A school-based post-Katrina therapeutic intervention

Adm Policy Ment Health. 2015 May;42(3):363-72. doi: 10.1007/s10488-014-0576-y.

Abstract

The current study presents the implementation of a set of school based interventions in a greater New Orleans school district one year following Hurricane Katrina. The interventions included adaptation and implementation of evidence based treatments in a crisis situation with at-risk youth which involved training and clinical challenges. 386 students found to have significant depressive and/or disruptive disorder symptoms received treatment from the School Therapeutic Enhancement Program (STEP). Further, a district-wide mental health needs assessment of middle and high school students (N = 11,861) screened for behavioral and emotional difficulties at the beginning and end of the school year provided a benchmark for community youth's emotional and behavioral distress. High-need intervention students demonstrated clinically significant lower levels of emotional and behavioral problems, depression and inattention in comparison to pre-treatment levels as indicated by multiple informants (i.e., self, parent, teacher). Self-reported distress levels were also lower than screening group students at post-test. These findings support the efficacy of a school-based intervention for youth struggling with the aftereffects of a highly disruptive natural disaster. Implications for utilizing a flexible adaptation of an evidence-based training model involving coaching and consultation are discussed.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Attention Deficit and Disruptive Behavior Disorders / therapy*
  • Child
  • Community Mental Health Services / organization & administration*
  • Cyclonic Storms*
  • Depressive Disorder / therapy*
  • Disasters*
  • Female
  • Humans
  • Male
  • New Orleans
  • School Health Services / organization & administration*