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Wednesday’s Child Goes to School:
Supporting Students Affected by Loss
              Gary W. Mauk, Ph.D., NCSP
                         and
                 M. Bruce Garris, B.A.
                  School of Education
  Department of Professional Pedagogy and Research and
   Department of School Administration and Counseling
      The University of North Carolina at Pembroke




                   Monday, March 14, 2011
                2011 Annual Conference of the
           North Carolina Middle School Association
Monday’s Child
Monday’s child is fair of face,
Tuesday’s child is full of grace,
Wednesday’s child is full of woe,
Thursday’s child has far to go,
Friday’s child is loving and giving,
Saturday’s child works hard for its living,
But the child who is born on the Sabbath Day,
Is bonny, blithe, and good and gay.
                                                                                 – Author unknown

[Sources: Opie & Opie, 1997, pp. 364–365; originally published in Bray, 1838, pp. 287–288]

References
Bray, A. E. (1838). Traditions, legends, and sketches of Devonshire on the borders of the Tamar and Tavy,
      illustrative of its manners, customs, history, antiquities, scenery, and natural history in a series of
      letters to Robert Southey, Esq. (Volume II). London, UK: John Murray.
Opie, I., & Opie, P. (Eds.). (1997). The Oxford dictionary of nursery rhymes (2nd ed.). New York: Oxford
      University Press.
“Children come to school each day with more than
their lunch and backpack. They bring life factors that shape
their learning and development. These influences range
from family issues and health and culture to behavior,
learning style, and abilities. Virtually all are related to
mental health” (Whelley, Cash, & Bryson, 2004, p. S5-25).

       Accordingly, along with their backpacks, early
adolescents often bring to middle school grief associated
with personally significant losses from various expected
and unexpected causes. This presentation will discuss the
nature and impact of loss, as well as ways that caring
schools and educators can be critical harbors of support for
grieving students’ healthy development.


Reference: Whelley, P., Cash, R. E., & Bryson, D. (2004). Children’s mental health: Information
for educators. In A. S. Canter, L. Z. Paige, M. D. Roth, I. Romero, & S. A. Carroll (Eds.), Helping
children at home and school II: Handouts for families and educators (pp. S5-25 – S5-28).
Bethesda, MD: National Association of School Psychologists.
Types of School/District Events
Higher                                  • Student deaths
                                        • Staff deaths
         General Probability of Event

                                        • Accidents (students hit by cars, bus
                                          accidents, car accidents, swimming, etc.)
                                        • Violence in schools or community (assaults,
                                          murders, drive-by shooting in community,
                                          etc.)
                                        • Suicides
                                        • Natural disasters (tornado, earthquake,
                                          wildfire, hurricane, etc.)
Lower                                   • School shootings
   Source: Saiz, C., & Schneider, T. (2006, December 7). Recovery. Presentation at
   the Fiscal Year 2006 Emergency Response and Crisis Management (ERCM) Initial
   Grantee Meeting, San Antonio, TX.
“As educators, we need
                                                 to broaden our lessons of
                                                 learning beyond the textbooks
                                                 and recognize that grief is part
                                                 of everyone’s life learning
                                                 process. It is times like these
                                                 that will demand our flexibility,
                                                 strength, and understanding as a
                                                 teacher and a friend…Growth
                                                 and healing can occur if we first
                                                 recognize the grief and then act
                                                 upon it in positive and helpful
                                                 ways” (Greene, 2003, p. 11).




Source: Greene, B. (2003). Grief in the classroom: Part II. Bereavement Magazine, 17(6), 10–11.
It is highly likely you see a
grieving child almost every day,
even if you don’t see any children
grieving.
    – Dr. David Schonfeld, Executive Director
      National Center for School Crisis and Bereavement
An Early Adolescent’s Behavior Is an Iceberg


  THE TIP

                     BEHAVIOR

                 Youth’s Problem or Crisis
            Youth’s Personality & Mental Health
                        Peer                   SO MUCH IS
                      Culture                HIDDEN BELOW
                    School and
                Community Environment
                   Child Development
                          and
                   Family Influences
“The goal of helping children of all ages
to cope with death is to promote their
competence, facilitate their ability to cope,
and recognize that children are active

participants in their lives” (Silverman, 2000, p. 42).




 Source: Silverman, P. (2000). Never too young to know: Death in children’s lives.
 New York: Oxford University Press.
Families and Schools Together

       “Family is the first source of support for a child‟s
mental health. However, the increased stress and
fracturing of life today makes it imperative that schools
partner with parents to help children thrive. Indeed,
schools are excellent places to promote good mental
health. Children spend a significant amount of time
there, and, as trained caring adults, educators have
the opportunity to observe and address their needs”
(Whelley et al., 2004, p. S5-25).



Reference: Whelley, P., Cash, R. E., & Bryson, D. (2004). Children’s mental health: Information
for educators. In A. S. Canter, L. Z. Paige, M. D. Roth, I. Romero, & S. A. Carroll (Eds.), Helping
children at home and school II: Handouts for families and educators (pp. S5-25 – S5-28).
Bethesda, MD: National Association of School Psychologists.
―Students do not leave their
grief at the schoolhouse door.‖
              –– Dr. Martha D. Oates
                 Death in the School Community
                 (1993, p. 94)
“School is one important place to
deal with feelings about death rather
than to hide such feelings” (Meyers &
Pitt, 1976, pp. 563–564).




 Source:

            Meyers, J., & Pitt, N. W. (1976). A consultation approach to help a school cope with
 the bereavement process. Professional Psychology, 7(4), 559–564.
Loss, Grief, and Middle School Students in North Carolina
        Consistent with a search of the ERIC database I conducted
more than a decade ago while conducting a literature review for a
chapter I was writing, only one North Carolina-based research
study appears to be available regarding a description of loss events
and grief among middle school students in one large school system.

        Dr. J. Conrad Glass, professor emeritus at North Carolina
State University, published a 1991 article entitled, Death, Loss, and
Grief among Middle School Children: Implications for the School
Counselor, based on a survey he conducted in one large school
system in North Carolina.
        In that article, he reported that, among the eight classes (211
students) in four middle schools in the North Carolina-based study
(one large , 41% of middle school students had been personally
involved with death within the past year (Glass, 1991).

