TY - JOUR
PY - 2015//
TI - Psychiatric and medical disorders in the aftermath of the Uttarakhand disaster: assessment, approach, and future challenges
JO - Indian journal of psychological medicine
A1 - Channaveerachari, Naveen Kumar
A1 - Raj, Aneel
A1 - Joshi, Suvarna
A1 - Paramita, Prajna
A1 - Somanathan, Revathi
A1 - Chandran, Dhanya
A1 - Kasi, Sekar
A1 - Bangalore, N. Roopesh
A1 - Math, Suresh Bada
SP - 138
EP - 143
VL - 37
IS - 2
N2 - PURPOSE: To present the descriptive data on the frequency of medical and psychiatric morbidity and also to discuss various pertinent issues relevant to the disaster management, the future challenges and psychosocial needs of the 2013 floods in Uttarakhand, India.
MATERIALS AND METHODS: Observation was undertaken by the disaster management team of National Institute of Mental Health and Neurosciences in the worst affected four districts of Uttarakhand. Qualified psychiatrists diagnosed the patients using the International Classification of Diseases-10 criteria. Data were collected by direct observation, interview of the survivors, group sessions, individual key-informant interview, individual session, and group interventions.
RESULTS: Patients with physical health problems formed the majority of treatment seekers (39.6%) in this report. Only about 2% had disaster induced psychiatric diagnoses. As was expected, minor mental disorders in the form of depressive disorders and anxiety disorders formed majority of the psychiatric morbidity. Substance use disorders appear to be very highly prevalent in the community; however, we were not able to assess the morbidity systematically.
CONCLUSIONS: The mental health infrastructure and manpower is abysmally inadequate. There is an urgent need to implement the National Mental Health Program to increase the mental health infrastructure and services in the four major disaster-affected districts.
Language: en
LA - en SN - 0253-7176 UR - http://dx.doi.org/10.4103/0253-7176.155610 ID - ref1 ER -