This chapter examines the psychological services provided for the victims of large-scale disasters, and attempts to place services for the survivors of road accidents and their relatives in that context. There is ample evidence that survivors of disasters find post-traumatic psychological interventions helpful. When trauma victims do develop post-traumatic psychological illness, there is good evidence that it can be treated, especially if it is not allowed to become chronic. The Traumatic Stress Project conducted a study for the Department of Health, which examined how far English regional health authorities provide for psychological needs in their post-disaster planning. Such planning could be very relevant to the care of survivors and families affected by road accidents. The study found very wide variations in the provision for psychosocial care after a disaster, and some regions seemed to make no provision at all. Psychological needs after disasters have traditionally almost been ignored, and there are also some financial obstacles to catering for them. Mental health and social services should aim to provide a flexible comprehensive service, which can be increased at fairly short notice after a minor or major disaster. There is an urgent need for research and training in these activities.
Abstract