Source: Glass, J. C. (1991). Death, loss, and grief among middle school children: Implications
for the school counselor. Elementary School Guidance and Counseling, 26(2), 139–148.
Loss, Grief, and Middle School Students in North Carolina

         When the 211 middle school students were asked to indicated
all losses (other than death) that they had experienced within the past
year, Dr. Glass found the following:
 Moved = 55%;
 Lost a best friend = 53%;
 Changed schools = 52%;
 Lost a boyfriend/girlfriend = 50%; and
 Experienced the separation or divorce of their parents = 28%.
        When Dr. Glass asked, “Of the losses you have experienced
(including death), which one(s) would you consider to have had the most
impact on your life?” the students could list as many as three
responses. The top three answers were:
(1) Death (55%);
(2) Moving (26%); and
(3) Loss of a best friend (25%).
Source: Glass, J. C. (1991). Death, loss, and grief among middle school children: Implications
for the school counselor. Elementary School Guidance and Counseling, 26(2), 139–148.
Grieving Adolescents
         The adolescent-period tasks of achieving independence, separating
from the family to engage more with peers, and developing an identity may be
disrupted by loss or grief.
          Some adolescents whose families experience major losses ranging from
chronic illness to cutting back on expenditures due to job loss may fall back to the
family to assume new work or career roles at the expense of their own
development and higher education or career plans.
          Some young people may refuse to engage with school, complain about
feeling alienated by their loss experience, and may withdraw from peers at the
very time they need to focus on these relationships.
         Dr. Nancy Webb (2002) suggests that other key challenges for bereaved
adolescents include: (1) a reluctance to show strong emotions; (2) discomfort
when talking to parents about feelings; and (3) the absence of a model for strong
displays of emotion. Also, they may display bravado, denial, anger, sadness, or
push their feelings underground and keep busy.
Adapted from: Aston, C. (2008, September). Angels don’t have headlights. iteachonline: The Victorian Institute
of Teaching Online Newsletter (Issue No. 3). Retrieved on March 12, 2009, from
http://iteachonline.vit.vic.edu.au/issue0308/home.php?current=13
Additional reference: Webb, N. B. (Ed.). (2002). Helping bereaved children: A handbook for practitioners (2nd ed.).
New York: The Guilford Press.
Loss: A Universal Experience
       Loss is universal and resides at the core of grief – Someone or
something we love/value is gone, and we grieve (react to) the loss.
        Dealing with loss is a very individual, mostly private
experience. The range of feelings experienced depends on the
individual and their degree of attachment to the thing or person that has
been lost.
        In addition to the loss of a loved one through death, children and
adolescents potentially experience sundry perceived minor and major
losses and associated grieving from a variety of causes, such as…
        √ Losing a cherished item to the ravages of time,
        √ Parental separation/divorce/imprisonment,
        √ Moving to a new residence,
        √ Changing schools,
        √ Having a friend move away,
        √ Being bullied,
        √ Peer rejection,
        √ Breaking up with a romantic partner,
        √ Not being chosen for a team or other group, etc.
Is uniquely grieved and revisited


         Affects development in unique ways                                             Must not be compared



            Creates fear and anxiety                                                 Affects physical and emotional health



                Is universal                                                              Reverberates and affects others



            Is isolating/lonely                                                           Erodes trust and threatens security



 Disrupts life flow and causes stress
                                                      LOSS                                      Takes time to accommodate



Entails temporary or permanent changes                                                     Involves personal meaning making



     Highlights individual differences                                                    Affects academic performance



        Affects interactions and behavior                                             Often begets other (secondary) losses



         Can bring about personal growth                                          Alters direction slightly/dramatically


                                                  Respects no specific timetable/stages
Loss: A Universal Experience
       Loss is most severe when it involves the death
of a person who was an integral part of the surviving
youth‘s life. The death of a loved one can yield many
losses that fall into four major classes:
        (1) Relationship losses [e.g., loss of intimacy, emotional
support, companionship, validation, instrumental support,
mattering (“being needed”)];
        (2) Lifestyle losses [e.g., loss of social and school-/work-
related activities, loss of status/position in peer group,
finances/material resources];
        (3) Loss of biography [e.g., loss of personal history,
shared memories, vision of/plans for the future]; and
        (4) Loss of the self/identity [e.g., loss of personal
aspects of the survivor – such as positive feedback and specific
roles and identities – that were interdependent with the
relationship with the deceased].
Grief, Bereavement and Mourning
         GRIEF is the normal, dynamic, unique, and
multidimensional set of feelings and thoughts and related
reactions of an individual following an actual or perceived loss
– i.e., the death of an emotionally important person (a loved
one); non-death-related loss of someone or something of
value/significance.

         Grief is both a NORMAL and an ADAPTIVE process.

       NORMAL = Because it is a reaction that helps a child or
adolescent confront a loss.

       ADAPTIVE = Although it is painful to go through, it can
be productive in that a child or adolescent can learn through
the experience.

    Source: R. Dale Walker, M.D., Director of the Center for American Indian Education and
 Research and the One Sky Center at Oregon Health and Science University, Portland, OR
Grief, Bereavement and Mourning
       Because grieving is a personally unique and highly
variable and dynamic process, grief responses among children
and adolescents vary according to different factors, such as:

       ● Manner of death;
      ● Nature and significance of the relationship to the
deceased;
       ● Age and related developmental tasks;
       ● Gender;
       ● Physical/mental status;
       ● Social-emotional development and personality;
       ● Prior loss experiences;
       ● Death-specific religious beliefs; and
       ● Adequacy of personal coping resources and
availability of helpful social support.
Six Basic Concepts of Grief
          (1) Grief is a natural reaction to change, loss, or
death.
       (2) Each person’s grieving experience is unique.
       (3) There are no ―right‖ or ―wrong‖ ways to grieve.
       (4) All individuals walk through the grieving process
in their own timeframes and in their own ways.
       (5) Grief comes in waves — times of great intensity
followed by times of relief. There is no reasoning or pattern
and it can hit with little warning.
       (6) Grieving never ends. It is something the person
will not permanently ―get over.‖


Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of
Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida,
College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Dual Process Model of Grieving
     Loss–Oriented                             Restoration – Oriented
      Involves the                              Dealing with the many
     emotional and                              life changes and new
  reactive processing                           roles that are brought
       of the loss                                about by the death




               Oscillating between these stressors

Source: Stroebe, M. S., & Schut, H. (2001). Models of coping with bereavement: A
review. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook
of bereavement research: Consequences, coping, and care (pp. 375–403).
Washington, DC: American Psychological Association.
Grief, Bereavement and Mourning
        MOURNING, which has both personal and interpersonal
components and is embedded in one’s religious and cultural tradition,
is the public face of grief, the way a bereaved individual
personally manages and overtly expresses their grief after a
death of a loved one, and includes formalized rituals (e.g.,
memorial services, funerals, wakes, specific modes of dress,
etc.). Wolfelt (2002) stated mourning is “taking the internal
experience of grief and expressing it outside oneself” (p.
666).
         Bereaved youth must undertake several tasks as they
work toward active resolution of a loss, including the following:
         (1) Overcoming denial and accepting the reality of the loss;
         (2) Experiencing and processing the pain of grief incident to
losing a loved one;
         (3) Adjusting to an environment in which the deceased is
missing by accepting and acquiring requisite post-loss concepts, roles,
and skills; and
         (4) Finding realistic cognitive and emotional ways to think
about the deceased and to move on with life and form new
relationships (Worden, 2002).
Grief, Bereavement and Mourning
        BEREAVEMENT refers to a youth‘s complete reaction
to the loss, and includes both the experience of grief and the
work of mourning.

