Crisis
Intervention for Working with Young Children, by Beryl Cheal
©2001
September 11, 2001 caught America
unprepared. It staggered our nation. And it made
us more aware of the effects of violence and threats of violence
on adults as well as children. We have known that effects
of natural disasters traumatize both children and adults,
but 9/11 was different. It was even more insidious than natural
disasters. 9/11 wasn't an "act of God," which somehow
seems easier to cope with, nor has it ended. The violence
of September 11, 2001 was human initiated, intentional violence,
and the repercussions seem endless. Our children suffer the
most, for there is growing recognition on the part of mental
health professionals that children are even more vulnerable
to traumatic experiences than adults. Studies are also showing
that stress is more damaging if the traumatic exposure is
early in life, severe, and chronic. (1).
In addition to "traditional" risk
factors of violence, separation, and general loss we now have
new risk factors. With a greater number of women entering
military service, many of whom are mothers, the risk of a
child's mother going off to war and not returning is growing.
And children whose parents are both in the military are at
even greater risk for neither parent may return.
Subsequent to disaster, however, many children
continue to grow and learn despite experiencing trauma but
others live in a constant state of fear. The psychiatrist,
Dr. Bruce Perry contends that children living with neurophysiological
adaptations in response to persisting fear and trauma can
experience an "altering of the development of their brains,
resulting in changes in physiological, emotional, behavioral,
cognitive, and social functioning."(2) In his research
Perry has found that 15 to 90% of children living through
traumatic stress develop some form of post-traumatic stress
disorder (PTSD), depending on various factors.(3) The symptoms
of PTSD can last for many years, or even a lifetime.
It
isn't too late
There is hope however, for Perry's
work indicates that immediate and comprehensive assistance
can be effective for children to begin the process of
recovery.(4) But time alone is not sufficient. Children
need assistance from the adults in their lives. Whereas
classroom teachers are not mental health professionals
there is a great deal that teachers can do to assist
children, if they are trained and the program supports
them in their work. But they are rarely given that training.(5)
Classrooms are perfect places for children
to be supported in their recovery efforts, for programs
for young children play unique roles in the lives of
children. These are the places where children congregate
for long periods of time. Children spend some four to
eight hours a day at early education programs. That
could be up to half or more of their waking hours, which
is one-third to one-half of the child's weekly life.
Programs for young children are also
unique in that outside the family, these programs are
by far the most influential institutions shaping children's
lives. They are natural settings that have normalizing
and socializing effects on children that are not possible
in a clinician's office.(6) But to assist children in
taking full advantage of the help they are receiving
from any individual therapy in which they may be participating,
child caring programs can also integrate that assistance
into the cognitive and social learning of children in
their programs.
Because many programs for young children
are comprehensive programs and most staff come in contact
with children every day, it is important to train staff
in crisis intervention. From the driver who greets children
as they enter the bus, the cook who sometimes visits
in the classroom, and the janitor who helps clean up
"that spill," to the administrators and social
service/parent involvement staff, all need skills in
helping children regain a normal life.
How can
programs for young children help?
Programs for young children can provide
a potentially healing or hurtful environment for children
who have been traumatized, depending on staff expertise.
Because child caring staff do not want to be accused
of "doing therapy," which would be outside
their sphere of responsibilities, they sometimes ignore
the real and important role they can play by creating
a therapeutic setting (7) throughout the program. Helping
children grow emotionally is clearly within most program’s
responsibilities. But frequently staff have not had
the opportunity to develop the necessary skills or set
up healing environments, to interact with traumatized
children, allowing natural healing to take place.
Training is imperative
This article recommends staff training
for crisis intervention, which gives the needed skills
and confidence in working with traumatized children.
It is crucial that the training occur
before a disaster strikes so that when something does
happen the program automatically shifts to the crisis
intervention skills that staff have learned. There are
windows of opportunity to assist children who have experienced
trauma and if staff are ready to react immediately,
children will be well served - the sooner, the better
after an incident occurs. There is no time to learn
the necessary skills after something happens!
Teachers can be ready to immediately
move into adjusting the schedule, modifying the room
arrangement, bringing out materials that will extend
therapeutic play, and planning specific activities that
will help children relieve stress, all of which are
part of a healing environment. The Working Team will
already have defined their roles to most effectively
support children, their families, and staff. And the
administration will have already decided which staff
responsibilities may need adjusting as well as special
actions and activities that must be put in place to
respond to the crisis and begin the recovery process. |
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FEMA recommendations
Following Federal Emergency Management Agency (FEMA)
recommendations in planning for disaster or crisis, a program
for young children should:
Develop a Crisis Management Plan (Preparedness)
Know what to do when the crisis strikes ( Response)
Implement the plan (Recovery)
If programs can be ready to get into
action immediately when an event occurs, staff will be able
to work with confidence and families will know their children
are being supported in their recovery.
References:
(1), (2) (3), (4), Bruce D. Perry, M.D., Ph.D. Stress,
Trauma and Traumatic Stress Disorders in Children, http://www.childtrauma.org/ptsd_interdisc.htm.
(5), (6), (7) Kendall Johnson, Ph.D., Trauma in the Lives
of Children, Crisis and Stress Management Techniques for Counselors
and Other Professionals, Hunter House, Inc., 1998.
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