Pediatric Disaster Behavioral Health (PDBH) Toolkit
Completion requirements
7. References
Norris F, Friedman M, Watson P. 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry. 2002;65(3):207-239. doi:10.1521/psyc.65.3.207.20173
Brown R, Witt A, Fegert J, Keller F, Rassenhofer M, Plener P. Psychosocial interventions for children and adolescents after man-made and natural disasters: a meta-analysis and systematic review. Psychol Med. 2017;47(11):1893-1905. doi:doi:10.1017/S0033291717000496
Newnham E, Mergelsberg E, Chen Y, et al. Long term mental health trajectories after disasters and pandemics: A multilingual systematic review of prevalence, risk and protective factors. Clin Psychol Rev. 2022;97:102203. doi:doi:10.1016/j.cpr.2022.102203
Pinals D. Crisis Services: Meeting Needs, Saving Lives. 2020. Alexandria, VA
Forum on Medical and Public Health Preparedness for Catastrophic Events, Board on Health Sciences Policy IoM. Preparedness, Response, and Recovery Considerations for Children and Families: Workshop Summary. Washington (DC): National Academies Press (US); 2014.
Hoffmann JA, Pergjika A, Burkhart K, et al. Supporting Children’s Mental Health Needs in Disasters. Pediatrics. 2025;155(1):e2024068076. doi:10.1542/peds.2024-068076
Lee C, Fung D. A stepped care approach to mental health in Singapore: challenges and opportunities. BMC Glob Public Health. 2025/08/21 2025;3(1):73. doi:10.1186/s44263-025-00196-0
Pediatric Pandemic Network. Pediatric Behavioral Health in Disasters Curriculum. 2025.
Pediatric Pandemic Network. Disaster Mental Health: Preparedness and Response to Catastrophic Events ECHO Series. 2025.
Flynn B, Vance M, Morganstein J. Curriculum Recommendations for Disaster Health Professionals - Disaster Behavioral Health Second Edition. National Center for Disaster Medicine & Public Health; 2020.
Substance Abuse and Mental Health Services Administration. TAP 34: Disaster Planning Handbook for Behavioral Health Service Programs. SAMHSA; 2021.
Pfefferbaum B, Noffsinger M, Wind L, Allen J. Children's Coping in the Context of Disasters and Terrorism. J Loss Trauma. 2014;9(1):78-97. doi:10.1080/15325024.2013.791797
De Leo D, Zammarrelli J, Marinato G, Capelli M, Viecelli Giannotti A. Best Practices for Notification of Unexpected, Violent, and Traumatic Death: A Scoping Review. Int J Environ Res Public Health. 2023;20(13):6222. doi:10.3390/ijerph20136222
Hobgood C, Mathew D, Woodyard D, Shofer F, Brice J. Death in the field: teaching paramedics to deliver effective death notifications using the educational intervention "GRIEV_ING". Prehosp Emerg Care. 2013;17(4):501-510. doi:10.3109/10903127.2013.804135
Hobgood C, Harward D, Newton K, Davis W. The educational intervention "GRIEV_ING" improves the death notification skills of residents. Acad Emerg Med. 2005;12(4):296-301. doi:10.1197/j.aem.2004.12.008
Dubin W, Sarnoff J. Sudden unexpected death: intervention with the survivors. Ann Emerg Med. 1986;15(1):54-57. doi:10.1016/s0196-0644(86)80488-7
Mitchell J. A short guide to giving bad news. Int J Emerg Ment Health. 2008;10(3):197-207.
