Universal Preventive Interventions for Children in the Context of Disasters and Terrorism - 21/03/14

Doi : 10.1016/j.chc.2013.12.006

Betty Pfefferbaum, MD, JD ^a,^⁎ , Vandana Varma, MBBS ^a, Pascal Nitiéma, MD, MPH, MS ^a, Elana Newman, PhD ^b
^a Department of Psychiatry and Behavioral Sciences, Terrorism and Disaster Center, College of Medicine, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA
^b Department of Psychology, Tulsa Institute of Trauma Abuse and Neglect, University of Tulsa, 800 South Tucker Drive, Tulsa, OK 74104, USA

^∗Corresponding author. Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK.

Résumé

This review addresses universal disaster and terrorism services and preventive interventions delivered to children before and after an event. The article describes the organization and structure of services used to meet the needs of children in the general population (practice applications), examines screening and intervention approaches (tools for practice), and suggests future directions for the field. A literature search identified 17 empirical studies that were analyzed to examine the timing and setting of intervention delivery, providers, conditions addressed and outcomes, and intervention approaches and components.

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Keywords : Children and adolescents, Disaster, Disaster interventions, Disaster mental health services, Preparedness, Screening, Terrorism, Universal interventions

Plan

Key points

Introduction

Literature search and review

Practice applications: organization and structure of disaster mental health services

Timing of Intervention Delivery

Delivery Sites

Providers

Conditions Addressed and Outcomes

Important tools for practice: screening and intervention approaches

Screening and Case Finding

Intervention Approaches and Components

Future directions

Summary

Disclosures: This work was funded in part by the National Institute of Mental Health, the National Institute of Nursing Research, and the Substance Abuse and Mental Health Services Administration (5 R25 MH070569), which established the Child and Family Disaster Research Training and Education Program at the Terrorism and Disaster Center (TDC) at the University of Oklahoma Health Sciences Center. TDC is a partner in the National Child Traumatic Stress Network and is funded, in part, by the Substance Abuse and Mental Health Services Administration (1 U79 SM57278).

None of the authors of this article have any actual or potential conflicts of interest. Points of view in this document are those of the authors and do not necessarily represent the official position of the National Child Traumatic Stress Network; the National Institute of Mental Health; the National Institute of Nursing Research; the Substance Abuse and Mental Health Services Administration; the Tulsa Institute of Trauma, Abuse, and Neglect; the University of Oklahoma Health Sciences Center; or the University of Tulsa.