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  • Print publication year: 2009
  • Online publication date: May 2010

21 - Mental Health Care for Children in the Wake of Disasters

from Part Five - Interventions And Health Services


This chapter focuses on social and cognitive theories that have gained significant empirical support in predicting mental health consequences of disaster. Social cognitive theory (SCT) offers a construct for community response to natural disasters. The challenge of operationalizing SCT within the disaster recovery environment is finding ways to measure the bidirectional relationships between environmental conditions, self-evaluative appraisals, and behavior across time. Behavioral assessments of coping rely on noncontextualized assessments of coping strategies that are thought to cut across stress domains. The transactional theory of stress is a theory directly addressing the interactive process between environmental stress demands and the individual. Conservation of resources (COR) theory emphasizes that both individual and environmental factors are predictive of stress. The social support deterioration deterrence (SSDD) model is a dynamic picture of the interplay between social resources that flow into disaster affected communities and the availability of social support perceived by the individual.

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Amaya-Jackson, L., Reynolds, V., Murray, M. C., McCarthy, G., Nelson, A., Cherney, M. S., et al. (2003) Cognitive-behavioral treatment for pediatric posttraumatic stress disorder: Protocol and application in school and community settings. Cognitive and Behavioral Practice, 10(3), 204–213.
American Academy of Child and Adolescent Psychiatry. (1998). Practice parameters for the diagnosis and treatment of posttraumatic stress disorder in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37(Suppl. 10), 4S–26S.
Berger, R., Pat-Horencyk, R., & Gelkopf, M. (2007). School-Based intervention for prevention and treatment of elementary-students’ terror-related distress in Israel: A quasi-randomized controlled trial. Journal of Traumatic Stress, 20(4), 541–551.
Cappelleri, J. C., & Trochim, W. M. (1995). Ethical and scientific features of cutoff-based designs of clinical trials: A simulation study. Medical Decision Making, 15(4), 387–394.
CATS Consortium. (2007). Implementing CBT for traumatized children and adolescents after September 11th: Lessons learned from the child and adolescent trauma treatments and services (CATS) project. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 581–592.
Chambless, D. L., & Hollon, S. D. (1998) Defining empirically supported theories. Journal of Consulting and Clinical Psychology, 66, 7–18.
Chemtob, C. M., Nakashima, J., & Carlson, J. G. (2002). Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: A field study. Journal of Clinical Psychology, 58, 99–112.
Chemtob, C. M., Nakashima, J. P., & Hamada, R. S. (2002). Psychosocial intervention for postdisaster trauma symptoms in elementary school children: A controlled community field study. Archives of Pediatrics & Adolescent Medicine, 156, 211–216.
Chorpita, B. (2003). The frontier of evidence-based practice. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents. New York, NY: The Guilford Press.
Cohen, J. A., Berliner, L., & Mannarino, A. P. (2000). Treating traumatized children: A research review and synthesis. Trauma, Violence, & Abuse, 1(1), 29–46.
Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A. (2004). A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. Journal for the American Academy of Child & Adolescent Psychiatry, 43(4), 393–402.
Cohen, J. A., & Mannarino, A. P. (1996). A treatment outcome study for sexually abused preschool children: Initial findings. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 42–50.
Cohen, J. A., & Mannarino, A. P. (1998). Interventions for sexually abused preschool children: Initial treatment findings. Journal of the Academy of Child and Adolescent Psychiatry, 35, 42–50.
Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: The Guilford Press.
Cohen, J. A., Mannarino, A. P., & Staron, V. R. (2006) A pilot study of modified cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG). Journal of the American Academy of Child & Adolescent Psychiatry, 45(12), 1465–1473.
Cox, J., Davies, D. R., Burlingame, G. M., Campbell, J. E., Layne, C. M., & Katzenbach, R. J. (2007). Effectiveness of a trauma/grief focused group intervention: A qualitative study with war-exposed Bosnian adolescents. International Journal of Group Psychotherapy, 57(3), 319–345.
Deblinger, E., Lippman, J., & Steer, R. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1, 310–321.
DeblingerE., Mannarino, A. P., Cohen, J. A., & Steer, R. A. (2006). A follow-up study of a multisite, randomized, controlled trial for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 45(12), 1474–1484.
