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Our study panel began deliberations with significantly divergent views on the meaning of the concept of “psychological consequences” and the definition of terrorism. In addition we had many perspectives on the appropriate preventive and therapeutic roles of public health and mental health systems with respect to the psychological consequences of terrorism. We agreed that terrorism affected humans in all walks of life and that societal terrorists are as diverse as the individuals they terrorize in society. We reflected on those in the inner city where chronic violence is rampant, those attacked by Timothy McVeigh in Oklahoma City, and those who died in the Al-Qaeda World Trade Center attack. We. | preparing fori the PSYCHOLOGICAL __ _ CONSEQUENCES OF liWBZ A PUBLIC HEALTH STRATEGY INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES PREPARING for the psych0L0gi_cal_ __ CONSEQUENCES OF I tnnuniũM A PUBLIC HEALTH STRATEGY Committee on Responding to the Psychological Consequences of Terrorism Board on Neuroscience and Behavioral Health Adrienne Stith Butler Allison M. Panzer Lewis R. Goldfrank Editors INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES THE NATIONAL ACADEMIES PRESS Washington D.c. www.nap.edu THE NATIONAL ACADEMIES PRESS 500 Fifth Street N.W. Washington DC 20001 NOTICE The project that is the subject of this report was approved by the Governing Board of the National Research Council whose members are drawn from the councils of the National Academy of Sciences the National Academy of Engineering and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. Support for this project was provided by the Institute of Medicine and the National Institute of Mental Health and Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services. The views presented in this report are those of the Institute of Medicine Committee on Responding to the Psychological Consequences of Terrorism and are not necessarily those of the funding agencies. Library of Congress Cataloging-in-Publication Data Preparing for the psychological consequences of terrorism a public health strategy Committee on Responding to the Psychological Consequences of Terrorism Board on Neuroscience and Behavioral Health Adrienne Stith Butler Allison M. Panzer Lewis R. Goldfrank editors. p. cm. Includes bibliographical references. ISBN 0-309-08953-0 pbk. ISBN 0-309-51919-5 PDF 1. Mental health services United States Planning. 2. Crisis intervention Mental health services United States Planning. 3. Terrorism Government policy United States. 4. Terrorism United