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TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process

Bisson, Jonathan Ian, Tavakoly, Behrooz, Witteveen, Anke B., Ajdukovic, Dean, Jehel, Louis, Johansen, Venke J., Nordanger, Dag, Garcia, Francisco O., Punamaki, Raija-Leena, Schnyder, Ulrich, Sezgin, A. Ufuk, Wittmann, Lutz and Olff, Miranda 2009. TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process. British Journal of Psychiatry 196 (1) , pp. 69-74. 10.1192/bjp.bp.109.066266

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Background How best to plan and provide psychosocial care following disasters remains keenly debated. Aims To develop evidence-informed post-disaster psychosocial management guidelines. Method A three-round web-based Delphi process was conducted. One hundred and six experts rated the importance of statements generated from existing evidence using a one to nine scale. Participants reassessed their original scores in the light of others’ responses in the subsequent rounds. Results A total of 80 (72%) of 111 statements achieved consensus for inclusion. The statement ‘all responses should provide access to pharmacological assessment and management’ did not achieve consensus. The final guidelines recommend that every area has a multi-agency psychosocial care planning group, that responses provide general support, access to social, physical and psychological support and that specific mental health interventions are only provided if indicated by a comprehensive assessment. Trauma-focused cognitive–behavioural therapy (CBT) is recommended for acute stress disorder or acute post-traumatic stress disorder, with other treatments with an evidence base for chronic post-traumatic stress disorder being made available if trauma-focused CBT is not tolerated. Conclusions The Delphi process allowed a consensus to be achieved in an area where there are limitations to the current evidence.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Last Modified: 04 Jun 2017 03:54

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