Thursday, January 28, 2016

Florida Rapid Response

We had a great Rapid Response planning meeting yesterday in Tampa, Florida!  Leaders of CLDR and Children's Disaster Services (CDS) flew in to meet with 7 Florida child life specialists.  Some are pictured here including Erin Silber who has agreed to be the Tampa CDS Coordinator (silber.erin@gmail.com).

We also met with Red Cross staff to network and advocate for the needs of children after disaster.  


We have exciting goals for the future in the Florida area and will be sharing more details with those who would like to be involved!  

Saturday, October 3, 2015

California Wildfires September 2015- by Katie Bertsch


CA Wildfires -Children's Disaster Services Response 

I’m really glad I went and it was so evident how impactful my child life education and skills were. My team was made up of wonderful retired elementary teachers, special education teachers, preschool teachers, etc.  I could see how the education and experience in critical settings that we get as Child Life Specialists was unmatched and a great fit in this work. I’m not trying to boast about me, but just to encourage other Child Life Specialists how helpful they could be with Children’s Disaster Services! 


We had a pretty great set up. Our center was set up in a library, behind where all of the stations for paper work were happening for the parents. We didn’t have a large space but it was safe and secluded. We had room for a quiet reading area with beanbags and a small area for dolls and stuffed animals next to it. We had a table for play dough and a table for card and board games or drawing. And we had an area for large motor play. 

There was one kiddo who was 2 and really didn’t want to come in. He, understandably, was having a difficult time leaving his mom after the disaster of the fire. She came in to play with him during his drop off but when she left, he cried and wouldn’t stop. He got passed from CDS volunteer to volunteer but he was still crying and didn’t want to do anything. One of the volunteers said “Wait, Katie is a Child Life Specialist, let’s have her give it a try!” I laughed and went over to the child. He was sitting in the lap of another volunteer and I started reading “Harold And The Purple Crayon” and drawing with a purple crayon on a piece of paper. As I read, I drew what ever Harold was drawing. He stopped crying and was engaged in what I was reading and drawing. As I drew, I asked him questions to get him to participate in what I was drawing and asked him what I should add. He didn’t say anything but stayed engaged. I kept drawing until I finished the book. Then I started reading another book while I played with the cars on the road rug. After a while, he crawled off the volunteer’s lap and started playing with the cars too. I kept reading and playing with the cars and then eventually stopped reading and just played with the cars with him. Once his play started getting more animated, I stopped zooming the cars around and let him play independently. He played with the cars for a long time while I sat next to him and then a little girl came up and started playing with him. They played next to each other but didn’t necessarily play with each other. Then they both got up to go play with the play dough and made pies together. From that time on, he was content playing until his mom got there. She was so happy to see him playing again. She said he hadn’t played since the fire and she hadn’t seen him smile! It was rewarding to see him engage in play again and to go through the different stages of play. He went from onlooker to parallel to independent play with me, and then associative play to cooperative play with another child! 


This is a picture of them playing on the road rug together


We also had 6 boys come into the center, 3 sets of brothers from different families. One of the moms let me know that all of the boys went to school together and this was the first time they have all been together since the fire. Their school burned down in the fire and they’ve really been missing their friends! They were pretty wild but we were able to contain it safely and allow them to play a bean bag toss game that they got really into! They played back and forth for half an hour and then once they had run out of steam, I settled them into a game of Uno. Once they had that high energy game with their friends, they started opening up about their experience while quietly playing Uno. I didn’t prompt anything but they were just asking each other what had happened. It was really awesome to see the boys talking about their experiences and sharing together. A few of them wanted me to read them a book so we sat in the quiet reading area and I read quite a few books to them. In the middle of one of the books there was a picture of a bedroom, one of the boys said, “I used to have a closet too, but the fire took everything. I used to have a bed too, but it burned in the fire. But, mom and dad said when we rebuild, I get bunk beds!!” He was so genuinely excited about the new things that were to come. I was blown away by the resilience of children! 


The boys playing a bean bag toss game




Me reading with some of the boys



  




We stayed in one of the Red Cross shelters on cots. The shelter was about 60% volunteers and 40% clients. 










The town of Middletown, where we were stationed, was hit very badly by the fire. The fire jumped around a lot so there were placed like this where everything was destroyed. And then right beside it there would be a home in perfect condition, completely untouched. The town had so much hope though and they all banded together to help. Some families even chose to not evacuate so they could stay and help their neighbors. And they were so grateful to the firefighters and volunteers for everything that being done.  



