Date of this Version
Child and Adolescent Psychiatric Clinics of North America, Volume 23, Issue 2, April 2014, Pages 257-279
- Mass-exposure events, such as disaster, terrorism, and war, have unique impacts on children.
- Effective conceptual approaches must balance risk and resilience from a developmental perspective.
- Models of mass trauma effects and exposures include exposure dose, cumulative risk, determinants, and moderators.
- Children are a special needs population particularly vulnerable to the impact of mass trauma due to a lack of experience, skills, and resources to independently meet their mental and behavioral health needs.
- The National Commission on Children and Disaster’s Report recommends a greater focus on the disaster mental and behavioral health needs of children throughout planning, training, exercises, and response and recovery effort.
- Higher-intensity exposures lead to worse outcomes.
- Parental and social support are critical protective factors as moderators of negative outcomes in children exposed to mass trauma.