Early postdisaster health outreach to modern families: a cross-sectional study

Haga, Jon Magnus; Stene, Lise Eilin; Wentzel‐Larsen, Tore; Thoresen, Siri; Dyb, Grete

doi:10.1136/bmjopen-2015-009402

Cited by 17 publications

(23 citation statements)

References 26 publications

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“…The study did not identify trauma‐informed principles among the primary studies it analysed, and concluded that processes for case identification, triage, and mental health interventions need to be incorporated into emergency medicine and trauma care responses (North & Pfefferbaum, ). Lastly, one strong quality cross‐sectional study aimed to investigate the effectiveness of an early outreach programme for parents of young survivors of a massacre (Haga et al ). Haga et al () did not incorporate any trauma‐informed principles within the intervention but found that early outreach visits by the crisis team were associated with follow‐up to a family doctor, but not with mental health specialists.…”

Section: Resultsmentioning

confidence: 99%

“…Lastly, one strong quality cross‐sectional study aimed to investigate the effectiveness of an early outreach programme for parents of young survivors of a massacre (Haga et al ). Haga et al () did not incorporate any trauma‐informed principles within the intervention but found that early outreach visits by the crisis team were associated with follow‐up to a family doctor, but not with mental health specialists.…”

Section: Resultsmentioning

confidence: 99%

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Nursing interventions for adults following a mental health crisis: A systematic review guided by trauma‐informed principles

Nizum

Yoon²,

Legere

et al. 2020

Int J Mental Health Nurs

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There exists a growing need for health and service providers to respond to persons in a manner that recognizes the prevalence and impact of trauma in individuals and prevent inadvertent re-traumatization in the routine process of care. The experience of mental health crisis in of itself can have traumatic and impactful effects on individuals. Trauma-informed approaches to care offer a framework to provide crisis intervention responses that are based on the acknowledgement of the prevalence and impact of trauma and define trauma not by the event per se, but by the impact of an experience of trauma. The integration of trauma-informed principles in the context of crisis intervention is a current practice gap. In order to inform a portion of a bestpractice guideline for registered nurses and the interprofessional team, a systematic literature review was conducted to primarily identify nursing interventions within four weeks of a mental health crisis, with a secondary focus on identifying particular interventions that included traumainformed principles. The systematic review yielded 21 quantitative and qualitative studies related to nursing interventions for mental health crisis, 10 of which referred to one or more principles of trauma-informed approaches. There was a lack of studies on nursing interventions explicitly linked to implementation of trauma-informed principles, highlighting future research needs and focused efforts to integrate trauma-informed principles into crisis intervention practices.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Nursing interventions for adults following a mental health crisis: A systematic review guided by trauma‐informed principles

Nizum

Yoon²,

Legere

et al. 2020

Int J Mental Health Nurs

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“…Youth may need to move temporarily or permanently to schools, universities or new workplaces. Nearly half of the parents of this cohort were divorced and sustained separate households (Haga et al, 2015). Thus, despite knowing that 60–70% of the survivors lived with one or more of their parents (Stene & Dyb, 2016), we had insufficiently accurate information on which of their parents they lived with and if they split their time between their different homes.…”

Section: Discussionmentioning

confidence: 99%

“…Primary healthcare, including emergency primary healthcare, is accessible throughout the country, available 24/7, publicly funded and is the mandatory entry-point for the publicly funded specialized healthcare services in Norway. Following the Utøya terrorist attack, a proactive outreach programme was established in affected municipalities, as a supplement to the regular services (Dyb, Jensen, Glad, Nygaard, & Thoresen, 2014; Haga et al, 2015). Crisis teams in all affected municipalities were to provide the initial psychosocial support.…”

Section: Methodsmentioning

confidence: 99%

“…Our previous studies of the mothers and fathers of the 2011 Utøya terrorist attack survivors have demonstrated significantly elevated levels of early and lasting PTSR and depression/anxiety symptoms (Haga, Stene, Wentzel-Larsen, Thoresen, & Dyb, 2015; Thoresen, Jensen, Wentzel-Larsen, & Dyb, 2016). General practitioners (GPs) may play a key role in post-disaster management of parent mental and somatic healthcare needs, as a high number of individuals affected by a disaster may turn to their GP for help.…”

Section: Introductionmentioning

confidence: 97%

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Does posttraumatic stress predict frequency of general practitioner visits in parents of terrorism survivors? A longitudinal study

Haga

Stene

Thoresen

et al. 2017

European Journal of Psychotraumatology

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Background: Life threat to children may induce severe posttraumatic stress reactions (PTSR) in parents. Troubled mothers and fathers may turn to their general practitioner (GP) for help. Objective: This study investigated frequency of GP visits in mothers and fathers of adolescent and young adult terrorism survivors related to their own PTSR and PTSR in their surviving children. Method: Self-reported early PTSR (4–5 months post-disaster) in 196 mothers, 113 fathers and 240 survivors of the 2011 Utøya terrorist attack were linked to parents’ three years pre- and post-disaster primary healthcare data from a national reimbursement claims database. Frequency of parents’ GP visits was regressed on parent and child PTSR, first separately, then in combination, and finally by including an interaction. Negative binominal regressions, adjusted for parents’ pre-disaster GP visits and socio-demography, were performed separately for mothers and fathers and for the early (<6 months) and delayed (6–36 months) aftermath of the terrorist attack. Results: Parents’ early PTSR were significantly associated with higher early frequency of GP visits in mothers (rate ratio, RR = 1.31, 95%CI 1.09–1.56) and fathers (RR = 1.40, 95%CI 1.03–1.91). In the delayed aftermath, early PTSR were significantly associated with higher frequency of GP visits in mothers only (RR = 1.21, 95%CI 1.04–1.41). Early PTSR in children were not significantly associated with an overall increase in GP visits. On the contrary, in mothers, child PTSR predicted significant decrease in GP visits the delayed aftermath (RR = 0.83, 95%CI 0.71–0.97). Conclusions: Our study suggests that GPs may play an important role in identifying and providing for parents’ post-disaster healthcare needs. GPs need to be aware that distressed individuals are likely to approach them following disasters and must prepare for both short- and long-term healthcare needs.

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