This was an apartment complex that was completely destroyed. There was covered parking, which you can see on the right, and the only thing left was the skeleton of the structure. I thought it was amazing that the playground was standing, bright and beautiful right in the middle of the rubble, completely untouched. 




Working with Tiffany, a child life student from Concordia, was really fun! It was great to be able to bounce ideas off each other and talk about our child life journey. And we were amazed that we were the 2nd and 3rd child life to ever be deployed! We marveled in that a bit :) She was a blast!

My trip was incredible and I was so thankful to be able to use my child life education to help the children cope with what had happened. The power of play was very evident! I cannot wait for my next deployment!

Child life specialists and Children's Disaster Services is such a perfect fit! 

God bless,
Katie Bertsch, CCLS
Grand Rapids, MI


Thursday, December 4, 2014

Cincinnati Local Response 2014- by Katie Nees, Annie Krause, Heather Storey, Tina Ulanowski

Cincinnati Local Response-
Starting with a Sticker Box Full of Toys
Over the last year, we have established a team of child life specialists in the Cincinnati area as a part of the Red Cross Mental Health volunteer team.  We will be called for any local incidents (flooding, house fires, shootings, etc.) where there are kids that need help from individuals who specialize in children and trauma. 
Tuesday night we were called for our first assignment….

           Nightmare at Dream Street Super 8 motel
                                 Patrick Brennan, Cincinnati10:12 a.m. EST December 3, 2014

           
(Photo: The Enquirer/Patrick Reddy)
UNION- Dennis Shollenbarger and Amber Reynolds caught a glimpse of the shooting scene in the midst of their chaotic, mandatory evacuation from the Florence Super 8 motel on Dream Street.
Shollenbarger, 34, and Reynolds, 29, are extended-stay residents at the motel. An engaged couple ("we'll get married when the money comes in," Reynolds joked.), they were sleeping when violence erupted in their building.
About 10 minutes after they heard a shot fired, they said, police burst in and rushed them out of the room for protection. A situation in a nearby room escalated when an unidentified suspect brandished an automatic weapon during a drug investigation inside one of the motel rooms.
   "We just heard racket. Just a bunch of noises in the hallway that woke us up. People yelling,   
   'call 911,'" Reynolds said of the moments leading up to when she witnessed the gore. "Whoever it was that was shot fell (back) against the wall. There was blood everywhere."
The bloody scene was traumatizing enough, Shollenbarger and Reynolds agreed, but their problems didn't end there.
Florence Police Lt. Roger Allen took cover and returned fire after being shot at by the suspect, according to a news release. The suspect died, but police did not say if it was a result of shots fired by Allen. Allen sustained a minor head injury, was treated at the University of Cincinnati Medical Center and released, according to authorities. Police were unsure if Allen's injury was the result of the gunfire.
There was no time to gather personal belongings during the evacuation. Shollenbarger and Reynolds plunged into the cold without shoes, socks or winter coats on. And they weren't alone -- the Red Cross ended up distributing at least 30 pairs of fresh socks to those displaced by Tuesday's shooting.
Shollenbarger and Reynolds were two of 38 residents displaced Tuesday at the motel on 7928 Dream Street.
Life at the Dream Street motel, as described by Shollenbarger and Reynolds, was really more of a nightmare, they said Tuesday while still settling in at St. Timothy's Church where the Red Cross was caring for the displaced people.

Thirty-eight extended-stay residents of the Florence Super 8 motel were relocated to St. Timothy's Church by the Northern Kentucky Red Cross.(Photo: Enquirer/Patrick Brennan)



Annie Krause and I changed our plans and responded immediately Tuesday night going to the shelter to work with the children after their traumatic ordeal.  This being our first assignment, we quickly realized we were not as prepared as we had thought and we scrambled to gather supplies and rush out to the scene.  I happen to remember that I had a sticker box full of toys given to me by my sister-in-law when I first entered the field of child life years ago.  I dug up that little box and jumped in my car. 
Upon arrival, we found that the shelter was under heavy security with police officers and investigators questioning anyone who attempted to enter and also conducting private interviews with each individual from the motel. 
We set up a play space in the shelter by turning folding tables on their sides to form walls around a small area of carpet in the large room full of people and cots.  Annie and I invited the children to come play and they easily agreed. 

Sticker box full of toys to the rescue!
For a couple hours, we provided child-centered play which quickly created a sense of normalcy and the relief felt in the room from adults and children alike was tangible. 
Some of the children just wanted to play and run, some wanted to talk while they played. 

