About the Book
This fascinating book provides a comprehensive overview of the extensive post-disaster mental health recovery program implemented after the 1988 Armenian earthquake. Covering the program's evolution, from the initial acute phase of clinical fieldwork, to its expansion as a three-year teaching and training program for local therapists, to the building of mental health clinics in devastated cities. Featuring poignant memoirs detailing the daily challenges and rewards of working in the trenches, the book presents a conceptual framework that can guide post-disaster clinical and research efforts, lessons learned from this work and other disasters, and highlights recent advances in disaster psychiatry. This school-based intervention program has informed subsequent disaster response efforts in many countries and has provided clinically relevant cutting-edge research findings from longitudinal and treatment outcomes studies conducted over 25 years. Essential reading for psychologists, psychiatrists, social workers and other mental health professionals and those working for relief organizations following disasters.
Table of Contents:
1. The 1988 Spitak earthquake in Armenia and the implementation of the psychiatric outreach program Armen Goenjian; 2. Diaspora therapists working in the earthquake zone Armen Goenjian; 3. Treatment outcome among early adolescents two decades post-earthquake Armen Goenjian, Alan Steinberg, Robert Pynoos; 4. Course and predictors of PTSD and depression among not treated children and adolescents over two decades Armen Goenjian, Alan Steinberg, Robert Pynoos; 5. Conscience, moral injury, and Psychopathology Barbara Stilwell, Matthew Galvin; 6. Natural disasters and relocation Louis M. Najarian, David Pelcovitz; 7. Long-term course of PTSD and depression among adults and current trends for treatment Armen Goenjian, Alan Steinberg, Robert Pynoos; 8. How the Spitak earthquake contributed to our understanding of the genetics of PTSD and associated disorders Julie Bailey, Armen Goenjian; 9. Epidemiology of disasters and the Spitak earthquake Vahe Khachadourian, Haroutune K. Armenian; 10. Traumatic stress conceptual framework Alan Steinberg, Robert Pynoos, Armen Goenjian; 11. Memoirs of the Spitak earthquake Pavagan Petrosyan, Ida Karayan, Liana H. Grigorian; 12. Lessons learned from the Spitak earthquake and other catastrophic disasters Armen Goenjian, Alan Steinberg, Robert Pynoos.
About the Author :
Armen K. Goenjian is a Full Research Psychiatrist at UCLA Geffen School of Medicine, Chief Medical Officer at Collaborative Neuroscience Network and Consultant at the UCLA/Duke University National Center for Child Traumatic Stress. He is also Director of the Psychiatric Outreach Program for Armenia. Alan M. Steinberg is Associate Director of the UCLA/Duke University National Center for Child Traumatic Stress in the Department of Psychiatry and Biobehavioral Sciences at the UCLA Geffen School of Medicine. Robert S. Pynoos is Co-Director of the UCLA/Duke University National Center for Child Traumatic Stress, Director of the UCLA Trauma Psychiatry Program, and Distinguished Professor at the UCLA Geffen School of Medicine.
Review :
'In this exceptional volume, Drs. Goenjian, Steinberg, and Pynoos provide a prototype for responding to and studying mental health impacts of disaster on families and communities. As would be expected from their previous work, the project is meticulous and thoughtful in its inception and implementation, deftly balancing clinician and scientist perspectives. Beginning with a school-based intervention in Armenia, it followed participating youth across time using standard, reliable instruments and up-to-date methodologies. Clinical examples and anecdotes from participants and therapists bring the intervention and its challenges to life. Chapters are well-organized and didactic, providing a road map for conducting similar intervention research, with lessons learned and suggested prevention strategies. This book serves as an exemplar for future studies, and no disaster researcher or interventionist should be without it. An outstanding contribution!' Bonnie L. Green, PhD, Professor Emeritus Department of Psychiatry Georgetown University Medical School Washington, DC
'This inspiring book describes the uplifting transformation from a catastrophic earthquake that destroyed lives and property in Armenia, to the emergence of an effective mental health infrastructure, with clinical, research and educational impacts. The remarkable coordinated intervention is a text-book case of the effectiveness of disaster psychiatry in rebuilding lives and communities. The longitudinal treatment of traumatized children and families generated extremely useful insights into the epigenetic transgenerational transmission of PTSD and its overlap with anxiety and depression. This is a one-of-a-kind book that should be read by all the members of the multidisciplinary mental health team.' Henry Nasrallah, Professor of Psychiatry, Neurology, and Neuroscience, University of Cincinnati College of Medicine, Ohio
'Enlightening in every way and an invaluable resource. The immediate impact of disasters is dramatic and easily captured, but their enduring impact too often drifts from study and reflection. This book is a rare gem of scholarship in its humanity and wisdom about the long-term impacts of disasters and the importance of their management.' Alexander McFarlane, Emeritus Professor of Psychiatry, The University of Adelaide, Australia
'This book is a major contribution to our understanding of how the consequences of trauma unfold over time and the need for appropriate ongoing interventions. It teaches us how much practical work and trusted personal relationships are needed to successfully implement an outreach program under chaotic conditions. Their long-standing work on behalf of children and adolescents in school settings is unique and inspiring.' Grete Dyb, M.D., Ph.D., Research Director, Norwegian Center of Violence and Traumatic Stress Studies, University of Oslo
