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RISS 인기검색어
- 검색키워드
- 저자 : Robert Asarnow (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
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Mental Health Needs of Inner-City Victims of Orofacial Injury
Asarnow, Joan R.,Shirley Glynn,Robert Asarnow,Vivek Shetty,Richard Leathers,Thomas Belin,Paul Juarez Korean Academy of Oral Biology and the UCLA Dental 1999 International Journal of Oral Biology Vol.24 No.1
To examine the mental health needs of inner-city, minority patients treated for orofacial injury at an urban, tertiary trauma center. Subjects were 187 patients seeking care for orofacial injury at an urban Level 1 trauma center. A structured interview utilizing the Brief Symptom Inventory (BSI) and the Service Use and Adjustment Problem screen (SUAPS) was used to assess the mental health needs. Participants were predominantly male (86.1%) and largely African-American (71.7%) or Hispanic (21.4%). Results underscore the high level of mental health need in this population of orofacial injury victims, with over 57.8% of the sample reporting some lifetime need for mental health services and over 80% of the sample endorsing some need for mental health or social services. Despite this high level of self-reported mental health need, service use was relatively low with only 31.6% of the sample reporting some mental health treatment. This suggests an unmet need for mental health treatment in roughly 26.2% of the sample. The most common problems in this sample included substance use/abuse, arrests/convictions, histories of homelessmess, and school expulsions/suspensions. One or more of these problems were reported by over 25% of the sample during their lifetimes, and by over 15% of the sample during the past year (with the exception of school expulsions/suspensions). Inner-city based, minority victims of orofacial injury have significant mental health needs as well as significant barriers to service utilization. The results of this study underscore the potential utility of screening victims of orofacial injury at urban trauma centers for mental health needs and of developing comprehensive care addressing their psychosocial needs.
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Orofacial Injury and the Development of Acute PTSD
Glynn, Shirley M.,Asarnow, Joan R.,Robert Asarnow,Vivek Shetty,Elliott Brown, Karin A.,Edward Black,David Forney Korean Academy of Oral Biology and the UCLA Dental 1999 International Journal of Oral Biology Vol.24 No.1
To examine the development of acute post traumatic stress disorder (PTSD) in inner-city, minority patients seeking care for orofacial injury were evaluated. Trained interviewers collected baseline data from one-hundred seventy-two patients seeking care for orofacial injury at an urban trauma center. Follow-up assessments of PTSD (DSM-IV criteria) and perceived impact of the injury on social functioning were repeated at one month post-injury. Patients were predominantly male and largely African-American or Hispanic. At the one month follow-up visit, 52 patients (30%) endorsed symptoms resulting from the facial injury consistent with a PTSD diagnosis. Significant predictors of the development of acute PTSD included older age and perceived life threat at the time of the incident. A substantial subsample of orofacial injury patients presenting to inner-city hospitals has negative psychological outcomes at one-month post-injury. Results underscore the potential utility of screening survivors of orofacial injury at urban trauma centers for PTSD by eliciting responses to a perceived life threat questions and developing systems of care that facilitate referral to appropriate psychological treatment.
RISS
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