Understanding the psychosocial consequences of natural disasters is one route in coming to grips with the mental health ramifications of terrorism. Using lessons learned from the disaster mental health experience, this presentation will stress how behavioral/mental health issues are integral to preparation, mitigation, and response aspects of all disasters, but especially bioterrorism events. More than any other form of terrorism, biological terrorism will challenge planners, responders, politicians, health care providers and the citizenry in ways it has not been challenged before. Its combination of stealth and destructiveness, its intent to induce dread and confusion, and its capacity to create a very prolonged acute crisis argues that such an event will have a profound impact. Not since the early days of feared nuclear Armageddon has the issue of acute behavioral responses to an event been of such pertinence. Determinants of the potential consequences of a bioterrorist event will be explored with an emphasis on risk perception and risk response as essential to any response effort in this field. Pre and post-event interventions will be introduced and their potential usefulness explored. Objectives The participant will be able to: 1. Identify aspects of terrorist events that may lead to the psychological, social, and behavioral Terrorist events, as a group, have greater potential for more severe and longer lasting behavioral/psychosocial sequelae than do natural disasters. 2. Explain the rationale for the expectation that, especially in relation to terrorist events, the number of psychological casualties will be many times more numerous than physical casualties. 3. Understand the role of risk perception, response and communication and the media in the behavioral responses to bioterrorism. 4. Understand the role of pre and post-event mental health interventions in planning for terrorist events. 5. Discuss why planning for the behavioral/psychosocial aftermath of a terrorist incident requires a multidisciplinary effort involving political, medical and mental health leaders, governmental and social institutions and the citizenry.
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