It is difficult to predict the kinds of psychological problems that children and adolescents will have, however, the following management plan may help minimize later difficulties:
- Your response to the disaster will affect your child’s response, therefore, it is helpful to discuss your own reactions with another adult before talking with your children.
- Discuss the event in an open honest manner with your children. Children might want to talk intermittently, and younger children might need concrete information to be repeated.
- Be available for your child.
- Limit the times of exposure to television or other sources on information about the disaster and its victims.
- Engage your child in conversation of their choosing-not necessarily about their feelings or the scene. Talking about the normal events of life is central to health.
- Maintain daily routines to the extent possible. For children school is an important part of feeling safe and normal.
- Increase your child’s sense of control and mastery within the household-let him or her plan dinner or the evening’s activities.
- Every child has a different way of responding to trauma. It is not advisable to require the same response of everyone. Listen to your child’s stories.
- Now is not the time to introduce new routines. Familiar schedules and bedtime stories can be reassuring.
- Reassure your children that the disaster was not their fault in any way.
- Older children and adolescents may feel “stirred up”. Helping them understand their behavior and setting limits can help.
- Some children may respond with a return to old behaviors, such as a loss of toilet training, or inability to fall asleep alone. These should be tolerated and understood.
- Help your child modulate the extent to which they personalize or identify with the victims or the situation. Remind your children that they are safe and with you.
- Provide concrete information to your child about how she/he differs from the people in the accident to decrease over-identifying with the victims.
Disaster Response Education and Training Project, Center for the Study of Traumatic Stress.
For more information see http://www.cstsonline.org/our-work/disaster-mental-health/
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