Clinical Pediatric Emergency Medicine
Volume 10, Issue 3 , Pages 195-207 , September 2009

Family Reunification—Concepts and Challenges

  • Alan L. Nager, MD, MHA

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Alan L. Nager, MD, Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd. MS #113, Los Angeles, CA 90027.
    • Co-Director, Education and Training Core, Pediatric Disaster Resource and Training Center, Children's Hospital Los Angeles.

References 

  1. In:  Mandalakas A,  Torjesen K,  Olness K editor. Helping the children: a practical handbook for complex humanitarian emergencies. 1999;Available at: http://www.ecdgroup.com/docs/lib_004795852.pdfAccessed 02-19-2009
  2. USAID from the American people . Disaster assistance. Available at: http://www.usaid.gov/our_work/humanitarian_assistance/disaster_assistance/Accessed: 02-23-2009
  3. Federal disaster declarations. Available at: http://www.fema.gov/news/disasters.femaAccessed 02-23-2009
  4. Jackson A. Family reunification: the journey home. Masters Research thesis, Department of Social Work, University of Melbourne. 1997. Available at: http://dtl.unimelb.edu.au/R/UP14B4EYGFJG2L6388MJQYLS6QU2P1GJP8XDSYSR8C76I527SP-00924?func=dbin-jump-full&object_id=67407&pds_handle=GUEST Accessed 02-20-2009.
  5. Centers for Bioterrorism Preparedness Program, Pediatric Task Force, NYC DOHMH Pediatric Disaster Advisory Group , et al. Pediatric tool kit: hospital guidelines for pediatrics in disasters. 2 ed.. New York: NYC Department of Health and Mental Hygiene; 2006;
  6. World Health Organization, Country Office for Maldives . Unaccompanied and separated children in the Tsunami-affected countries, guiding principles. Available at: http://www.who.org.mv/EN/Section40/Section41_56.htmAccessed 02-19-2009
  7. Blake N, Stevenson K. Reunification: keeping families together in crisis. J Trauma. 2009;67(2):147–151(suppl)
  8. Howard BJ, Broughton DD. The pediatrician's role in the prevention of missing children. Pediatrics. 2004;114:1100–1105
  9. Department of Homeland Security. Protecting children during U.S. emergencies: how safe are our schools and daycare centers when disaster strikes? 2008; Issue Brief Number Four.
  10. Shirm S, Liggin R, Dick R, et al. Prehospital preparedness for pediatric mass-casualty events. Pediatrics. 2007;120:756–761
  11. Redlener I, Grant R, Abramson D, et al. The 2008 American preparedness project: why parents may not heed evacuation orders and what emergency planners, families and school need to know. Columbia University Mailman School of Public Health; 2008;Available at: http://www.ncdp.mailman.columbia.edu/files/white_paper_9_08.pdfAccessed 02-19-2009
  12. American Academy of Pediatrics . Disaster planning for schools. Pediatrics. 2008;122:895–901
  13. Gauche-Hill M, Schmitz C, Lewis R. Pediatric preparedness of US emergency departments: a 2003 survey. Pediatrics. 2007;120:1229–1237
  14. Dharmar M, Marcin JP, Romano PS, et al. Quality of care of children in the emergency department: association with hospital setting and physician training. Pediatrics. 2008;153:783–789
  15. American Academy of Pediatrics . Family preparedness kit. Available at http://www.aap.org/family/frk/aapfrkfull.pdfAccessed 05-05-2009
  16. Agency for Healthcare Research and Quality . School-based emergency preparedness: a national analysis and recommended protocol. Available at: http://www.ahrq.gov/prep/schoolprep/schoolprep.pdf2009;Accessed 05-05-09
  17. American Academy of Pediatrics Committee on Pediatric Emergency Medicine , Committee on Medical Liability , Task Force on Terrorism . The pediatrician and disaster preparedness. Pediatrics. 2006;117:560–565
  18. Allen GM, Parrillo SJ, Will J, et al. Principles of disaster planning for the pediatric population. Prehosp Disaster Med. 2007;22:537–540
  19. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) . Emergency management chapter. In:  Pejakovich P editors. Comprehensive Accreditation Manual for Hospitals: the Official Handbook (CAMH). Marblehead, MA: HCPRO, Inc; 2009;p. 1–18
