• Recommendation 2.2: HHS should enhance the research agenda for children’s disaster mental and behavioral health, including psychological first aid, cognitive-behavioral interventions, social support interventions, bereavement counseling and support, and programs intended to enhance children’s resilience in the aftermath of a disaster.
  • Recommendation 2.3: Federal agencies and nonfederal partners should enhance pre-disaster preparedness and just-in-time training in pediatric disaster mental and behavioral health, including psychological first aid, bereavement support, and brief supportive interventions, for mental health professionals and individuals, such as teachers, who work with children.
  • Recommendation 2.4: DHS/FEMA and the Substance Abuse and Mental Health Services Administration (SAMHSA) should strengthen the Crisis Counseling Assistance and Training Program (CCP) to better meet the mental health needs of children and families.
  • Recommendation 2.5: Congress should establish a single, flexible grant funding mechanism to specifically support the delivery of mental health treatment services that address the full spectrum of behavioral health needs of children, including treatment of disaster-related adjustment difficulties, psychiatric disorders, and substance abuse.

3. Child Physical Health and Trauma

  • Recommendation 3.1: Congress, HHS, and DHS/FEMA should ensure availability of and access to pediatric medical countermeasures (MCMs) at the federal, state, and local levels for chemical, biological, radiological, nuclear, and explosive threats.
  • Recommendation 3.2: HHS and the Department of Defense (DoD) should enhance the pediatric capabilities of their disaster medical response teams through the integration of pediatric-specific training, guidance, exercises, supplies, and personnel.
  • Recommendation 3.3: HHS should ensure that health professionals who may treat children during a disaster have adequate pediatric disaster clinical training.
  • Recommendation 3.4: The Executive Branch and Congress should provide resources for a formal regionalized pediatric


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