Early mental health intervention after disasters

David Alexander is Professor of Mental Health at the University of Aberdeen, Director of the Aberdeen Centre for Trauma Research (Bennachie Building, Royal Cornhill Hospital, Aberdeen AB25 2ZH. Tel: (01224) 557898; e-mail: d.a.alexander{at}abdn.ac.uk) and a consultant to the emergency services.

Disasters are complex events that challenge the coping abilities of individuals and communities. This article reviews the likely impact of such events and factors that compromise the ability of survivors to cope with that impact. The principles of early intervention are also considered, particularly with regard to the role of a mental health adviser. This role is an important and demanding one, and its aims and principles of professional conduct should be carefully scrutinised.