Office of Research Administration University of Oklahoma Health Sciences Center P. O. Box 26901 Oklahoma City, OK 73190 (405) 271-2090 TO: Research Colleagues FROM: Jan Trice, Director e-mail: xxxxxx@uokhsc.edu DATE: May 22, 1995 SUBJECT: Oklahoma City Federal Building Bombing This letter is to solicit your cooperation in approaching victims of the Oklahoma City Federal Building bombing and their families and friends with sensitivity and compassion to their unique circumstances in the aftermath of this catastrophic event. Most US disaster research environments previously studied have included some loss of life, but have been characterized primarily by massive private property loss and physical displacement of individuals and families. The Oklahoma City bombing has left literally thousands of residents directly affected by the loss of family members, close friends and/or professional colleagues. The psychological consequences of this event have the potential to be as devastating as the physical, and will be experienced by Oklahoma City residents for months and years to come. Many of the research protocols developed to study this unique situation will be limited to interviews and questionnaires, activities normally qualifying for exemption from IRB review. Because of the psychological sensitivity of questions likely to be addressed to research subjects, and because of the volume of requests family members already are receiving from the research community, the OUHSC IRB will require full board review of all OUHSC protocols involving direct contact with victims and their families. We urge our colleagues at universities and other research institutions to do likewise. We will be require written informed consent for face-to-face interviews, and special language in telephone and mail survey materials, including an introduction acknowledging that: (1) the request for participation may be one of many; (2) it is not our intent to burden subjects at what we know is a very difficult time for them; (3) some of the questions asked may be emotionally stressful for them; and (4) counseling is available to them from mental health professionals (a contact number will be provided). Protocols limited in their human subjects aspects to archival data collection such as medical chart reviews will be granted exemption from full board review by our IRB chair, subject of course to appropriate precautions to protect patient confidentiality. It is particularly important that we remain sensitive to the dual roles many will play in the aftermath of the bombing, those of health professionals delivering patient care and of researchers, and that we clearly delineate these roles for potential research subjects. Families and individuals must be reassured that they have no obligation to talk with anyone about their experiences, and that their access to medical care, including counseling services, will not be affected in any way if they choose not to participate in research. Governor Keating has asked the OUHSC IRB and its staff to provide a screening service to any member of the Oklahoma City community who is contacted by researchers and who requests our assistance. We recognize that this devastating experience for the Oklahoma City community constitutes a unique disaster research opportunity. OUHSC Office of Research Administration staff offer our services to research colleagues in accessing local archival data sources and in coordinating related protocols as much as possible to avoid needless repetition of data collection efforts and to preserve the integrity of interview data as much as possible. To facilitate that coordination process, we are establishing a roster and brief synopsis of bombing-related protocols, to which we invite you to contribute. The State Department of Health has been designated by the Governor's Office as the official depository for injury and health information associated with the bombing, and has generously offered its services to assist the research community, subject to appropriate IRB review and approval of protocols. The Department of Mental Health and Substance Abuse Services has been designated as the lead agency for public mental health care, and is working closely with the Department of Health, the University and local health care facilities in the public and private sector. Collaborative efforts are being coordinated through a Disaster Health Studies Group, which is expanding to encompass new members as research protocols involve additional organizations and medical specialties. We urge members of the research community to avail themselves of the local knowledge and expertise represented in this working group, and we pledge our best efforts to facilitate the many important research initiatives arising from our community's tragedy. If you have any questions or need additional information, please contact us at the address/phone listed above, or at the e-mail addresses listed below: Jan Trice, Director xxxxxx@uokhsc.edu Pat Carlton, IRB Coordinator xxxxxx@uokhsc.edu Lisa Asch, Resource Center Coord. xxxxxx@uokhsc.edu Scott Smith, Sponsored Prog. Adm. xxxxxx@uokhsc.edu