Psychiatr Serv 57:1335-1338, September 2006
doi: 10.1176/appi.ps.57.9.1335
© 2006 American Psychiatric Association
A Mental Health Program for Ground Zero Rescue and Recovery Workers: Cases and Observations
Craig L. Katz, M.D.,
Rebecca Smith, M.D.,
Marsha Silverton, Ph.D.,
Anastasia Holmes, M.P.A.,
Carlos Bravo, M.S.W.,
Kristina Jones, M.D.,
Marta Kiliman, L.M.S.W.,
Norma Lopez, L.C.S.W.,
Laurie Malkoff, M.D.,
Kathryn Marrone, L.C.S.W.,
Alla Neuman, L.C.S.W.,
Tricia Stephens, L.C.S.W.,
Wendy Tavarez, L.M.S.W.,
Anne Yarowsky, L.C.S.W.,
Stephen Levin, M.D. and
Robin Herbert, M.D.
Clinical vignettes from the World Trade Center Worker and Volunteer Mental Health Monitoring and Treatment Program at the Mount Sinai Medical Center in New York City are presented. The hospital-based program pairs mental health screenings with federally funded occupational medical screenings to identify persons with mental health problems related to their rescue and recovery roles. The program also provides on-site mental health treatment. The cases illustrate the diverse mental health needs of the rescue and recovery workers, some of whom initially sought treatment years after September 11, 2001. The cases show that in addition to symptoms of posttraumatic stress disorder, workers experienced survivor guilt, distressing memories of childhood trauma, shame associated with intense feelings, substance abuse relapse, psychosis, and problems with family relationships.
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[Abstract]
[PDF]
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