Saidinejad M, Duffy S, Wallin D, et al. The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies. Pediatrics. 2023;152(3):e2023063256. doi:10.1542/peds.2023-063256
Schreiber M, Pfefferbaum B, Sayegh L. Toward the way forward: the national children's disaster mental health concept of operations. Disaster Med Public Health Prep. 2012;6(2):174-181. doi:10.1001/dmp.2012.22
American College of Surgeons Trauma Quality Programs. Best Practices Guidelines: Screening and Intervention for Mental Health Disorders and Substance Use and Misuse in the Acute Trauma Patient. 2023. Accessed 30 June 2026. https://www.facs.org/media/nrcj31ku/mental-health-guidelines.pdf
Brunt T, Gale-Grant O. Telepsychiatry: what clinicians need to know about digital mental healthcare. BJPsych Adv. 2023;29(4):230-238. doi:10.1192/bja.2022.42
Kline C, Hurst L, Marcus S, Malas N. A Review of Telepsychiatry for Pediatric Patients in the Emergency Setting. Curr Psychiatry Rep. 2023;25:429-436. doi:10.1007/s11920-023-01442-8
Natafgi N, Childers C, Pollak A, et al. Beam Me Out: Review of Emergency Department Telepsychiatry and Lessons Learned During COVID-19. Curr Psychiatry Rep. 2021;23(11):72. doi:10.1007/s11920-021-01282-4
Sharma G, Devan K. The effectiveness of telepsychiatry: thematic review. BJPsych Bull. 2023;47(2):82-89. doi:10.1192/bjb.2021.115
Sasangohar F, Bradshaw M, Carlson M, et al. Adapting an Outpatient Psychiatric Clinic to Telehealth During the COVID-19 Pandemic: A Practice Perspective. J Med Internet Res. 2020;22(10):e22523. doi:10.2196/22523
Appleton R, Williams J, Vera San Juan N, et al. Implementation, Adoption, and Perceptions of Telemental Health During the COVID-19 Pandemic: Systematic Review. J Med Internet Res. 2021;23(12):e31746. doi:10.2196/31746
Schonfeld D, Demaria T, The Disaster Preparedness Advisory Council and Committee On Psychosocial Aspects of Child and Family Health, et al. Providing Psychosocial Support to Children and Families in the Aftermath of Disasters and Crises. Pediatrics. 2015;136(4):e1120-e1130. doi:10.1542/peds.2015-2861
Whitney D, Peterson M. US National and State-Level Prevalence of Mental Health Disorders and Disparities of Mental Health Care Use in Children. JAMA Pedoatr. 2019;173(4):389-391. doi:10.1001/jamapediatrics.2018.5399
Kanter R, Abramson D, Redlener I, Gracy D. The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research. Disaster Med Public Health Prep. 2015;9(4):337-343. doi:10.1017/dmp.2015.22
McGuire T, Covington T, Mauseth K, Brown M. Coping with COVID-19: Standing up a comprehensive behavioral health response to the pandemic. J Emerg Manag. 2023;21(6):577-589. doi:10.5055/jem.0783
DeWolfe D, Nordboe D, Center for Mental Health Services, DHHS. Training manual for mental health and human service workers in major disasters. 2000. Rockville, MD https://files.eric.ed.gov/fulltext/ED459383.pdf
Vibrant Emotional Health, Group for the Advancement of Psychiatry, Decision Point Systems. Model for Adaptive Response to Complex Cyclical Disasters (MARCCD). Accessed 12 February 2026, https://marccd.info/
Hoopsick R, Homish D, Collins R, et al. Resilience to mental health problems and the role of deployment status among U.S. Army Reserve and National Guard Soldiers. Soc Psychiatry Psychiatr Epidemiol. 2021;56(7):1299-1310. doi:10.1007/s00127-020-01899-5
Liston C. Estimating Psychiatric Outcomes in First Responders. JAMA Netw Open. 2020;3(9):e2018678. doi:10.1001/jamanetworkopen.2020.18678
Scheeringa M, Myers L, Putnam F, Zeanah C. Diagnosing PTSD in early childhood: an empirical assessment of four approaches. J Trauma Stress. 2012;25(4):359-367. doi:10.1002/jts.21723
Chen S, Bagrodia R, Pfeffer C, Meli L, Bonanno G. Anxiety and resilience in the face of natural disasters associated with climate change: A review and methodological critique. J Anxiety Disord. 2020;76:102297. doi:10.1016/j.janxdis.2020.102297
Heanoy E, Brown N. Impact of Natural Disasters on Mental Health: Evidence and Implications. Healthcare. 2024;12(1812)doi:10.3390/healthcare12181812
Alisic E, Zalta A, van Wesel F, et al. Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis. Br J Psychiatry. 2014;204:335-340. doi:10.1192/bjp.bp.113.131227
Tang B, Liu X, Liu Y, Xue C, Zhang L. A meta-analysis of risk factors for depression in adults and children after natural disasters. BMC Public Health. 2014/06/19 2014;14(1):623. doi:10.1186/1471-2458-14-623
Rubens S, Felix E, Hambrick E. A Meta-Analysis of the Impact of Natural Disasters on Internalizing and Externalizing Problems in Youth. J Trauma Stress. 2018;31(3):332-334. doi:10.1002/jts.22292