       Six common phenomena that decrease in frequency over
time among survivors in their acute and later phases of
bereavement are:


(1) Sadness;
(2) A yearning or pining;
(3) A need to talk about the deceased;
(4) Intrusive thoughts;
(5) Preoccupation with images/thoughts; and
(6) Distress at reminders of the deceased (Burnett et al., 1994).
Grief, Bereavement and Mourning
       Bereaved adolescents must undertake several tasks as
they work toward active resolution of a loss, including the
following:

       (1) Overcoming denial and accepting the reality of the loss;

        (2) Experiencing and processing the pain of grief incident
to losing a loved one;

        (3) Adjusting to an environment in which the deceased is
missing by accepting and acquiring requisite post-loss concepts,
roles, and skills; and

        (4) Finding realistic cognitive and emotional ways to think
about the deceased and to move on with life and form new
relationships (Worden, 2002).
Potential Psychosocial Impact
               of Various Types of Deaths

DEATH OF A PET

         Although the first death a child experiences is often the death
of an animal companion, the developmental significance of the death
of a pet, and incident grieving are rarely acknowledged.

          Clements, Benasutti, and Carmone (2003) noted, “The loss of
a cherished pet creates a grief reaction that is in many ways
comparable to that of the loss of a family member….The death, loss, or
theft of a beloved animal results in the end of a special relationship and
can be one of the most difficult times in a person‟s life” (p. 49).

       Because human-animal bonds are often not considered
worthy of affirmation, validation, and respect, the loss of an animal
companion could invoke disenfranchised grief (i.e., grief that is not
openly acknowledged and disallowed; Meyers, 2002).
Potential Psychosocial Impact
                  of Various Types of Deaths
DEATH OF A PET (continued)

          Five factors that affect a youth’s reactions to pet loss include:

          (1) The youth’s level of cognitive and emotional maturity;

          (2) The role played by the pet in the youth’s life;

       (3) The youth’s loss history, concurrent life events, and
coping ability;

        (4) The circumstances of the pet’s death, including whether
the youth played any role in the death; and

          (5) The quality and availability of parental and other support
Sources: Butler & Lagoni, 1996; Johns, 2000; Lagoni, Butler, & Hetts, 1994
Potential Psychosocial Impact
               of Various Types of Deaths
DEATH OF A PET (continued)
         Adults should:
         (1) Acknowledge the psychosocial significance of human-animal
bonds;
        (2) Provide honest and clear information to children and
adolescents about what happened to their pet; and
        (3) Afford bereaved youths social and emotional support after
the death of a pet (Butler & Lagoni, 1996).
        As developmentally appropriate, the following actions can assist
youths to cope with the death of a pet:
        ● Creating rituals to acknowledge the loss;
        ● Encouraging children to participate in ceremonies;
        ● Teaching and encouraging mourning;
        ● Helping children choose appropriate mementos and photos for
a memory box or other special creation; and
        ● Not introducing a new animal/not allowing anyone to replace
the animal too quickly (Meyers, 2002, pp. 255-256).
Potential Psychosocial Impact
                of Various Types of Deaths
DEATH OF A PARENT
           A parent is “unique and irreplaceable” (McLaren, 1998, p. 289), and a
child will miss and mourn the deceased parent at many stages throughout their
life (Swick, Dechant, & Jellinek, 2002).

         Four major variables mediate the effect of a parent’s death on a child:

          (1) The distinctive characteristics of the child (i.e., age and
developmental level; personality and coping style; loss history; social, cultural,
and religious background);
          (2) The personal–social significance and strength and quality of the
relationship with the parent;
          (3) The particular circumstances of the death (e.g., sudden or
anticipated, natural or traumatic, and time of year); and
          (4) The types and availability of custodial, social, and emotional
support (Hatter, 1996).
Potential Psychosocial Impact
                 of Various Types of Deaths
DEATH OF A PARENT (continued)

         Many children, especially those who have conflicted, abusive, or
neglectful relationships with parents, carry unresolved feelings regarding the
parent’s death into adulthood. Those feelings can negatively influence self-
esteem, coping skills, and relationships (Schuurman & Lindholm, 2002).

         In her study of primary school-aged children’s experience of parental
death, Stephanie Dowden (1998) reported that boys who experienced parental
death had “difficulty expressing strong emotions” and “often resorted to violent
behaviour, directed at themselves and others, or intense physical activity”
(1998, p. 61).

         Finally, she noted the preferred way for parentally bereaved children to
cope with overwhelming feelings was to retreat to their bedrooms (i.e., a private
space) until they could regain some emotional/situational control: “They used
their bedrooms as a retreat where they could grieve in private and as a place
where they felt safe and comforted” (1998, p. 61).
Potential Psychosocial Impact
                 of Various Types of Deaths
DEATH OF A PARENT (continued)

          Dr. Nicholas Ross (2000) conducted research in which he elicited
children’s cognitions and feelings regarding the support they experienced since
the death of a parent:

         (1) Active support (i.e., in which a child’s grieving benefits from the
overt behavior of another; e.g., actively listening to a child’s grief story, being
physically with the grieving child through intense feelings, reflecting/sharing
some of one’s own feelings/experiences); and
         (2) Passive support (i.e., in which the child knows active support is
available as needed with no implicit pressure to grieve in a specified manner).

         His results demonstrated that each child’s unique grieving needs
require an open, flexible stance from those seeking to support them,
through a variable combination of active and passive support.
Potential Psychosocial Impact
             of Various Types of Deaths

DEATH OF A SIBLING

        Many children and adolescents who die annually from
various causes leave siblings behind to grieve their deaths.

        The death of a sibling can have special significance in the life
of a surviving child or adolescent:

         “Through a shared history and common bonds, siblings have
the potential for providing one another with intense emotional
experience, support, guidance, information, and companionship.
Consequently, the significance of the sibling relationship portends the
profound effect that the death of one child can have upon brothers and
sisters” (Davies, 2002, p. 94).
Potential Psychosocial Impact
              of Various Types of Deaths
DEATH OF A SIBLING (continued)


        Because parents are involved in their own process of
adjusting to their child’s death, they may sometimes be
psychologically inaccessible to assist surviving siblings with
grieving the loss of a brother or sister.

