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Lessons Learned from the Boston Marathon Bombing Victim Services Program

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Abstract

The Boston Marathon bombing of April 15, 2013 involved the detonation of pressure cooker bombs near the finish line of the Boston Marathon. Three people died at the scene and more than 200 others required medical attention. Many survivors received serious injuries including head injuries, hearing loss and severed limbs as a direct result of the blasts and 14 survivors required amputations. The media reports included graphic images of severely injured runners and spectators that were shown repeatedly and continuously for months thereafter. This intentional, human caused mass violence at an event attended by hundreds of thousands and accompanied by graphic, gruesome, and extensive media exposure exacerbated the behavioral health risks in the affected community as well as those who observed the events in the media. The Massachusetts Office for Victim Assistance provided an immediate response and continues to provide victim assistance, behavioral health counseling and other supports through a Department of Justice/Office for Victims of Crime Antiterrorism Emergency Assistance Program grant to help those most affected. Many lessons were learned about the need for preparation, close working relationships and an understanding of the powerful psychological impact of terrorist and mass violence events. This article shares what we currently know about traumatic stress reactions related to human caused mass violence events and provides program details, lessons learned and recommendations from the Marathon Bombing Victim Assistance program.

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Notes

  1. MOVA is aware that many people who have experienced a trauma prefer to use the term ‘survivor’ rather than ‘victim’ in referring to themselves, thus we interchange the terms as ‘victim’ remains in the language of our federal and state scope of services.

References

  • Boscarino, J.A., Galea, S., Ahern, J., Resnick, H. & Vlahov, D. (2002). Utilizaiton of mental health services following the September 11th terrorist attacks in Manhattan, New York City. International Journal of Emergency Mental Health, Vol 4(3). Summ 2002 pp. 143–156. Chevron Publishing.

  • Center for Mental Health Services. (2001). Emergency mental health and traumatic stress: An overview of the Crisis Counseling Assistance and Training Program. Retrieved June 11, 2004, from http://www.mentalhealth.samhsa.gov/cmhs/Emergency Services/ccp_pg01.a

  • Center for Mental Health Services (CMHS). (2004). Mental health response to mass violence and terrorism: a training manual. DHHS PUb. No SMA 3959 Rockville, MD.

  • Centers for Disease Control (2006a). Assessment of health-related needs after hurricanes katrina and rita–orleans and jefferson parishes, new orleans area, louisiana, October 17–22, 2005. Morbidity and Mortality Weekly Report, 55, 38–41.

    Google Scholar 

  • Chemtob, C. M., Nomura, Y., Rajendran, K., Yehuda, R., Schwartz, D., & Abramovitz, R. (2011). Impact of maternal posttraumatic stress disorder and depression following exposure to the September 11 attacks on preschool children’s behavior. Child Development Jul-Aug, 81(4), 1129–1141. Doi:10.1111/j.1467-8624.2010.01458x.

    Article  Google Scholar 

  • DART Center for Journalism. Covering Breaking News: Interviewing Victims and Survivors. Retrieved July 31, 2014 from: http://dartcenter.org/content/covering-breaking-news-interviewing-victims-and-survivors.

  • Draper, J., McCleery, G., & Schadle, R. (2006). Mental health services support in response to September 11: the central role of the Mental Health Association of New York City. In Y. Neria, R. Gross & R. Marshall. (Eds.) Cambridge: Cambridge University Press.

    Google Scholar 

  • Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research & Therapy, September 2001, Vol. 39 Issue 9, p1063-1084, 22p; Doi:10.1016/S0005-7967(00)00088-7.

  • Federal Bureau of Investigation. http://www.fbi.gov/boston/press-releases/2013/suspect-in-boston-marathon-attack-charged-with-using-a-weapon-of-mass-destruction.

  • Filipas, H. H. & Ullman, S. E. Social reactions to sexual assault victims from various support sources. Violence & Victims; December 2001, Vol. 16 Issue 6, p673-692, 20p.

  • Galea, S., Ahern, J., Resnick, H., Kilpatrick, D., Mucuvalas, M., & Gold, J. (2002). Psychological sequelae of the September 11 terrorist attacks in New York City. New England Journal of Medicine, 346(13), 982–987.

    Article  PubMed  Google Scholar 

  • Germain, C. B., & Gitterman, A. (1995). Ecological perspective. In R. L. Edwards, Ed-In-Chief) (Ed.), Encyclopedia of Social Work (19th ed. pp. 816–822). Silver Spring, MD: National Association of Social Workers Press.

