Steven Stellman - Mental health of those directly exposed to the World Trade Center disaster: unmet mental health care need, mental health treatment service use, and quality of life

Version 1

      Publication Details (including relevant citation   information):

      Brackbill, R. M., Stellman, S. D., Perlman, S. E., Walker, D. J.,   Farfel, M. R. 81 110-4-

      Abstract: Mental health service utilization   several years following a man-made or natural disaster can be   lower than expected, despite a high prevalence of mental health   disorders among those exposed. This study focused on factors   associated with subjective unmet mental health care need (UMHCN)   and its relationship to a combination of diagnostic history and   current mental health symptoms, 5-6 years after the 9-11-01 World   Trade Center (WTC) disaster in New York City, USA. Two survey   waves of the WTC Health Registry, after exclusions, provided a   sample of 36,625 enrollees for this analysis. Important   differences were found among enrollees who were categorized   according to the presence or absence of a self-reported mental   health diagnosis and symptoms indicative of post-traumatic stress   disorder or serious psychological distress. Persons with   diagnoses and symptoms had the highest levels of UMHCN, poor   mental health days, and mental health service use. Those with   symptoms only were a vulnerable group much less likely to use   mental health services yet reporting UMHCN and poor mental health   days. Implications for delivering mental health services include   recognizing that many persons with undiagnosed but symptomatic   mental health symptoms are not using mental health services,   despite having perceived need for mental health care.

      Address (URL): http://www.ncbi.nlm.nih.gov/pubmed/23337833