Joshua C Morganstein

Joshua C Morganstein
Uniformed Services University of the Health Sciences | USUHS · Department of Psychiatry

M.D.
Enhancing organizational disaster preparedness to protect worker well-being and operational sustainment.

About

94
Publications
18,907
Reads
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Introduction
Dr. Joshua C. Morganstein is a Psychiatrist and Family Physician and Assistant Director at the Center for the Study of Traumatic Stress. He conducts research and provides education and consultation on disaster mental health preparedness, response, and recovery to national, interagency, and global partners. Dr. Morganstein's work focuses on reducing adverse psychological and behavioral effects, enhancing well-being, and optimizing functioning for individuals and communities effected by a broad range of human-generated and natural disaster events.
Additional affiliations
February 2017 - present
Uniformed Services University of the Health Sciences
Position
  • Professor (Associate)
Description
  • Disaster psychiatry education, consultation and training to government and private sector entities. General psychiatry education and training to uniformed and civilian health professional trainees.
July 2013 - February 2017
Uniformed Services University of the Health Sciences
Position
  • Professor (Assistant)
Description
  • Disaster psychiatry education, consultation and training to government and private sector entities. General psychiatry education and training to uniformed and civilian health professional trainees.

Publications

Publications (94)
Chapter
Traumatic events are experienced by most people at some point in their life. Following a traumatic event, most individuals will return to their previous functioning , and some feel an increased sense of efficacy. However, others experience adverse psychological and behavioral effects. These effects include distress reactions , health risk behaviors...
Article
Full-text available
Ecological disasters highlight the importance of understanding natural disasters as they relate to a changing global climate. Such disasters often have a predictable pattern of evolving over time and anticipated psychological and behavioral problems and community disruptions. Various factors enhance transmission of these adverse effects beyond the...
Article
COVID-19 is a unique disaster, which has placed extreme stress on Healthcare Workers (HCWs) and the systems in which they work. Eradicating the pandemic requires sustainment of the healthcare workforce through actions that mitigate stress, promote resilience, and enhance performance. A major barrier is the lack of organizational practices and proce...
Article
Moral injury is a relatively new, but increasingly studied, construct in the field of mental health, particularly in relation to current and ex-serving military personnel. Moral injury refers to the enduring psychosocial, spiritual or ethical harms that can result from exposure to high-stakes events that strongly clash with one's moral beliefs. The...
Article
Objective: Among U.S. Army soldiers suicide attempts (SAs) are a significant public health concern, particularly early in service. We examined the association of attachment style with SA and suicide ideation (SI) among U.S. Army soldiers. Methods: We analyzed survey data from new soldiers who participated in the Army Study to Assess Risk and Res...
Chapter
Coronavirus SARS-CoV-2 disease (COVID-19) has caused injury, death, and distress in millions around the globe. Adverse mental health effects are substantial, with distress, health risk behaviors, and mental disorders exacerbating the threat of morbidity and mortality related to infection itself. The unique impacts of COVID-19, as well as the measur...
Research
Full-text available
Exposure to war causes a wide range of harmful mental health effects. Those working with refugees and people directly impacted in Ukraine can protect mental health by using the following evidence-based actions and other resources. Resources include: (1) Rapid Psychological First Aid: Help for You, Family, and Friends (2) Helping Others Calm an Ac...
Article
Military service is associated with increased risk of mental health problems. Previous reviews have pointed to under-utilization of mental health services in military populations. Building on the most recent systematic review, our narrative, critical review takes a complementary approach and considers research across the Five-Eyes nations from the...
Article
The COVID-19 pandemic exerted an extraordinary impact on public mental health to an extent not yet fully understood. Risk perception shaped psychological and behavioral responses, including experiences of distress, psychiatric disorders, and engagement in pandemic-related health behaviors. COVID-19 created unique aspects of evolving risk with vario...
Article
Full-text available
Importance Physicians are exposed to traumatic events during their work, but the impact and outcomes of these exposures are understudied. Objective To determine the prevalence and associations of work-related trauma exposure and posttraumatic stress disorder (PTSD) among a cohort of resident physicians in their internship year of training. Design...
Article
Objective Suicide and suicide attempts among U.S. Army soldiers are a significant concern for public health. This study examined the association of parental suicide attempt prior to age 13 of the soldier with subsequent risk of pre-enlistment suicide attempt. Method We conducted secondary analyses of survey data from new soldiers who participated...
Article
Research on disaster behavioral health presents significant methodological challenges. Challenges are even more complex for research on mass violence events that involve military members, families, and communities, due to the cultural and logistical considerations of working with this population. The current article aims to inform and educate on th...