    Google Scholar 

  • Gibson, L. E., Ruzek, J. I., Naturale, A. J., Watson, P. J., Bryant, R. A., Rynearson, T., Young, B. H., & Hamblen, J. L. (2006). Interventions for individuals after mass violence and disaster. Journal of Trauma Practice 5(4).

  • Gurwitch, R. H., Sitterle, K. A., Young, B. H., & Pfefferbaum, B. (2002). In: Helping children cope with disasters and terrorism A. M. La Greca, W. K., Silverman, M. E. Vernberg, M. C. Roberts (Eds), American Psychological Association, pp. 327–357.

  • Hamblen, J. L., Norris, F. H., Pietruszkiewicz, S., Gibson, L.E., Naturale, A., Louis, Claudine (2009). Cognitive behavioral therapy for postdisaster distress: a community based treatment program for survivors of hurricane katrina. Administration and Policy in Mental Health and Mental Health Services Research, 36(3), 206–214.

    Article  PubMed  Google Scholar 

  • Hobfoll, S. E., Watson, P., Bell, C. C., Bryant, R. A., Brymer, M. J., Friedman, M. J., Gerson, B. P. R., de Jong, J. T. V. M., Layne, C. M., Maguen, S., Neria, Y., Norwood, A. E., Pynoos, R. S., Reissman, D., Ruzek, J. I., Shalev, A. Y., Solomon, A., Steinberg, A., M., Ursano, R., J. (2007). Five essential elements of immediate and mid-term mass trauma intervention: Empirical evidence. Psychiatry 70(4), 283–315.

  • Hopwood, T. L., & Schutte, N. S. (2016). Psychological outcomes in reaction to media exposure to disasters and large-scale violence: A meta-analysis. Psychology of Violence

  • Kaniasty, K., & Norris, F. (1995). In search of altruistic community: Patterns of social support following hurricane Hugo. American Journal of Community Psychology, 23(4), 447.

    Article  PubMed  Google Scholar 

  • Kotz, Deborah (2013). “Injury toll from Marathon bombs reduced to 264”. The Boston Globe. Retrieved April 29, 2013.

  • MA Attorney General’s Office (AGO). (2016). Victim Advocacy and Assistance. http://www.mass.gov/ago/public-safety/resources.html.

  • Marshall, R. (2006). Learning from 9/11: Implications for disaster research and public health. In Y. Neria, R. Marshall & E. Susser (Eds.), 9/11: Mental health in the wake of terrorist attacks. New York: Cambridge University Press.

    Google Scholar 

  • Morganstein, J. C., West, J. C., Huff, L. A., Flynn, B. W., Fullerton, C. S., Benedek, D. M., & Ursano, R. J. (2016). Psychological responses to disaster and exposures: Distress reactions, health risk behavior, and mental disorders. In J. Shigemura & R. K. Chhem (Eds.), Mental health and social issues following a nuclear accident: The case of Fukushima. New York, NY: Springer Science and Business Media.

    Google Scholar 

  • Myers, D., & Wee, D. (2005). Disaster mental health services: a primer for practitioners. New York: Routledge Psychosocial Stress Series.

    Google Scholar 

  • National Center for Posttraumatic Stress Disorder (n.d.). Survivors of Disaster. Retrieved from http://www.ptsd.va.gov/professional/trauma/disaster-terrorism/stress-mv-t-dhtml.asp.

  • National Child Traumatic Stress Network. (2016). Community Violence. Retrieved from http://www.nctsnet.org/trauma-types/community-violence.

  • National Center for Post Traumatic Stress Disorder (NCPTSD). (2016). Disasters and Terrorism. https://www.ptsd.va.gov/professional/trauma/disaster-terrorism/index.asp.

  • Naturale, A. (2006). Mental health outreach strategies: An Experiential Description of the Outreach Methodologies Utilized in the New York 9/11 Disaster Response. In M. J. Friedman, P. J. Watson, E. C. Ritchie & R. Orner (Eds.), Mass violence and early intervention. New York: Guilford Press.

    Google Scholar 

  • Neria, Y., Galea, S., & Norris, F. H. (2012). Disaster mental health research: Exposure, impact and response. In Y. Neria, S. Galea & F. H. Norris (Eds.), Mental health and disasters. Cambridge: Cambridge University.

    Google Scholar 

  • Norris, F. H., Byrne, C. M., & Diaz, E. (2001). Risk factors for adverse outcomes in natural and human caused disasters: A review of the empirical literature. Retrieved December 5, 2001, from https//:http://www.ncptsd.org.

  • Norris, F. H., Friedman, M. J., & Watson, P. J. (2002). 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry: Interpersonal and Biological Processes, 65(3), 240–260.

