First responders, including military health care workers, public health service workers, and state, local, and volunteer first responders serve an important role in protecting our nation's citizenry in the aftermath of disaster. Protecting our nation's health is a vital part of preserving national security and the continuity of critical national functions. However, public health and public safety workers experience a broad range of health and mental health consequences as a result of work-related exposures to natural or man-made disasters. This chapter reviews recent epidemiologic studies that broaden our understanding of the range of health and mental health consequences for first responders. Evidence-based psychopharmacologic and psychotherapeutic interventions for posttraumatic distress reactions and psychiatric disorders are outlined. Finally, the application of public health intervention models for the assessment and management of distress responses and mental disorders in first-responder communities is discussed.

中文翻译：

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第一响应者：自然灾害和人为灾害对公共卫生和公共安全工作者的心理健康影响。

灾难后，包括军事卫生保健工作者，公共卫生服务工作者以及州，地方和志愿者的第一响应者在内的第一响应者在保护我们国家的公民方面发挥着重要作用。保护我们国家的健康是维护国家安全和重要国家职能的连续性的重要组成部分。然而，由于与工作有关的自然或人为灾害的暴露，公共卫生和公共安全工作者遭受了广泛的健康和心理健康后果。本章回顾了最近的流行病学研究，这些研究拓宽了我们对急救人员健康和心理健康后果范围的理解。概述了针对创伤后窘迫反应和精神疾病的循证心理药物和心理治疗干预措施。