HardHealthOctober 18, 2025

Helping New Yorkers Heal: Manuel Trujillo and Bellevue after 9/11

Key Vocabulary

neuroimaging /ˌnjʊəroʊˈɪmɪdʒɪŋ/

Medical methods (like MRI) that make pictures of the brain.
Example: Researchers used neuroimaging to study brain activity in depression.

post-traumatic stress disorder /ˌpoʊst.trəˈmætɪk strɛs dɪsˈɔːrdər/

A condition of long-lasting symptoms after a very stressful event.
Example: Some survivors developed post-traumatic stress disorder after the attack.

cultural competence /ˈkʌltʃərəl ˈkɒmpɪtəns/

The ability to work effectively with people from different cultures.
Example: Cultural competence improved communication between doctors and patients.

responder /rɪˈspɒndər/

A person (firefighter, police, medic) who acts in an emergency.
Example: Many responders needed both physical and mental health care.

fellowship /ˈfɛloʊʃɪp/

An advanced training program for medical professionals.
Example: The fellowship taught doctors skills for public psychiatry work.

📖 Article

Born and trained in Seville, Manuel Trujillo is a psychiatrist whose career in New York has combined clinical leadership, research, and teaching, and he served as director of psychiatry at Bellevue Hospital from 1990 to 2008. After leading the department he founded a Fellowship in Public Psychiatry in 2008, a program designed to prepare clinicians for community and public sector work, and he holds a clinical professorship at the NYU Grossman School of Medicine.

When the World Trade Center towers fell on September 11, 2001, Bellevue shifted quickly to emergency operations and received many rescue workers and survivors who needed immediate and long‑term mental health care. Public health studies later documented persistent physical and psychological conditions among responders, which meant that hospitals and clinics had to create sustained monitoring and treatment programs. Only with organized training and research could services be expanded to meet those needs.

Trujillo has written and lectured on post-traumatic stress and on cultural competence in psychiatric care, and his publications list includes presentations on the psychological impact of the Twin Tower disaster. He has also promoted the use of neuroimaging and clinical research to improve diagnosis and treatment, arguing that education and evidence should guide clinical change.

Consequently, the mix of disaster response, ongoing clinical programs, and dedicated training at Bellevue produced a model in which public psychiatry and specialty care were linked. While many challenges remained, the emphasis on trainee education and community outreach helped to build more resilient services for New Yorkers who were affected by trauma.

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❓ Quiz

Q1. Where was Manuel Trujillo born and trained?
Q2. From what years did he serve as director of psychiatry at Bellevue Hospital?
Q3. What method has he promoted to improve diagnosis and treatment?

💬 Discussion

1.

Do you think medical technology such as brain imaging can change how we treat mental health? Why?

2.

Have you ever known someone who recovered slowly from a traumatic event? What helped them?

3.

What do you think about training more clinicians to work in community settings?

4.

Would you like to work in a health program that helps people after disasters? Why or why not?

5.

How do you feel when you hear about long-term effects of disasters on rescue workers?