{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:25:41Z","timestamp":1782451541175,"version":"3.54.5"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T00:00:00Z","timestamp":1662595200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X22001194_as1\"><jats:title>Introduction:<\/jats:title><jats:p>Following natural disasters, rural general practitioners (GPs) are expected to undertake several roles, including identifying those experiencing psychological distress and providing evidence-informed mental health care. This paper reports on a collaborative mental health program developed to support a rural GP practice (population &lt;1,500) and a disaster response service.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22001194_as2\"><jats:title>Methods:<\/jats:title><jats:p>The program provided specialized disaster mental health care via the placement of a clinician in the GP facility. In collaboration with the GP practice, the program offered opportunistic screening using the Primary Care Posttraumatic Stress Disorder (PTSD) Scale (PC-PTSD) for probable PTSD as the primary measure and the Kessler 6 (K6) as a secondary measure. Those scoring higher than two on the PC-PTSD scale were referred to the mental health clinician (MHC) for further assessment and treatment.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22001194_as3\"><jats:title>Results:<\/jats:title><jats:p>Sixty screening assessments were completed. Fourteen patients (male = 3; female = 11) scored higher than two on the PC-PTSD. The referred group PC-PTSD mean score was 3.14 and K6 mean score of 19. Those not referred had a PC-PTSD mean score = 0.72 and K6 mean score = 7.30. The treatment and non-treatment groups differed significantly (PC-PTSD: P &lt;.00001 and K6: P &lt;.00001). A prior history of trauma exposure was notable in the intervention group. Eight reported a history of domestic violence, seven histories of sexual abuse, five childhood sexual abuse, and eight intimate partner violence (IPV).<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22001194_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>A post-disaster integrated GP and mental health program in a rural community can assist in identifying individuals experiencing post-disaster psychological distress using opportunistic psychological screening. The findings indicate that collaborative mental health programs may effectively support rural communities post-disaster.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x22001194","type":"journal-article","created":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T07:44:53Z","timestamp":1662623093000},"page":"706-711","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Mental Health Response to Disasters: Is There a Role for a Primary Care-Based Clinician?"],"prefix":"10.1017","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3381-6826","authenticated-orcid":false,"given":"David","family":"Crompton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Shakespeare-Finch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"FitzGerald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kohleis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,9,8]]},"reference":[{"key":"S1049023X22001194_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.06.017"},{"key":"S1049023X22001194_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2017.44"},{"key":"S1049023X22001194_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-491"},{"key":"S1049023X22001194_ref42","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701004287"},{"key":"S1049023X22001194_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.77"},{"key":"S1049023X22001194_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X21001230"},{"key":"S1049023X22001194_ref5","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.00477"},{"key":"S1049023X22001194_ref34","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006700"},{"key":"S1049023X22001194_ref4","unstructured":"4. Disaster Philanthropy. 2022 Australian Flooding. 2022. https:\/\/disasterphilanthropy.org\/disasters\/2022-australian-flooding\/. Accessed May 1, 2022."},{"key":"S1049023X22001194_ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-020-09732-6"},{"key":"S1049023X22001194_ref3","unstructured":"3. NSW Government. Natural disaster declarations. 2022. https:\/\/www.nsw.gov.au\/disaster-recovery\/natural-disaster-declarations. Accessed May 1, 2022."},{"key":"S1049023X22001194_ref43","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.7877"},{"key":"S1049023X22001194_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2016.12.001"},{"key":"S1049023X22001194_ref31","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-014-9410-2"},{"key":"S1049023X22001194_ref44","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X21000200"},{"key":"S1049023X22001194_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2017.06.042"},{"key":"S1049023X22001194_ref48","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12406"},{"key":"S1049023X22001194_ref52","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12233"},{"key":"S1049023X22001194_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X19001481"},{"key":"S1049023X22001194_ref27","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22090"},{"key":"S1049023X22001194_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/1752-4458-6-7"},{"key":"S1049023X22001194_ref39","doi-asserted-by":"publisher","DOI":"10.4324\/9781315527451"},{"key":"S1049023X22001194_ref2","unstructured":"2. Bureau of Meteorology. Australia in summer 2021-2022. http:\/\/www.bom.gov.au\/climate\/current\/season\/aus\/summary.shtml. Accessed May 1, 2022."