Disaster Preparedness in the Pediatric Office
Talking to Children and Families About Disasters
Children have unique needs when they or their community is impacted by a crisis or disaster. Pediatricians can serve as trusted experts for the patients, families and communities they serve. You may play a key role in disaster preparedness, as well as how families cope with the outcomes of disasters. The resources on this page may assist you as discuss a crisis with patients and their families.
- Children and Disasters (AAP)
- Promoting Adjustment and Helping Children Cope (AAP)
- Ensuring the Health of Children in Disasters – Policy Statement (Pediatrics, 2015)
- Communicating with Children and Families: From Everyday Interactions to Skill in Conveying Distressing Information (AAP)
- Getting Your Family Prepared for a Disaster (AAP)
- How to Prepare for Disasters (AAP)
- Catastrophic Mass Violence Resources (National Child Traumatic Stress Network)
Talking with Children
- Children can cope more effectively with a disaster when they feel they understand what is happening and what they can do to help protect themselves, family, and friends. Provide basic information to help them understand, without providing unnecessary details that may only alarm them.
- For very young children, provide concrete explanations of what happened and how it will affect them (eg, a tree branch fell on electrical wires and that is why the lights don’t work). Let children know there are many people who are working to help them and their community to recover after a disaster (such as repair crews for the electric company, or firefighters, police, paramedics, or other emergency personnel). Share with them all of the steps that are being taken to keep them safe; children will often worry that a disaster will occur again.
- Older children will likely want, and benefit from, additional information about the disaster and recovery efforts. No matter what age, start by asking children what they already know and what questions they have and use that as a guide for the conversation. Limit media coverage of the disaster—if children are going to watch media coverage, consider taping it (to allow adults to preview) and watch along with them to answer questions and help them process the information.
- Be sure to ask children what questions or concerns they have. Often they have fears based on limited information or because they misunderstood what they were told. Reassure children when able to do so, but if their fears are realistic, don’t give false reassurance. Instead, help them learn how to cope with these feelings.
Helping Children Cope
- After a disaster or crisis, children benefit from adults who can help them learn how to cope effectively. Although it is not useful for adults to appear overwhelmed by the event, it is helpful to share some of their feelings and what they are doing to deal with those feelings. Children can’t be expected to cope with troubling feelings if no one models effective coping. Allow children to “own” their feelings. A child who feels afraid is afraid, even if adults think the reason for the fear is unnecessary.
- Children are not only trying to deal with the disaster, but with everything else that follows. They may have to relocate, at least temporarily, and could be separated from friends or unable to attend the same school. Parents may have less income and the change in finances may impact their ability to participate in activities they enjoyed or travel to visit family out of town. Allow children to express their regrets over these “secondary losses” (without accusing them of being selfish) and help them figure out ways to minimize the impact or find alternatives.
- Children, just like adults, often feel helpless after a disaster. Help them figure out what they can do—that is meaningful to them—to help others in their community impacted by the disaster.
For more information, please contact Hayley Southworth at email@example.com.