Deblinger, E., McLeer, S. V., & Henry, D. (1990). Cognitive behavioral treatment for sexually abused children suffering posttraumatic stress: Preliminary findings. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 747–752.
Deblinger, E., Stauffer, L. B., & Steer, R. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment, 6(4), 332–343.
Field, T., Seligman, S., Scafedi, F., & Schanberg, S. (1996). Alleviating posttraumatic stress in children following Hurricane Andrew. Journal of Applied Developmental Psychology, 17, 35–50.
Finkelhor, D., & Berliner, L. (1995). Research on the treatment of sexually abused children: A review and recommendations. Journal of the American Academy of Child & Adolescent Psychiatry, 34(11), 1408–1423.
Goenjian, A. K., Karayan, I., Pynoos, R. S., Minassian, D., Najarian, L. M., Steinberg, A., et al. (1997). Outcome of psychotherapy among early adolescents after trauma. American Journal of Psychiatry, 154(4), 536–542.
Goenjian, A., Walling, D., Steinberg, A. M., Karayan, I., Najarian, L. M., & Pynoos, R. (2005) A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. American Journal of Psychiatry, 162(12), 2302–2308.
Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001) Evidence-based practice in child and adolescent mental health services. Psychiatric Services. 52(9), 1179–1189.
Hoagwood, K., Radigan, M., Rodriguez, J., Levitt, J. M., Fernandez, D., Foster, J., et al. (2006). Final report on the Child and Adolescent Trauma Treatment Consortium (CATS) Project. Rockville, MD: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services Administration.
Hoagwood, K. E., Vogel, J. M., Levitt, J. M., D’Amico, P. J., & Paisner, W. I. (2007). Implementing an evidence-based trauma treatment in a state system after September 11: The CATS Project. American Academy of Child and Adolescent Psychiatry, 46(6), 773–779.
Jensen, P. S., Weersing, R., Hoagwood, K. E., Goldman, E. (2005) What is the evidence for evidence- based treatments? A hard look at our soft underbelly. Mental Health Services Research, 7(1), 53–74.
King, N., Tonge, B., Mullen, M., Myerson, N., Heyne, D., Rollings, S., et al. (2000). Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial. American Academy of Child and Adolescent Psychiatry, 39, 1347–1155.
Layne, C. M., Pynoos, R. S., Saltzman, W. R., Arslanagic, B., Black, M., Savjak, N., et al. (2001). Trauma/grief focused group psychotherapy school-based postwar intervention with traumatized Bosnian adolescents. Group Dynamics: Theory, Research and Practice, 5(4), 227–290.
Layne, C. M., Saltzman, W. R., & Pynoos, R. S. (2002). Trauma/grief focused group psychotherapy program. Manuscript submitted for publication.
Layne, C. M., Saltzman, W. R., Savjak, N., & Pynoos, R. S. (1999). Trauma/grief-focused group psychotherapy manual. Sarajevo, Bosnia: UNICEF Bosnia & Hercegovina.
March, J. S., Amaya-Jackson, L., Murray, M. C. & SchulteA. (1998). Cognitive-behavioral psychotherapy for children and adolescents with posttraumatic stress disorder after a single-incident stressor. Journal of the American Academy of Child & Adolescent Psychiatry, 37(6), 585–593.
McKay, M. M., McCadam, K., & Gonzales, J. J. (1996). Addressing the barriers to mental health services for inner city children and their caretakers. Community Mental Health Journal, 32, 353–361.
McKay, M. M., Pennington, J., Lynn, C. J., & McCadam, K. (2001). Understanding urban child mental health service use: Two studies of child, family, and environmental correlates. Journal of Behavioral Health Services and Research, 28, 475–483.
McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their care givers. Health and Social Work, 23, 9–15.
Mufson, L. H., Dorta, K. P., Olfson, M., Weissman, M. M., & Hoagwood, K. (2004). Effectiveness research: Transporting interpersonal psychotherapy for depressed adolescents (IPT-A) from the lab to school-based health clinics. Clinical Child Family Psychology Review, 7(4), 251–261.
Murray, L. K, Radigan, M., Rodriguez, J., Frimpong, E., Legerski, J., Mass-Levitt, J., et al. (under review). Clinician attitudes on the implementation of trauma-focused evidence-based treatments within the CATS Project. Journal of Traumatic Stress.
