Background: Trauma-focused treatments (TFTs) for patients with post-traumatic stress disorder (PTSD) are highly effective, yet underused by therapists.

Objective: To describe a new way of implementing (adequate use of) TFTs, using a therapist rotation model in which one patient is treated by several therapists.

Climate change and the impacts on health are being increasingly reported and documented. It is expected that with continued rises in global temperature and greenhouse gas emissions the effects on health will become more widely experienced and extreme. Throughout July PLOS Medicine is publishing a Special Issue on climate change and health. Guest edited by Dr. Jonathan Patz (University of Wisconsin-Madison) and Dr.

Summary

Background

Depression is one of the leading contributors to the global burden of disease. However, treatment availability is often very poor in low-income and middle-income countries. In a randomised clinical trial, we investigated the efficacy of internet-based behavioural activation with lay counsellor support compared with online minimal psychoeducation without support for depression in Indonesia (a middle-income country).

Methods

Despite available knowledge on appropriate psychosocial support for people confronted with death, loss, and severe stress in the context of major crises and disasters, it is crucial to understand what people affected expect from government officials and public leaders in the aftermath of an extreme event. Eight interviews with affected adult residents were conducted to explore their expectations and experiences in relation to government. This was done against the background of Park's (2016) model on meaning making.