        In the aftermath of sibling death, young children in particular
might be neglected, “often due to a desire by adults to protect them
from further hurt” (Dowden, 1995, p. 72). Such reactions often leave
the surviving sibling’s loss experience and feelings invalidated and
their grieving needs unmet.
Potential Psychosocial Impact
               of Various Types of Deaths
DEATH OF A SIBLING (continued)

         Stephanie Dowden (1995, p. 78) offered the following guidance for the
care of bereaved siblings:

► Children have a need to grieve following the death of a sibling;

► Children have the right to know about and share in family grief;

► Each child is an individual and needs to be treated as such; and

► Given the opportunity and a safe environment, many children are able
and willing to discuss issues surrounding death.
Potential Psychosocial Impact
                of Various Types of Deaths
DEATH OF A FRIEND/PEER/CLASSMATE
         The death of a friend/peer is an all-too-common experience that can
deeply affect children and adolescents in ways that adults may not comprehend
or acknowledge: “There is no more challenging time than when we are
called on to explain the death of a child to other children” (Metzgar, 1995,
p. 167).

         Wass (2003) observed, “The death of a peer can destroy the sense
of invincibility with which children tend to shield themselves, and make
them aware of their own vulnerability, a discovery that may be extremely
threatening” (p. 35).

         Also, because friends play crucial roles in helping youths accomplish
various psychosocial tasks (e.g., achieving individuation, consolidating a
personal identity), “the death of a friend may put at risk or delay successful
completion of those tasks” (Oltjenbruns, 1996, p. 215).
Potential Psychosocial Impact
                of Various Types of Deaths
DEATH OF A FRIEND/PEER/CLASSMATE (continued)

         Peers left behind in the wake of a friend’s death are frequently indirect
victims and forgotten/invisible mourners who may experience disenfranchised
grief: “Adults may not recognize that children also experience grief and
have similar needs for information and clarity at a level and in language
that they, the children, can understand” (Holland, 2004, p. 11).

          Bereavement as a result of a friend’s death “can evolve into losses of
other friends who are not grieving, who find the person’s grief both
uncomfortable and tiresome, and who withdraw from the relationship” (Balk,
1998, p. 5).
Potential Psychosocial Impact
              of Various Types of Deaths

DEATH OF A FRIEND/PEER/CLASSMATE (continued)

         Educators are sometimes reluctant to engage in developmentally
appropriate sharing of information regarding a classmate’s death, when such
honest communication may indeed dispel rumors, mitigate confusion, and
provide comfort and reassurance to grieving youths.

         Knowledge empowers grieving youths who have experienced the
death of a peer/friend: “Experiencing the disappearance of a friend without
knowing what happened to him can be more distressing than hearing
about his death” (Essa, Murray, & Everts, 1995, p. 132).
Potential Psychosocial Impact
                of Various Types of Deaths
DEATH OF A FRIEND/PEER/CLASSMATE (continued)
        When a student dies, he/she leaves behind an empty
classroom desk, and, perhaps, an empty hallway locker. What is
prudent in such circumstances?

        The Dougy Center for Grieving Children and Families (2003,
p. 29) has suggested the following:

       ―There should be a time when his or her desk or locker
remains unchanged. The visual reminder often helps students
with their grieving. Whisking a student‘s desk out of the class
immediately minimizes the impact of the student‘s life on
others.‖

Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR:
The Dougy Center, The National Center for Grieving Children and Families.
Potential Psychosocial Impact
                of Various Types of Deaths
DEATH OF A FRIEND/PEER/CLASSMATE (continued)
         Sometimes, grieving students will emotionally attach themselves
to a deceased classmate’s desk or locker, occasionally creating a “shrine.”
In these cases, educators need to strike a balance between being
sensitive to grieving students’ emotional needs and maintaining
order/safety.
         In such cases, The Dougy Center for Grieving Children and
Families (2003, p. 29) has suggested the following:
        ―Rather than simply taking down pictures, notes or
drawings place on a student‘s locker and demanding that students
disperse, provide a time to meet with the students affected and
develop a compromise. For example, the school could allow a
display case to be used to exhibit notes, cards and
expressions….In general, it is a good idea to involve students in
the class around these decisions, asking them what they‘d like to
see done with the desk, locker, etc.‖
Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR:
The Dougy Center, The National Center for Grieving Children and Families.
Potential Psychosocial Impact
                of Various Types of Deaths
DEATH OF A TEACHER/SCHOOL STAFF MEMBER

       The death of a teacher or other school staff member
impacts the entire school community.
       Thus, it is critical to inform all students about the death
and to be aware of varying, and often unpredictable and
extreme reactions (sometimes from students you may least
expect!).

       ―Students may exhibit varying reactions to the death of
a school staff person, depending on how well they knew her,
how the person died or other factors. Allowing the student to
talk about the death and how they are being impacted is
extremely helpful‖ (The Dougy Center, 2003, p. 34).

Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR:
The Dougy Center, The National Center for Grieving Children and Families.
Loss and Grief in the School Community:
            Activating Caring and Effective Responses


   Deborah Carey, principal of West Middle School in
Auburn, NY, in her 2008 article, Gone but Not Forgotten:
Grief at School, asserted that “an effective crisis
management plan contains six key components that
must be adapted depending on the particular incident
and the available personnel” (p. 37).

   Deborah Carey’s six recommended components are
explicated in the next few slides through indicated direct
quotations and emphasis added (i.e., bold type,
underlining of some direct quotations, and bracketed
text).

Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
              Activating Caring and Effective Responses
Component #1: DESIGNATED ROLES
          Although the principal provides leadership direction, ensures safety, and
handles the demands of the entire school, in the face of sorrow/grief, other individuals also
must assume important support roles: “The school community must know who is in
charge in each context to ensure the emotional and physical safety of all” (Carey, 2008,
p. 37).
 Communications Manager: Coordinates communication among transportation and
custodial/physical plant staff members, part-time workers, and school visitors who enter
the school “after the initial emergency meetings” (Carey, 2008, p. 37).
 Counseling Team. Led by a counseling team leader who directs the counseling plan,
the “team should be composed of administrators and counselors who have received
grief management training, typically through local mental health services” (Carey,
2008, p. 37).
 Security Manager. Because a student death may cause peers to act unpredictably
(including physically escaping from the emotion-laden school environment), “rigorous,
attentive security measures should be in place” (Carey, 2008, p. 37). The Security
Manager may be an assistant principal who can direct “faculty and staff members to secure
the building and keep close tabs on students” (Carey, 2008, p. 37).
Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
             Activating Caring and Effective Responses

Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS

 Pre-Opening Calls:
 Have an up-to-date phone tree.
 Principal makes calls to faculty and staff members before school convenes.
 Designated staff members may assist the principal to: handle before-school telephone
calls; greet school visitors; and “prepare written communications” (Carey, 2008, p. 37).


