Was There Unmet Mental Health Need After the September 11, 2001 Terrorist Attacks?

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. Method 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 populationrates 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.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/40299/2/Stuber_Was There Unmet Mental Health Need_2006.pd

Ethics as Critical Practice: The “Pentagon Papers”, Deciding Responsibly, Truth-telling, and the Unsettling of Organizational Morality

This paper contributes to the development of a practice-based understanding of ethics. Ethics is here conceived as a critical practice of questioning and problematizing moral orders and moral rules-in-use in which subjects (re)define their relations to self and others. Situating this conception of ethics in the context of practice theory, we draw upon ideas of responsible decision-making (Derrida) and truth-telling (Foucault) to examine Daniel Ellsberg’s leaking of the "Pentagon Papers" as illustrative of ethics as critical practice