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8 Monitoring Children's Mental Health After Disasters
Pages 85-90

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From page 85...
...  A single disaster event is really part of a cascade of other events in a child's life and results in cumulative impact and stress, even if the prior events are completely unrelated.  Stigma related to mental health is a still barrier, even in times of national crisis.
From page 86...
... On a daily basis, pediatricians and other pediatric primary care providers are the de facto mental health providers for children in this country. Children are most likely to receive treatment from their primary care physicians for mental health disorders and psychosocial problems, which Schonfeld noted are actually the most common chronic conditions seen in pediatric practices.
From page 87...
... For some children, bereavement is a primary issue if they have lost someone close to them. Other children face a cascade of secondary losses and stressors such as loss of their homes and relocation, loss of their peer network, difficulty integrating into new social networks or bullying at their new school, academic failure, financial stresses on the family, and parental stress, depression, substance use, or increased domestic violence.
From page 88...
... Schonfe eld also suggested tha health care providers n at e need to alter their practi r ice pattern to include trauma histor in the overa patient his ns t ry all story. osocial Needs and Stigma Psycho s Annother point Schonfeld rais is that stig S sed gma related t mental heal to lth is a st barrier, ev in times of national c till ven crisis.
From page 89...
... Timely intervention may also reduce the secondary mental health burden on both emergency departments and primary care settings. Included in the NCDMH CONOPS is the PsySTART Rapid Mental Health Triage and Incident Management System.
From page 90...
... . Geographic information system mapping of data from multiple sites enables a common operating picture and near-real-time situational awareness of children's mental health needs.

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