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Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines

BACKGROUND: Severe mental disorders are often neglected following a disaster. Based on Médecins Sans Frontières’ (MSF) experience of providing mental health (MH) care after the 2013 typhoon in the Philippines, we describe the monthly volume of MH activities and beneficiaries; characteristics of peop...

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Autores principales: Weintraub, Ana Cecilia Andrade de Moraes, Garcia, Mariana Gaspar, Birri, Elisa, Severy, Nathalie, Ferir, Marie-Christine, Ali, Engy, Tayler-Smith, Katie, Nadera, Dinah Palmera, Van Ommeren, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039821/
https://www.ncbi.nlm.nih.gov/pubmed/27620925
http://dx.doi.org/10.1093/inthealth/ihw032
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author Weintraub, Ana Cecilia Andrade de Moraes
Garcia, Mariana Gaspar
Birri, Elisa
Severy, Nathalie
Ferir, Marie-Christine
Ali, Engy
Tayler-Smith, Katie
Nadera, Dinah Palmera
Van Ommeren, Mark
author_facet Weintraub, Ana Cecilia Andrade de Moraes
Garcia, Mariana Gaspar
Birri, Elisa
Severy, Nathalie
Ferir, Marie-Christine
Ali, Engy
Tayler-Smith, Katie
Nadera, Dinah Palmera
Van Ommeren, Mark
author_sort Weintraub, Ana Cecilia Andrade de Moraes
collection PubMed
description BACKGROUND: Severe mental disorders are often neglected following a disaster. Based on Médecins Sans Frontières’ (MSF) experience of providing mental health (MH) care after the 2013 typhoon in the Philippines, we describe the monthly volume of MH activities and beneficiaries; characteristics of people seeking MH care; profile and outcomes of people with severe mental disorders; prescription of psychotropic medication; and factors facilitating the identification and management of individuals with severe mental disorders. METHODS: A retrospective review of programme data was carried out. RESULTS: In total, 172 persons sought MH care. Numbers peaked three months into MSF's intervention and decreased thereafter. Of 134 (78%) people with complete data, 37 (28%) had a severe mental disorder, often characterised by psychotic symptoms (n=24, 64%) and usually unrelated to the typhoon (n=32, 86%). Four people (11%) were discharged after successful treatment, two (5%) moved out of the area, 20 (54%) were referred for follow-up on cessation of MSF activities and 10 (27%) were lost-to-follow-up. Psychotropic treatment was prescribed for 33 (75%) people with mental disorders and for 11 with non-severe mental disorders. CONCLUSIONS: This study illustrates how actors can play an important role in providing MH care for people with severe mental disorders in the aftermath of a disaster.
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spelling pubmed-50398212016-09-29 Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines Weintraub, Ana Cecilia Andrade de Moraes Garcia, Mariana Gaspar Birri, Elisa Severy, Nathalie Ferir, Marie-Christine Ali, Engy Tayler-Smith, Katie Nadera, Dinah Palmera Van Ommeren, Mark Int Health Original Articles BACKGROUND: Severe mental disorders are often neglected following a disaster. Based on Médecins Sans Frontières’ (MSF) experience of providing mental health (MH) care after the 2013 typhoon in the Philippines, we describe the monthly volume of MH activities and beneficiaries; characteristics of people seeking MH care; profile and outcomes of people with severe mental disorders; prescription of psychotropic medication; and factors facilitating the identification and management of individuals with severe mental disorders. METHODS: A retrospective review of programme data was carried out. RESULTS: In total, 172 persons sought MH care. Numbers peaked three months into MSF's intervention and decreased thereafter. Of 134 (78%) people with complete data, 37 (28%) had a severe mental disorder, often characterised by psychotic symptoms (n=24, 64%) and usually unrelated to the typhoon (n=32, 86%). Four people (11%) were discharged after successful treatment, two (5%) moved out of the area, 20 (54%) were referred for follow-up on cessation of MSF activities and 10 (27%) were lost-to-follow-up. Psychotropic treatment was prescribed for 33 (75%) people with mental disorders and for 11 with non-severe mental disorders. CONCLUSIONS: This study illustrates how actors can play an important role in providing MH care for people with severe mental disorders in the aftermath of a disaster. Oxford University Press 2016-09 2016-09-27 /pmc/articles/PMC5039821/ /pubmed/27620925 http://dx.doi.org/10.1093/inthealth/ihw032 Text en © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial reuse, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Articles
Weintraub, Ana Cecilia Andrade de Moraes
Garcia, Mariana Gaspar
Birri, Elisa
Severy, Nathalie
Ferir, Marie-Christine
Ali, Engy
Tayler-Smith, Katie
Nadera, Dinah Palmera
Van Ommeren, Mark
Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
title Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
title_full Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
title_fullStr Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
title_full_unstemmed Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
title_short Not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the Philippines
title_sort not forgetting severe mental disorders in humanitarian emergencies: a descriptive study from the philippines
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039821/
https://www.ncbi.nlm.nih.gov/pubmed/27620925
http://dx.doi.org/10.1093/inthealth/ihw032
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