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. 2021 Oct 15;23(12):82.
doi: 10.1007/s11920-021-01293-1.

Child and Adolescent Psychosocial Support Programs Following Natural Disasters-a Scoping Review of Emerging Evidence

Affiliations

Child and Adolescent Psychosocial Support Programs Following Natural Disasters-a Scoping Review of Emerging Evidence

Gibbs L et al. Curr Psychiatry Rep. .

Abstract

Purpose of review: This review aimed to identify and describe evidence published in the past 3 years from trials of psychosocial support programs for children and adolescents affected by natural disasters.

Recent findings: Previous reviews have indicated these programs are beneficial overall. Positive impacts were documented in school-based programs conducted by trained teachers and paraprofessionals with stronger effects achieved by more qualified professionals. The review found supporting evidence for positive impacts of post-disaster psychosocial programs. However, the strength of evidence is limited due to heterogeneity in interventions and evaluations. The stepped care model was found to be useful in differentiating between programs and level of available evidence. Hobfoll's five essential elements of mass trauma intervention provide an additional means of guiding program content and assessments, particularly for universal programs. Identified gaps in evidence included groups likely to be at most risk: preschool children, ethnically diverse groups, those with disability, and social disadvantage. There were promising indications of program benefits for groups with repeated exposure to natural disasters.

Keywords: Adolescent; Child; Disaster; Intervention; Mental health; Recovery.

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Conflict of interest statement

Authors Jane Nursey and Sean Cowlishaw are employed by Phoenix Australia: Centre for Posttraumatic Mental Health, the organisation responsible for two resources mentioned in the introduction to this article: (1) Australian and International Guidelines for the Treatment of Acute Stress Disorder and Posttraumatic Stress Disorder, advocating a stepped care approach; (2) trialling of the SOLAR program in Australia. Lisa Gibbs also contributed to the original development of SOLAR. The remaining authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Flow chart for the process of study selection
Fig. 2
Fig. 2
Intervention alignment with the five essential elements of disaster recovery

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