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Treating traumatized children after Hurricane Katrina: Project Fleur-de lis
Judith A Cohen1, Lisa H Jaycox, Douglas W Walker
1Center for Traumatic Stress in Children & Adolescents, Allegheny General Hospital, Drexel University College of Medicine, Pittsburgh, PA 15212, USA. Jcohen1@wpahs.org
Project Fleur-de-Lis (PFDL) offers tiered, evidence-based mental health treatment for children with trauma symptoms after Hurricane Katrina. Research examines practices for child PTSD to guide future disaster response.
Area of Science:
- Disaster mental health
- Child psychology
- Public health interventions
Background:
- Hurricane Katrina caused significant trauma symptoms in children.
- Existing mental health services were insufficient for disaster-affected youth.
- Project Fleur-de-Lis (PFDL) was created to address this gap.
Purpose of the Study:
- To describe the structure and purpose of PFDL.
- To outline the NIMH-funded research examining evidence-based practices (EBPs) for child PTSD.
- To inform future disaster mental health treatment decisions.
Main Methods:
- PFDL employs a tiered approach with school screening and three levels of EBPs.
- A public health model is used to address diverse student needs.
- NIMH funds research on two EBPs for pediatric PTSD.
Main Results:
- The article presents case descriptions of children treated within the project.
- Preliminary lessons learned from the PFDL initiative are discussed.
- The study highlights the need for tailored mental health services post-disaster.
Conclusions:
- PFDL demonstrates a viable model for disaster mental health services for children.
- Research on EBPs is crucial for optimizing pediatric PTSD treatment after disasters.
- A public health approach is effective in addressing varied needs of affected children.
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