Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-33009
Bisson, J I; Tavakoly, B; Witteveen, A B; Ajdukovic, D; Jehel, L; Johansen, V J; Nordanger, D; Orengo Garcia, F; Punamaki, R L; Schnyder, U; Sezgin, A U; Wittmann, L; Olff, M (2010). TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process. The British Journal of Psychiatry, 196(1):69-74.
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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.
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|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Psychiatry and Psychotherapy|
|DDC:||610 Medicine & health|
|Deposited On:||25 Mar 2010 08:33|
|Last Modified:||27 Nov 2013 16:37|
|Publisher:||Royal College of Psychiatrists|
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