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Supporting Children's Mental Health Needs in Disasters.
Jennifer A Hoffmann1, Alba Pergjika2, Kimberly Burkhart3
1Division of Emergency Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Children's mental health requires a comprehensive disaster approach, integrating care across all phases. Health systems can create a "pediatric disaster system of care" by partnering with communities to address needs equitably.
Area of Science:
- Public Health
- Disaster Medicine
- Child Psychiatry
Background:
- Public health emergencies and disasters are frequent in the U.S., necessitating robust support for children's mental health.
- Children have unique developmental, social, emotional, and behavioral needs during and after disasters.
- Existing emergency response systems require enhancement to adequately address pediatric mental health crises.
Purpose of the Study:
- To summarize evidence on effectively addressing children's mental health needs in disasters.
- To outline strategies for integrating mental health into all disaster phases (preparedness, response, recovery).
- To explore traditional and emerging models for pediatric disaster mental health response.
Main Methods:
- Review of current evidence and best practices in disaster mental health for children.
- Discussion of integrated care models, including a national children's disaster mental health concept of operations.
- Examination of community partnerships and specific resources like crisis lines and telemental health.
Main Results:
- A
- pediatric disaster system of care
- involving community partnerships (schools, faith-based organizations, public health, law enforcement) is crucial for broad reach.
- Special attention is needed for children with pre-existing behavioral health conditions and equitable access for minoritized and rural populations.
- Effective strategies include psychological first aid, screening, triage, and stepped care approaches.
Conclusions:
- Integrating mental health into disaster preparedness, response, and recovery is essential for children.
- Fostering a pediatric disaster system of care through community partnerships enhances service delivery.
- Equitable access and tailored interventions are vital to meet the diverse mental health needs of children affected by disasters.
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