Article
Objective Community characteristics, such as collective efficacy, a measure of community strength, can affect behavioral responses following disasters. We measured collective efficacy 1 month before multiple hurricanes in 2005, and assessed its association to preparedness 9 months following the hurricane season. Methods Participants were 631 Flori...
Article
Post-traumatic stress disorder (PTSD) is a common trauma and stressor-related disorder. Trauma-focused psychotherapies and selective serotonin reuptake inhibitors represent current state of the art treatment for PTSD, with current evidence favouring psychotherapy as first-line treatment. Much room remains for development of more effective therapeut...
Technical Report
Full-text available
While this issue of The Exchange focuses on acute and chronic stressors, identifying at-risk employees, and fostering resilience, it is important to understand these are somewhat artificial distinctions; they are actually interrelated concepts. Though it is helpful to segment them for the purposes of highlighting key factors in each, it is importan...
Article
Full-text available
Human Remains, Grief, and Posttraumatic Stress in Bereaved Family Members Fourteen Years after September 11, 2001, a forthcoming manuscript in the Journal of Traumatic Stress describes the mental health effects on 9/11-bereaved family members after being notified (often multiple times) that remains of their loved ones were identified. Although retu...
Article
The COVID-19 pandemic has profoundly impacted global health and security to an extent not seen since the Pandemic Influenza of 1918. Although screening, contact tracing and the quality of personal protective equipment have changed dramatically in the past century, air travel and our increasingly global society facilitated the rapid spread of this h...
Research
Full-text available
Infectious disease outbreaks, such as the novel Coronavirus (nCoV) increase fear and uncertainty. Knowing how to care for yourself and your family can reduce distress and allow people to function more effectively. These educational fact sheets provide information and recommendations for healthcare personnel, families, businesses, and communities on...
Chapter
The broad goals of terrorism are to 1) erode the sense of national security; 2) disrupt the continuity of society and destroy social capital (i.e. morale, cohesion and shared values). Terrorism opens the fault lines, the potential cracks, in our society and organizations. These include economic, racial/ethnic and religious. Terrorism is not a new f...
Chapter
Emergency departments (EDs) and Emergency Medical Services (EMS) are often the first to respond to a disaster or mass casualty incident. An understanding of the adverse mental health effects of disasters enhances response by healthcare personnel. Adverse psychological and behavioral effects represent a significant portion of healthcare burden, both...
Research
Full-text available
The Center for the Study of Traumatic Stress provides outreach resources for communities that experience mass shootings. The resources are for individuals, families, children, first responders and community leaders to aid in recovery. Additional resources for such events are available at www.cstsonline.org. This compilation of disaster education f...
Article
Objective This study examined the relationship of sniper-related television viewing (TV) and perceived safety to posttraumatic stress (PTS) and depressive symptoms during the Washington, DC sniper attacks. Methods Participants were 1238 Washington, DC area residents assessed using an internet survey including the Impact of Event Scale-Revised, Pat...
Chapter
Combat and operational stress reactions (COSR) are a normal and predictable aspect of work as a service member (SM). Most people recover quickly, using their own coping mechanisms and support resources. Stress and challenges are not bad nor are they to be avoided; finding a way to manage through difficulties increases self-efficacy, the belief that...
Technical Report
Full-text available
This issue of Joining Forces Joining Families (JFJF) features an interview with Melissa Kimber and Harriet MacMillan on children exposed to intimate partner violence (IPV). Separate articles address issues of the prevalence, evidence of harm, assessment, and interventions for children exposed. Additional articles describe the importance of the poli...
Article
Objective Community characteristics, such as perceived collective efficacy, a measure of community strength, can affect mental health outcomes following disasters. We examined the association of perceived collective efficacy with posttraumatic stress disorder (PTSD) and frequent mental distress (14 or more mentally unhealthy days in the past month)...
Chapter
Acute stress disorder (ASD) as defined by the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) is a mental condition that can develop shortly after exposure to a traumatic event. ASD shares many features with posttraumatic stress disorder (PTSD) (see Chapter 26, this volume), but most notably differs in timing with symp...
Technical Report
Full-text available
We present the Research Review (RR), a publication of the Joining Forces Joining Families (JFJF) group. RR consists of summaries of research of interest to family advocacy, medical, and social service providers. These summaries include articles on child maltreatment and intimate partner violence (IPV) issues that may not be commonly encountered in...
Chapter
War and its psychological effects have been a part of the human experience for thousands of years. While not every person, tribe, group, or country may experience the horrors of war, the written record of the human response co conflict and its attendant tragedies can be traced back to some of the earliest writings. What we would now call PTSD was n...
Article
Physicians are exposed to a range of traumatic events throughout training and professional practice, including workplace violence, disasters, hazardous exposures (Table 1). Physicians experience psychological and behavioral effects of trauma with the same range of response (eg, distress reactions, health risk behaviors, psychiatric disorders) as do...
