title: Was there unmet mental health need after the September 11, 2001 terrorist attacks?
abstract: BACKGROUND
  This study examined the use of professionals for mental health problems among New York City residents who were directly affected by the September 11, 2001 terrorist attacks on the World Trade Center (WTC) or had a probable diagnosis of post-traumatic stress disorder (PTSD) or depression in its aftermath. Correlates of help seeking from professionals for mental health problems after the attacks and barriers to care were also assessed.
  
  
  METHODS
  Data were from a random digit dial telephone survey of 2,752 adults representative of the Greater New York Metropolitan area conducted 6 months after the September 11 terrorist attacks.
  
  
  RESULTS
  Fifteen percent of those directly affected and 36% of those with probable PTSD or depression sought help from a professional for a mental health problem after the attacks. There was little new utilization of professionals for mental health problems after the attacks among persons who were not already receiving care prior to September 11. Barriers that prevented people from seeking help for mental health problems 6 months after the September 11 attacks included traditional barriers to care (e.g., cost) and barriers that are unique to the post-disaster context (e.g., the belief that others need the services more than oneself).
  
  
  CONCLUSIONS
  This study suggests that there was potential unmet mental health need in New York City 6 months after the September 11 attacks on the WTC, but these findings should be tempered by research showing an apparent decrease in population-rates of PTSD. In the aftermath of a disaster, interventions should target persons with mental health needs who were not previously seeking help from a professional for a mental health problem.
authors.affiliation: The Division of Health and Science Policy, The New York Academy of Medicine, New York, NY, USA. jstuber@nyam.org
authors.forename: Jennifer
authors.initials: J
authors.lastname: Stuber
authors.forename: Sandro
authors.initials: S
authors.lastname: Galea
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Boscarino
authors.forename: Mark
authors.initials: M
authors.lastname: Schlesinger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003863:Depression / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D009519:New York City; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*