Intended for healthcare professionals

Rapid response to:

Clinical Review

Post-traumatic stress disorder

BMJ 2007; 334 doi: (Published 12 April 2007) Cite this as: BMJ 2007;334:789

Rapid Response:

PTSD Management and Maslow's hierarchy of needs

Bisson's review (1) raises interesting discussions on PTSD

With the number of conflicts in the developing world resulting in an
increase in Asylum seekers and refugees flocking to developed countries,
PTSD management becomes even more important. We believe more focus should
be placed on basic needs provision for Asylum seekers such as food, water,
shelter and security. Maslow's hierarchy of needs could represent a good
framework to determine appropriate policies to be implemented for the
prevention and treatment of PTSD in the above group. Articles by Drennan
and colleague (2)as well as Toscani et al (3) add weight to ths point, but
this appears to be sadly ignored in most research and management of PTSD.

1 Bisson JI. Post-traumatic stress disorder. BMJ 2007;334: 789-93
2 Drennan V.M and Joseph J. Health visiting and refugee families: issues
in professional practice. Journal of Advanced Nursing 2005;49(2),155-163.
3 Toscani L. et al Health status of returnees to Kosovo: Do living
conditions during asylum make a difference? Public Health 2007;

Competing interests:
None declared

Competing interests: No competing interests

20 April 2007
Mehraj Uddin Shah
Locum Consultant
Akeem Sule, Jan Farida
Spring House, Biggleswade Hospital,Potton road, Biggleswade, SG18 0EL