Technical Report
Full-text available
This issue of Joining Forces Joining Families (JFJF) features an interview with David Finkelhor, PhD, on adverse childhood experiences (ACEs). We provide a brief summary of Dr. Finkelhor’s recent article questioning the wisdom of screening for ACEs in healthcare settings. Other articles on ACE screening include a review of the concept of resilience...
Technical Report
Full-text available
Research Review (RR) is a publication of the Joining Forces Joining Families group. RR consists of summaries of family maltreatment research for family advocacy, medical, and social service providers. These summaries provide tips on issues not commonly encountered and innovations for research and practice. We present four summaries on intimate part...
Chapter
Over the past decade, suicide rates in the US Armed Forces have increased substantially, prompting considerable efforts to address this devastating public health concern. The effects of a suicide can echo through families, unit members, and the military community. Better understanding of the epidemiology of suicidality among soldiers, and increased...
Chapter
Full-text available
Those who serve in the military represent a distinct cultural group whose perceptions of illness and treatment are often influenced by factors specific to military service. This chapter explores the unique influences military service can have on care. These cultural and subcultural influences come from groups including active duty members from a va...
Technical Report
Full-text available
This issue of Joining Forces Joining Families (JFJF) features an interview with TK Logan, PhD, on stalking victimization and perpetration in the context of intimate partner violence (IPV). We provide a brief overview of stalking research, a relatively new topic of investigation in IPV. In our regular research methods article, we describe difference...
Technical Report
Full-text available
In This Issue We present the fourth edition of Research Review (RR), a publication of the Joining Forces Joining Families group. RR consists of summaries of research of interest to family advocacy, medical, and social service providers. These summaries consist of topics that provide tips for providers, issues not commonly encountered in family malt...
Article
Full-text available
This issue of Joining Forces Joining Families (JFJF) features an interview with Ernest Jouriles, PhD, and Kelli Sargent, BA, on the perpetration of and effects on victims of bullying with an emphasis on cyberbullying. We provide a brief review of traditional bullying, cyberbullying, and recent research on risks and benefits of digital technologies...
Article
Natural and human-generated disaster represent increasing threats to global public health. Disasters are inherently chaotic events that frequently involve death and injury to large numbers of individuals. Medical students are exposed to disaster as victims and responders. Adequate preparation can enhance performances and reduce distress. Mass casua...
Chapter
Traumatic events are experienced by most people at some point in their life. Following a traumatic event many individuals return to previous functioning and some feel an increased sense of efficacy. However, a sizable minority experience adverse psychological and behavioral effects. These effects include distress reactions, health risk behaviors, a...
Chapter
Full-text available
Pandemics have a global reach of mass destruction and historically have been more devastating than any other type of disaster. Over many centuries, only the human- made disasters of war and the intentional extermination of ethnic groups have competed with the lethality of infectious disease outbreaks. Th e history of the infl uenza pandemic – occur...
Article
Full-text available
Military personnel can experience a variety of stressors and potentially traumatic events, which increase the risk for distress and mental health disorders. Effective recognition and management of these stressors can enhance the health and well-being of service members, and optimize military readiness. Below are instruments that assess a broad rang...
Article
Full-text available
First responders and public health emergency workers can experience a variety of stressors and potentially traumatic events, which increase the risk for distress and mental health disorders. Effective recognition and management of these stressors can enhance the health, well-being, and occupational functioning of these personnel. Below are instrume...
Research
Full-text available
The American Psychiatric Association (APA) recognizes that climate change poses a threat to public health, including mental health. Those with mental health disorders are disproportionately impacted by the consequences of climate change. APA recognizes and commits to support and collaborate with patients, communities, and other healthcare organizat...
Poster
Full-text available
Disaster exposure influences community-level characteristics, such as community strength, and the mental health of residents. Collective efficacy, a measure of community strength, is associated with reduction in adverse outcomes, including lower levels of depressive symptoms and reduced rates of post-traumatic stress disorder following a natural di...
Technical Report
Full-text available
In This Issue: We present the third edition of Research Review (RR), a publication of the Joining Forces Joining Families group. RR consists of summaries of published research of interest to family advocacy, medical, and social service providers. These summaries consist of topics that provide tips for service providers, some issues that are not com...
Article
Hurricane Katrina was the most lethal and costly natural disaster in recorded U.- S. history. This Category 5 storm made landfall on August 29, 2005, affecting a sizable portion of the Gulf Coast region. Among areas in the zone of impact, the city of New Orleans was particularly devastated. More than 700 people died and tens of thousands lost their...
Book
This volume focuses on the culture of the U.S. Army. Many of the major points also apply to other military services. The concepts are important for those who desire to understand U.S. Army culture for research - particularly those early in their careers. We hope that this book helps those interested in conducting research in the Army to better navi...
