Supporting Grieving Students in the Aftermath of a School Crisis




© Springer Science+Business Media LLC 2018
Eric Bui (ed.)Clinical Handbook of Bereavement and Grief Reactions Current Clinical Psychiatryhttps://doi.org/10.1007/978-3-319-65241-2_10


10. Supporting Grieving Students in the Aftermath of a School Crisis



David J. Schonfeld  and Thomas Demaria 


(1)
National Center for School Crisis and Bereavement, Suzanne Dworak-Peck School of Social Work, University of Southern California, 1150 South Olive Street, Suite 1400, Los Angeles, CA 90015-2211, USA

 



 

David J. Schonfeld (Corresponding author)



 

Thomas Demaria



Keywords
SchoolSchool crisisDisasterStudent griefGrieving studentsBereavementDeathAcademicPeerMemorial


Schools have ongoing supportive relationships with the students and are well suited to provide support for grieving children because school staff are already familiar to the students and trusted by their families and they have ongoing supportive relationships with the children [1]. Schools can provide psychoeducation , model and teach effective coping strategies, and provide academic and other supports to grieving students. They have established mechanisms of routine monitoring of the adjustment of children over time and can facilitate referral to community-based bereavement support services (e.g., bereavement support groups and camps) as well as referral to mental health services for those children in need of additional support. In addition, schools are increasingly becoming more adept at handling crisis responses; well-established guidelines for crisis preparedness and response and training of school crisis teams are now available [24].

Support of grieving students after a school crisis event also poses multiple challenges. When children are surrounded by peers who have also experienced loss, the grief may appear to be magnified as children pick up the distress in their peers, as well as the adult staff in the school. Information often spreads quickly through discussions among students and via social media, often propagating rumors or inaccurate information which may intensify anxiety and distress [5]. Even if the school community has a shared experience of loss or trauma, students will bring to the experience a wide range of prior experiences, pre-existing mental health challenges, concurrent losses or stressors, family support systems, and personal coping abilities. The strength of their relationship or their perceived affiliation with those that died will be highly variable—causing some students to feel that their grief is more legitimate or intense than that of peers and even lead them to question if others are grieving out of proportion to what they “should” be feeling. Adult staff in the school may also have a wide variability in their connection with those that died.

After traumatic events (e.g., school shootings), members of the school community may demonstrate traumatic reactions that complicate, or at least add to, the grieving process. Crisis events can also uncover pre-existing trauma or loss [5] that may become a primary focus for the individual student or staff member, even if the prior events do not appear objectively similar in nature (e.g., the grief expressed by the friend of a student who was shot may remind a child about the distress he felt after his parents divorced several years prior; the death of a student may resurface feelings that a staff member had after a miscarriage many years prior).

Children and adolescents are being exposed to incidents of community violence at exceedingly high rates [6]. In communities characterized by high rates of community violence and resulting deaths, there may be the perception that somehow the students “get used” to loss. This may occur because, in some of these situations, students learn that the adults are either unwilling or unable to protect them from further loss and too often are not forthcoming with needed support and assistance. As a result, children may conclude that there is little value in showing distress or seeking assistance from adults and may appear to some as unaffected. In reality, these children do not become accustomed or “desensitized” to these losses. Instead, each death may elicit the unresolved feelings and memories of prior losses, which increases the emotional burden carried by these children. In addition, poverty, discrimination, neighborhood disorganization, and loss of a belief in adults as protectors may increase children’s perception of vulnerability.

Those providing consultation to schools in the aftermath of a crisis event may be surprised at the wide breadth and intensity of reactions among students and staff, which may quickly overwhelm the school’s resources or capacity to respond effectively utilizing only regular school staff. Offers of assistance may follow quickly from members of the community and, in some high profile school crisis events, from individuals or groups from throughout the country and even from other countries. It becomes nearly impossible for schools to adequately evaluate and vet such offers of assistance in the immediate aftermath of the event and they often become guarded and more insular, accepting support only from those they know and trust. This underscores the benefit of community mental health providers establishing collaborative relationships with schools prior to a crisis event. Child mental health professionals already known and trusted by school leaders can play a valuable role in helping to assess the qualifications and likely benefits of accepting offers of help from professionals outside the school system and their known network of trusted advisers and consultants.

After a crisis event, it is increasingly common for mental health providers from other schools in the district, other districts, or the broader community to volunteer to provide on-site bereavement support in the immediate aftermath—often for one or several days after the event. But in reality, grief is likely to evolve over time and children (and adults) become more able and willing to share their reactions and seek support long after volunteers have left the school and community. Child mental health professionals should be prepared to provide some level of support over a prolonged period of time, often in the form of training and other capacity building, consultation and support to mental health clinicians within the school, and technical assistance and consultation to school leadership.


Preparation of Staff to Support Grieving Students


Most teachers and other school professionals feel unprepared and apprehensive about reaching out to provide support to grieving students . Dyregrov et al. [7] interviewed a sample of teachers from primary and secondary schools and found that, although the school personnel had high levels of empathy and commitment towards grieving students, they expressed limited knowledge about how child bereavement affects school performance, concentration, and learning. They also expressed guilt for not doing more for bereaved children at school. Similar findings were found in a survey conducted in 2012 by the American Federation of Teachers, the New York Life Foundation, Tiller Inc., and Hart Research Associates [8]. More than 1200 educators reported that the single most important barrier preventing them from providing this support was insufficient training and/or professional development, with 93% reporting that they had never received any training on how to support grieving children during their education or subsequent professional development. This contrasts starkly to children’s experience of loss—approximately 1 in 20 children experiences the death of a parent by the age of 16 years and approximately 9 in 10 report grieving the death of a close friend or family member by 18 years of age [9].

