness planning. Developing preparedness strategies that are responsive to those at greatest risk is a moral mandate, justified by the principles of beneficence, justice, and respect for autonomy. Individuals with preexisting mental disorders and newly emergent psychological symptoms are particularly vulnerable to adverse outcomes during and after disasters. Without advance planning, these individuals might not benefit from necessary mental health services and treatments during and after disasters. In this commentary, we discuss ethical issues that arise in emergency preparedness planning for vulnerable individuals with psychological and psychiatric conditions and disorders.
引用
收藏
页码:175 / 179
页数:5
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