ArticleEuropean journal of psychotraumatology2014
A stepped-care model of post-disaster child and adolescent mental health service provision.
Article in European journal of psychotraumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 55 citations in OpenAlex.
- Cognitive therapy as an early treatment for post-traumatic stress disorder in children and adolescents: a randomized controlled trial addressing preliminary efficacy and mechanisms of action.Journal of child psychology and psychiatry, and allied disciplines · 2017Trial
- Effect of Natural Disasters on Youth Mental Health: A Systematic Review.Journal of child & adolescent trauma · 2026Article
- Article
- Factors associated with the chronicization of psychological responses and intention to stay among nurses 18 months after the 2024 Noto Peninsula earthquake: a cross-sectional study.BMC public health · 2026Article
- Conceptualizing mental health service delivery for refugee and forcibly displaced communities: A scoping review of service models and frameworks for populations impacted by trauma or displacement.Psychological trauma : theory, research, practice and policy · 2026Article
- A pilot study of a brief and scalable psychosocial intervention for children and adolescents following disasters.The British journal of clinical psychology · 2025Article
- 'School-based screen-and-treat': An effective blueprint for expediating access to care in children experiencing PTSD following disasters.The British journal of clinical psychology · 2025Article
- Stepping Together for Children After Trauma (ST-CT): Feasibility and Predictors of Outcome of a Parent-led, Therapist Assisted Treatment.Research on child and adolescent psychopathology · 2024Article
- Adaptation Resources and Responses to Wildfire Smoke and Other Forms of Air Pollution in Low-Income Urban Settings: A Mixed-Methods Study.International journal of environmental research and public health · 2023Article
- Opportunistic Mental Health Screening: Is there a Role Following a Disaster? Lessons from the 2010-2011 Queensland (Australia) Floods and Cyclones.Prehospital and disaster medicine · 2023Article
- Parent-led stepped care for traumatised children: parental factors that predict treatment completion and response.European journal of psychotraumatology · 2023Article
- Mental Health Response to Disasters: Is There a Role for a Primary Care-Based Clinician?Prehospital and disaster medicine · 2022Article
- Youth and professional perspectives of mental health resources across eight countries.Children and youth services review · 2022Article
- The impact of COVID-19 on U.S. adolescents: loss of basic needs and engagement in health risk behaviors.Current psychology (New Brunswick, N.J.) · 2022Article
- Review
- Effects of Mass Shootings on the Mental Health of Children and Adolescents.Current psychiatry reports · 2021Review
- Applied Improvisation Enhances the Effects of Behavioral Activation on Symptoms of Depression and PTSD in High School Students Affected by the Great East Japan Earthquake.Frontiers in psychology · 2021Article
- Predictors of child resilience in a community-based cohort facing flood as natural disaster.BMC psychiatry · 2020Article
- A decennial review of psychotraumatology: what did we learn and where are we going?European journal of psychotraumatology · 2019Article
- Prediction and Understanding of Resilience in Albertan Families: Longitudinal Study of Disaster Responses (PURLS) - Protocol.Frontiers in psychiatry · 2019Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrom a global perspective, natural disasters are common events. Published research highlights that a significant minority of exposed children and adolescents develop disaster-related mental health syndromes and associated functional impairment. Consistent with the considerable unmet need of children and adolescents with regard to psychopathology, there is strong evidence that many children and adolescents with post-disaster mental health presentations are not receiving adequate interventions.
objectiveTo critique existing child and adolescent mental health services (CAMHS) models of care and the capacity of such models to deal with any post-disaster surge in clinical demand. Further, to detail an innovative service response; a child and adolescent stepped-care service provision model.
methodA narrative review of traditional CAMHS is presented. Important elements of a disaster response - individual versus community recovery, public health approaches, capacity for promotion and prevention and service reach are discussed and compared with the CAMHS approach.
resultsDifficulties with traditional models of care are highlighted across all levels of intervention; from the ability to provide preventative initiatives to the capacity to provide intense specialised posttraumatic stress disorder interventions. In response, our over-arching stepped-care model is advocated. The general response is discussed and details of the three tiers of the model are provided: Tier 1 communication strategy, Tier 2 parent effectiveness and teacher training, and Tier 3 screening linked to trauma-focused cognitive behavioural therapy.
conclusionIn this paper, we argue that traditional CAMHS are not an appropriate model of care to meet the clinical needs of this group in the post-disaster setting. We conclude with suggestions how improved post-disaster child and adolescent mental health outcomes can be achieved by applying an innovative service approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.