Their biggest concern Tuesday night was safety and they had a lot of questions about the cops and why they were there.  Their questions seemed to center around figuring out if they were good-guys or bad guys.  It is understandable that that would be confusing after seeing guns drawn and hearing yelling for them to “GET OUT NOW!” before rushing them to this safe shelter.  We helped them talk and process through these concerns and even had one of the cops come join us in our play space for a time.  Some of the adults also asked to join the play, asking for a deck of cards and coloring books as they joined together just outside our play space, smiling and talking with each other as they used the items we gave them. 
One mom spoke to us for a while explaining that she was worried her 3 year old would not sleep tonight since she was not allowed time to grab anything to take with her as the swat team rushed them out.  The three year old sleeps with her special blankie and has never been without it.  This little girl spent quite a lot of time running and playing with a ball to the point that she was hot and sweaty.  We’re hoping she successfully wore herself out and had a good nights sleep last night after we cleaned up our toys and left the kids to bedtime on the cots. 
The next morning, the Red Cross informed us that they needed more assistance from us and Tina Ulanowski went straight to the shelter.  She was immediately met by scared, frustrated and exhausted adults and kids and spent some time talking with them about their experiences.  She noted the typical traumatized behaviors some of them were exhibiting.  She then took the kids to the play area and gave them the opportunity to draw about the event, if they’d like.  A couple of the children made pictures of policemen and asked if they could give them to the cops that were present at the shelter.  Tina helped them write a message on the picture before they handed them to the officers.  Immediately after, they wanted to play and their play quickly turned to pretend play with “policemen” and “rescue missions”.  With Tina’s skillful guidance, they were able to play through their experience as they were beginning to process the details of the event….since after all: Play is the Work of Children! 
Tina also conjured up a few more toys J

Tina left mid-day for her paid child life job J, and Heather Storey took over after working an early morning 8 hour shift at the hospital. 
The Red Cross staff welcomed Heather enthusiastically and explained that the investigators had requested the adults ONLY be allowed back to the motel.  They did not want any children to come back yet and Heather was able to spend time processing, supporting and playing with the kids and teens during this time.  They played and talked easily about their thoughts and fears around the adults returning to the motel.  Heather was able to discuss with the older ones ways to cope with and express anxieties.   She then played a rousing game of soccer (modified soccer) with them all while holding a sleeping baby in her arms (MAD SKILL!).   However, she watched their energetic play quickly change to quiet, reserved and somber play when a Red Cross staffer came and announced to the kids that they were just informed the kids would soon be able to go back to the motel with the adults too.   With the drastic change in mood, Heather was able to continue to provide a safe place for them to talk openly and express their feelings.  They talked about their thoughts and feelings about returning to the motel themselves.  Shortly after talking through those fears together, the adults arrived, and everyone began the busy work of closing the shelter.  One child became tearful saying goodbye to Heather and told her he really wanted her to come back to the motel with them.  She reminded him of the things he can do to cope….
… And we all hope that our time with them has started them down the road of turning a potentially traumatic situation into one of growth and finding new strength.  

 We now realize we need more Cincinnati child life specialists on our volunteer team and a better kit of intentionally selected toys for our next assignment.  CLS's, let us know if you want to join us!

 Katie Nees, CCLS, MSHS
 Annie Krause, BS, CCLS
 Tina Ulanowski, CCLS, M.Ed
 Heather Storey, MS, CCLS


Thursday, June 20, 2013

2013 Oklahoma Tornadoes- by Katie Nees-- Goodbyes Sponsored by Miller Light??

Several of us went through the Red Cross "out processing" early this morning. We had to do a bunch of paperwork, etc. but it was much simpler than the in-processing on the first day.  As a parting gift, the Red Cross gave us each a huge hat with MILLER LIGHT on it. We have no idea why...

Then we spent the rest of the day with the kids-- our last day with them.  
We had a 13 year old with us today and her and I talked about silly things and serious things. She gave me a very detailed lesson on how to make enchiladas:
Including demonstrations with play-dough. She also said, "ok let me tell you all about the tornado from the beginning". She talked about "running" from it in her uncle's truck and seeing the tornado behind them picking up and throwing cars. She talked about several incredible details from this experience and her responsibility to stay calm for all her 6 younger siblings while getting separated from their parents during the chaos. Then we went back to our cooking lesson.  We had a good time together and she even asked me, "are you ghetto? Because I am". I love it that the answer to that wasn't obvious to her! Haha!
It was a great way to end. :)

Then we did what we do every night after closing....clean up. But this time we cleaned up knowing the next CDS group was taking over in the morning. 

