Lessons learned from The Great East Japan Earthquake: The need for disaster preparedness in the area of disaster mental health for children

Authors

  • Shuei Kozu, MSW, MHA
  • Hiroaki Homma, MD

DOI:

https://doi.org/10.5055/jem.2014.0206

Keywords:

disaster mental health, children, families, disaster preparedness, disaster response system

Abstract

The Great East Japan Earthquake on March 11, 2011 brought unprecedented challenges to individuals, families, and communities of the Tohoku region in

Japan. Children are especially vulnerable to the postdisaster risk factors that impact their ability to heal. The destruction of the infrastructure by the disasters made it more challenging to reach out to children in an area where the stigma against mental illness is persistent. The authors share their experiences, what they heard from patients, and their reflections on lessons learned. The authors recommend the development of a coordinated mental health response system in preparation for the next disaster.

Author Biographies

Shuei Kozu, MSW, MHA

Clinical Social Worker, Boston Children's Hospital, Boston, Massachusetts; PhD Candidate, Simmons College School of Social Work, Boston, Massachusetts

Hiroaki Homma, MD

Medical Director, Miyagi Comprehensive Children's Center, Sendai, Miyagi, Japan.

 

References

Metropolitan Police Department: Statistics from Keishicho. November 2012. Available at http://www.keishicho.metro.tokyo.jp/toukei/bunsyo/toukei23/k_tokei23.htm. Accessed November 30, 2012.

The National Diet of Japan, Fukushima Nuclear Accident Independent Investigation Commission: The Official Report of the Fukushima Nuclear Accident Independent Investigation. 2012. Available at https://www.nirs.org/fukushima/naiic_report.pdf. Accessed November 30, 2012.

Satcher D, Friel S, Bell R: Natural and manmade disasters and mental health. JAMA. 2007; 298(21): 2540-2542.

Flannery R: Treating family survivors of mass casualties: A CISM family crisis intervention approach. Int J Emerg Ment Health. 1999; 1(4): 243-250.

Peek L: Children and disasters: Understanding vulnerability, developing capacities, and promoting resiliency—An introduction. Child Youth Environ. 2008; 18(1): 1-29.

Goenjian AK, Walling D, Steinberg AM, et al.: Depression and PTSD symptoms among bereaved adolescents 61/2 years after the 1988 Spitak earthquake. J Affect Disord. 2009; 112: 81-84.

Hsu CC, Chong M, Yang P, et al.: Posttraumatic stress disorder among adolescent earthquake victims in Taiwan. J Am Acad Child Adolesc Acad. 2002; 41(7): 875-882.

Norris FH, Friedman MJ, Watson PJ, et al.: 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002; 65: 207-239.

Overstreet S, Salloum A, Burch B, et al.: Challenges associated with childhood exposure to severe natural disasters: Research review and clinical implications. J Child Adolesc Trauma. 2011; 4(1): 52-68.

La Greca AM, Prinstein MJ: Hurricanes and earthquakes. In La Greca AM, Silverman WK, Vernberg EM, Roberts MC (eds.): Helping Children Cope with Disasters and Terrorism. Washington, DC: American Psychological Association, 2002: 107-138.

Kirk AB, Madden LL: Trauma related critical incident debriefing for adolescents. Child Adolesc Social Work J. 2003; 20(2): 123-134.

Bos AR, Pryor JB, Reeder GD, et al.: Stigma: Advances in theory and research. Basic Appl Soc Psych. 2013; 35(1): 1-9.

Goffman I: Stigma: Notes on the Management of Spoiled Identity. Eaglewood Cliffs, NJ: Prentice-Hall, 1963.

World Health Organization (WHO): Psychological first aid: Guide for field workers. 2011. Available at http://whqlibdoc.who.int/publications/2011/9789241548205_eng.pdf. Accessed November 30, 2012.

Silverman WK, La Greca AM: Children experiencing disasters: Definitions, reactions, and predictors of outcomes. In La Greca AM, Silverman WK, Vernberg EM, Roberts MC (eds.): Helping Children Cope with Disasters and Terrorism. Washington, DC: American Psychological Association, 2002: 11-34.

Weissbecker I, Sephton SE, Martin MB, Simpson DM: Psychological and physiological correlates of stress in children exposed to disaster: Current research and recommendations for intervention. Child Youth Environ. 2008; 18(1): 30-70.

Japan Association for Play Therapy, UNICEF: Kodomono Kokoro Support, Asobi Manual for Preschoolers. March 2012. Available at http://www.ja4pt.org/japt_manual.pdf. Accessed November 30, 2012.

Published

11/01/2014

How to Cite

Kozu, MSW, MHA, S., and H. Homma, MD. “Lessons Learned from The Great East Japan Earthquake: The Need for Disaster Preparedness in the Area of Disaster Mental Health for Children”. Journal of Emergency Management, vol. 12, no. 6, Nov. 2014, pp. 431-9, doi:10.5055/jem.2014.0206.