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| Title: | Unmet Need for Counseling Services by Children in New York City After the September 11th Attacks on the World Trade Center: Implications for Pediatricians |
| Authors: | Fairbrother, Gerry
Stuber, Jennifer
Galea, Sandro
Pfefferbaum, Betty
Fleischman, Alan |
| Issue Date: | 2004 |
| Abstract: | Objective. The objectives of this study
were to describe the prevalence of counseling services,
contrasted with the need after the terrorist attacks of
September 11, 2001, the types of counseling received, and
the predictors of receipt of counseling services.
Methods. A cross-sectional, random-digit-dial survey
was conducted in New York City (NYC) of parents (N
434) of children who were 4 to 17 years of age 4 months
after the September 11th terrorist attacks on the World
Trade Center.
Results. Overall, 10% of NYC children received some
type of counseling after the September 11th attacks, according
to parental report. Among these, 44% received
counseling in schools, 36% received counseling from
medical or professional providers, and 20% received
counseling from other sources. However, only 27% of the
children who had severe/very severe posttraumatic stress
reactions (PTSR) after the attacks received counseling
services. In a multivariate model, receipt of counseling
before the September 11th attacks (odds ratio: 4.44) and
having severe/very severe PTSR (odds ratio: 3.59) were
the most important predictors of use of counseling services
after the September 11th attacks. Minority status
and having a parent who experienced the loss of a friend
or a relative were also associated with receipt of services.
Conclusions. There was substantial disparity between
apparent need (as indicated by severe/very severe
PTSR) for and receipt of mental health services for children
after the September 11th attacks. There is need for
intensified efforts to identify, refer, and treat children in
need, especially for children who are not already in a
therapeutic relationship. An enhanced role for pediatricians
is indicated |
| Appears in Collections: | Public Health, School of (SPH)
Epidemiology, Department of (SPH)
Interdisciplinary and Peer-Reviewed
Institute for Social Research (ISR)
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Size | Format | |
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| Fairbrother_Unmet Need for Counseling Services_2004.pdf | | 83Kb | Adobe PDF | View/Open |
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