},{"key":"S1049023X22001194_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0908-y"},{"key":"S1049023X22001194_ref47","doi-asserted-by":"publisher","DOI":"10.1111\/ap.12449"},{"key":"S1049023X22001194_ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-009-0218-y"},{"key":"S1049023X22001194_ref50","doi-asserted-by":"publisher","DOI":"10.1177\/1090198120974963"},{"key":"S1049023X22001194_ref1","unstructured":"1. Bureau of Meteorology. Annual climate statement 2021. http:\/\/www.bom.gov.au\/climate\/current\/annual\/aus\/. Accessed May 1, 2022."},{"key":"S1049023X22001194_ref46","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12929"},{"key":"S1049023X22001194_ref41","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-016-1295-3"},{"key":"S1049023X22001194_ref6","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50067"},{"key":"S1049023X22001194_ref36","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-128"},{"key":"S1049023X22001194_ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-015-9947-4"},{"key":"S1049023X22001194_ref40","doi-asserted-by":"publisher","DOI":"10.1080\/0312407X.2018.1487461"},{"key":"S1049023X22001194_ref28","first-page":"14","article-title":"Responding to disasters: more than economic and infrastructure interventions","volume":"2","author":"Crompton","year":"2018","journal-title":"Insights Depress Anxiety."},{"key":"S1049023X22001194_ref26","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2015.0133"},{"key":"S1049023X22001194_ref37","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-015-0566-0"},{"key":"S1049023X22001194_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2016.09.001"},{"key":"S1049023X22001194_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igy023.976"},{"key":"S1049023X22001194_ref15","first-page":"10","article-title":"Disasters, children and families: have we arrived at a comprehensive model of emotional health care?","volume":"29","author":"McDermott","year":"2014","journal-title":"Australian J Emerg Manag."},{"key":"S1049023X22001194_ref45","doi-asserted-by":"publisher","DOI":"10.1007\/s40746-019-00164-5"},{"key":"S1049023X22001194_ref14","first-page":"5","article-title":"A stepped-care model of post-disaster child and adolescent mental health service provision","author":"McDermott","year":"2014","journal-title":"Eur J Psychotraumatol."},{"key":"S1049023X22001194_ref32","doi-asserted-by":"publisher","DOI":"10.1185\/135525703125002360"},{"key":"S1049023X22001194_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22270"},{"key":"S1049023X22001194_ref18","doi-asserted-by":"crossref","first-page":"46958018766667","DOI":"10.1177\/0046958018766667","article-title":"Medium-term health of seniors following exposure to a natural disaster","volume":"55","author":"Labra","year":"2018","journal-title":"INQUIRY."},{"key":"S1049023X22001194_ref49","first-page":"4155","article-title":"A comparison of barriers to accessing services for mental and physical health conditions in a sample of rural Australian adults","volume":"18","author":"Fennell","year":"2018","journal-title":"Rural Remote Health."},{"key":"S1049023X22001194_ref38","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00687"},{"key":"S1049023X22001194_ref29","unstructured":"29. Bureau of Meteorology. Queensland Flood Summary 2010 Onwards. 2020. http:\/\/www.bom.gov.au\/qld\/flood\/fld_history\/floodsum_2010.shtml. Accessed May 1, 2022."},{"key":"S1049023X22001194_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0953-4"},{"key":"S1049023X22001194_ref20","first-page":"455","article-title":"Does type of residential housing matter for depressive symptoms in the aftermath of a disaster? Insights from the Great East Japan earthquake and tsunami","volume":"187","author":"Sasaki","year":"2018","journal-title":"Am J Epidemiol."},{"key":"S1049023X22001194_ref51","doi-asserted-by":"publisher","DOI":"10.1037\/a0030171"},{"key":"S1049023X22001194_ref33","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X22001194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T12:22:20Z","timestamp":1727958140000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X22001194\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,8]]},"references-count":52,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["S1049023X22001194"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x22001194","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,8]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}