Mental health response to disasters and other critical incidents

Evidence last reviewed: 6 Jun 2026
Topic last updated: 01 Jul 2026

Summary

Details

  • Definitions
  • Preparing for disaster
  • The mental health impact of disasters
  • Outreach and screening
  • Management of acute mental health responses
  • Management of long-term mental health problems
  • Role of systems management
  • Next steps
Full details

Contributors

Authors

Joshua C. Morganstein, MD

Professor of Psychiatry & Military and Emergency Medicine

Senior Scientist

Center for the Study of Traumatic Stress (CSTS)

Uniformed Services University of Health Sciences

Bethesda

MD

Disclosures

JCM declares that he has no competing interests.

Acknowledgements

Dr Joshua C. Morganstein would like to gratefully acknowledge Professor Craig L. Katz, Dr R. Gregg Dwyer and Dr Mindy T. Fullilove, previous contributors to this topic.

Disclosures

CLK is a trauma consultant for Advanced Recovery Systems. CLK is an author of references cited in this topic. MTF is the author of some studies referenced in this topic. RGD declares that he has no competing interests.

Peer reviewers

Carol North, MD

The Nancy and Ray L. Hunt Chair in Crisis Psychiatry and Professor of Psychiatry

Director

Division of Trauma and Disaster

The University of Texas Southwestern Medical Center Dallas

TX

Disclosures

CN is the author of some studies referenced in this topic.

Chris Brewin, PhD

Professor of Clinical Psychology

Research Department of Clinical, Educational and Health Psychology

University College

London

UK

Disclosures

CB is the author of one study referenced in this topic.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

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Key articles

U.S. Department of Veterans Affairs. VA/DOD clinical practice guidelines: management of posttraumatic stress disorder and acute stress disorder 2023. Jun 2023 [internet pubication].Full text

Bisson JI, Tavakoly B, Witteveen AB, et al. TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process. Br J Psychiatry. 2010;196:69-74.Full text  Abstract

Brymer M, Layne C, Jacobs AK, et al. Psychological first aid field operations guide. 2nd ed. Los Angeles, CA: National Child Traumatic Stress Network and National Center for PTSD; 2006.

World Health Organization. Psychological first aid: guide for fieldworkers. Geneva: WHO; 2011.

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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