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A school-based post-Katrina therapeutic intervention.

Eliot E Goldman1, Daliah Bauer, Denise L Newman

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School-based interventions effectively reduced depression and behavioral issues in youth after Hurricane Katrina. The School Therapeutic Enhancement Program (STEP) demonstrated positive outcomes for at-risk students facing disaster aftermath.

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Area of Science:

  • Child and Adolescent Psychology
  • Disaster Mental Health
  • Educational Psychology

Background:

  • Hurricane Katrina caused significant trauma and mental health challenges for youth in the Greater New Orleans area.
  • A critical need existed for accessible mental health support in schools following the disaster.
  • Evidence-based treatments required adaptation for crisis situations involving at-risk youth.

Purpose of the Study:

  • To implement and evaluate school-based interventions for students affected by Hurricane Katrina.
  • To assess the impact of the School Therapeutic Enhancement Program (STEP) on youth mental health.
  • To establish a benchmark for community youth's emotional and behavioral distress through a district-wide needs assessment.

Main Methods:

  • The School Therapeutic Enhancement Program (STEP) provided treatment to 386 students with depressive and/or disruptive disorder symptoms.
  • A district-wide mental health needs assessment screened 11,861 middle and high school students for behavioral and emotional difficulties.
  • Intervention effectiveness was measured using multiple informants (self, parent, teacher) comparing pre- and post-treatment levels.

Main Results:

  • Students in the STEP intervention showed clinically significant reductions in emotional and behavioral problems, depression, and inattention.
  • Self-reported distress levels were lower in the intervention group compared to the screening group post-treatment.
  • The study demonstrated positive outcomes for youth experiencing the aftermath of a major natural disaster.

Conclusions:

  • School-based interventions are effective in mitigating the mental health effects of natural disasters on youth.
  • Flexible adaptation of evidence-based training models, including coaching and consultation, is crucial for crisis intervention.
  • The findings support the integration of mental health services within school systems for disaster-affected populations.