 Crisis Team Meeting:
 Should be the first meeting of the day.
 Business should include: Review of the official message regarding the death:
assignment of responsibilities; identification of meeting sites; and compilation of a
preliminary list of students “likely to be affected by the death” (Carey, 2008, p. 37).



Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
              Activating Caring and Effective Responses

Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS
 Faculty and Staff Meetings:
 Before the school day begins, adults in the school community should convene “to hear
the news and to share their feelings of loss and sadness” (Carey, 2008, pp. 37–38).
 A written outline of the plan for the day should be prepared.
 Clear directives should be given to faculty regarding: (1) releasing students from class
so they can “go to counseling locations” and (2) “the need for vigilance in the hallways and
while taking attendance” (Carey, 2008, p. 38).
 When the school day is over, “faculty and staff members should attend another meeting
where they can react to the day and share their successes and concerns” (Carey, 2008, p.38).




Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
              Activating Caring and Effective Responses

Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS
(continued)

 Informing Students:

 Do not use the PA system to announce the death! The coldness, impersonality, and
possible incoherence of the PA system outweigh its convenience.

 Instead, teachers should break the news about the death to their homeroom
students or the student group/class they have at the beginning of the school day.

 The principal should prepare “a brief written message that includes nonjudgmental facts
about the death; an expression of sadness about [the] loss; and brief, simple information
about available support” Carey, 2008, p. 38).

 If a teacher cannot read the principal’s message aloud to the students, then the
principal should assign another adult to read the message (or someone may wish to
volunteer).


Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
             Activating Caring and Effective Responses

Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS (continued)
 Communicating with Families:

 Contact with the deceased student’s family and expressions of sympathy/support from
the school are important.
 If the family of the deceased student had been active participants in the school
community, then “the loss of their child also means the secondary loss of the social network
they had at school (Carey, 2008, p. 38). When this is the case, “personal connection and
reassurance is of particular comfort” (Carey, 2008, p. 38).
 Typically, it is often valuable to send a letter home to all parents.
 Also, “when the death is a mysterious one or occurred on school property, the community
needs accurate information and the assurance that the school is handling the tragedy” (Carey,
2008, p. 38).




Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
              Activating Caring and Effective Responses
Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS
(continued)

 Media Contact. Public attention for a student death due to a long-term illness (e.g.,
cancer) is rare. However, “Deadly accidents, suicide, and unexplained death draw
intrusive and awkward media attention. The principal must designate a media
contact person, either him- or herself or a subordinate… [This person should talk
about] the school’s support plan for distraught students [and] reassure the community
about the quality services the school was offering to students” (Carey, 2008, p. 38).


Component #3: SCHEDULE FOR THE DAY
 Extended homeroom/first period: (1) teacher/designee reads the principal’s
message to students; (2) preparations are made for students who need to leave the
school; and (3) remaining students’ questions and concerns are answered/addressed.
 “Grade-level assemblies [can be used to bring] students and teachers together to
reassure students about their own well-being. Children’s emotional and physical
comfort is increased when they recognize that knowledgeable, caring adults are in
charge” (Carey, 2008, p. 38).

Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
             Activating Caring and Effective Responses

Component #4: SECURITY PLAN

 The Security Manager and other selected/assigned school staff members secure the
school building from:
 Media intrusion;
 Parents who remove their upset children without following standard procedures; and
 Anyone who might try exploit “the unusual atmosphere” (Carey, 2008, p. 38).

 Doors should be locked or supervised by staff members.
 Responsibilities of teachers (and available support staff members) should include
periodic checks of bathrooms and other locations in which students might hide.
 “The heightened sense of building security can be a comfort to those who are
emotionally distraught” (Carey, 2008, p. 38).




Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
              Activating Caring and Effective Responses
 Component #5: BASIC COUNSELING STRATEGIES
  Honor students’ requests to go to the designated counseling site(s).

  The school counselor(s) [or other school mental health professional(s)] “will quickly
 identify „curious‟ students, who often opt to return to class because they feel awkward in the
 emotionally charged environment” (Carey, 2008, p. 38).

  Occasionally, adults in the school environment may be skeptical about particular
 students’ connections to the student who died, and then discover that “they were
 neighbors, went to the same day care, or played Little League ball together” (Carey, 2008, p.
 38).

  Also, some students “may have unresolved grief and need help coping with resurrected
 sadness (Carey, 2008, p. 39). [Note: In some cases, there may be students who picked on
 and/or had conflicts with the student who died, and, thus, they experience guilt incident
 to their prior interactions with the deceased student] (Carey, 2008, p. 39).



Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
              Activating Caring and Effective Responses

 Component #5: BASIC COUNSELING STRATEGIES [continued]

 Primary Counseling Space:

  Should be a location in the school that is “large enough for a circle that allows
 counselors to see all reactions and to assess needs” (Carey, 2008, p. 39).

  Students should “sign in and out of this site with specific passes” (Carey, 2008, p. 39).

  Teachers and other school staff members should be welcome to attend the counseling
 sessions: “Sharing their own sadness and tears gives students important models for how to
 cope with uncomfortable feelings and will help students feel connected and cared about”
 (Carey, 2008, p. 39).

 Secondary Spaces: “Students who exhibit excessive, distracting grief should move to
 another setting with a counseling professional until they are able to rejoin the larger group”
 (Carey, 2008, p. 39).



Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
                 Activating Caring and Effective Responses
Component #5: BASIC COUNSELING STRATEGIES [continued]
Counseling Process:
 “Ground rules” for counseling sessions – The school-based mental health professional who leads
large-group counseling sessions should begin the sessions by announcing the following ground rules:
   The right to personal/individual feelings and experiences;
   The right to listen quietly;
   The confidentiality of the emotions and stories that are shared during the session; and
   The need to sign in and sign out of the counseling session. (Carey, 2008, p. 39)
 In the counseling session(s), “The lead counselor should channel the conversation from reaction
to shared stories about the student to students’ concerns about the death to a discussion of next
steps [e.g., family visitation, funeral/wake attendance]” (Carey, 2008, p. 39). Students who express
fear/anxiety regarding attending death-related rituals “should be encouraged to talk with relatives
about attending the services, and school personnel should consider attending to support students and
the sorrowing family” (Carey, 2008, p. 39).
 The counseling session(s) “should work toward considering ways to honor the memory of their lost
friend and classmate” (Carey, 2008, p. 39). A safe and suitable way for students to express their
feelings is to create notes or cards for the deceased student’s family. Finally, “Students should be told
about ongoing support that is available from counselors and administrators” (Carey, 2008, p. 39).

Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Loss and Grief in the School Community:
           Activating Caring and Effective Responses

Component #6: FOLLOW-UP ACTIVITIES

 “Children and adults all welcome an opportunity to comfort the sorrowing family”
(Carey, 2008, p. 39):

          Creating cards/posters that include personalized condolences to the
student’s family; and

           Fundraisers for scholarships/contributions to a particular charity.

 Consider “lowering the flag [to half-staff] in light of the nature of the death (Carey,
2008, p. 39).


 Toward the end of balancing care with caution, however, it is important to keep the
following caveat in mind: “too much attention to tragedies, such as suicide, may prompt
copycat behavior from students who would like to receive the same amount of attention
or a means of punishing others whom they perceive as being hurtful” (Carey, 2008, p. 39).


Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Common Signs of Grieving Youths in the Classroom
    The student…
►   Has become the class clown or class bully
►   Has become withdrawn and unsociable
►   Has become restless and unable to stay seated
►   Calls out of turn
►   Does not complete schoolwork
►   Is having problems listening and remaining on task
►   Has become overly talkative
►   Has become disorganized
►   Engages in reckless physical actions
►   Shows poor concentration around external stimuli
►   Shows difficulty in following directions
►   Shows a change in grades and lack of interest in school

Source: Goldman, L. (2006). Best practice grief work with students in the schools.
In C. Franklin, M. B. Harris, & P. Allen-Meares (Eds.), The school services
sourcebook: A guide for school-based professionals (pp. 567–575). New York: Oxford
University Press.
Children’s and Adolescents’ Reactions
                    to Grief and Loss
 Tend to go in and out of grief
 Developmental stage will influence their reactions
 All cannot talk openly about their loss and feelings
 May not seem to be affected at all (external vs.
internal responses or “survival mode”)
 Play is one way in particular they make sense of
the changes in their world
 Not unusual for them to experience physical
reactions
 Need to grieve any significant loss/change/death at
all developmental stages for healthy resolution

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Academic Responses of Grieving Students
   Inability to focus or concentrate
   Failing or declining grades
   Incomplete or poor quality of work
   Increased absence or reluctance to go to school
   Forgetful, memory loss
   Over achievement, trying to be perfect
   Inattentiveness
   Daydreaming

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Behavioral Responses of Grieving Students
 Disruptive behaviors, noisy outbursts
 Aggressive behaviors, frequent fighting
 Non-compliance to requests
 Increase in risk-taking or unsafe behaviors
 Isolation or withdrawal
 Regressive behaviors to a time when things felt
more safe and in control
 High need for attention
 A need to check in with parent/significant other

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Emotional Responses of Grieving Students
   Insecurity, issues of abandonment, safety concerns
   Concern over being treated differently from others
   Fear, guilt, anger, regret, sadness, confusion
   “I don’t care” attitude
   Depression, hopelessness, intense sadness
   Overly sensitive, frequently tearful, irritable
   Appears unaffected by change/loss/death
   Preoccupation, wanting details
   Recurring thoughts of death, suicide

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Social Responses of Grieving Students
   Withdrawal from friends and family
   Withdrawal from activities and sports
   Use of alcohol and other drugs
   Changes in relationships with teachers/peers
   Changes in family roles
   Wanting to be physically close to safe adult
   Sexual acting out
   Stealing, shoplifting
   Difficulty being in a group or crowd
Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Physical Responses of Grieving Students
    Stomachaches, headaches, heartaches
    Frequent accidents or injuries
    Nightmares, dreams, or sleep difficulties
    Loss of appetite or increased eating
    Low energy, weakness
    Nausea, upset stomach, hives, rashes, etc.
    Increased illnesses, low resistance
    Rapid heartbeat

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Developmental Responses of
               Middle School Youths
 Experience range of                               Withdrawal, sullenness
emotions impacted by                                Need healthy physical
physical/hormonal                                  outlets
development                                         Lack of concentration
 Comprehend                                        Risk-taking behaviors
change/loss/death as final                         (alcohol/drugs, sexual acting
and unavoidable                                    out, stealing)
 Feelings of helplessness                          Unpredictable ups and
and hopelessness may                               downs or moodiness
increase risk-taking
behaviors                                           Erratic, inconsistent
                                                   reactions
 Argumentative, anger,
fighting

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
How to Help Middle School Youths

 Expect and accept mood swings
 Provide supportive environment where student can
share, when needed
 Anticipate increased physical concerns, illness, body
aches, pains
 Allow to choose with whom and how s/he gets support
 Encourage participation in support group
 Allow flexibility in completing school work


Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Checklist of Common Grief-Related
     Behaviors of School-Age Youths

   They cannot decide when feelings will erupt, and may
    not be able to label their feelings accurately.
   They cannot decide which feelings to have and may have
    difficulty talking about them.
   Explosive emotions may be an outward expression of
    grief work directed toward anyone available.
   They may be fairly protective of themselves and their
    emotions when they are with peers.
   They may generally keep their emotional reactions
    secret, perhaps becoming withdrawn and depressed.
   They may use denial and maintain an appearance of
    control and ―life as usual.‖
   They may take on a ―caretaker‖ role.
Common Mistakes When Dealing with Death

● Words and actions to avoid:
   — Acting as if nothing has happened
   — Suggesting the person has grieved long enough
   — Indicating they should ―get over it‖ and move on
   — Expecting business as usual when it comes to
school/work performance

● Please don’t ever say…
    — “It could be worse…”
    — “I know how you feel…”
    — “You’ll be stronger because of this…”

Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief,
Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of
Agricultural and Life Sciences, Institute of Food and Agricultural Sciences.
[http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
Secondary Losses:
       Grief Ripples in the Pool of Life
       When an immediate family member or significant
other dies (e.g., friend, teacher), children and adolescents
must cope with not only the loss of that relationship, but
also may have to deal with secondary losses incident to the
death (Baker, 1997; Klicker, 2000; Raveis et al., 1999;
Smith, 1999; Wolfelt, 1996).

       Secondary losses are consequences that “are not
directly related to the death, but rather result from the initial
consequences of the death, or occur simultaneously with the
dying, death, or during bereavement” (Mahon, 1999, p. 301).
Many of these losses stem from experiences and behavioral
expectations inherent in the attachment relationship with the
deceased (Weiss, 2001).
Secondary Losses:
           Grief Ripples in the Pool of Life
      Among the cascade of secondary losses that can
complicate the grieving process and often go
unacknowledged in their affect on the child or
adolescent are:

          ■   Loss of income;
          ■   Loss of future together;
          ■   Loss of special relationship;
          ■   Change in household routines;
          ■   Family disintegration; and
          ■   Moving/having to live with relatives.

