%0 Journal Article
%T TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process
%J British journal of psychiatry
%D 2010
%A Bisson, J. I.
%A Tavakoly, Behrooz
%A Witteveen, Anke B.
%A Ajduković, Dean
%A Jehel, Louis
%A Johansen, Venke J.
%A Nordanger, Dag
%A Orengo Garcia, Francisco
%A Punamaki, R. L.
%A Schnyder, U.
%A Sezgin, A. Ufuk
%A Wittmann, Lutz
%A Olff, Miranda
%V 196
%N 1
%P 69-74
%X BACKGROUND: How best to plan and provide psychosocial care following disasters remains keenly debated. AIMS: To develop evidence-informed post-disaster psychosocial management guidelines. METHOD: A three-round web-based Delphi process was conducted. One hundred and six experts rated the importance of statements generated from existing evidence using a one to nine scale. Participants reassessed their original scores in the light of others' responses in the subsequent rounds. RESULTS: A total of 80 (72%) of 111 statements achieved consensus for inclusion. The statement 'all responses should provide access to pharmacological assessment and management' did not achieve consensus. The final guidelines recommend that every area has a multi-agency psychosocial care planning group, that responses provide general support, access to social, physical and psychological support and that specific mental health interventions are only provided if indicated by a comprehensive assessment. Trauma-focused cognitive-behavioural therapy (CBT) is recommended for acute stress disorder or acute post-traumatic stress disorder, with other treatments with an evidence base for chronic post-traumatic stress disorder being made available if trauma-focused CBT is not tolerated. CONCLUSIONS: The Delphi process allowed a consensus to be achieved in an area where there are limitations to the current evidence.<p /> <p>Language: en</p>
%G en
%I Royal College of Psychiatry
%@ 0007-1250
%U http://dx.doi.org/10.1192/bjp.bp.109.066266