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Current Psychiatry Reports

, 20:88 | Cite as

Leveraging Technology in Post-Disaster Settings: the Role of Digital Health/Telemental Health

  • Eugene F. AugusterferEmail author
  • Richard F. Mollica
  • James Lavelle
Psychiatry in the Digital Age (J Shore, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Psychiatry in the Digital Age

Abstract

The Purpose Review

This paper will review the literature on global disasters and the mental health impact of disasters, and discuss the use of digital health/telemental health in providing care in post-disaster settings.

Recent Findings

Global disasters, natural and manmade, are on the rise. As a consequence, there are increases in the health and mental health impact in the affected populations. We examine the literature on the health and mental health impact of disasters and the role of digital health/telemental health in response to meeting those needs. We examine the use of digital health/telemental health in two case examples, one of a natural disaster and one of a man-made disaster. Finally, we examine a blended telemental health model for collaboration between mental health and primary care providers in post-disaster settings.

Summary

Digital health/telemental health is positioned on the cusp of the technology explosion, thus bringing much needed medical and mental health care to previously under-served populations.

Keywords

Digital health Telemental health Telepsychiatry Mental health Disaster response PTSD Depression 

Notes

Acknowledgments

The authors would like to acknowledge our gratitude to Barbara M. Peyser, PsyD, for her ongoing support, reading, and editing of this manuscript. We are truly grateful for the kind manner in which she read, edited, and re-read this paper.

