When the levee breaks: treating adolescents and families in the aftermath of hurricane katrina.

Journal of Marital and Family Therapy
Cynthia L Rowe, Howard A Liddle

Abstract

Hurricane Katrina brought to the surface serious questions about the capacity of the public health system to respond to community-wide disaster. The storm and its aftermath severed developmentally protective family and community ties; thus its consequences are expected to be particularly acute for vulnerable adolescents. Research confirms that teens are at risk for a range of negative outcomes under conditions of life stress and family disorganization. Specifically, the multiple interacting risk factors for substance abuse in adolescence may be compounded when families and communities have experienced a major trauma. Further, existing service structures and treatments for working with young disaster victims may not address their risk for co-occurring substance abuse and traumatic stress reactions because they tend to be individually or peer group focused, and fail to consider the multi-systemic aspects of disaster recovery. This article proposes an innovative family-based intervention for young disaster victims, based on an empirically supported model for adolescent substance abuse, Multidimensional Family Therapy (MDFT; Liddle, 2002). Outcomes and mechanisms of the model's effects are being investigated in a randomized clinica...Continue Reading

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Citations

Oct 21, 2011·American Journal of Disaster Medicine·Jeff R TempleDaniel H Freeman
Nov 26, 2009·Journal of Pediatric Nursing·Rita Black Monsen
Jan 31, 2012·Journal of Marital and Family Therapy·Cynthia L Rowe
Jan 31, 2012·Journal of Marital and Family Therapy·Nadine J KaslowMarietta H Collins
Jun 21, 2015·Child and Adolescent Psychiatric Clinics of North America·Neha Sharma, John Sargent
Apr 19, 2016·Current Psychiatry Reports·Miriam Schiff, Lin Fang
Aug 24, 2013·Revista latino-americana de enfermagem·Gisele Cristina Manfrini Fernandes, Astrid Eggert Boehs
Jul 25, 2017·Current Psychiatry Reports·Betty PfefferbaumKaren F Wyche

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