Brown M, Agyapong V, Greenshaw A, et al. After the Fort McMurray wildfire there are significant increases in mental health symptoms in grade 7–12 students compared to controls. BMC Psychiatry. 2019/01/10 2019;19(18)doi:10.1186/s12888-018-2007-1
Boelen P, Smid G. Disturbed grief: prolonged grief disorder and persistent complex bereavement disorder. BMJ. 2016;357:j2016. doi:10.1136/bmj.j2016
McLaughlin K, Colich N, Rodman A, Weissman D. Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience. BMC Med. 2020 Apr 1 2020;18(1):96. doi:10.1186/s12916-020-01561-6
Schonfeld D, Demaria T. Mental Health Impact of Pandemics and Other Public Health Emergencies in Children. Pediatr Clin North Am. 2024;71(3):455-468. doi:10.1016/j.pcl.2024.01.015
Guzman Holst C, Bowes L, Waite P, et al. Examining Children and adolescent mental health trajectories during the COVID-19 pandemic: Findings from a year of the Co-SPACE study. JCPP Advances. 2023/06/01 2023;3(2):e12153. doi:https://doi.org/10.1002/jcv2.12153
La Greca A, Burdette E, Brodar K. Climate change and extreme weather disasters: evacuation stress is associated with youths' somatic complaints. Front Psychol. 2023;14doi:10.3389/fpsyg.2023.1196419
Lowe S, Sampson L, Gruebner O, Galea S. Psychological resilience after Hurricane Sandy: the influence of individual- and community-level factors on mental health after a large-scale natural disaster. PLoS One. 2015;10(5):e0125761. doi:10.1371/journal.pone.0125761
Felix E, You S, Vernberg E, Canino G. Family Influences on the Long Term Post-Disaster Recovery of Puerto Rican Youth. Journal of Abnormal Child Psychology. 2013/01/01 2013;41(1):111-124. doi:10.1007/s10802-012-9654-3
McDonald K, Vernberg E, Lochman J, et al. Trajectories of tornado-related posttraumatic stress symptoms and pre-exposure predictors in a sample of at-risk youth. J Consult Clin Psychol. 2019;87(11):1003-1018. doi:10.1037/ccp0000432
Fendrich M, Ives M, Kurz B, et al. Impact of Mobile Crisis Services on Emergency Department Use Among Youths With Behavioral Health Service Needs. Psychiatr Serv. 2019;70(10):881-887. doi:10.1176/appi.ps.201800450
Hoffberg A, Stearns-Yoder K, Brenner L. The Effectiveness of Crisis Line Services: A Systematic Review. Front Public Health. 2020;7(399)doi:10.3389/fpubh.2019.00399
Matthews S, Cantor JH, Brooks Holliday S, et al. National preparedness for 988—the new mental health emergency hotline in the United States. Preventive Medicine Reports. 2023/06/01/ 2023;33:102208. doi:https://doi.org/10.1016/j.pmedr.2023.102208
Ramasamy R, Thompson A, Simmons S. Responding to Acute Mental Health Crises in Black Youth: Is It Safe to Call 911? Community Ment Health J. 2023;59:1-8. doi:10.1007/s10597-022-00980-4
Marcus N, Stergiopoulos V. Re-examining mental health crisis intervention: A rapid review comparing outcomes across police, co-responder and non-police models. Health & Social Care in the Community. 2022/09/01 2022;30(5):1665-1679. doi:https://doi.org/10.1111/hsc.13731
Manaugh B, Ternan A, Janssen M. A community guide for development of a crisis diversion facility: a model for effective community response to behavioral health crisis. 2020.
Robertson A, Morse D, Baird-Thomas C. Hurricane Katrina's impact on the mental health of adolescent female offenders. Anxiety Stress Coping. 2009/07/01 2009;22(4):433-448. doi:10.1080/10615800802290634
Kamin D, Weisman R, Lamberti J. Promoting Mental Health and Criminal Justice Collaboration Through System-Level Partnerships. Front Psychiatry. 2022;13:805649. doi:10.3389/fpsyt.2022.805649
Saxon V, Mukherjee D, Thomas D. Behavioral health crisis stabilization centers: A new normal. Journal of Mental Health & Clinical Psychology. 2018;2(3)
Glomb NW, Trivedi T, Grupp‐Phelan J, Schriger DL, Sporer K. Safety of a prehospital emergency medical services protocol for an alternative destination for pediatric behavioral emergencies in Alameda County. JACEP Open. 2023/04/01/ 2023;4(2):e12930. doi:https://doi.org/10.1002/emp2.12930
Otterson S, Fristad M, McBee-Strayer S, et al. Length of stay and readmission data for adolescents psychiatrically treated on a youth crisis stabilization unit versus a traditional inpatient unit. Evidence-Based Practice in Child and Adolescent Mental Health. 2021;6(4):484-489. doi:10.1080/23794925.2021.1986868
Jonson CL, Moon MM, Gialopsos BM. Are students scared or prepared? Psychological impacts of a multi-option active assailant protocol compared to other crisis/emergency preparedness practices. Victims & Offenders. 2020;15(5):639-662.
