Children's Trauma Lasts Long After Disasters, Studies Show
From Hurricane Katrina to the Joplin, Mo., tornado, the past dozen years have given education researchers unwelcome opportunities to study schools in the wake of disaster.
Lessons learned from studying those disasters may help Texas and Louisiana educators pick up the pieces in the aftermath of Hurricane Harvey and, potentially, Hurricane Irma as Florida braced for that storm late last week.
Above all, this body of research finds that the full effects of disasters on children are far deeper and longer-lasting than expected.
While floodwaters may recede in a matter of days or weeks, students in communities hit by natural disaster often face disruptions for months or years, including missed school, living in a shelter or a home under repair, and experiencing family financial and emotional stress.
"It is not only the event itself, but what comes after the event that causes problems for children," said David Schonfeld, a developmental-behavioral pediatrician and the director of the National Center for School Crisis and Bereavement at the University of Southern California.
"There's a tendency to say, 'Look, the kids are better'—meaning they aren't crying anymore and they can sit in a classroom and have a conversation—and they say, 'Well, kids like structure, let's get them back to normal.' But they still may not be functioning at full level," Schonfeld said.
One large-scale analysis of studies of children after natural and manmade disasters found they often reported symptoms of trauma—such as intrusive memories and feelings of detachment—that adults did not observe. "PTS [post-traumatic stress] may manifest largely without parents' awareness," found the study by researchers at Boston and Temple universities. "Observable symptoms of PTS may occur only in situations outside of the home, e.g., at school."
After Hurricane Katrina, a group of researchers led by Joy Osofsky of the Louisiana State University Health Sciences Center also found that, "children's worries about school were significantly associated with long-term distress." Trauma not only sometimes triggered test anxiety, but interventions that addressed test anxiety improved students' post-traumatic-stress symptoms, too.
Osofsky tracked children in the hard-hit St. Bernard Parish schools for three years. After that time, while most students showed lower levels of depression and post-traumatic stress, nearly 28 percent still had made little or no recovery from the trauma and required ongoing mental-health services. The children who were ages 9 to 11 were significantly more likely to be anxious, depressed, or show signs of PTSD than were the older students.
Age Differences in Effects
In a separate but related study, LSU psychiatrist Tonya Hansel, Osofsky, and others also found that the reverse was true for students who had to move to new communities after the disaster; younger students adapted more quickly and had fewer symptoms than older students. Overall, students who had to relocate had longer-lasting trauma—at times years longer—than those who returned to their homes.
Older students, in particular, may be called to take on more family or financial responsibility after a disaster. One Syracuse University study of students in Nicaragua after Hurricane Mitch in 1998 found the percentage of students working and attending school at the same time jumped 58 percent in storm-affected areas.
Findings like those suggest schools both in and out of the disaster zone need to prepare for long-term supports. But Schonfeld found children recover most easily when schools and districts provide broad help for both adults and students, rather than asking the teachers to put aside their own trauma on the students' behalf.
"We tend in the literature on disasters to look at the stress of the individual and not understand that the family, the community, the school systems all are in distress and need support—and they aren't likely going to get the supports they need," Schonfeld said.
Schools that rebounded the fastest after disasters acknowledged the disruption and distress of both students and staff members and provided flexible supports for both, studies found.
For example, schools used substitutes and volunteers to take over classes for teachers who needed to speak with family members or home contractors to supervise their own recovery and allowed more flexible schedules for students who were needed to help their families during reconstruction.
All those responses are likely to require outside financial and administrative support. Yet federal and private studies have also found mixed progress in the state and national supports for schools following disaster.
In 2010, the congressionally mandated National Commission on Children and Disasters reported that state and local governments need to better identify the needs of children—including those with special needs—ahead of disasters and draft long-term recovery plans that address their housing, education, health, and mental-health needs.
The nonprofit Save the Children, which has been tracking states' disaster preparedness since Hurricane Katrina, found in its most recent report card in 2015 that only 17 of the federal commission's 81 recommendations had been fully implemented in states. K-12 education remained one of the areas that needed the most improvement.
Vol. 37, Issue 04, Pages 8-9Published in Print: September 13, 2017, as Students Feel Trauma’s Aftereffects Long After Crises End, Studies Find