The 9/11 experience: who's listening to the children?

Harold S Koplewicz1, Marylene Cloitre, Kimberly Reyes

  • 1New York University Child Study Center, 577 1st Avenue, New York, NY 10016, USA. harold.koplewicz@msnyuhealth.org

Insights

Children exposed to the September 11th attacks developed significant psychiatric disorders and distress. Despite available mental health services, a gap exists between their needs and actual service utilization, requiring further investigation into contributing factors.

Area of Science:

  • Child and Adolescent Psychiatry
  • Trauma Psychology
  • Public Health

Background:

  • The September 11, 2001 terrorist attacks led to widespread psychological distress in children.
  • Post-9/11, many children exhibited psychiatric disorders and functional impairments.
  • Despite resources, a gap in mental health service utilization by affected children was observed.

Purpose of the Study:

  • To identify factors contributing to the gap between mental health needs and service use in children post-9/11.
  • To explore potential remedies for improving mental health service access for pediatric populations affected by trauma.

Main Methods:

  • Qualitative analysis of factors influencing service access.
  • Review of existing mental health service provision and utilization data.
  • Identification of barriers and facilitators to care.

Main Results:

  • Significant psychological distress and psychiatric disorders were documented in children post-9/11.
  • A notable disparity exists between identified mental health needs and the use of available services.
  • Several factors impede service utilization, despite financial support and provider availability.

Conclusions:

  • Addressing the mental health needs of children post-9/11 requires understanding and overcoming barriers to care.
  • Interventions should focus on bridging the gap between documented need and service use.
  • Further research is needed to develop effective strategies for supporting pediatric mental health after mass trauma events.

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