Improving Disaster Mental Health Care in Schools: A Community-Partnered Approach
Background
Although schools are often the first institutions to provide recovery efforts for children post-disaster, few studies have involved the school community in research to improve the delivery of these mental health services on campuses. This community-partnered study explores post-disaster counseling services 10 months following Hurricane Katrina.
Methods
In July 2006, nine focus groups, consisting of 39 school-based mental health counselors and six program administrators (10 men, 35 women), were conducted following a 2-day clinical training regarding a youth trauma intervention following Hurricane Katrina. Participants discussed the types of services they had been providing prior to the training and potential barriers to delivering services.
Results
Participants identified high mental health needs of students and described populations that did not seem to be adequately supported by current funding sources, including those with pre-existing traumatic experiences and mental health issues, indirect psychological and social consequences of the storms, and those students relocated to communities that were not as affected. Participants also described the need for a centralized information system.
Conclusions
Participants described the need for greater organizational structure that supports school counselors and provides system-level support for services. Implications for next steps of this community-partnered approach are described.
aUniversity of California, Los Angeles Division of Child and Adolescent Psychiatry, UCLA Health Services Research Center, Los Angeles, California
bSchool of Social Work, University of Southern California, Los Angeles, California
cUniversity of California, Los Angeles Division of Child and Adolescent Psychiatry, Los Angeles, California
dUniversity of California, Los Angeles David Geffen School of Medicine, Los Angeles, California
eDivision of Mental Health Services and Policy Research, New York State Psychiatric Institute, Columbia University, New York, New York
gUniversity of Pittsburgh School of Medicine and RAND Corporation, Pittsburgh, Pennsylvania
Address correspondence and reprint requests to: Sheryl H. Kataoka, MD, MSHS, UCLA Health Services Research Center, 10920 Wilshire Boulevard, Suite 300, Los Angeles CA 90024-6523
ABSTRACT