It's been an amazing time here. A privilege. 
The kids were the reason and the best part of it all, but my team was also pretty extraordinary.  
Thanks to you all for following me on this experience. My hope is that you are catching this fever because there's so much more to be done for the kids here and future disaster-situations.

Lastly, we joined Pearl in her art of TP-ing, which she insists she doesn't normally do- and we left our leader, John, a small gift (this one not sponsored by Miller Light). 
The End. 

Wednesday, June 19, 2013

2013 Oklahoma Tornadoes- by Katie Nees-- Day Off

Since disasters don't recognize weekends, we are each required to take a day off at some point. Mine was today.
Yesterday, I could tell I was getting worn out because I was ready to leave by the end of the day instead of wanting to stay and play. It makes me sad though because soon this will be over and I won't have the option to stay and play anymore.
Even though I needed this day off, it's hard to not be with the kids. It has seriously been an honor and so much fun. 
My team had 60 kids total today and were able to have some significant interactions. Wish I had been there with them all, but so appreciative of a little break.

My flight has officially been scheduled and I leave early Friday morning to get back to work Friday night. 
CDS has been working hard to pull together the team to replace us per Red Cross request.  It sounds like it has been difficult to get enough CDS volunteers this time around and some of my current teammates are considering extending their time here a couple days to try to help out as long as possible. 
And THANK YOU to my team of amazing child life specialists at Cincinnati Children's who stepped in with short notice to cover my shifts for these two weeks so I could be here.  I know the realities of the stress that caused them and I appreciate their support in this more than they know!  
Who's ready to go with me next time??

And one more picture tonight, since I have your attention....  LOOK AT MY CUTE NEPHEW, Ezra!!!
I mean SERIOUSLY!!!!!!

Tuesday, June 18, 2013

2013 Oklahoma Tornadoes- by Katie Nees-- Best CDS Picture Award

We had the priveledge of front row seats to a concert today. 
This little girl belted out her original songs for quite a while!  Most of the words we couldn't get but at one point she was singing about "listening to my mama!"  She threw in a couple dance moves too.

Pearl still found the energy at the end of the day today to meet this little boy where he was (literally) and let him lead their play together:
They sat in this bin (we've been running short on cardboard boxes) for a long time just talking and reading. I'm pretty sure this picture should win some sort of CDS award. It's definitely my favorite!!

Late tonight we went back to the elementary school where 6 kids and 1 teacher died. We added one of our uniform shirts to the fence. We all wrote a little and signed it. The 7 crosses each had a light on top of them and it was definitely something to see that in the dark and quiet night. 

While we were there, a car pulled up and we started talking to the guy. Turns out he is 20 and lived across the street from the school. He asked if we wanted to see his house and we saw a muddy spot with a lot of debris. He talked about his experience and the neighbors who died. He said he just keeps driving here to see it...can't seem to stay away. 

Makes sense to me. 
It's going to be hard to leave in a couple days...

Monday, June 17, 2013

2013 Oklahoma Tornadoes- by Katie Nees-- Food Before Play

INSANE!  That's what today was!  We were overloaded with kids and had a waiting list and all the kids were super hyped-up!  We had a record number of 63 kids total by closing time.
I took a short break to swollow some food in a different part of the building and I was shocked to see all the kids there who weren't in our play space. There were kids everywhere!   Their parents were maybe scared away from dropping their kids off with us because of the chaos!  (I feel bad about that!)

During our time here, we've come across several stories of families living in unthinkable conditions. This morning we had a group of siblings who all clearly needed baths and they went straight for the play-food. They only played for a few minutes before asking for something to eat and I spent the next 45 minutes or so at the snack table getting them whatever they asked for and cleaning up several spilled cups as they ate quicker than I've ever seen. It clearly was something they needed before going back to playing. I was amazed at how much they ate. 
(The moment was too busy for a picture but this picture is from a much calmer time and kind-of illustrates it... sort of)

So, it was decided today that CDS needs a third team here and they are working on making that happen right now before we all leave the end of this week. 

To end tonight, here is a picture of John, our CDS program manager relaxing with a therapy dog. These dogs show up every so often and we let them in for the kids. 
This picture was taken this past weekend during a quiet time. It's seriously hard to think that we ever had quiet moments in this space after the crazy day we had today!! But here's proof!