Technical Report
Full-text available
In This Issue In this issue, we discuss children's exposure to intimate partner violence (IPV). We present an interview with Harriet MacMillan with contributions by her colleagues, Nadine Wathen and Jill McTavish, although neither could be available at the time of the interview. Such exposure has many effects on children and adults and can be consi...
Article
Mobile devices such as smartphones and tablets have fundamentally changed the ways in which we interact with information. Far more than communication devices, smartphones and tablets are now indispensable tools in the pocket of healthcare providers. Mobile mental health applications (apps) provide instant access to up-to-date information on prevent...
Presentation
Full-text available
A changing global climate is increasing the frequency and severity of climate-related natural disaster events. These disasters result in escalating economic costs and pose a growing threat to global health security. An extensive body of literature indicates that natural disasters produce a wide range of distress responses, health risk behaviors, an...
Presentation
Full-text available
Traumatic stress can result from a variety of occupational exposures. Drug Enforcement Administration agents deployed to overseas high-threat posts may encounter a range of acute and chronic stressors that increase the risk for distress reactions, health risk behavior, and psychiatric disorders. An understanding of the risk factors, range of normal...
Poster
Full-text available
Comprehensive preparation enhances the effectiveness and coordination of emergency and disaster response for all stakeholders impacted by these events. Workplace planning and preparation must consider unique factors when developing response plans for personnel impacted by a wide range of emergencies, including natural and human-made disasters. A th...
Poster
Full-text available
The behavioral choices people make in the wake of a disaster, such as staying in place, evacuating, seeking or not seeking medical care, and searching for loved ones have very real life and death implications. Effective mental health disaster response requires timely and accurate information for victims, first responders, leaders, family members an...
Technical Report
Full-text available
In this issue, we present the second edition of Research Review (RR), a publication of the Joining Forces Joining Families group, on a variety of recent publications. RR consists of summaries of published research studies that are of interest to family advocacy and medical and social service providers. The articles are grouped by topic: child negle...
Chapter
Full-text available
Humanitarian operations frequently employ military personnel. This chapter discusses typical roles of military personnel and the psychological effects of humanitarian deployment on military personnel. Expectable responses include distress reactions, health risk behaviours and mental illness. Anticipating the strengths and vulnerabilities of this po...
Technical Report
Full-text available
In This Issue We present the second edition of Research Review (RR), a publication of the Joining Forces Joining Families group, on a variety of recent publications. RR consists of summaries of published research studies that are of interest to family advocacy and medical and social service providers. The articles are grouped by topic: child neglec...
Presentation
Full-text available
Mass violence can produce a range of distress reactions, health risk behaviors, and psychiatric disorders. Adequate preparation and response may mitigate impact on individuals and communities. The use of early interventions, risk and crisis communication, and evidence-based treatment interventions are important elements of a response to mass violen...
Chapter
Full-text available
Key Finding 1: Many people exposed to climate-related or weather-related disasters experience stress and serious mental health consequences. Depending on the type of the disaster, these consequences include post-traumatic stress disorder (PTSD), depression, and general anxiety, which often occur at the same time [Very High Confidence]. The majority...
Technical Report
Full-text available
In This Issue In this issue of Joining Forces Joining Families we explore developments in intimate partner violence (IPV) research and practice. Our interview is with L. Kevin Hamberger and Sadie E. Larsen on men's and women's experiences of IPV. In a separate article, we highlight more of their research. Building Bridges to Research describes meta...
Article
Full-text available
Post-Traumatic Stress in Disaster First Responders - Volume 10 Issue 1 - Joshua C. Morganstein, David M. Benedek, Robert J. Ursano
Chapter
Full-text available
Disaster events cause a range of mental and physical health effects. Nuclear exposures result in unique psychological responses by affected individuals and communities. Planning, preparation, response, and recovery are enhanced by a focus on population health management, integration of relevant community and cultural variables, and effective use of...
Technical Report
Full-text available
Research Review is a new publication of the Joining Forces Joining Families (JFJF) group of publications. It is a companion to the JFJF. Research Review presents new information for use by Army Family Advocacy Program (FAP) personnel on a variety of important topics. Each review provides the most important points of a recent publication. Readers ca...
Article
Full-text available
For over 3 weeks in October 2002, a series of sniper attacks in the Washington, DC, area left 10 people dead and 3 wounded. This study examined the relationship of distress associated with routine activities and perceived safety to psychological and behavioral responses. Participants were 1238 residents of the Washington, DC, metropolitan area (age...
Article
Full-text available
When widespread fear and anxiety about the spread of an infectious disease stress our society, psychiatrists can play a variety of important roles in population health management.