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This guide, meant to be a resource for the classroom teacher in helping children to recover from the effects of a disaster, was prepared using information developed to assist teachers to help children recover from the Loma Prieta Earthquake of 1989. The ideas presented will help in coping with other general disasters, as well as with the mini-disasters that occur in the lives of individual children.
A Crisis Intervention Team, made of trained professional staff members, will play an important role in the recovery from any type of psychological crisis. Teachers can access a Crisis Intervention Team through their Principal or site administrator.
It is not the intent of the disaster preparedness plan to “train” the staff members to be mental health professionals, nor to expect them to function as such. The intent is to make available all information that pertains to preparing and coping with the effects of disasters, minor or catastrophic. Therefore, the psychological factors involved in disaster situations need to be understood by all staff members.
For purposes of maintaining preparedness in disasters, especially disasters that could involve mass injuries, it is necessary to consider both psychological and social needs, those emotional and community-related factors that affect the victim or family and significant others or that influence the staff in the performance of their duties. The emotional component is characterized by:
(1) the individual’s reaction to a casualty situation, whether or not a personal injury has been incurred
(2) the reaction of the family and significant others to the situation and to the victim’s injury or possibly death
(3) the reaction of the staff to the situation, both as participants personally affected by the situation and as school district employees providing a disaster service
(4) the reactions and behavior of the community.
The social component can be seen as the response of community agencies and services in providing necessary resources and in meeting responsibilities to those injured or affected, as well as the material resources of the victim and family.
Victims undergo what might be called a disaster syndrome, which consists of four phases of emotional and mood reactions. Individuals differ in the time spent in each phase and in the intensity of reaction, but the general sequence is as follows:
1. Shock Phase: Immediate, lasting a few minutes to a few hours; behavior is dazed, stunned, apathetic, disorganized, does not respond to direction.
2. Suggestibility Phase: May last several days; shows unselfish regard for the welfare of others, willing to follow instructions, grateful, guilt due to survival, suggestible.
3. Euphoric Phase: May last several weeks; behavior includes identifying with others in the same situation, feeling of brotherhood, enthusiastic participation in group activities.
4. Depressive Phase: (personal frustration) – Hopefully fades as life returns to regular pattern; behavior is critical, complaint oriented, awareness of and annoyance with losses.
These phases are all normal behavioral responses. Experiencing a disaster is a crisis and as such is made more severe by the added factors of death, injury, family problems, job difficulties, illness, loss of personal belonging and the disturbance of regular routine. After the initial numbness and absence of panic wears off (usually one to two hours), the following behaviors set in:
⋅ Fearful, crying, horror at sights of destruction/devastation/sounds; talks about it to everyone who will listen; watches all TV coverage; reads everything on the events – lasting several days.
⋅ Returns to work and usual routine when possible; less apt to want to discuss disaster; avoids media; feels anxious, irritable, insomnia, depressed, guilt of surviving, angry (both direct and displaced) usually lasts several weeks.
In some instances, dysfunctional behavior responses may be manifested. They include continuing morbidity, anxiety, suicide, depression, poor concentration, phobias, headaches, gastrointestinal problems, drug/alcohol abuse, absenteeism from school/work, deterioration of personal relationships; recurrent recollection of event/recurrent dreams/nightmares.
Rescue workers will experience many of the same feelings as victims. As participants, and possibly victims, the behavioral patterns of staff members may include excessive irritability, fault finding, holding grudges, being suspicious, resenting authority, and concern about safety for selves and family.
Stress in the working environment is created by:
⋅ understaffed/overworked
⋅ philosophic/emotional conflicts
⋅ sudden death
⋅ inexperience or anxiety about one’s competence
⋅ shock-impact of sights/smells
⋅ family responsibilities vs. work demands
⋅ political/bureaucratic problems
“Burn-out” is a problem that needs to be addressed, because it lowers group morale, increases absenteeism, lowers mutual support, increases scapegoating, and adversely affects home life. The symptoms are emotional, physical, and behavioral and might be acted out by detachment or over involvement. They are manifested in the following ways:
⋅ deterioration of one’s sense of well-being
⋅ chronic exhaustion/depression
⋅ hostility/negativity
⋅ loss tolerance for more difficult victims/problems
⋅ dreading new encounters
⋅ guilt for feeling negative
⋅ helplessness/isolation
These factors stand out as essential in dealing with crisis recovery:
⋅ Being able to talk about the experience and express the feelings accompanying the experiences
⋅ Being fully aware of the reality of what has happened
⋅ Resuming concrete activity and being able to reconstruct the pre-disaster life routine
⋅ Accessible/available help
⋅ Leadership clearly making decisions/giving directions
⋅ Open avenues of communication for victims to locate family/friends
⋅ Prevention of rumors by careful control of words used, information given – (Don’t use words such as PANIC, MORGUE, HATE)
⋅ Planning ahead – being prepared
The main contribution to be made on the non-professional level is to provide Psychological First Aid – the initial aid received by a person in trouble. The goal should be either to return moderately disabled persons to reasonably good function in a short time, or to make more seriously disabled persons as comfortable as possible until they can be given more complete care. At the most basic level, it begins with keeping calm and expressing reassurance to the students during and after the occurrence.