Sources: Cournos, 2001; Mahon, 1999; Raveis et al., 1999; Smith, 1999; Wolfelt, 1996
Possible Gender-Related Grieving Differences

► Boys and girls may differentially desire and be
offered/receive varying degrees, durations and types of
social-emotional support in the midst of grief from family
members and peers (e.g., having someone listen as they
share their experience of the loss, understand their
feelings, express sorrow, hug them, allow them to cry, help
with problem solving, share memories of the deceased,
distract them from the loss).

► In particular, adolescent boys may have a difficult time
grieving, especially “when they have been taught that
showing emotion is something that girls do – but macho guys
don‟t” (Fitzgerald, 2000, p. 74).
Possible Gender-Related
            Grieving Differences
        ► Although “grieving patterns are influenced by gender, not
determined by them” (Doka, 1999, p. 8), there appear to be distinct
patterns of grieving or strategies of adapting to loss among many males
and females – for example, “instrumental” and “intuitive” grievers (Martin
& Doka, 2000).
     ―Instrumental‖ Grievers                ―Intuitive‖ Grievers
           (likely boys)                        (likely girls)
   Tend to have a tempered             More likely to experience their
 affect to a loss                    grief as waves of affect
   Describe their grief in             Frequently need to express
 physical or cognitive terms         their feelings and seek the
   Are more likely to                support of others
 cognitively process or immerse
 themselves in activity
Possible Gender-Related
           Grieving Differences
       The experiences of a youth counseling national help line/web-
based counseling service in Australia appear to support these apparent
gender-related differences in problem solving behaviors:

        “Compared to females, males are more likely to focus on
what to do about their concerns and less likely to want to
explore the nature of those concerns…Counsellors tend to avoid
directly asking males about their feelings, preferring instead to
use more subtle ways to engage them on an emotional level. A
common approach is to ask the caller what he thinks about an
experience or event rather than what he feels. The focus on
thoughts rather than feelings appears to be a safe way for
males to reflect and provides a space in which feelings may
surface.”
                                       (Kids Help Line, 2002, p. 3)
Possible Gender-Related
              Grieving Differences
         To foster a school environment that is supportive of gender-related
differences in grief, Dr. Louise Rowling (2002, p. 289) has suggested using the
following generic questions:

          (1) How did you react? (not What did you feel?)
          (2) How do you experience your grief?
          (3) What did the loss mean to you?
          (4) What strategies do you use to cope that are helpful?
          (5) What kind of advice (guidance) is helpful? and
          (6) With whom do you share your loss?


 Source: Rowling, L. (2002). Youth and disenfranchised grief. In K. J. Doka (Ed.),
 Disenfranchised grief: New directions, challenges, and strategies for practice (pp. 275-292).
 Champaign, IL: Research Press.
“Disenfranchised Grief”
          With certain types of losses, a youth’s grief experience is often
“disenfranchised” – because of socially determined “grieving rules” of parents,
other adults, and peers that endeavor to specify who, when, where, how, how
long, and for whom a child or adolescent shall grieve, the child or adolescent is
not “accorded the right to grieve…[Their] grief is not openly acknowledged,
socially validated, or publicly observed” (Doka, 2002, p. 5).

         Dr. Kenneth Doka has suggested five broad categories of loss that are
disenfranchised:

         (1)   Lack of recognition of the relationship;
         (2)   Lack of acknowledgement of the loss;
         (3)   Exclusion of the griever;
         (4)   Circumstances of the death; and
         (5)   The ways individuals grieve.
“Disenfranchised Grief”
         The following are some of the loss-related events frequently involving
disenfranchised grief:

► A friend moving away
► Loss/breakup of a romantic relationship
► The death of a friend/peer
► Divorce
► Adoption
► Placement in foster care
► Incarceration of one or both parents
► Death of a pet
► Moving to a new residence/changing schools
► Losses involving very young children
► Deaths involving societal stigma (e.g., suicide, homicide, HIV/AIDS)
“Disenfranchised Grief”
       Because the very nature of disenfranchised grief
creates additional problems for grievers while removing or
minimizing their sources of support (Doka, 2002), support
groups may offer disenfranchised grievers:
       (1) Validation for their losses by connecting them with
others who share similar losses;
       (2) Suggestions for coping;
       (3) Hope to members at different points in their grief
journeys through sharing of stories; and
       (4) The possibility of enhancing their self-esteem through
providing assistance to others (Pesek, 2002).

       Also, rituals (i.e., memorials, funerals) can be a
powerful therapeutic tool for enfranchising disenfranchised
grievers, because they can validate grief and allow
opportunities for catharsis, may offer support and help
grievers in their search for meaning in the midst of loss (Doka,
2002).
Proactive Post-Loss Support and
         School-Based Interventions
Individual and Group Counseling/Support for Bereaved Youths

        Although grief, as a process, is natural, the course of grief
may not always come naturally, and intervention/guidance from a
mental health professional may be beneficial, assisting the bereaved
child or adolescent to not grieve their loss alone and to facilitate the
integration of the loss into their life and move on.

        The goal of grief counseling is to facilitate mourning in a
recently bereaved child or adolescent (Worden, 2002).

        “Counseling children who have sustained a loss is not
traditional psychotherapy. It is a combination of comforting,
educating, exploring, and inviting expression” (Ward-Wimmer &
Napoli, 2000, p. 111).
Proactive Post-Loss Support and
          School-Based Interventions
Individual and Group Counseling/Support for Bereaved Youths                [continued]


         McGlauflin (1992, p. 18) delineated several important elements in grief
counseling with bereaved youths:
          (1) A time for declaring or relating the detailed story of the loss,
including who/what and when, and how it happened, how the youth felt about
how they were informed of the loss, and what part, if any, they played in family
rituals associated with the loss;
          (2) A time for remembering the lost person, place, or thing, including
discussing positive/negative qualities, important times/experiences/events, and
times when they most miss the lost person, place or thing;
          (3) A time for expressing all kinds of feelings in all their intensities; and
          (4) A time for renewal and looking toward the future, which entails
considering the bereaved youth’s coping skills, identifying support resources,
anticipating particularly difficult times (i.e., anniversaries, holidays), and
reestablishing hope.
Proactive Post-Loss Support and
        School-Based Interventions
Individual and Group Counseling/Support for Bereaved Youths   [continued]


        Because youths often dislike being considered “different” from
their peers, bereavement groups can “offer the peer support
that the bereaved child so greatly craves, since the group
helps him/her realize that other children have also lost loved
ones to death” (Webb, 2002, pp. 253-254).