North, M. S., Gleacher, A. A., Radigan, M., Greene, L., Levitt, J. M., Chassman, J., et al. (2008). Evidence-based Treatment and Dissemination Center (EBTDC): Bridging the research-practice gap in New York State. Report on Emotional & Behavioral Disorders in Youth, 8(1), 9–16.
Putnam, F. W. (2003). Ten year research update review: Child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 269–278.
Rodriguez, J. A., Gopalan, G., Radigan, M., Foster, J., McKay, M., Chung, M., et al. (2009). The impact of evidence-based engagement strategies on the participation of youth in trauma treatments post-9/11. Manuscript submitted for publication.
Saltzman, W. R., Pynoos, R. S., Layne, C. M., Steinberg, A. M., & Aisenberg, E. (2001). Trauma- and grief-focused intervention for adolescents exposed to community violence results of a school based screening and group treatment protocol. Group Dynamics: Theory, Research and Practice, 5(4), 291–303.
SAMHSA Model Programs: Effective substance abuse and mental health programs for every community. (February, 2008).
Saunders, B. E., Berliner, L., & Hanson, R. F. (Eds.). (2004). Child physical and sexual abuse: Guidelines for treatment (Revised Report: April 26, 2004). Charleston, SC: National Crime Victims Research and Treatment Center.
Saywitz, K. J., Mannarino, A. P., Berliner, L., & Cohen, J. A. (2000). Treatment for sexually abused children and adolescents. American Psychologist, 55, 1040–1049.
Schoenwald, S. K., Halliday-Boykins, C. A., & Henggeler, S. W. (2003). Client-level predictors of adherence to MST in community service settings. Family Process, 42(3), 345–359.
Schoenwald, S. K., & Hoagwood, K. E. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52, 1190–1197.
Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols and procedures (1st ed.). New York: Guilford Press.
Silva, R. (2004). Posttraumatic stress disorders in children and adolescents: Handbook. New, York: W W Norton & Co.
Silverman, W. K., & La Greca, A. M. (2002). Children experiencing disasters: Definitions, reactions, and predictor of outcomes. In A. La Greca, W. Silverman, E. Silverman, & M. Roberts (Eds.), Helping children cope with disasters and terrorism. Washington, DC: American Psychological Association.
Stauffer, L. B., & Deblinger, E. (1996). Cognitive behavioral groups for nonoffending mothers and their young sexually abused children: A preliminary treatment outcome study. Child Maltreatment, 1, 65–76.
Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles Post-traumatic Stress Disorder Reaction Index. Current Psychiatry Reports, 6, 96–100.
Storch, E. A., & Crisp, H. L. (2004). Taking it to the schools: Transporting empirically supported treatments for childhood psychopathology to the school setting. Clinical Child and Family Psychology Review, 7(4), 191–267
Task Force on Promotion and Dissemination of Psychological Procedures, Division of Clinical Psychology, American Psychological Association. (1995). Training in and dissemination of empirically-validated psychological treatments: report and recommendations. The Clinical Psychologist, 48, 3–23.
Taylor, T. L., & Chemtob, C. M. (2004). Efficacy of treatment for child adolescent traumatic stress. Archives of Pediatrics & Adolescent Medicine, 158, 786–791.
Weisz, J. R. (2000) President’s message: Lab-clinic differences and what we can do about them: I. The clinic-based treatment development model. Clinical Child Psychology Newsletter, 15(1), 1–3,10.
Weisz, J. R., Donenberg, G. R., Han, S. S., & Kauneckis, D. (1995). Child and adolescent psychotherapy outcomes in experiments versus clinics: Why the disparity? Journal of Abnormal Child Psychology, 63, 688–701.
Weisz, J. R., Donenberg, G. R., Han, S. S., & Weiss, B. (1995). Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. Journal of Counseling and Clinical Psychology, 63, 688–701.
Wolmer, L., Laor, N., Dedeoglu, C., Siev, J., & Yazgan, Y. (2005). Teacher-mediated intervention after disaster: A controlled three-year follow-up of children’s functioning. Journal of Child Psychology and Psychiatry, 46(11), 1161–1168.
Wolmer, L., LaorN., & YazganY. (2003). School reactivation programs after disaster: Could teachers serve as clinical mediators? Child & Adolescent Psychiatric Clinics of North America, 12(2), 363–381.