The general principles of Psychological First Aid include:
⋅ Accept every person’s right to his/her own feelings.
⋅ Attempt to calm the victim, relieve the anxiety and stress.
⋅ Communicate confidence in yourself.
⋅ Contact members of victim’s family or support system.
⋅ Size up disturbed person’s abilities as accurately and quickly as possible.
⋅ Encourage the person to speak freely about whatever is on his/her mind, allowing him/her to “ventilate” feelings.
⋅ When the person begins talking, interrupt as little as possible. After you have heard the full story, you can ask for details. Practice “active listening.”
⋅ Do not argue with the person if he/she disagrees with you.
⋅ In helping a child, deal with issues indirectly and provide food and comforting.
⋅ Do not impose your methods of problem-solving upon the disaster victim; his/her solutions will be the most successful for him/her.
⋅ Accept your own limitations in a relief role; do not attempt to be all things to all people.
Particularly in a disaster, children look to adults for help. How you react to a disaster give them clues on how they should react. If you react with alarm, their fear will increase. As the situation ceases, explain to the children what has happened and that help is coming.
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Whenever a national tragedy occurs, such as terrorist attacks or natural disasters, students may be confused and/or frightened. They will look to adults for information and guidance. School personnel can help students cope by establishing a sense of safety and security.
In the event that the Homeland Security Advisory System should issue a “severe condition”, (red), school officials will monitor the situation closely and will take appropriate action, including the possibility of closing schools. When possible, the superintendent of schools will communicate with local, regional, and national security and police agencies on the best course of action.
MSAD #4 will:
1. Maintain structure and stability within the schools. It would be best, however, not to have tests or major projects in the next few days.
2. Provide teachers and parents with information about what to say and do for children in school and home.
3. Have teachers provide information directly to their students, not during public address announcements.
4. Have school social worker and counselors available to talk to students and staff who may need or want extra support.
5. Be aware of students who may have recently experienced a personal tragedy or have a personal connection to victims and their families. Even a child who has merely visited the affected area or community may have a strong reaction. Provide these students extra support and leniency if necessary.
6. Know the community resources available for children who may need extra counseling.
7. Allow time for age appropriate classroom discussion and activities. Do not expect teachers to provide all of the answers. They should ask questions and guide the discussion, but not dominate it. Other activities may include art and writing projects, play acting, and physical games.
8. Be careful not to stereotype people or countries that might be associated with the tragedy. Children can generalize negative statements and develop prejudice. Talk about tolerance and justice versus vengeance. Stop any bullying or teasing of students immediately.
9. Refer children who exhibit extreme anxiety, fear, or anger to school counselor or social worker. Inform their parents.
10. Provide an outlet for students’ desire to help. Consider making get well cards or sending letters to the families and survivors of the tragedy, or writing thank you letters to doctors, nurses, and other health care professionals as well as emergency rescue workers, firefighters, and police.
11. Monitor or restrict viewing scenes of the event as well as the aftermath.
2002, National Association of School Psychologists, 4340 East West Highway, Suite 402, Bethesda, MD 20814, (301)
657-0270; www.nasponline.org
Tips for Teachers
Whenever a national tragedy occurs, such as terrorist attacks or natural disasters, children, like many people, may be confused or frightened. They will look to adults for information and guidance on how to react. Parents and school personnel can help students cope by establishing a sense of safety and security.
All adults should:
1. Model calm and control. Children take their emotional cues from the significant adults in their lives. Avoid appearing anxious or frightened.