Ellis W, WH D, Chen K. Community Resilience: A Dynamic Model for Public Health 3.0. J Public Health Manag Pract. 2022;28(1):S18-S26. doi:10.1097/PHH.0000000000001413
Masten A, Motti-Stefanidi F. Multisystem Resilience for Children and Youth in Disaster: Reflections in the Context of COVID-19. Advers Resil Sci. 2020;1(2):95-106. doi:10.1007/s42844-020-00010-w
Pfefferbaum R, Neas B, Pfefferbaum B, Norris F, Van Horn R. The Communities Advancing Resilience Toolkit (CART): development of a survey instrument to assess community resilience. Int J Emerg Ment Health. 2013;15(1):15-29.
Pfefferbaum R, Pfefferbaum B, Van Horn R, Klomp R, Norris F, Reissman D. The Communities Advancing Resilience Toolkit (CART): an intervention to build community resilience to disasters. J Public Health Manag Pract. 2013;19(3):250-258. doi:10.1097/PHH.0b013e318268aed8
Salt R, Sickora C, Page T, et al. "We didn't forget" Utilizing a Community-Nurse Partnership to Promote Health in Rockport, Texas after Hurricane Harvey. Public Health Nurs. 2020;37(1):113-120. doi:10.1111/phn.12684
Jackson J, Do-Nguyen A, Ewbank C, Anderson C, Newton C, Schreiber M. Feasibility of PTSD risk identification in pediatric trauma patients using PsySTART: A pilot study. J Pediatr Surg. 2021/12/01/ 2021;56(12):2348-2353. doi:https://doi.org/10.1016/j.jpedsurg.2021.03.009
Foa E, Asnaani A, Zang Y, Capaldi S, Yeh R. Psychometrics of the Child PTSD Symptom Scale for DSM-5 for Trauma-Exposed Children and Adolescents. J Clin Child Adolesc Psychol. 2018;47(1):38-46. doi:doi:10.1080/15374416.2017.1350962
Kemp E, Thakur H, Espeleta H, et al. The child and adolescent trauma screen self- and caregiver-report: Factor structure, measurement invariance, and concurrent validity in a clinical sample of children and adolescents. Psychol Trauma. 2025;doi:doi:10.1037/tra0001995
Ramos C, Cabral E, Serrão V, Figueira P, Santos P, Baptista J. Psychometric Properties of the Parent-Report Version of the UCLA PTSD Reaction Index for DSM-5. J Child Adolesc Trauma. 2021;15(3):627-637. doi:doi:10.1007/s40653-021-00406-5
Lai B, Lewis R, Livings M, La Greca A, Esnard A. Posttraumatic Stress Symptom Trajectories Among Children After Disaster Exposure: A Review. J Trauma Stress. 2017;30(6):571-582. doi:doi:10.1002/jts.22242
Pfefferbaum B, North C. Child Disaster Mental Health Services: a Review of the System of Care, Assessment Approaches, and Evidence Base for Intervention. Curr Psychiatry Rep. 2016;18(1):5. doi:doi:10.1007/s11920-015-0647-0
Ruzek J, Brymer M, Jacobs A, Layne C, Vernberg E, Watson P. Psychological First Aid. J Ment Health Couns. 2007;29(1):17-49.
