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Population Psychiatric Medication Prescription Rates following a Terrorist Attack

Published online by Cambridge University Press:  28 June 2012

Charles DiMaggio ,
Sandro Galea  and
Paula A. Madrid
Charles DiMaggio*
Affiliation:
Assistant Professor, Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA
Sandro Galea
Affiliation:
Associate Professor, Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA
Paula A. Madrid
Affiliation:
Director, The Resiliency Project, National Center for Disaster Preparedness, Columbia University Mailman School of Public Health, New York, New York, USA
*
Charles DiMaggio, PhD Department of Epidemiology Columbia University Mailman School of Public Health 722 West 168 Street, Rm 1117 New York, NY 10032 USA E-mail: [email protected]
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Abstract

Introduction:

While several population-based studies have documented behavioral health disturbances following terrorist attacks, a number of mental health service utilization analyses present conflicting conclusions.

Purpose:

The purpose of this study was to determine if mental health service utilization increased following a terrorist attack by assessing changes in psychoactive drug prescription rates.

Methods:

The rate of selective serotonin reuptake inhibitor (SSRI) prescriptions was measured among New York State Medicaid enrollees before and after the terrorist attacks of 11 September 2001. The association between geographic proximity to the events and changes in the rate of SSRI prescriptions around 11 September 2001 was assessed.

Results:

From September to December 2001, among individuals residing within three miles of the World Trade Center site, there was an 18.2% increase in the SSRI prescription rate compared to the previous eight-month period (p = 0.0011). While there was a 9.3% increase for non-New York City residents, this change was not statistically significant (p = 0.74).

Conclusions:

There was a quantifiable increase in the dispensing of psychoactive drugs following the terrorist attacks of 11 September 2001, and this effect varied by geographic proximity to the events. These findings build on the growing body of knowledge on the pervasive effects of disasters and terrorist events for population health, and demonstrate the need to include mental and behavioral health as key components of surge capacity and public health response to mass traumas.

Keywords

11 September 2001New Yorkpsychiatric medicationprescription ratesterrorist attack
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 22 , Issue 6 , December 2007 , pp. 479 - 484
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