2. Reassure children that they are safe and (if true) so are the other important adults in their lives. Depending on the situation, point out factors that help insure their immediate safety and that of their community.
3. Remind them that trustworthy people are in charge. Explain that the government emergency workers, police, firefighters, doctors, and the military are helping people who are hurt and are working to ensure that no further tragedies occur.
4. Let children know that it is okay to feel upset. Explain that all feelings are okay when a tragedy like this occurs. Let children talk about their feelings and help put them into perspective. Even anger is okay, but children may need help and patience from adults to assist them in expressing these feelings appropriately.
5. Observe children’s emotional state. Depending on their age, children may not express their concerns verbally. Changes in behavior, appetite, and sleep patterns can also indicate a child’s level of grief, anxiety, or discomfort. Children will express their emotions differently. There is no right or wrong way to feel or express grief.
6. Look for children at greater risk. Children who have had a past traumatic experience or personal loss, suffer from depression or other mental illness, or with special needs may be at greater risk for severe reactions than others. Be particularly observant for those who may be at risk of suicide. Seek the help of mental health professional if you are at all concerned.
7. Tell children the truth. Don’t try to pretend the event has not occurred or that it is not serious. Children are smart. They will be more worried if they thing you are too afraid to tell them what is happening.
8. Stick to the facts. Don’t embellish or speculate about what has happened and what might happen. Don’t dwell on the scale or scope of the tragedy, particularly with young children.
9. Keep your explanations developmentally appropriate. Early elementary school children need brief, simple information that should be balanced with reassurances that the daily structures of their lives will not change. Upper elementary and early middle school children will be more vocal in asking questions about whether they truly are safe and what is being done at their school. They may need assistance separating reality from fantasy. Upper middle school and high school students will have strong and varying opinions about the causes of violence and threats to safety in schools and society. They will share concrete suggestions about how to make school safer and how to prevent tragedies in society. They will be more committed to doing something to help the victims and affected community. For all children, encourage them to verbalize tier thoughts and feelings. Be a good listener!
10. Monitor your own stress level. Don’t ignore your own feelings of anxiety, grief, and anger. Talking to friends, family members, religious leaders, and mental health counselors can help. It is okay to let your children know that you are sad, but that you believe things will get better. You will be better able to support your children if you can express your won emotions in a productive manner. Get appropriate sleep, nutrition, and exercise.
2002, National Association of School Psychologists, 4340 East West Highway, Suite 402, Bethesda, MD 20814, (301)
657-0270; www.nasponline.org
Whenever a national tragedy occurs, such as terrorist attacks or natural disasters, children, like many people, may be confused or frightened. They will look to adults for information and guidance on how to react. Parents and school personnel can help students cope by establishing a sense of safety and security.
What parents can do:
1. Focus on your children over the week following the tragedy. Tell them you love them and everything will be okay. Try to help them understand what has happened, keeping in mind their developmental level.
2. Make time to talk with your children. Remember if you do not talk to your children about this incident someone else will. Take some time and determine what you wish to say.
3. Stay close to your children. Your physical presence will reassure them and give you the opportunity to monitor their reaction. Many children will want actual physical contact. Give plenty of hugs. Let them sit close to you, and make sure to take extra time at bedtime to cuddle and to reassure them they are loved and safe.
4. Limit your child’s television viewing of these events. If they must watch, watch with them for a brief time; then turn the set off. Don’t sit mesmerized re-watching the same events over and over again.
5. Maintain a “normal” routine. To the extent possible stick to your family’s normal routine for dinner, homework, chores, bedtime, etc., but don’t be inflexible. Children may have a hard time concentrating on schoolwork or falling asleep at night.
6. Spend extra time reading or playing quiet games with your children before bed. These activities are claming, foster a sense of closeness and security, and reinforce a sense of normalcy. Spend more time tucking them in. Let them sleep with a light on if they ask for it.
7. Safeguard your children’s physical health. Stress can take a physical toll on children as well as adults. Make sure your children get appropriate sleep, exercise, and nutrition.
8. Consider thinking hopeful thoughts for the victims and their families. It may be a good time to take your children to your place of worship, write a poem, or draw a picture to help your child express their feelings and feel that they are somehow supporting the victims and their families.
9. Find out what resources your school has in place to help children cope. Most schools are likely to be open and often are a good place for children to regain a sense of normalcy. Being with their friends and teachers can help. Schools should also have a plan for making counseling available to children and adults who need it.
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