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Lynne Lamberg

JAMA. 2005;294:889-890.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Atlanta—Several teams of mental health professionals—few, if any, of whom spoke any Asian language—rushed from the United States, Italy, Sweden, and other countries to Sri Lanka and Indonesia in early January to offer counseling to survivors of the tsunami that had ravaged coastal regions of South Asia and East Africa on December 26, 2004.

The tsunami had razed homes, hospitals, businesses, schools, roads, bridges, and communication systems; destroyed food supplies and crops; contaminated drinking water; and killed livestock. The visitors needed housing, food, transportation, and translators, all scarce in the aftermath of the 100-foot-high tidal wave that killed at least 300 000 individuals, injured more than 500 000, and displaced more than 1 million.

Despite good intentions, "effort does not equal assistance," Shekhar Saxena, MD, coordinator of mental health evidence and research at the World Health Organization (WHO), Geneva, Switzerland, said at the annual meeting of the American Psychiatric . . . [Full Text of this Article]

COMMUNITY OUTREACH CRUCIAL