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References

1.DiMaggio, C., Galea, S: The behavioral consequences of terrorism: A meta-analysis. Acad Emerg Med 2006;13(5):559–566.Google ScholarPubMed
2.North, CS, Nixon, SJ, Shariat, S, Mallonee, S, McMillen, JC, Spitznagel, EL, Smith, EM: Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA 1999;282(8):755–762.CrossRefGoogle ScholarPubMed
3.Galea, S, Ahern, J, Resnick, H, Kilpatrick, D, Bucuvalas, M, Gold, J, Vlahov, D: Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med 2002;346(13):982–987.CrossRefGoogle ScholarPubMed
4.Munoz, M, Crespo, M, Perez-Santos, E, Vazquez, JJ: Early psychological consequences of the March 11, 2004, terrorist attacks in Madrid, Spain. Psychol Rep 2005;97(3):907–920.CrossRefGoogle ScholarPubMed
5.Rubin, GJ, Brewin, CR, Greenberg, N, Simpson, J, Wessely, S: Psychological and behavioural reactions to the bombings in London on 7 July 2005: Cross sectional survey of a representative sample of Londoners. BMJ 2005;331(7517):606.CrossRefGoogle Scholar
6.Galea, S, Resnick, H, Ahern, J, Gold, J, Bucuvalas, M, Kilpatrick, D, Stuber, J, Vlahov, D: Posttraumatic stress disorder in Manhattan, New York City, after the September 11th terrorist attacks. J Urban Health 2002; 79(3):340–53.CrossRefGoogle ScholarPubMed
7.Chen, H, Chung, H, Chen, T, Fang, L, Chen, JP: The emotional distress in a community after the terrorist attack on the World Trade Center. Community Ment Health J 2003;39(2):157–165.CrossRefGoogle Scholar
8.Boscarino, JA, Galea, S, Adams, RE, Ahern, J, Resnick, H, Vlahov, D: Mental health service and medication use in New York City after the September 11, 2001, terrorist attack. Psychiatr Serv 2004;55(3):274–283.CrossRefGoogle ScholarPubMed
9.Fagan, J, Galea, S, Ahern, J, Bonner, S, Vlahov, D: Relationship of self-reported asthma severity and urgent health care utilization to psychological sequelae of the September 11, 2001 terrorist attacks on the World Trade Center among New York City area residents. Psychosom Med 2003;65(6):993–996.CrossRefGoogle ScholarPubMed
10.Weissman, EM, Kushner, M, Marcus, SM, Davis, DF: Volume of VA patients with posttraumatic stress disorder in the New York metropolitan area after September 11. Psychiatr Serv 2003;54(12):1641–1643.CrossRefGoogle ScholarPubMed
11.Felton, CJ: Project Liberty: A public health response to New Yorkers' mental health needs arising from the World Trade Center terrorist attacks. J Urban Health 2002;79(3):429–433.CrossRefGoogle Scholar
12.Moynihan, PJ, Levine, JM, Rodriguez, O: The experiences of Project Liberty crisis counselors in the Bronx. Community Ment Health J 2005;41(6):665–673.CrossRefGoogle ScholarPubMed
13.Rudenstine, S, Galea, S, Ahern, J, Felton, C., Vlahov, D: Awareness and perceptions of a communitywide mental health program in New York city after September 11. Psychiatr Serv 2003;54(10):1404–1406.CrossRefGoogle ScholarPubMed
14.Siegel, C., Wanderling, J, Laska, E: Coping with disasters: Estimation of additional capacity of the mental health sector to meet extended service demands. J Ment Health Policy Econ 2004;7(1):29–35.Google ScholarPubMed
15.Rosenheck, R, Fontana, A: Use of mental health services by veterans with post-traumatic stress disorder after the terrorist attacks of September 11. Am J Psychiatry 2003;160(9):1684–1690.CrossRefGoogle ScholarPubMed
16.Rosenheck, RA, Fontana, A: Post-september 11 admission symptoms and treatment response among veterans with posttraumatic stress disorder. Psychiatr Serv 2003;54(12):1610–1617CrossRefGoogle ScholarPubMed
17.Kettl, P, Bixler, E: Changes in psychotropic drug use after September 11, 2001. Psychiatr Serv 2002;53(11):1475–1476CrossRefGoogle ScholarPubMed
18.McCarter, L, Goldman, W: Use of psychotropics in two employee groups directly affected by the events of September 11. Psychiatr Serv 2002;53(11):1366–1368.CrossRefGoogle ScholarPubMed
19.DiMaggio, C., Galea, S, Madrid, P: selective serotonin reuptake inhibiter prescription rates after a terrorist attack. Psychiatr Serv 2006;57(11):1656–1657.CrossRefGoogle Scholar
20.Centers for Medicare and Medicaid Services: Medicaid Analytic eXtract (MAX) General Information. Washington: Centers for Medicare and Medicaid Services, 2006.Google Scholar
21.United States Food and Drug Administration (USFDA): The National Drug Code Directory. Edited by Administration UFAD. Washington: US Food and Drug Administration, 2006.Google Scholar
22., Cerner: Multum. Denver, 2006.Google Scholar
23.Chatfield, C: The Analysis of Time Series: An Introduction. Boca Raton, FL: Chapman & Hall/CRC, 2003.CrossRefGoogle Scholar
24.Diggle, P: Time Series: A Biostatistical Introduction. Oxford [England] New York, Clarendon Press; Oxford University Press, 1990.CrossRefGoogle Scholar
25.Brocklebank, JC, Dickey, DA, Brocklebank, JC: SAS for Forecasting Time Series. Cary, NC: SAS Institute; John Wiley, 2003.Google Scholar
26.Gliatto, MF: Generalized anxiety disorder. Am Fam Physician 2000;62(7):1591–1600,1602.Google ScholarPubMed
27.Lange, JT, Lange, CL, Cabaltica, RB: Primary care treatment of post-traumatic stress disorder. Am Fam Physician 2000;62(5):1035–1040, 1046.Google ScholarPubMed
28.Beare, JM, Burrows, D, Merrett, JD: The effects of mental and physical stress on the incidence of skin disorders. British Journal of Dermatology 1978; 98(5):553–558.CrossRefGoogle ScholarPubMed
29.Curran, PS, Gregg, W: Psychiatric aspects of terrorist violence in Northern Ireland (1969 to 1989). Med Leg J 1990;58(Pt 2):83–96.CrossRefGoogle ScholarPubMed
30.Stuber, J, Galea, S, Boscarino, JA, Schlesinger, M: Was there unmet mental health need after the September 11, 2001 terrorist attacks? Soc Psychiatry Psychiatr Epidemiol 2006;41(3):230–240.CrossRefGoogle ScholarPubMed
31.Norris, FH, Friedman, MJ, Watson, PJ, Byrne, CM, Diaz, E, Kaniasty, K: 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry 2002;65(3):207–239.CrossRefGoogle Scholar
32.Montazeri, A, Baradaran, H, Omidvari, S, Azin, SA, Ebadi, M, Garmaroudi, G, Harirchi, AM, Shariati, M: Psychological distress among Bam earthquake survivors in Iran: A population-based study. BMC Public Health 2005;5:4.CrossRefGoogle ScholarPubMed
33.Perry, M: New York's Disaster Relief Medicaid: Insights and Implications for Covering Low-Income People. Washington: Kaiser Commission on Medicaid and the Uninsured in Collaboration with the United Hospital Fund, 2002.Google Scholar
34.Calicchia, M, Greene, R, Lee, E, Warner, M: Disaster Relief Medicaid Evaluation Project. Ithaca: Cornell University, School of Industrial and Labor Relations, 2005.Google Scholar
35.Nakonezny, PA, Reddick, R, Rodgers, JL: Did divorces decline after the Oklahoma City bombing? Journal of Marriage and Family 2004;66:90–100.CrossRefGoogle Scholar
36.Catalano, RA, Kessell, ER, McConnell, W, Pirkle, E: Psychiatric emergencies after the terrorist attacks of September 11, 2001. Psychiatr Serv 2004;55(2):163–166.CrossRefGoogle ScholarPubMed
37.Research Data Assistance Center: What's New: MAX 2002 Files. Minneapolis: University of Minnesota, 2006.Google Scholar
38.Noji, EK, Sivertson, KT: Injury prevention in natural disasters: A theoretical framework. Disasters 1987;11(4):290–296.CrossRefGoogle Scholar