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Approaches to the Assessment of Children in the Context of Disasters
Betty S Lai1, Eva Alisic2, Rayleen Lewis3
1Georgia State University, 1 Park Place, Atlanta, GA, 30303, USA. blai@gsu.edu.
Insights
Post-disaster assessment for children is crucial. A Multiple Gating Stepped Care framework guides screening, clinical evaluation, and feedback-informed interventions to support vulnerable youth after disasters.
Area of Science:
- Child Psychology
- Disaster Mental Health
- Public Health
Background:
- Children are a vulnerable population requiring specialized post-disaster assessment.
- Effective assessment and intervention strategies are critical for child well-being after disasters.
- Existing literature on post-disaster child assessment needs synthesis.
Purpose of the Study:
- To review and highlight recent literature on post-disaster assessment and intervention for children.
- To focus on screening, clinical evaluation, and feedback-informed service delivery within a Multiple Gating Stepped Care framework.
- To discuss new assessment formats and challenges in identifying assessment sources.
Main Methods:
- Literature review utilizing a Multiple Gating Stepped Care framework.
- Focus on screening, clinical evaluation, and feedback-informed service delivery.
- Discussion of new assessment formats and challenges.
Main Results:
- Screening offers a cost-effective method for assessing large child populations.
- Clinical evaluations provide in-depth assessment of symptoms, strengths, and stressors for at-risk children.
- Ongoing assessment during therapy ensures feedback-informed service delivery.
Conclusions:
- The Multiple Gating Stepped Care framework provides a structured approach to post-disaster child assessment and intervention.
- Integrating screening, clinical evaluation, and feedback is essential for effective care.
- Future research should explore innovative assessment methods and reliable sources for assessment.
Abstract:
Children exposed to disasters are a vulnerable population, making the assessment of children post-disaster an important issue. Utilizing a Multiple Gating Stepped Care framework, we highlight recent literature related to post-disaster assessment and intervention for children. In particular, we focus on screening, clinical evaluation, and feedback-informed service delivery. Screening allows large populations of children to be assessed at a relatively low cost. Children identified by screening as being at risk may then be assessed through more in-depth clinical evaluations, in order to assess clinical symptoms, strengths, and stressors, and to make determinations about appropriate interventions. Continued assessment during therapy provides important feedback for the delivery of appropriate care. New formats for assessment, as well as issues related to identifying sources for assessment, are discussed. Recommendations for future directions are provided.
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