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• W2337200076 abstract "This wide-ranging paper draws together a substantial amount of data about the nature of traumatic stress reactions and their management. The information has been drawn from a wide range of sources and has then been subjected to an expert panel review. The result is a comprehensive strategic guideline for the management of a population’s response to major traumatic events. Given the nature of the world we live in, the paper explores an important and relevant topic (Bromet & Dew, 1995; Van Ommeren, Saxena, & Saraceno, 2005). The authors, without question pre–eminent in their fields, identify five guiding principles which those in positions of responsibility need to keep in mind when putting together disaster management plans. When carried out alongside the control of lost or damaged infrastructure, the five guiding principles act as desirable outcomes which should help to maintain and restore psychological health. The principles are safety, calming, selfand collective efficacy, connectedness, and instilling hope. The paper details the evidence behind the utility of each principle and goes on to clarify the public health measures that emergency planners can use to establish each principle at both an individual and group level. The paper is clear that it is evidence–informed rather than evidence-based which is appropriate, and we wholeheartedly endorse this approach. Because of the unpredictable nature of disasters, it is difficult, although not impossible (Boscarino et al., 2004; Rubin et al., 2005), to conduct rigorous research in the chaos of a post–disaster environment, and therefore using an evidence-informed philosophy has allowed the authors to draw from a wide range of available data. Furthermore, the paper avoids the potential criticism that is often levied at over-reliance on randomized controlled trials (Lau, Ioannidis, & Schmid 1998) which are especially difficult to undertake after disasters. Considerable thought has gone into developing a theoretical framework underlying much of this paper, for example around the cognitive and neurobiological responses to trauma, which is admirable. We wonder, however, just how achievable some of the recPsychiatry 70(4) Winter 2007 361" @default.
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• W2337200076 title "Commentary on Five Essential Elements of Immediate and Mid-Term Mass Trauma Intervention: Empirical Evidence by Hobfall, Watson et al. No Plans Survive First Contact with the Enemy: Flexibility and Improvisation in Disaster Mental Health" @default.
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