Rapid Triage of Mental Health Risk in Emergency Medical Workers: Findings From Typhoon Haiyan.
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2018-02
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Abstract
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To determine the ability of a novel responder mental health self-triage system to predict post-traumatic stress disorder (PTSD) in emergency medical responders after a disaster.Methods
Participants in this study responded to Typhoon Haiyan, which struck the Philippines in November 2013. They completed the Psychological Simple Triage and Rapid Treatment (PsySTART) responder triage tool, the PTSD Checklist (PCL-5) and the Patient Health Questionnaire-8 (PHQ-8) shortly after responding to this disaster. The relationships between these 3 tools were compared to determine the association between different risk exposures while providing disaster medical care and subsequent levels of PTSD or depression.Results
The total number of PsySTART responder risk factors was closely related to PCL-5 scores ≥38, the threshold for clinical PTSD. Several of the PsySTART risk factors were predictive of clinical levels of PTSD as measured by the PCL-5 in this sample of deployed emergency medical responders.Conclusions
The presence of a critical number and type of PsySTART responder self-triage risk factors predicted clinical levels of PTSD and subclinical depression in this sample of emergency medical workers. The ability to identify these disorders early can help categorize an at-risk subset for further timely "stepped care" interventions with the goals of both mitigating the long-term consequences and maximizing the return to resilience. (Disaster Med Public Health Preparedness. 2018;12:19-22).Type
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Sylwanowicz, Lauren, Merritt Schreiber, Craig Anderson, Carlos Primero D Gundran, Emelie Santamaria, Jaifred Christian F Lopez, H Lam, AC Tuazon, et al. (2018). Rapid Triage of Mental Health Risk in Emergency Medical Workers: Findings From Typhoon Haiyan. Disaster medicine and public health preparedness, 12(1). pp. 19–22. 10.1017/dmp.2017.37 Retrieved from https://hdl.handle.net/10161/26391.
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Jaifred (Jim) Lopez
Jaifred Christian Lopez, or Jim, is a doctoral student at the Department of Population Health Sciences, Duke University. He is a clinically trained physician (licensed in the Philippines) with a master’s in public management and a professional certificate in project management. He now focuses on health systems research.
He is currently involved in projects related to health systems innovation and program implementation within the US Veterans Health Administration, and in the global health context through ongoing collaborations with colleagues based in the Philippines and other countries.
Education- Bachelor of Science in Basic Medical Sciences, University of the Philippines Manila, 2008
- Doctor of Medicine, University of the Philippines Manila, 2011
- Master in Public Management, major in Health Systems and Development, Development Academy of the Philippines, 2013
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