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The psychological consequences of disasters are known to be significant, but research efforts in developing countries have been sporadic. This paper reports a successful collaborative project conducted in Armero, Colombia, and in Ecuador. It outlines its origins, summarizes its findings, and identifies the essential ingredients that were responsible for its positive outcome. It is recommended that these guidelines be adhered to for the development of similar projects elsewhere, to ensure a significant impact on advancing the field, policy-making, delivering appropriate mental health care, and training of providers.  相似文献   
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