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Experts assess the lessons learned from the most recent terrorist atrocities in terms of psychiatric interventions and sequelae.
The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.
This text offers psychotherapists and others involved in emergency response contemporary information on the immediate and lasting effects of trauma on children and adolescents. This volume demonstrates children and adolescents do have significant reactions that can interfere with their current and future psychological adjustment. Who is most at risk, and what can be done? This text reviews the research and intervention literature on a broad range of natural and man-made disasters, from floods and house-fires to acts of terrorism and war. Chapter authors document children's reactions, identifying factors that may predict or, alternatively, buffer against severe trauma responses. Descriptions of preparatory and post-disaster coping materials and interventions developed for use with children are included. In addition to setting the research agenda and paving the way for theory and model building in this evolving field, this volume has a strong practical emphasis, offering strategies for when and how to intervene, based on clinical observations and empirical evidence.
The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.
Disaster preparedness goes far beyond drafting a plan. As a healthcare leader, you must ensure that your organization has the appropriate programs and trained staff in place to respond quickly to any disaster event or threat. But you may be struggling with questions such as, "Where does my facility fit into communitywide preparedness systems?"; "Who is in charge, and what do they expect of me?"; and "What do I need to do first?" These questions and more are answered throughout this book. This resource focuses on planning and preparedness, with a special emphasis on issues of terrorism. Leaders in the fields of emergency medicine, law, and terrorism response provide guidance in the areas of: Understanding the legal and ethical issues surrounding disaster planning and preparedness Obtaining disaster assistance from the Federal Emergency Management Agency Navigating the confusing web of governmental and agency direction, control, and oversight Achieving and maintaining local interagency cooperation Integrating civilian and military response Meeting the preparedness needs of special populations
The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.
Introduces readers to the world of homeland security and provides them with up-to-date information on recent attacks, new terrorist threats, visible terrorist organizations, current dilemmas, updated research, and best practices This book provides comprehensive coverage of issues relating to terrorism, terrorist behavior, homeland security policies, and emergency management. It offers a foundation that spans the readily apparent chasm between the homeland security and disaster communities, and covers the stages of emergency management with a focus on terrorism prevention and response. Based on both the academic literature and practical understanding, the book includes research findings, covering theory and principles as well as their application. Introduction to Homeland Security: Understanding Terrorism Prevention and Emergency Management, Second Edition teaches how to define homeland security, understand how it changed after 9/11, and explore its relationship with emergency management; recognize the causes of terrorism and what prompts people to engage in terrorist attacks; assess the trade-offs between security and rights, and understand how terrorism exploits the tension between these two priorities; work to prevent terrorist attacks through intelligence gathering, by promoting laws that prohibit terrorism, and by protecting borders and various sectors of society; prepare for a terrorist attack by creating an advisory council, passing ordinances, acquiring monetary resources, and establishing an EOC; effectively respond to a terrorist attack through the many functions involved, including the protection of first responders and the decontamination of the victims; recover from a terrorist attack through both short-term and long-term measures; anticipate the current challenges faced in homeland security; and comprehend the various types of attacks that might take place in the future. The second edition: Covers the four traditional phases of emergency response, with a focus on terrorism prevention and infrastructure protection Includes new content such as recent domestic and international terrorist attacks including the attacks in Paris and Boston Has a strong "practitioner" approach and draws upon a solid foundation of academic literature in the field Discusses the roles and responsibilities of government agencies, non-government organizations, and individual citizens Introduction to Homeland Security is an excellent book for all scholars, students, and practitioners interested or involved in homeland security and emergency management.
No person or place is immune from disasters or disaster-related losses. Infectious disease outbreaks, acts of terrorism, social unrest, or financial disasters in addition to natural hazards can all lead to large-scale consequences for the nation and its communities. Communities and the nation thus face difficult fiscal, social, cultural, and environmental choices about the best ways to ensure basic security and quality of life against hazards, deliberate attacks, and disasters. Beyond the unquantifiable costs of injury and loss of life from disasters, statistics for 2011 alone indicate economic damages from natural disasters in the United States exceeded $55 billion, with 14 events costing more than a billion dollars in damages each. One way to reduce the impacts of disasters on the nation and its communities is to invest in enhancing resilience-the ability to prepare and plan for, absorb, recover from and more successfully adapt to adverse events. Disaster Resilience: A National Imperative addresses the broad issue of increasing the nation's resilience to disasters. This book defines "national resilience", describes the state of knowledge about resilience to hazards and disasters, and frames the main issues related to increasing resilience in the United States. It also provide goals, baseline conditions, or performance metrics for national resilience and outlines additional information, data, gaps, and/or obstacles that need to be addressed to increase the nation's resilience to disasters. Additionally, the book's authoring committee makes recommendations about the necessary approaches to elevate national resilience to disasters in the United States. Enhanced resilience allows better anticipation of disasters and better planning to reduce disaster losses-rather than waiting for an event to occur and paying for it afterward. Disaster Resilience confronts the topic of how to increase the nation's resilience to disasters through a vision of the characteristics of a resilient nation in the year 2030. Increasing disaster resilience is an imperative that requires the collective will of the nation and its communities. Although disasters will continue to occur, actions that move the nation from reactive approaches to disasters to a proactive stance where communities actively engage in enhancing resilience will reduce many of the broad societal and economic burdens that disasters can cause.
Does terrorism have a unique and significant emotional and behavioral impact among adults and children? In what way does the impact of terrorism exceed the individual level and affect communities and specific professional groups, and test different leadership styles? How were professional communities of mental health clinicians, policy-makers and researchers mobilized to respond to the emerging needs post disaster? What are the lessons learned from the work conducted after 9/11, and the implications for future disaster mental health work and preparedness efforts? Yuval Neria and his team are uniquely placed to answer these questions having been involved in modifying ongoing trials and setting up new ones in New York to address these issues straight after the attacks. No psychiatrist, mental health professional or policy-maker should be without this book.