[Psychological support for disaster victims: an evidence-based care model].
A search for meta analyses and systematic reviews on psychological support to disaster victims was carried out to devise a local support model. Based on 36 meta analyses and systematic reviews, the support should be carried out in five echelon levels: diffusion, social support, general medical care, general psychiatric care and psychiatric care carried out by experts. Only victims with well-established formal psychiatric disorders should receive psychotherapy or psychotropic medication. The rest should only receive psychological first aid. According to the best evidence available, a model for psychological care is proposed.
Figueroa
Rodrigo A
RA
Centro De Medicina Aeroespacial, Fuerza Aérea de Chile, Las Condes Santiago, Chile. rfiguerc@uc.cl
Marín
Humberto
H
González
Matías
M
D004190:Disasters; D019317:Evidence-Based Medicine; D006801:Humans; D015201:Meta-Analysis as Topic; D012196:Review Literature as Topic; D012944:Social Support; D017741:Survivors / Q000523:psychology*