Do not use psychological debriefing when a child has been exposed to a traumatic event such as assault or a major car crash.
And when you treat a child who has developed Posttraumatic Stress Disorder (PTSD) due to trauma, do not use pharmacotherapy either (that is, not as a first line treatment).
Rather, apply the principles of psychological first aid in the direct aftermath of trauma and use trauma-focused cognitive behavioral therapy to treat PTSD.
These recommendations come from the brand new, very extensive Australian Guidelines for the Treatment of ASD and PTSD. For the first time, the guidelines include separate sections on children and adolescents.
How are the guidelines developed?
The guidelines are mainly informed by a systematic review of the literature and a staged process of expert consensus. People affected by trauma, clinicians and the public have also had varying levels of input. Continue reading
Imagine: you have just received a request to assess the mental health needs of the survivors of a large-scale disaster. What are your major challenges: Logistics? Resources? Communication? Getting an overview of who is in the area, who has been assessed, and who still needs to be? And if needs are identified, getting the appropriate services in place?
Probably all of the above. In addition, it may be dangerous to enter the disaster area altogether, for example due to radiation risk.
Therefore, wouldn’t it help if you could conduct needs assessments via social networks like Facebook? If these give the same information as face-to-face interviews that you would conduct otherwise, it would be worthwhile as a low-cost-low-risk approach.
A research team from Israel set out to test whether a Facebook sample and a traditional face-to-face sample would show differences in mental health and disaster-related data after the 2011 Fukushima nuclear disaster. Continue reading