Children, like adults, will struggle with understanding and accepting the death and the impact it has on them and their family [1]. Parents, teachers, and other caring adults are often reluctant to talk with children who are grieving or even to raise the topic out of a fear of upsetting children by raising the topic or causing further distress by saying the “wrong thing.” Avoiding discussion is rarely helpful and often isolates children at a time when they are most in need of support and assistance. Children may also misinterpret silence by adults about the death as an indication that adults are unaware, unconcerned, or unwilling to be of assistance. Children may then conclude that the expression of their intense and complicated feelings is inappropriate, that adults do not feel that the person who died is worthy of being mourned, or that the relationship the children have with the deceased is not considered to be of sufficient value. The common reactions of shame or guilt experienced by grieving children can be intensified by this silence. Children may then model this avoidant behavior by not sharing their feelings for fear of upsetting their caregivers.


Preparation for Child Mental Health Professionals to Provide School Bereavement Consultation


Since the direct provision of bereavement services to children in a school is often not possible for child mental health professionals who are not employed or contracted by the school district, child mental health professionals should establish a relationship with local and regional schools before a crisis event so that they can provide guidance and training about how to best support grieving students and staff after an event. Ideally, training and professional development on this topic would be provided prior to a school incident or crisis; while staff may acutely appreciate the importance of such training after a crisis event involving deaths, their capacity to learn the information and develop sufficient confidence in their skills is markedly diminished when they themselves are grieving or traumatized.

Establishing a collaborative relationship with a school or district prior to a crisis event allows the consultant to become aware of the distinct characteristics, history, and/or values of a school community. Schools differ significantly on a variety of factors including: the level of participation of families and school staff in school governance; resources available for support services; integration of mental health, wellness, and addiction services into normal operations; and sensitivity about different cultures served by the school. This knowledge can be critical in developing an effective recovery plan for the school or district, as well as providing effective bereavement support for individual students and staff.

There are a broad range of services that child mental health professionals can provide after a school crisis to assist grieving students and staff, including:



  • Explaining how the experiences of grief and loss are common in school-age children and normalizing the range of reactions children may experience, such as guilt, shame, and anger [9].


  • Providing school personnel with the information and skills necessary to support grieving children and their families, including:



    • How grief may be experienced by children at different developmental levels


    • How to address the needs of children with autism spectrum disorders, intellectual disability, depression, anxiety, and other mental health problems


    • How to help children identify, express, and cope with their feelings and reactions


    • How to offer appropriate explanations for sensitive situations, such as when a death is due to suicide (Guidelines for Schools Responding to a Death by Suicide that includes sample scripts for educators related to explaining suicide can be accessed at www.​schoolcrisiscent​er.​org)


  • Helping to establish norms about what school professionals can do to support grieving students including ways they can assist students in how they express and cope with feelings.


  • Emphasizing the importance of all school professionals to work as a team to provide this support.


  • Supporting the school administration’s efforts to dedicate school resources to support grieving children.


  • Advising on systems to provide coordinated and sustained recovery efforts.


  • Implementing bereavement support services and groups within the school and identifying community bereavement organizations and camps as resources for children and their families. The National Alliance of Grieving Children (www.​childrengrieve.​org) and the Moyer Foundation (www.​moyerfoundation.​org) provide listings of local organizations offering bereavement services for children.


  • Developing mechanisms for the identification, triage, and referral of students in need of additional mental health services beyond what can be offered in the school.


  • Encouraging schools to maintain ongoing support for students throughout the grief process, including subsequent years in their school career and during times of transition, such as between grade levels or schools.


  • Advising schools on how to provide outreach to families of grieving students to determine how best to provide mutual support to the students, while recognizing and addressing resistance that may be encountered.


  • Ensuring that the unique bereavement support needs of staff are being addressed through such efforts as employee assistance programs, modifications in staff workload and supports as needed, and improvements to school climate and culture.


  • Ensuring that school mental health providers (e.g., counselors, psychologists, and social workers) and support professionals (e.g., nurses who may see grieving students with somatic complaints) have the necessary training to identify and address the needs of students who are grieving or those experiencing related problems (e.g., post-traumatic reactions, anxiety, depression, or suicidal ideation or intent) that are likely seen after a school crisis. This will likely include:



    • How to support students feeling common, but strong, feelings and reactions such as guilt, shame, and anger, which can impede open discussion, acceptance of personal support and counseling services, and ultimate coping and adjustment [9]


    • How to evaluate and respond to suicidal or homicidal ideation or intent, increased risk-taking behavior, or substance abuse


    • Anticipating and addressing exacerbation of pre-existing mental health and substance use problems


    • Identifying strategies to engage families that appear to be struggling or resistant to support


  • Advising on issues related to commemoration and memorialization.


Academic Supports for Grieving Students


Children typically experience at least temporary academic challenges after the death of a close friend or family member. Some children may instead respond to a death by overachieving in school. The effect the loss has on learning may first appear weeks or even months later. Many bereaved children have been found to experience a reduction in school grades and an increase in school dropout rates [10] and teachers commonly perceive grieving students as struggling with learning, showing reduced achievement in tests, and experiencing learning setbacks [11]. The academic effect of bereavement may be prolonged and intermittent support may indeed be needed throughout children’s school career [12].

Difficulty concentrating and distractibility, anxiety, depressed mood, and sleep difficulties may limit a student’s learning capacity. Children with learning problems that predated the loss may experience a marked worsening in their academic performance.

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Apr 12, 2018 | Posted by in PSYCHIATRY | Comments Off on Supporting Grieving Students in the Aftermath of a School Crisis

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