    Article  Google Scholar 

  • Norris, F. H., Friedman, M. J., Watson, P. J.., Byrne, C. M., Diaz, E. and Kaniasty, K. (2002). 60,000 Disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry 65(3), 207–239

    Article  PubMed  Google Scholar 

  • Norris, F. H., Hamblen, J. L., Watson, P. J., Ruzek, J. I., Gibson, L. E., Pfefferbaum, B. J., Price, J. L., Stevens, S. P., Young, B. H., & Friedman, M. J. (2006). Toward understanding and creating system of postdisaster care: a case study of new york’s response to the world trade center disaster. In E. C. Ritchie, P. J. Watson & M. J. Friedman (Eds.), Interventions Following Mass Violence and Disaster (pp. 343–365). New York: The Guildford Press.

    Google Scholar 

  • Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress: a test of the social support deteriorations deterrence model. Journal of Personality and Social Psychology, 71(3), 498–511.

    Article  PubMed  Google Scholar 

  • Norris, F. H., & Rosen, Craig S. (2009). Innovations in disaster mental health services and evaluation: National, state, and local responses to Hurricane Katrina (introduction to the special issue). Administration and Policy in Mental Health and Mental Health Services Research, Vol 36(3), May, 2009 (pp. 159–164). Publisher: Springer.

  • U.S. Department of Health and Human Services, (1996). The Health Information Portability and Accountability Act. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html?language=es.

  • U.S. Department of Justice, (2014). http://www.justice.gov/opa/pr/attorney-general-announces-83-million-support-victims-boston-marathon-bombings.

  • U. S. Department of Justice, (2016, July 22 Updated). Crime Victims’ Rights Act. https://www.justice.gov/usao/resources/crime-victims-rights-ombudsman/victims-rights-act.

  • U.S. Dept. of Justice, Office for Victims of Crime and the Center for Mental Health Services, the Substance Abuse and Mental Health Services Administration. (2004). Mental Health Response to Mass Violence and Terrorism: A Training Manual. DHHS Pub. No SMA 3959 Rockville, MD.

  • Salston, M. D., & Figley, C. R. (2003). Secondary traumatic stress effects of working with Survivors of criminal victimization. Journal of Traumatic Stress, 16(2), 167–175.

    Article  PubMed  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2014). Tips for Survivors of a Disaster or Other Traumatic Event: Coping with Retraumatization. Retrieved 7/7/2016 from: http://store.samhsa.gov/.

  • Substance Abuse and Mental Health Services Administration Disaster Technical Assistance Center (2014). Crisis Counseling Assistance and Training Program Toolkit. http://media.samhsa.gov/DTAC-CCPToolkit/training.htm.

  • Tosone, C., McTighe, J. P., Bauwens, J., & Naturale, A. (2011). Shared Traumatic Stress and the Long-Term Impact of 9/11 on Manhattan Clinicians. Journal of Traumatic Stress, 24(5), 546–552.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Gruber, M. J., Powers, R. E., Schoenbaum, M., Speier, A. H., Wells, K. B., et al. (2007). Mental health service use among Hurricane Katrina survivors in the eight months after the disaster. Psychiatric Services, 58, 1403–1411.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zoellner, L. A., Foa, E. B. & Brigidi, B. D. (1999). Interpersonal friction and PTSD in female victims of sexual and nonsexual assault. Journal of Traumatic Stress, Vol 12(4), Oct, 1999. Pp 0.689–700. Publisher: Wiley .

  • Zoellner, L. A., Feeny, N. C., Eftekhari, A., & Foa, E. B. (2011). Changes in negative beliefs following three brief programs for facilitating recovery after assault. Depression and Anxiety, Vol 28(7), Jul, 2011. pp. 532–540.

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Acknowledgements

The MA Office for Victim Assistance Marathon bombing response program services are offered for free and are (partially) supported by the MA Office for Victims Assistance through an Antiterrorism Emergency Assistance Program cooperative agreement number 2014-RF-GX-K002 from the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice (OVC/OJP/DOJ). The article reflects the opinions of the authors and does not reflect the opinion of the OVC/OJP/DOJ. This project was (partially) supported by the Massachusetts Office for Victim Assistance through and Antiterrorism Emergency Assistance Program (AEAP) cooperative agreement number 2014-RF-GX-K002 from the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice. The opinions, findings, conclusions and recommendations expressed in this article are those of the authors and do not necessarily reflect the views of the State of Massachusetts or the Office of Justice Programs.

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Correspondence to April Naturale.

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Naturale, A., Lowney, L.T. & Brito, C.S. Lessons Learned from the Boston Marathon Bombing Victim Services Program. Clin Soc Work J 45, 111–123 (2017). https://doi.org/10.1007/s10615-017-0624-7

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