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Practice parameter on disaster preparedness.

Betty Pfefferbaum, Jon A Shaw,

    Journal of the American Academy of Child and Adolescent Psychiatry
    |October 26, 2013
    PubMed
    Summary
    This summary is machine-generated.

    This practice parameter outlines disaster response for children and adolescents, emphasizing psychological first aid, psychoeducation, and social support. Schools serve as key sites for assessment and intervention during disaster recovery.

    Keywords:
    child and adolescentdisasterdisaster system of carepsychological first aidresilience

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    Area of Science:

    • Disaster mental health
    • Child and adolescent psychology
    • Public health preparedness

    Background:

    • Disasters significantly impact children's mental health.
    • Effective interventions are needed across all disaster phases.
    • A structured approach to care is crucial for pediatric populations.

    Purpose of the Study:

    • To identify best practices for assessing and managing children and adolescents affected by disasters.
    • To provide guidance for clinicians within a disaster system of care.
    • To highlight the role of schools in disaster mental health services.

    Main Methods:

    • Review of evidence-based interventions for pediatric disaster response.
    • Identification of key assessment and management strategies.
    • Emphasis on multimodal therapeutic approaches.

    Main Results:

    • Psychological first aid, psychoeducation, social support, and anxiety reduction are key interventions.
    • Schools are vital settings for assessment and service delivery.
    • Multimodal approaches (social support, psychoeducation, CBT) show the strongest evidence.

    Conclusions:

    • Clinicians must assess and monitor risk and protective factors throughout disaster phases.
    • Psychopharmacological interventions are typically adjuncts for severe reactions or comorbidities.
    • A comprehensive, phased approach is essential for pediatric disaster mental health.