Citation

Pfefferbaum RL, Jacobs AK, Noffsinger MA, Pfefferbaum B, Sherrieb K, Norris FH. Int. J. Emerg. Ment. Health 2012; 14(3): 175-187.

Affiliation

Phoenix Community College and Terrorism and Disaster Center University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73126-0901, USA.

Copyright

(Copyright © 2012, Chevron Publishing)

DOI

unavailable

PMID

23894798

Abstract

This second of two articles describes the application of disaster mental health interventions within the context of the childs social ecology consisting of the Micro-, Meso-, Exo-, and Macrosystems. Microsystem interventions involving parents, siblings, and close friends include family preparedness planning andpractice, psychoeducation, role modeling, emotional support, and redirection. Mesosystem interventions provided by schools and faith-based organizations include safety and support, assessment, referral, and counseling. Exosystem interventions include those provided through community-based mental health programs, healthcare organizations, the workplace, the media, local volunteer disaster organizations, and other local organizations. Efforts to build community resilience to disasters are likely to have influence through the Exosystem. The Macrosystem - including the laws, history, cultural and subcultural characteristics, and economic and social conditions that underlie the other systems - affects the child indirectly through public policies and disaster programs and services that become available in the child's Exosystem in the aftermath of a disaster The social ecology paradigm, described more fully in a companion article (Noffsinger Pfefferbaum, Pfefferbaum, Sherrieb, & Norris,2012), emphasizes relationships among systems and can guide the development and delivery of services embedded in naturally-occurring structures in the child's environment.

Language: en