Article Out Loud - Crisis Standards of Care – A Mental Health Perspective

An Article Out Loud from the Domestic Preparedness Journal, January 25, 2023.

During a disaster, responders face many challenges and must make difficult decisions. For health care professionals, accepting a sufficient standard of care during a crisis may be the most difficult. This mental health perspective provides some key points to consider before the next crisis occurs.

Narrated by Randy Vivian.

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James Greenstone
James Greenstone

Dr. James L. Greenstone (Ed.D., J.D.) is a psychotherapist and a Supervisory Mental Health Specialist with the U.S. Department of Health and Human Services Disaster Medical Assistance Team. Formerly, he served as Director of Psychological Services for the Fort Worth, Texas Police Department. Dr. Greenstone is the author of The Elements of Disaster Psychology: Managing Psychosocial Trauma; The Elements of Crisis Intervention, Third Edition; and Emotional First Aid: Field Guide to Crisis Intervention and Psychological Survival. Also, he was a collaborating investigator for the Diagnostic and Statistical Manual, Fifth Edition (DSM 5) published by the American Psychiatric Association. Dr. Greenstone is currently a Professor of Disaster and Emergency Management at Nova Southeastern University, Kiran C. Patel College of Osteopathic Medicine. Recently, Dr. Greenstone was elected a Fellow of the American Academy of Experts in Traumatic Stress. Additionally, he is also a member of the Tarrant County Medical Society Ethics Consortium. Dr. Greenstone may be reached at



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