Challenges for mental health services raised by disaster preparedness: mapping the ethical and therapeutic terrain.

Abstract

Identifying vulnerable groups and ensuring that their needs are met during disasters--whether naturally occurring or manmade--are vital aspects of preparedness planning. Developing preparedness strategies that are responsive to those at greatest risk is a moral mandate, justified by the principles of beneficence, justice, and respect for autonomy. Individuals with preexisting mental disorders and newly emergent psychological symptoms are particularly vulnerable to adverse outcomes during and after disasters. Without advance planning, these individuals might not benefit from necessary mental health services and treatments during and after disasters. In this commentary, we discuss ethical issues that arise in emergency preparedness planning for vulnerable individuals with psychological and psychiatric conditions and disorders.

DOI: 10.1089/bsp.2010.0068

Cite this paper

@article{Rabins2011ChallengesFM, title={Challenges for mental health services raised by disaster preparedness: mapping the ethical and therapeutic terrain.}, author={Peter V. Rabins and Nancy E. Kass and Lainie W Rutkow and Jon S. Vernick and James G. Hodge}, journal={Biosecurity and bioterrorism : biodefense strategy, practice, and science}, year={2011}, volume={9 2}, pages={175-9} }