Trickey D, Siddaway A, Meiser-Stedman R, Serpell L, Field A. A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clin Psychol Rev. 2012;32(2):122-138. doi:10.1016/j.cpr.2011.12.001
La Greca A, Lai B, Llabre M, Silverman W, Vernberg E, Prinstein M. Children's Postdisaster Trajectories of PTS Symptoms: Predicting Chronic Distress. Child Youth Care Forum. 2013;42(4):351-369. doi:10.1007/s10566-013-9206-1
Bryant R, Friedman M, Spiegel D, Ursano R, Strain J. A review of acute stress disorder in DSM-5. Depress Anxiety. 2011;28(9):802-817. doi:https://doi.org/10.1002/da.20737
King M, Schreiber M, Formanski S, Fleming S, Bayleyegn T, Lemusu S. A brief report of surveillance of traumatic experiences and exposures after the earthquake-tsunami in American Samoa, 2009. Disaster Med Public Health Prep. 2013;7(3):327-331. doi:https://doi.org/10.1001/dmp.2012.11
Thienkrua W, Cardozo B, Chakkraband M, et al. Symptoms of posttraumatic stress disorder and depression among children in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):549-559. doi:https://doi.org/10.1001/jama.296.5.549
Hoffmann J, Foster A, Rojas C, et al. Overtriage and Undertriage of Children Presenting to the Emergency Department for Behavioral Health. JAMA Network Open. 2026;9(3):e263042. doi:10.1001/jamanetworkopen.2026.3042
Schreiber M, Gurwitch R, Wong M. Listen, Protect, Connect--Model & Teach: Psychological First Aid (PFA) for Students and Teachers. US Department of Homeland Security. 2006
Sachser C, Berliner L, Risch E, et al. The child and Adolescent Trauma Screen 2 (CATS-2) - validation of an instrument to measure DSM-5 and ICD-11 PTSD and complex PTSD in children and adolescents. Eur J Psychotraumatol. 2022;13(2):2105580. doi:10.1080/20008066.2022.2105580
Dowdy-Hazlett T, Killian M, Woods M. Measurement of traumatic experiences of children within survey and intervention research: A Systematic Review of the Child and Adolescent Trauma Screen. Child Youth Serv Rev. 2021;131:106259. doi:https://doi.org/10.1016/j.childyouth.2021.106259
Kassam-Adams N. The Acute Stress Checklist for Children (ASC-Kids): development of a child self-report measure. J Trauma Stress. 2006;19(1):129-139. doi:10.1002/jts.20090
Mash E, Hunsley J. Evidence-Based Assessment of Child and Adolescent Disorders: Issues and Challenges. J Clin Child Adolesc Psychol. 2005/08/01 2005;34(3):362-379. doi:10.1207/s15374424jccp3403_1
Schmidt E, Rothenberg W, Davidson B, et al. Psychometric Properties of the Behavior Assessment System for Children Student Observation System (BASC-3 SOS) with Young Children in Special Education. J Behav Educ. 2021;doi:10.1007/s10864-021-09458-x
World Health Organization, United Nations High Commissioner for Refugees. mhGAP humanitarian intervention guide (mhGAP-HIG): Clinical management of mental, neurological and substance use conditions in humanitarian emergencies. World Health Organization; 2015.
Lowe S, Tracy M, Cerdá M, Norris F, Galea S. Immediate and longer-term stressors and the mental health of Hurricane Ike survivors. J Trauma Stress. 2013;26(6):753-761. doi:https://doi.org/10.1002/jts.21872
Meltzer G, Zacher M, Merdjanoff A, Do M, Pham N, Abramson D. The effects of cumulative natural disaster exposure on adolescent psychological distress. LID - 6 [pii]. J Appl Res Child. 2021;12(1):6.
Shultz J, Espinola M, Rechkemmer A, Cohen M, Espinel Z. Prevention of Disaster Impact and Outcome Cascades. In: Israelashvili M, Romano JL, eds. The Cambridge Handbook of International Prevention Science. Cambridge University Press; 2016:492-519. Cambridge Handbooks in Psychology.
Jaycox L, JA C, AP M, et al. Children's mental health care following Hurricane Katrina: a field trial of trauma-focused psychotherapies. J Trauma Stress. 2010;23(2):223-231. doi:10.1002/jts.20518
AS G, Shonkoff J, Committee On Psychosocial Aspects of Child and Family Health, Committee on Early Childhood A, and Dependent Care,, Section on Developmental and Behavioral Pediatrics. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012;129(1):e224-e231. doi:10.1542/peds.2011-2662
CA N, Scott R, Bhutta Z, Harris N, Danese A, Samara M. Adversity in childhood is linked to mental and physical health throughout life. BMJ. 2020;371:m3048. doi:10.1136/bmj.m3048
Pollock A, Campbell P, Cheyne J, et al. Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane Database Syst Rev. 2020;11(11):CD013779. doi:10.1002/14651858.CD013779
American Medical Association. CPT 2026 Professional Edition. 2025.
Centers for Medicare & Medicaid Services. Chapter 38: Standing Policies and Procedures Applicable to Disasters and Other Public Emergencies. Medicare Claims Processing Manual. 10135 ed. CMS; 2020.
Centers for Medicare & Medicaid Services. Change Request 6451: The Use of the CR Modifier and DR Condition Code on Disaster/Emergency-Related Claims. CMS Manual System. CMS; 2009.