Supporting Children After a Disaster: A Case Study of a Psychosocial School-Based Intervention

Authors
Powell, T. Holleran-Steiker, L. K.
Publication year
2017
Citation Title
Supporting children after a disaster: A case study of a psychosocial school-based intervention.
Journal Name
Clinical Social Work Journal
Journal Volume
45
Page Numbers
176-188
DOI
10.1007/s10615-015-0557-y
Summary
Children are vulnerable after a natural disaster, and psychosocial programs can be helpful for them to cope with stressors caused by disasters. This study examined the effectiveness of the Journey of Hope program by interviewing children participants who were impacted by a tornado as well as school social workers and facilitators. Results revealed that children, social workers, and facilitators all regarded the program as helpful for children's mental health after a natural disaster.
Key Findings
Students, social workers, and facilitators reported that the Journey of Hope program helped students build affect regulation skills and self-psycho-education skills (the ability to understand and cope with adversities) that were useful for students to normalize their emotions.
Students stated that the program taught them self-expression skills that transferred to settings outside of the program.
The program helped students cope with bullying in school by bravely standing up to bullying behaviors not only for themselves but also for friends who were being bullied.
Implications for Military Professionals
Closely monitor the physical and mental health of children who experienced traumatic events (e.g., military parents' combat exposure, death of a family member, natural disaster)
Inform military families about available programs that may help child dependents of Service members cope with negative life events
Implications for Program Leaders
Offer support groups for child dependents of Service members who experienced traumatic events
Provide workshops for military parents to teach them how to monitor and improve children's mental health after a traumatic life event
Implications for Policy Makers
Raise awareness by holding educational events of the negative impact of traumatic events on children's mental health
Continue to support research and programs that promote child dependents of Service members' physical and mental well-being
Methods
Students and social workers were recruited using a convenience sampling method (i.e., they were selected because of their convenient accessibility) from three schools which were highly impacted by a tornado in Tuscaloosa, Alabama in 2011.
Participants were interviewed in focus groups or individually about their experiences of the Journey of Hope program; topics included fear, anxiety, sadness, anger, bullying, self-esteem, and taking action.
Data were analyzed to examine the effects of the Journey of Hope program on children's behaviors and mental health.
Participants
Participants were 30 students who were enrolled in the Journey of Hope program in 2011; the average age of students was 9.4 years (age range = 8-12 years) and there were 18 girls and 12 boys.
The majority of students were Black (N = 26); the race/ethnicity of the other four students was unknown.
Participants also included five school social workers and 14 facilitators who participated in the Journey of Hope program; the age, gender, and race/ethnicity of the social workers and facilitators were not reported.
Limitations
Participants were not chosen randomly, so it is possible that students and social workers who were in favor of the program were more likely to participate than those who did not like the program, which may have caused selection bias.
Some of the researchers were also the creators of the program; therefore, they may not have a neutral view of the effectiveness of the intervention.
The study was limited to participants who were impacted by tornado in one city; therefore, caution must be taken when generalizing the results to other natural disasters and other geographical regions.
Avenues for Future Research
Use random sampling methods to recruit participants in order to avoid selection bias
Replicate the study with researchers who are not directly associated with the program so that the researchers' opinions of the program are neutral and will not bias the study results
Examine the effectiveness of the program in other geographical regions that are impacted by natural disasters other than tornadoes (e.g., earthquakes)
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Civilian
Population Focus
Abstract
Children are among the most vulnerable groups during and after a natural disaster experiencing a range of stressors such as fear of death or loss of a loved one, the loss of a home and community, displacement to a strange neighborhood or school, and even separation from their family. This study, conducted in Tuscaloosa, Alabama, after a series of tornadoes struck the city in 2011, examines the Journey of Hope (JoH), a psychosocial program designed to help children cope with disaster related stressors. It employed a case study approach examining the program’s impact through interviews with 5 social workers, 14 program facilitators and 30 child participants. Findings revealed that participating in the JoH helped children: articulate their feelings, process grief, regulate emotions such as anger and aggression, and gain knowledge on how to handle bullying behaviors in their school. This article builds on the literature supporting post-disaster psychosocial school-based interventions.
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