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Published Online: 15 October 2014

Use of Mental Health Services by Children and Adolescents Six Months After the World Trade Center Attack

Ana Soledade Graeff-Martins, M.D., Christina W. Hoven, Dr.P.H., Ping Wu, Ph.D., Fan Bin, M.D., and Cristiane S. Duarte, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 65, Number 2
https://doi.org/10.1176/appi.ps.201200586
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Abstract

Objective

The authors describe use of mental health services among children and adolescents after the September 11, 2001, attack on the World Trade Center.

Methods

Six months after the attack, sixth- through 12th-graders (N=6,986) who were representative of the student population were asked about their use of mental health services to talk about the attack as well as their exposure to the attack, symptoms of posttraumatic stress and major depressive disorders, and any conversations about the attack with a parent, teacher, or religious leader.

Results

Eighteen percent had used mental health services. Using in-school services was associated with conversation with a teacher about the attack. Using services outside school was associated with direct exposure to the attack, previous trauma exposure, probable psychiatric diagnosis, and conversation with a teacher or religious leader about the attack.

Conclusions

Teachers and religious leaders can function as gatekeepers to identify children in need following a disaster.

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Information & Authors

Information

Published In

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Cover: Snowbound, by N. C. Wyeth, 1928. © Copyright 2014 National Museum of American Illustration™, Newport, Rhode Island. Photo courtesy Archives of the American Illustrators Gallery™, New York.

Psychiatric Services
Volume 65 • Number 2 • February 2014
Pages: 263 - 265
PubMed: 24492905

History

Published in print: February 2014
Published online: 15 October 2014

Authors

Details

Ana Soledade Graeff-Martins, M.D.
Dr. Graeff-Martins is with the Department of Psychiatry, Universidade de Sao Paulo, Sao Paulo, Brazil (e-mail: [email protected]). Dr. Hoven, Dr. Bin, and Dr. Duarte are with the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York City. Dr. Wu is with the Center for Scientific Review, National Institutes of Health, Bethesda, Maryland.
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Christina W. Hoven, Dr.P.H.
Dr. Graeff-Martins is with the Department of Psychiatry, Universidade de Sao Paulo, Sao Paulo, Brazil (e-mail: [email protected]). Dr. Hoven, Dr. Bin, and Dr. Duarte are with the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York City. Dr. Wu is with the Center for Scientific Review, National Institutes of Health, Bethesda, Maryland.
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Ping Wu, Ph.D.
Dr. Graeff-Martins is with the Department of Psychiatry, Universidade de Sao Paulo, Sao Paulo, Brazil (e-mail: [email protected]). Dr. Hoven, Dr. Bin, and Dr. Duarte are with the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York City. Dr. Wu is with the Center for Scientific Review, National Institutes of Health, Bethesda, Maryland.
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Fan Bin, M.D.
Dr. Graeff-Martins is with the Department of Psychiatry, Universidade de Sao Paulo, Sao Paulo, Brazil (e-mail: [email protected]). Dr. Hoven, Dr. Bin, and Dr. Duarte are with the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York City. Dr. Wu is with the Center for Scientific Review, National Institutes of Health, Bethesda, Maryland.
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Cristiane S. Duarte, Ph.D.
Dr. Graeff-Martins is with the Department of Psychiatry, Universidade de Sao Paulo, Sao Paulo, Brazil (e-mail: [email protected]). Dr. Hoven, Dr. Bin, and Dr. Duarte are with the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York City. Dr. Wu is with the Center for Scientific Review, National Institutes of Health, Bethesda, Maryland.
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