TY  - JOUR
PY  - 2010//
TI  - TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process
JO  - British journal of psychiatry
A1  - Bisson, J. I.
A1  - Tavakoly, Behrooz
A1  - Witteveen, Anke B.
A1  - Ajduković, Dean
A1  - Jehel, Louis
A1  - Johansen, Venke J.
A1  - Nordanger, Dag
A1  - Orengo Garcia, Francisco
A1  - Punamaki, R. L.
A1  - Schnyder, U.
A1  - Sezgin, A. Ufuk
A1  - Wittmann, Lutz
A1  - Olff, Miranda
SP  - 69
EP  - 74
VL  - 196
IS  - 1
N2  - 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>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.109.066266
ID  - ref1
ER  -