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here the question
After reading the commission report on children in disasters, choose the most difficult topic to solve and identify whyand Having read the Commission report, describe the unique aspects that must be considered when doing emergency planning and response for children.??
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After reading the commission report on children in disasters, choose the most difficult topic to solve and identify why.
After reading the Commission report on disasters regarding children, the issue I found the most challenging was the mental health aspect. As many of us have learned in our classes that cover the mental health aspects of disaster, this category of disaster injury is under appreciated and lacks adequate response in relation to the damage it causes, especially over time (North, C. S., & Pfefferbaum, B. 2013)
What is additionally understood in both the psychology communities and in disaster response communities is, that the mental injuries that children can sustained can be much more serious and long lasting then those injuries sustained by adults (Van der Kolk, B. A. 2017). There are many reasons for this, including the lack of skills, experience, resources and knowledge which could improve their psychological resilience over time (Schonfeld, D., 2004). Adults have been given more ability with time to develop a better understanding of the tragedy and difficult circumstances of life as opposed to children who will be less suited to come to terms with, understand and assimilate tragic circumstances.
This is a significantly important problem and it needs to be addressed quickly because psychological trauma of this type can ruin the lives of individuals from a young age. Long term depression, suicide and substance abuse have all been associated with trauma due to disaster (Pane, J., et al. 2005). Physically wounds will often heal with proper first aid and facility care in a matter of days and weeks often. Psychological damage can last a lifetime and take the lives of the otherwise healthy at any time.
Having read the Commission report, describe the unique aspects that must be considered when doing emergency planning and response for children.
Following along these same lines, I would suggest that some of the major considerations that need to be made when planning for disaster response for children deals with how mental health response will be integrated and assimilated into the ‘physical response.’ For this, a team should be on the site of disaster as soon as the physical dangers have been reduced to the extent that the field workers can work toward the healing face of trauma without a recourse of trauma due to the disaster extending further.
There must also be follow up for a potentially long period of time after disaster. Making sure that there is adequate funding for this aspect of the response and how it is budgeted in the overall response may be a difficult tasks due to varying interests, opinions and politics regarding what is important during a disaster response. Ensuring a continuation of services for the children will be another important and potentially difficult task.
Pane, J., McCaffrey, D., Kalra, N., & Zhou, A., (2005) “Effects of Student Displacement in Louisiana During the First Academic Year After the Hurricanes of 2005,” Journal of Education for Students Placed at Risk (JESPAR) 13, no. 2(2008):168-211, Retrieved from; http://www.rand.org/pubs/reprints/2008/RAND_RP1379.pdf.
North, C. S., & Pfefferbaum, B. (2013). Mental health response to community disasters: a systematic review. Jama, 310(5), 507-518.
Van der Kolk, B. A. (2017). Developmental Trauma Disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric annals, 35(5), 401-408.
Schonfeld, D., (2004) “Are We Ready and Willing to Address the Mental Health Needs of Children? Implications From September 11th,” Pediatrics 113, no. 5(2004):1400. Retrieved from; http://pediatrics.aappublications.org/cgi/reprint/…
Of all the negative aspects of disasters, the mental health consequences are the most impactful of them on children, and that’s why I think that mental health is the most difficult topic to handle when it comes to children. Children are prone to prolonged mental health issues. They are not only affected by their own reaction since they rely on adults, even the adult’s reaction and emotional response will affect children around them. since their brains are developing, the emotional part is controlling their judgment, leaving them with more memories and less rational thinking to clear those bad memories away. The psychological consequences are difficult to solve with children, and the risk for developing anxiety and depression disorders are high, as well as the possibility of having cognitive and concentration difficulties. Therefore, training and education are ought to be in place for children in areas vulnerable to disasters to prepare them mentally alongside with the physical preparedness.
Many distinctive parts have been mentioned in the report that are eye opening to anyone planning for disasters. for instance, we don’t consider sheltering as challenging for children as it is for other special need populations like the disabled persons. But in reality, children safety inside the shelters is something that many organizations struggle with, as well as caring for their nutritional status. Other part is the physical health of children, it is easy to find medical staff who are trained well in their area of specialty, but to find medical workers that also have training with pediatrics is not as easy. Nevertheless, the medical care should be appropriate for the children condition and age.
Category: Children and Disasters. (n.d.). Retrieved from https://edenotes.extension.org/category/families-communities/children-and-disasters/
Children Vulnerable To Disaster-Related Stress. (n.d.). Retrieved from https://www.fema.gov/news-release/2012/12/08/children-vulnerable-disaster-related-stress
National Commission on Children and Disasters, 2010 Report. Retrieved from https://archive.ahrq.gov/prep/nccdreport/nccdreport.pdf
Many children agencies in the US are vulnerable to the global catastrophes whih are likely to occur in future. Recent calamities, such as Hurricane Katrina, have demonstrated what can happen when disaster management plans are weak. The Commission Report on Children unveils the deficit in the statistics required to plan suitably for children as the primary problem (Framingham & Teasley, 2012). The research has shown that children have extended memory. In that regard, the impact of trauma linked to the disaster, and painful recoveries can last longer in children as compared to adults. The proper emergency preparedness organization has posited to protect resilient adults during disasters and in turn cushion the children through the period of trauma and recovery. However, the longer the recovery process takes, the more difficult it gets for an adult to remain an elastic buffer.
When undertaking emergency planning and response for children, the following are unique aspects that need to be considered. Initially, the children need to be considered separately in planning, response, and recovery efforts (Coppola et al., 2016). Establishing children working categories at the Federal Emergency Management Agency (FEMA) and the division of Health and Human Services (HHS) is a vital point. Hence, the National Committee on Children in Holocausts should have adequate funding, potential influence, and support of all the calamity management companies in the US. Besides, the HHS should recommend “just in time” training and alertness to deal with more extended recuperation rates in minors that can be traumatic in the future (Wheeler et al., 2016). HHS should regionalize formal pediatric network of welfare to reinforce the pediatric stream after catastrophes. Another recommendation is emphasizing the rehabilitation of children’s well-being, behavioral training, and mental delivery systems in disaster-prone regions. Ultimately, the health professionals that treat children during tragedies should have a sufficient pediatric service and clinical practice.
Coppola, D. P., Haddow, G., & Bullock, J. A. (2016). Managing children in disasters: Planning for their unique needs. NY: CRC Press.
Framingham, J., & Teasley, M. L. (2012). Behavioral health response to disasters. NY:CRC Press.
Wheeler, D. S., Wong, H. R., & Shanley, T. P. (Eds.). (2014). Pediatric critical care medicine. London:Springer.