Treating Traumatized Children after Hurricane Katrina: Project Fleur-de Lis™
- First Online:
- 645 Downloads
Project Fleur-de-lis™ (PFDL) was established to provide a tiered approach to triage and treat children experiencing trauma symptoms after Hurricane Katrina. PFDL provides school screening in schools in New Orleans and three tiers of evidence-based treatment (EBT) to disaster-exposed children utilizing a public health approach to meet the various needs of students referred to the program, some stemming from the disaster itself, some related to prior exposure to violence, and some relating to preexisting conditions and educational delays. The National Institute of Mental Health (NIMH) is funding a research project conducted in collaboration with PFDL, to examine two evidence-based practices for child PTSD in order to guide child treatment decisions after future disaster situations. This article describes the need for mental health services for children following disaster, the structure and purpose of PFDL, design of the NIMH project, two case descriptions of children treated within the project, and preliminary lessons learned.
KeywordsChildren CBITS Disaster PTSD TF-CBT Violence
- American Academy of Child & Adolescent Psychiatry. (in press). Revised practice for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child and Adolescent Psychiatry.Google Scholar
- Chadwick Center for Children and Families. (2004). Closing the quality chasm in child abuse treatment: Identifying and disseminating best practices. San Diego: Author. Available at www.chadwickcenter.org.
- Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006a). Treating trauma and traumatic grief in children and adolescents. New York, NY, US: Guilford Press.Google Scholar
- Cohen, J. A., Mannarino, A. P., & Gibson, L. E. (2006b). Interventions for children and adolescents following disasters. In E. C. Ritchie, P. J. Watson, M. J. Friedman, et al. (Eds.), Interventions following mass violence and disasters: Strategies for mental health practice (pp. 227–256). New York: Guilford Press.Google Scholar
- Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (Eds.). (2008). Effective treatments for PTSD: Practice guidelines from the international society of traumatic stress studies. New York: Guilford Publications.Google Scholar
- Hoagwood, K.E., & CATS Consortium. (in press). Impact of CBT for traumatized children and adolescents affected by the World Trade Center disaster. Journal of Clinical Child and Adolescent Psychology.Google Scholar
- Hoagwood, K. E., Radigan, M., Rodriguez, J., Levitt, J. M., Fernandez, D., & Foster, J. (2006). Final report on the child and adolescent trauma treatment and services (CATS) project for the substance abuse and mental health services administration (SAMHSA). New York: Office of Mental Health.Google Scholar
- Jaycox, L. H. (2003). Cognitive behavioral interventions for trauma in schools (CBITS). Longmont, CO: Sopris West Educational Services.Google Scholar
- Jaycox, L. H., Stein, B. D., & Amaya-Jackson, L. M. (2008). School-based treatment for children and adolescents. In E. B. Foa, T. M. Keane, M. J. Friedman, & J. A. Cohen (Eds.), Effective treatments for PTSD: Practice guidelines from the international society of traumatic stress studies. New York: Guilford Publications.Google Scholar
- Kataoka, S., Stein, B. D., Jaycox, L. H., Wong, M., Escudero, P., Tu, W., et al. (2003). A school-based mental health program for traumatized Latino immigrant children. Journal of the American Academy of Child and Adolescent Psychiatry, 42(3), 311–318. doi:10.1097/00004583-200303000-00011.PubMedCrossRefGoogle Scholar
- Macy, R. D., Macy, D. J., Gross, S., et al. (2006). Classroom-camp-community-culture based intervention: Basic training manual for the 9-session CBI©. Boston: The Center for Trauma Psychology.Google Scholar
- Munsey, C. (2006). Katrina’s continuing upheaval: Financial difficulties force New Orleans institutions to cut psychologists’ jobs [Electronic version]. Monitor on Psychology, 37, 44.Google Scholar
- Smith, B. H., Molina, B. S. H., Massetti, G. M., Waschbusch, D. A., & Pelham, W. E. (2007). School-wide interventions—the foundations of a public health approach to school-based mental health. In S. W. Evans, M. D. Weist, & Z. N. Serpell (Eds.), Advances in school-based mental health interventions: Best practices and program models (pp. 7.2–7.21). Kingston, NJ: Civic Research Institute.Google Scholar
- Souter, C.R. (2006). Katrina psychologists: One year later. New England Psychologist, 14. Retrieved November 21, 2006, from http://www.nepsy.com/leading/0610_ne_katrina.html.
- Stein, B. D., Jaycox, L. H., Kataoka, S. H., Wong, M., Tu, W., Elliott, M. N., et al. (2003b). A mental health intervention for school children exposed to violence: A randomized controlled trial. Journal of the American Medical Association, 290(5), 603–611. doi:10.1001/jama.290.5.603.PubMedCrossRefGoogle Scholar
- Thienkrua, W., Cardozo, B. L., Chakkraband, M. L. S., Guadamuz, T. E., Pengjuntr, W., Tantipiwatanaskul, P., et al. (2006). Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in Southern Thailand. Journal of the American Medical Association, 296(5), 549–559. doi:10.1001/jama.296.5.549.PubMedCrossRefGoogle Scholar