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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

Clinical Child and Family Psychology Review
|February 19, 2009
PubMed

Insights

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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