title: A survey of burn professionals regarding the mental health services available to burn survivors in the United States and United Kingdom.
abstract: This investigation surveyed burn health professionals in the UK and US to investigate the psychosocial issues facing burn survivors and the psychological services available to them through their burns service.
  
  
  METHODS
  One hundred and sixty six burn care professionals (132 from the United States and 34 from the United Kingdom) from 76 different hospitals (60 in the US and 16 in the UK) completed an online survey. Mental health practitioners (MHPs) answered questions regarding their psychotherapy practice with burn survivors.
  
  
  RESULTS
  Respondents reported that psychosocial issues are common among burn survivors. Burn teams in the UK were more likely than those in the US to include psychologists, but social workers were more common in the US. Participants reported that routine screening for psychosocial issues was more common in the UK than the US, and indicated it was easier for burn survivors to access mental health care after discharge in the UK. Burn services in both countries routinely referred burn survivors to support organizations such as the Phoenix Society or Changing Faces. The preferred mental health treatment modality in the UK was psychotherapy without medications. Reported psychotropic medications use was more common in the US. MHPs had two primary orientations - eclectic and cognitive behavioral therapy. Among MHPs there was a modest tendency to favor evidence-based interventions.
  
  
  CONCLUSIONS
  The provision of mental health services varies between these two countries. Creating international standards for assessing and treating psychosocial complications of burns could facilitate the improvement of burn mental health services.
authors.affiliation: College of Staten Island, The City University of New York, United States. Electronic address: john.lawrence@csi.cuny.edu.
authors.forename: John W
authors.initials: JW
authors.lastname: Lawrence
authors.affiliation: College of Staten Island, The City University of New York, United States.
authors.forename: Ali
authors.initials: A
authors.lastname: Qadri
authors.affiliation: Bristol Royal Hospital for Children, Bristol, UK; The Children's Burns Research Centre, Bristol, UK.
authors.forename: Julia
authors.initials: J
authors.lastname: Cadogan
authors.affiliation: The Children's Burns Research Centre, Bristol, UK; Centre for Appearance Research, University of the West of England, Bristol, UK.
authors.forename: Diana
authors.initials: D
authors.lastname: Harcourt
mesh_terms: D002053:Burn Units; D002056:Burns / Q000523:psychology / Q000628:therapy*; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy; D055317:Evidence-Based Practice; D006282:Health Personnel; D006297:Health Services Accessibility; D006801:Humans; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services; D011613:Psychotherapy; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D006113:United Kingdom; D014481:United States
keywords: Burns; Cognitive behavioral therapy; Mental health; Psychopharmacology; Psychotherapy