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Bruce H. Young, LCSW

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Bruce H. Young

2002 Volume 11 (1) ISSN-105-7168

Menlo Park/Palo Alto * Boston * Honolulu * West Haven * White River Junction

CLINICAL QUARTERLY

 	




 		
 
 


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In this issue, the Clinical Quarterly continues its series of articles about emergency mental health services in response to

catastrophic events. In view of government warnings about the inevitability of future terrorist attacks, I’ve taken license to offer

guidelines for providing emergency outreach services in hope that the strategies described will be useful, especially to clinicians who

await introductory emergency mental health training. I’m in debt to Dr. Fran Norris, whose recent review of twenty years of

disaster research helped to update my referencing of known risk factors. Of course, the guidelines offered here (and other related

clinical guidelines that are available on our website >ncptsd.org< ), are not substitutes for formal training. Although an increasing

number of clinicians are interested in becoming prepared to respond to national emergencies, publicly funded programs that are

available for such training (before a disaster occurs) are few. The American Red Cross offers training to licensed mental health

professionals (please contact the Red Cross chapter in your community for further information). NC-PTSD also delivers a two

day training for VA and other federal and state agencies, including the Department of Defense (please contact: ncptsd@bruceyoung.net

for further information). Clearly, it is in the public interest that initiatives be undertaken to develop a much larger standby cadre

of trained emergency mental health clinicians as well as community-based clinicians trained to treat the long-term effects of

terrorism and weapons of mass destruction.

 It is not uncommon for individuals suffering from post-traumatic stress disorder to also have significant current life

stressors (e.g., financial/vocational, health, interpersonal, and substance abuse problems). Generally speaking, current practice

guidelines suggest such cases benefit from addressing here and now concerns, problem solving and stress management capacities/

strategies, social support, and cognitions/reactions associated with the traumatic event. However, some patients’ histories include

significant developmental deficits that require even more complex strategic treatment planing. In our second featured article, Dr.

Steven Gold shares his treatment approach of contextual therapy in which he thoughtfully addresses the treatment implications for

patients who have been reared in dysfunctional families. Dr. Gold’s suggestions on how to organize PTSD-related treatment with

such patients are practical and may be applicable to many veterans seeking VA treatment.

In forthcoming issues, the CQ will feature articles about medication used in treatment of PTSD, treating panic disorder

in veterans, treatment of sexual assault, and articles related to mental health services in response to terrorism.

Bruce H. Young, Editor-in-Chief
	







	




	
	

	
			
	


	


	
	
	

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Bruce H. Young, LCSW is Disaster Services Coordinator for

the National Center for PTSD. Since 1989, he has been a

consultant to federal, state, and non-profit agencies and a direct

service provider to survivors and emergency responders

following numerous natural and human-caused disasters.

Currently, Mr. Young and NC-PTSD colleagues are contracted

to help develop best practice disaster mental health service

guidelines for the Center for Mental Health Services. Mr. Young

delivers emergency mental health responder training for

clinicians at VA medical centers and other federal and state

agencies throughout the United States.

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VA/DoD Clinical Practice Guideline for Management of Traumatic Stress

Harold Kudler, M.D. and Matthew J. Friedman M.D., Ph.D0
	


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Steven N. Gold, Ph.D. is Professor at Nova Southeastern

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Lauderdale, Florida and founder and Director of the Trauma

Resolution and Integration Program (TRIP) at NSU’s Community Mental Health Center. The treatment model and

approach developed and employed at TRIP is described in

detail in Dr. Gold’s book, Not Trauma Alone: Therapy for

Child Abuse Survivors in Family and Social Context. He is

co-editor with Jan Faust, Ph.D. of the Journal of Trauma

Practice (JTP), a special issue of which, Trauma Practice in

the Wake of September 11th, 2001, is about to be simultaneously published in book form.

References

 	




NATIONAL CENTER FOR PTSD

EDUCATION, TRAINING, & SUPPORT SERVICES

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