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Early psychosocial interventions after disasters, terrorism, and other shocking events: Guideline development.

Brake, H. te, Dückers, M., Vries, M. de, Duin, D. van, Rooze, M., Spreeuwenberg, C. Early psychosocial interventions after disasters, terrorism, and other shocking events: Guideline development. Nursing & Health Sciences: 2009, 11(4), p. 336-343.
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Background: Internationally, several initiatives exist to describe standards for post-disaster psychosocial care.
Objective: This study explored the level of consensus of experts within Europe on a set of recommendations on early psychosocial intervention after shocking events (Dutch guidelines), and to what degree these standards are implemented into mental health care practice.
Methods: Two hundred and six (mental) health care professionals filled out a questionnaire to assess the extent to which they consider the guidelines’ scope and recommendations relevant and part of the regular practice in their own country. Forty-five European experts from 24 EU countries discussed the guidelines at an international seminar.
Results: The data suggest overall agreement on the standards although many of the recommendations appear not (yet) to be embedded in everyday practice.
Conclusions: Although large consensus exists on standards for early psychosocial care, a chasm between norms and practice appears to exist throughout the EU, stressing the general need for investments in guideline development and implementation. (aut. ref)