  20. Curtis T, Miller BC, Berry EH. Changes in reports and incidence of child abuse following natural disasters. Child Abuse Negl. 2000;24:1151–1162
  21. Brandenburg MA, Watkins SM, Brandenburg KL, et al. Operation child-ID: reunifying children with their legal guardians after Hurricane Katrina. Disasters. 2007;31:277–287
  22. Kaji A, Koenig K, Bey T. Surge capacity for healthcare systems: a conceptual framework. Acad Emerg Med. 2006;13:1157–1159
  23. Foltin GL, Lucky C, Portelli I, et al. Overcoming legal obstacles involving the voluntary care of children who are separated for their legal guardians during a disaster. Pediatr Emerg Care. 2008;24:392–398
  24. Broughton DD, Allen EE, Hannermann RE, et al. Reuniting fractured families after a disaster: the role of the National Center for Missing and Exploited Children. Pediatrics. 2006;117:442–445
  25. Dolan M, Krug S. Pediatric disaster preparedness in the wake of Katrina: lessons to be learned. Clin Pediatr Emerg Med. 2009;7:59–66
  26. Sirbaugh PE, Gurwitch K, Macias C, et al. Caring for evacuated children housed in the astrodome: creation and implementation of a mobile pediatric emergency response team: regionalized caring for displaced children after a disaster. Pediatrics. 2006;117:428–438
  27. Distefano SM, Graf JM, Lowry AW, et al. Getting kids from the big easy hospitals to our place (not easy): preparing, improvising, and caring for children during mass transport after a disaster. Pediatrics. 2006;117:421–427
  28. Franco C, Toner E, Waldhorn R, et al. The national disaster medical system: past, present, and suggestions for the future. Biosecur Bioterror. 2007;5:319–325
  29. Qureshi K, Gershon RR, Sherman MF, et al. Healthcare workers ability and willingness to report to duty during catastrophic disasters. Urban Health. 2005;82:378–388
  30. Tierney K. Emergency medical preparedness and response in disasters: the need for interorganizational coordination. Publ Administr Rev. 1985;45:77–84
  31. Pate BL. Identifying and tracking disaster victims: state-of-the-art technology review. Fam Commun Health. 2008;31:23–34
  32. National Emergency Family Registry and Locator System. Available at: http://asd.fema.gov/inter/nefrls/home.htmAccessed 02-22-2009
  33. Division of Criminal Justice Services . Operation safe child. Available at: http://criminaljustice.state.ny.us/pio/safechild.htmAccessed 02-22-2009
  34. Reilly MJ. Methods for tracking and identification for displaced persons and evacuees in a post-disaster environment. Available at: http://www.hhstrainingsummit.org/presentations/2007/38-research_on_evacuee_populations-reilly.ppsAccessed 02-20-2009
  35. Smart Card Alliance . About smart cards: applications: government. Available at: http://www.smartcardalliance.org/pages/smart-cards-applications-governmentAccessed 02-20-2009
  36. Waugh WL. Geographic information systems: the case of disaster management. Soc Sci Computer Rev. 1995;13:422–431
  37. Mueller J. The many faces of kids GPS tracking devices. Available at: http://www.articlefan.net/Article/The-Many-Faces-of-Kids-GPS-Tracking-Devices/193167Accessed 02-21-2009
  38. Fry EA, Lenert LA. Mascal: RFID tracking of patients, staff and equipment to enhance hospital response to mass casualty events. AMIA Annu Symp Proc. 2005;2005:261–265
  39. Barclay L. FDA approves implantable chip used to access medical records. Available at: http://www.medscape.com/viewarticle/4919942004;Accessed 02-19-2009
  40. Gold JI, Montano Z, Mahrer NE, et al. Pediatric disaster preparedness in the medical setting: integrating mental health. Am J Disaster Med (in press).
  41. Madrid PA, Grant R, Reilly MJ, et al. Challenges in meeting immediate emotional needs: short-term impact of a major disaster on children's mental health – building resiliency in the aftermath of Hurricane Katrina. Pediatrics. 2006;117:448–453

PII: S1522-8401(09)00051-2

doi: 10.1016/j.cpem.2009.06.003

Clinical Pediatric Emergency Medicine
Volume 10, Issue 3 , Pages 195-207 , September 2009