Earthquake in El Salvador
Overview of the Operational Mental Health Care Plan*

Earthquakes can leave lasting psychological wounds among the affected population. The aftermath can be particularly stressful when survivors cannot find their missing relatives or carry out the cultural or religious rituals that provide a sense of closure after the loss of a loved one. In the case of the earthquake that has hit El Salvador, the number of victims, the many homes buried under landslides and the uncertainty about the fate of the missing are clear indicators of an imminent post-traumatic stress syndrome epidemic among the surviving population.

One of the top priorities in caring for the affected citizenry must be to respond to their mental health needs. The Ministry of Health of El Salvador, in collaboration with other national and international bodies, has developed the following action plan to respond to these needs.

The Problem

Managing, in the short, medium, and long term, the disaster's impact on the psychosocial stability of previously emotionally healthy individuals and groups.

Overall Objective

Minimize the psychosocial damage to the direct or indirect victims of the disaster by promoting and providing mental health care.

Strategy and Methods

The Emergency Mental Health Team will provide technical assistance and coordinate operations effective immediately and into the medium term.

The actions to be taken are the following:

  1. Carry out preventive interventions aimed at the general population and particularly the victims by employing
    a. The mass media, through the production of print and audiovisual materials, and
    b. Non-governmental organizations, government agencies, grassroots groups and other bodies that serve local communities, through the production and distribution of leaflets, brochures, and posters that can be easily redistributed or reproduced.
  2. Deploy multidisciplinary teams, trained to provide mental health care to people in crisis, throughout existing shelters, schools, and health facilities, and make sure they have the necessary psycho-pharmaceutical products, equipment, and transport.
  3. Develop mental health interventions targeted at vulnerable groups, such as children, the elderly, the disabled, pregnant women, rescue personnel, and health personnel in the most affected areas, and make sure that follow-up care is provided.

The long-term continuity of the Operational Plan will be entrusted to the Mental Health Teams of the Basic Comprehensive Health Systems (SIBASIs) in San Salvador, La Libertad, Santa Ana and San Miguel.

Human Resources

  • MDs
  • Nurses
  • Psychiatrists
  • Psychologists (fully trained or students)
  • Health Educators
  • Social Workers
  • Volunteers
* Prepared by an Interdisciplinary Mental Health Team