This is a proposal to incorporate a treatment component into the current World Trade Center (WTC) Screening and Monitoring program at Bellevue Hospital / New York University (NYU) School of Medicine. The WTC monitoring program, established in 2002, consists of a group of occupational medicine clinics that provide comprehensive medical screening, referrals and benefits counseling to workers affected by the events on and after 9-11. The NYU / Bellevue program was originally proposed in 2002 as a collaboration between New York University / Bellevue Hospital and diverse organizations including the Fraternal Order of Police, the Metal Trades Department, and community organizations such as the Latin American Workers Project and the Beyond Ground Zero network. We will continue to work with these organizations while extending our outreach efforts to include workers and volunteers from other unions and community organizations throughout New York City. The Bellevue / NYU program has developed a strong collaboration among the Division of Pulmonary and Critical Care Medicine, the Bellevue/NYU Occupational and Environmental Medicine Clinic, and the NYU/Bellevue Department of Psychiatry. The initial evaluations have revealed prevalence of respiratory and mental health conditions. We will continue this screening and monitoring program and propose to add a treatment component to the program. We anticipate that offering an integrated comprehensive screening, monitoring, and treatment program will increase the number of referrals to our program and improve our retention rate. Physicians in our program are sensitive to the needs of the WTC rescue workers. This comprehensive program will also heighten the sensitivity of large numbers of other Bellevue and outside physicians to the ongoing needs and emerging disease trends of this patient population. The proposed program, utilizing a mix of pulmonary and occupational medicine specialists, general internists, and nurses, supported by a psychologist, social worker, and medical assistants, will offer much improved continuity and coordination of clinical care and long term follow-up of this group of patients. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute for Occupational Safety and Health (NIOSH)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
3U10OH008223-03S1
Application #
7297583
Study Section
Special Emphasis Panel (ZOH1-EEO (90))
Program Officer
Fleming, Roy M
Project Start
2004-08-13
Project End
2009-06-30
Budget Start
2006-10-30
Budget End
2007-10-29
Support Year
3
Fiscal Year
2007
Total Cost
$588,982
Indirect Cost
Name
New York University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
121911077
City
New York
State
NY
Country
United States
Zip Code
10016
Dasaro, Christopher R; Holden, William L; Berman, Karen D et al. (2017) Cohort Profile: World Trade Center Health Program General Responder Cohort. Int J Epidemiol 46:e9
Stein, Cheryl R; Wallenstein, Sylvan; Shapiro, Moshe et al. (2016) Mortality among World Trade Center rescue and recovery workers, 2002-2011. Am J Ind Med 59:87-95
Kotov, Roman; Bromet, Evelyn J; Schechter, Clyde et al. (2015) Posttraumatic stress disorder and the risk of respiratory problems in World Trade Center responders: longitudinal test of a pathway. Psychosom Med 77:438-48
Haugen, Peter Tejas; Goldman, Rachel E; Owen, Jesse (2015) Sudden gains and deteriorations in the treatment of posttraumatic stress disorder in World Trade Center responders. J Nerv Ment Dis 203:205-9
Haugen, Peter T; Splaun, Allison Keisler; Evces, Mark R et al. (2013) Integrative approach for the treatment of posttraumatic stress disorder in 9/11 first responders: three core techniques. Psychotherapy (Chic) 50:336-340
Kim, Hyun; Herbert, Robin; Landrigan, Philip et al. (2012) Increased rates of asthma among World Trade Center disaster responders. Am J Ind Med 55:44-53
Haugen, Peter T; Evces, Mark; Weiss, Daniel S (2012) Treating posttraumatic stress disorder in first responders: a systematic review. Clin Psychol Rev 32:370-80
Luft, B J; Schechter, C; Kotov, R et al. (2012) Exposure, probable PTSD and lower respiratory illness among World Trade Center rescue, recovery and clean-up workers. Psychol Med 42:1069-79
Woskie, Susan R; Kim, Hyun; Freund, Alice et al. (2011) World Trade Center disaster: assessment of responder occupations, work locations, and job tasks. Am J Ind Med 54:681-95
Crowley, Laura E; Herbert, Robin; Moline, Jacqueline M et al. (2011) ""Sarcoid like"" granulomatous pulmonary disease in World Trade Center disaster responders. Am J Ind Med 54:175-84

Showing the most recent 10 out of 15 publications