National Commission on Children and Disasters. 2010 Report to the ...

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eport, the chronic shortage of pediatric mental health professionals coupled with limited insurance reimbursement for mental and behavioral health services greatly diminishes the capability to provide necessary mental health care to young children after a disaster. Individuals who routinely interact with children, such as early education providers, should be trained to provide basic support to promote adjustment and recovery, and identify children who require more advanced care. The <strong>Commission</strong> recommends that Head Start’s revised performance standards incorporate basic disaster mental health training requirements within existing training requirements for Head Start staff. Head Start Centers are already required to employ or consult with a mental health professional. The <strong>Commission</strong> recommends that the mental health professional should also be trained in disaster mental health issues and interventions and have a leadership role in the development and implementation of a disaster mental health training program for staff. Training for staff should include: instruction on the impact of trauma and bereavement on children; likely reactions; strategies for providing psychological first aid, brief supportive services, and bereavement support; and indications for referral for additional mental health services. Training would not only prove useful to Head Start staff in the aftermath of disasters, but also on a day-to-day basis as children enrolled in Head Start programs face higher than average stress levels and exposure to various types of trauma. 266 266 Jane Knitzer and Jill Lefkowitz, Helping the Most Vulnerable Infants, Toddlers, and Their Families, ed. <strong>National</strong> Center for Children in Poverty, Columbia University Mailman School of Public Health (New York, NY: NCCP, January 2006), 13-15, http://www.nccp.org/publications/pub_669.html. 88 NATIONAL COMMISSION ON CHILDREN AND DISASTERS: 2010 REPORT
7. Elementary and Secondary Education Recommendation 7.1: Congress and Federal agencies should improve the preparedness of schools and school districts by providing additional support to States. Recommendation 7.2: Congress and ED should enhance the ability of school personnel to support children who are traumatized, grieving, or otherwise recovering from a disaster. Recommendation 7.3: Ensure that school systems recovering from disasters are provided immediate resources to reopen and restore the learning environment in a timely manner and provide support for displaced students and their host schools. NATIONAL COMMISSION ON CHILDREN AND DISASTERS: 2010 REPORT 89
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NATIONAL COMMISSION ON CHILDREN AND
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ii The 2010 Report to the President
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Each new disaster presents distinct
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Contents Abbreviations.............
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EMSC Emergency Medical Services for
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Background The National</st
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Recommendation 1.2: The President s
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- Include pediatric expertise on th
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Recommendation 4.3: HHS should deve
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8. Child Welfare and Juvenile Justi
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11. Evacuation Recommendation 11.1:
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1. Disaster Management and Recovery
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A major impediment to the prioritiz
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children are a core consideration i
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Recommendation 1.2: The President s
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Recommendation 1.3: DHS/FEMA should
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The Commission rec
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2. Mental Health Recommendation 2.1
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2. Mental Health Recommendation 2.1
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The Commission rec
Page 43 and 44: Recommendation 2.4: DHS/FEMA and SA
Page 45 and 46: urden on affected States and commun
Page 47 and 48: types of [enhanced] crisis counseli
Page 49: elated adjustment difficulties such
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Page 54 and 55: children are largely unavailable or
Page 56 and 57: children may take several years, th
Page 58 and 59: As highlighted in the Commi
Page 60 and 61: Recommendation 3.3: HHS should ensu
Page 62 and 63: Recommendation 3.4: The Executive B
Page 64 and 65: Notwithstanding the need for greate
Page 66 and 67: Finally, the Commission</st
Page 69 and 70: 4. Emergency Medical Services and P
Page 71 and 72: 4. Emergency Medical Services and P
Page 73 and 74: Recommendation 4.2: Improve the cap
Page 75 and 76: In addition, the Commission
Page 77 and 78: NDMS and DoD are not the only entit
Page 79 and 80: 5. Disaster Case Management Recomme
Page 81 and 82: 5. Disaster Case Management Recomme
Page 83: Not all disasters will involve disa
Page 88 and 89: The Commission rec
Page 90 and 91: In response to the Commissi
Page 92 and 93: Finally, the Commission</st
Page 98 and 99: expertise. 272 While most school di
Page 100 and 101: Recommendation 7.2: Congress and ED
Page 102 and 103: Recommendation 7.3: Ensure that sch
Page 104 and 105: Another mechanism through which the
Page 106 and 107: sources. 303 Without comprehensive
Page 110 and 111: . Respond to new child welfare case
Page 112 and 113: Recommendation 8.2: Ensure that Sta
Page 114 and 115: The Commission sup
Page 116 and 117: Toward the goal of ensuring that ju
Page 120 and 121: evisions to the standards were need
Page 123 and 124: 10. Housing Recommendation 10.1: Pr
Page 125 and 126: 10. Housing Recommendation 10.1: Pr
Page 127 and 128: corresponding tasks related to the
Page 129: Finally, the Commission</st
Page 134 and 135: evacuees. 382 States also have the
Page 136 and 137: The Commission sup
Page 138 and 139: Recommendation 11.2: Disaster plans
Page 140 and 141: planning for the evacuation of scho
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Appendix A. Study Approach The <str
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Appendix B: Index to Recommendation
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142 NATIONAL COMMISSION ON CHILDREN
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• Include bereavement support and
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Relevant Federal Agencies President
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• DHS/FEMA should clarify the tra
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● Relevant Federal Agencies Presi
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• Congress should authorize DHS/F
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Appendix C: Model Executive Order o
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2. Children and Disasters Advisory
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• Support disaster plans, trainin
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• When children exhibit signs of
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Appendix F. Supplies for Infants an
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Non-Perishable Supplies & Equipment
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Supplemental Information Descriptio
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Appendix G. Subcommittee Members an
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Richard Muth, National</str
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Also, the Commission</stron
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Children’s Research Center^ Churc
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Planning and Learning Technologies,
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Honorable Sheila Leslie Appointed t
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Honorable Mark K. Shriver, MPA Chai
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NATIONAL COMMISSION ON CHILDREN AND
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