South Asian earthquake: psychiatric experience in a tertiary hospital

In October 2005, northern Pakistan was devastated by an earthquake killing 73 000 people.Some of the seriously injured were airlifted to a tertiary hospital in Rawalpindi, near Islamabad.This field report describes the psychiatric services delivered at that hospital. It explains how the needswere assessed and psychosocial interventions designed at different levels. The training needs of themedical staff were also identified and efforts were made to enhance their skills for psychosocial care.Finally, the report formulates some recommendations for improving such services.