Compliance with Ethical Standards

Conflict of Interest

Eugene F. Augusterfer, Richard F. Mollica, and James Lavelle declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    •• United Nations High Commissioner on Refugees, Global trends in forced displacement, 19 June 2018. This report documents the current increase in the number of globally displaced persons. Google Scholar
  2. 2.
    Centre for Research on the Epidemiology of Disasters. The human cost of natural disasters, a global perspective. 2015.Google Scholar
  3. 3.
    •• World Health Organization. Depression fact sheet, 22 March 2018. This report documents the increase in Depression world-wide. Google Scholar
  4. 4.
    •• World Bank Report on Psychosocial Support in Fragile and Conflict-Affected Settings, May 2016 http://www.worldbank.org/en/topic/fragilityconflictviolence/brief/psychosocial-support-in-fragile-and-conflict-affected-settings. This report documents the increase in psychiatric disorders in man-made disasters - conflict situations.
  5. 5.
    Centre for Research on the Epidemiology of Disasters. Annual Disaster Statistical Review 2016.Google Scholar
  6. 6.
    United Nations High Commissioner on Refugees. Global Trends in Forced Displacement, 19 June 2018.Google Scholar
  7. 7.
    World Health Organization. Depression fact sheet, 22 March 2018.Google Scholar
  8. 8.
    • Mollica RF, Lopes Cardozo B, Osofsky HJ, Raphael B, Ager A, Salama P. Mental health in complex emergencies. Lancet. 2004;364(9450):2058–67. This study demonstrates the impact of public health complex emergencies on the mental health of survivors. CrossRefPubMedGoogle Scholar
  9. 9.
    Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: a systematic review. Psychol Med. Apr 2008;38(4):467–80.CrossRefPubMedGoogle Scholar
  10. 10.
    • Moscona JC, Peters MN, Maini R, Katigbak P, Deere B, Gonzales H, et al. The incidence, risk factors, and chronobiology of acute myocardial infarction ten years after hurricane Katrina. Disaster Med Public Health Prep. 2018;12:1–6. This study documents the impact of a natural disaster (Hurricane Katrina) on the health and mental health of survivors. CrossRefGoogle Scholar
  11. 11.
    Dai W, Chen L, Lai Z, Wang J, Liu A. The incidence of post-traumatic stress disorder among survivors after earthquakes: a systematic review and meta-analysis. BMC Psychiatry. 2016;16:188.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Murakami H, Hidechika A, Noda S, Mizoue T, Okazaki O, Ouchi Y, et al. A cross-sectional survey of blood pressure of coastal city resident victims of the 2011 Tohoku tsunami. Am J Hypertens. 2013;26(6):799–807.CrossRefPubMedGoogle Scholar
  13. 13.
    Tsujiuchi T, Yamaguchi M, Masuda K, Tsuchida M, Inomata T, Kumano H, et al. High prevalence of post-traumatic stress symptoms in relation to social factors in affected population one year after the Fukushima nuclear disaster. PLoS One. 2016;11(3):e0151807.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    •• Alfanso CA. PTSD and suicide after natural disasters. Psychiatric Times. 2018; This paper documents the increase in suicides following a natural disaster (Hurricane Maria in Puerto Rico). Google Scholar
  15. 15.
    Kessler RC, Galea S, Gruber MJ, Sampson NA, Ursano RJ, Wessely S. Trends in mental illness and suicidality after Hurricane Katrina. Mol Psychiatry. 2008 Apr;13(4):374–84.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    • Jefee-Bahloul H, Moustafa MK, Shebl FM, Barkil-Oteo A. Pilot assessment and survey of Syrian refugees’ psychological stress and openness to referral for telepsychiatry (PASSPORT Study). Telemed J E Health. 2014;20(10):977–9. This study documents the rates of PTSD in Syrian refugees living in a UNHCR refugee camp in Turkey. CrossRefPubMedGoogle Scholar
  17. 17.
    Cairncross F. The death of distance: Harvard Business School Press; 1997.Google Scholar
  18. 18.
    Tiberi O. Mental health in Haiti: beyond disaster relief. J Glob Health. 2016;1Google Scholar
  19. 19.
    Augusterfer EF, Mollica RF, Lavelle J. A review of telemental health in international and post-disaster settings. Int Rev Psychiatry. 2015;27(6):540–6.CrossRefPubMedGoogle Scholar
  20. 20.
    Qadir TF, Fatima J, Usmani MH, Hussain SA. Telepsychiatry in Pakistan after natural disasters. Lancet Psychiatry. 2016;3(11):1016.CrossRefPubMedGoogle Scholar
  21. 21.
    Yellowlees P, Burke MM, Marks SL, Hilty DM, Shore JH. Emergency telepsychiatry. J Telemed Telecare. 2008;14(6):277–81.CrossRefPubMedGoogle Scholar
  22. 22.
    • Munro A, Kovats RS, Rubin GJ, Waite TD, Bone A, Armstrong B. Effect of evacuation and displacement on the association between flooding and mental health outcomes: a cross-sectional analysis of UK survey data. Lancet Planet Health. 2017;1(4):e134–41. This study documents the mental health impact of forced displacement. CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    United Nations High Commissioner on Refugees. 19 April 2018.Google Scholar
  24. 24.
    • Nassan M, Frye MA, Adi A, Alarcon RD. Telepsychiatry for post-traumatic stress disorder: a call for action in the Syrian conflict. Lancet Psychiatry. 2015;2(10):866. This study documents the value of telepsychiatry in an active combat setting (Syrian conflict). CrossRefPubMedGoogle Scholar
  25. 25.
    Jefee-Bahloul H, Barkil-Oteo A, Shukair N, Alraas W, Mahasneh W. Using a store-and-forward system to provide global telemental heath supervision and training: a case from Syria. Acad Psychiatry. 2016;40(4):707–9.CrossRefPubMedGoogle Scholar
  26. 26.
    Augusterfer EF. (Author’s first-hand report from meeting with the Minister of Health Haiti). 2014.Google Scholar
  27. 27.
    • Brandon AR, Song L, Deal AM, Gellin M, Sherwood E, Rosenstein DL. Using telehealth to train providers of a cancer support intervention. Telemedicine e-Health. 2015;21(10):793–800. This study documents the efficacy of telehealth as a medium to train providers in distant locations. CrossRefPubMedGoogle Scholar
  28. 28.
    • Mollica RF, Lopes Cardozo B, Osofsky HJ, Raphael B, Ager A, Salama P. Mental health in complex emergencies. Lancet. 2004;364(9450):2058–67. This study reports on the need for a self-care program for providers that include identification of risk factors and opportunities for resiliency. CrossRefPubMedGoogle Scholar
  29. 29.
    • Garbern SC, Ebbeling LG, Bartels SA. A systematic review of health outcomes among disaster and humanitarian responders. Prehosp Disaster Med. 2016;31(6):635–42. This study reports that mental health disorders among responders are higher and vary more than previously thought. CrossRefPubMedGoogle Scholar
  30. 30.
    • Naslund JA, Aschbrenner KA, Araya R, Marsch LA, Unutzer J, Patel V, et al. Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature. Lancet Psychiatry. 2017;4(6):486–500. This review examines the use of digital technology for treating and preventing mental health disorders in globally under-served settings. CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Latifi R, Tilley E. Telemedicine for disaster management: can it transform chaos into organized, structured care from a distance? Am J Disaster Med. 2014;9(1)Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Eugene F. Augusterfer
    • 1
    Email author
  • Richard F. Mollica
    • 2
  • James Lavelle
    • 1
  1. 1.Harvard Program in Refugee TraumaHarvard Global Mental Health ProgramCambridgeUSA
  2. 2.Harvard Program in Refugee Trauma, Massachusetts General HospitalHarvard Medical SchoolCambridgeUSA

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