         Group counseling activities and support groups can
provide a normalizing and safe environment of
commonality/universality in which bereaved youths can talk about
their loss, express feelings, acquire and practice coping skills, and
experience personal validation and social support: “Because
bereaved children may feel lonely, angry, anxious, and guilty, the use
of group intervention may ease their feelings of loneliness and self-
attribution as they disclose their common experiences to others”
(Ayyash-Abdo, 2001, p. 428).
Proactive Post-Loss Support and
        School-Based Interventions
Individual and Group Counseling/Support for Bereaved Youths   [continued]


       Therapeutic group work may be especially beneficial
when a few or several children and adolescents have
experienced a common loss (e.g., a parent, sibling, pet, etc.),
because participating youths can typically see and hear what
they are experiencing is also known to others:

        ―There‘s a felt connection. They no longer feel alone,
but join with kindred others going through a similar
experience. There‘s a sense of ‗You, too?‘ and ‗Me, too.‘ The
depth and intensity of grief is shared, legitimized, and
validated‖ (Dr. Betty J. Carmack, 2003, p. 63).
Proactive Post-Loss Support and
          School-Based Interventions
Creative Arts-Based Interventions
          Creative arts-based activities can provide opportunities for bereaved
youths to express their thoughts and feelings about a death: “Even teenagers
often find it safer and more true to their feelings to express them in paint, poetry,
clay, theater, crafts, and created rituals, rather than trying to tell someone explicitly
how they feel” (Fry, 2000, p. 126).
          Because drawing is a natural exploratory and expressive activity in
which children engage, it is an ideal vehicle for younger bereaved children (Hogan &
Graham, 2002) and youths exposed to sudden traumatic deaths (Clements,
Benasutti, & Henry, 2001) to explore and communicate loss-related thoughts
and feelings.
           Diane Le Count (2000) observed that creative art therapy can help
children “work from the inside out” – “Working with the arts can feel safe for the
child. It can create a safe place for an emotional discharge, at other times pictures
or play may enable the expression of the struggle and confusion surrounding a loss
or multiple losses which the child may only be able to express non-verbally. It can
also be a way of working through unacceptable feelings” (p. 18).
Proactive Post-Loss Support and
        School-Based Interventions
Written Expression-Based Interventions

         Some children and adolescents may not feel comfortable talking
about/sharing their grief-related feelings individually with a helping
professional or in a group setting.
        In such cases, Pennebaker, Zech, and Rimé (2001) advocated the
use of writing/journaling as a clinical tool for the following reasons:
        (1) Writing allows the student to express his or her
emotions without the direct evaluation of another person;
        (2) It does not need a real recipient to be present; and
        (3) Writing may induce the structuring of thoughts,
feelings and meaning making.
         As aids to grief resolution, journaling, creative writing, letter
writing, poetry, and essays and other creative writing activties may have
preventive and therapeutic-personal growth benefits for bereaved youths
(Brandell, 2002; Gaines-Lane, 1997; Goldman, 2000; Wolfe, 1995).
Proactive Post-Loss Support and
       School-Based Interventions
Memory Boxes/Books

       “Death robs us of a present and future with our loved
one, but it has no firm grip on the past. Therefore, memories
are probably the most precious gifts that survivors are left
with….By reminiscing, children are demonstrating their
beginning acceptance of the loss” (Normand, Silverman, &
Nickman, 1996, pp. 108-109).


     Memory is a way of holding onto the
things you love, the things you are, the things
you never want to lose.
                     – From the television show, The Wonder Years
Proactive Post-Loss Support and
        School-Based Interventions
Memory Boxes/Books

       Toward that end, Winston’s Wish, a bereavement support
program for youths and their caregivers located in Gloucestershire,
UK, advocates the use of memory boxes, memory/life books,
calendars of memories, family records, and storytelling about the
deceased (Stokes & Crossley, 1995). Involving children and
adolescents in activities such as these serves several purposes:

♥ To support a bereaved young person and their family;
♥ To preserve a continuing link with the person who has died;
♥ To involve young people in the mourning process; and
♥ To assist bereaved youths and their families take steps along
their unique bereavement journeys.
Proactive Post-Loss Support and
         School-Based Interventions
Memorializing the Deceased
           When a school community experiences a death, “Goodbyes are
necessary and a healthy part of the healing process,” and “are essential in order to
regain the focus on learning at school” (Booth & Cowdrey, 1992, p. 44).
          Fast (2003) noted that memorializing deceased children and adolescents
in the form of “grief projects” involving artistic expression and social activism is
best understood in the context of the task of adjusting to an environment in which
the deceased is missing (i.e., Worden, 2002).
           Regarding school memorial activities following traumatic events, Poland
and Zenere (2004) have recommended that memorial activities be:
          (1) Based on the needs and desires of the school community;
          (2) Initiated, if possible, within one week of the traumatic event [at
least the initial memorial activity];
          (3) Planned by a school-based committee comprised of
administrators, teachers, parents, students [especially those who had
personal ties to the victim(s)], and community members; and
          (4) Planned as a series of activities involving survivors, rather than
a traditional establishment of a permanent marker or structure.
Guiding Principles for Memorials
 A memorial should not overshadow or interfere with
  the school’s primary mission of educating students
 A memorial should add to a positive learning
  environment and add to the mission of educating
  students
 A memorial should be life affirming, inspiring and
  spiritually uplifting
 The school belongs to the students of the future, not
  only to the students of the past and the present


 Source: Wong, M., Kelly, J., & Stephens, R. D. (2001). Jane’s School
 Safety Handbook. Alexandria, VA: Jane’s Information Group.
Some Ways Adults Can Actively Involve Children and
       Adolescents in Commemorating a Loss
► Create a ceremony, such as releasing a balloon with a
special note, lighting a candle, etc.
► Create a memorial wall with stories and pictures of shared
events
► Have an assembly about the person who died
► Plan a memorial garden
► Initiate a scholarship fund
► Establish an ongoing fundraiser (e.g., a car wash, a bake
sale) with proceeds going toward the bereaved family’s
designated charity
► Place memorial pages in the school yearbook or school
newspaper
► Send flowers to the grieving family

  Source: Goldman, L. (2006). Best practice grief work with students in the schools.
  In C. Franklin, M. B. Harris, & P. Allen-Meares (Eds.), The school services
  sourcebook: A guide for school-based professionals (pp. 567–575). New York: Oxford
  University Press.
Concluding Remarks
    There is very little access to the brain,
when the heart is in pain.
                          –– Janet E. Hart
                              4th-grade teacher
                              West Yarmouth, MA




    The grief of a child or adolescent
does not follow a “pacing guide.”
                                   –– Dr. Gary W. Mauk
What Can We Learn from Grieving Youths?
                          [Dr. Donna Schuurman, 2002]

         Dr. Donna Schuurman, National Director of The Dougy Center for
Grieving Children in Portland, OR, proffered some lessons she has learned
from grieving youths (Schuurman, 2002, pp. 23-25):
         (1) They know and understand much more than that for which we give
them credit;
         (2) One of the greatest obstacles to their healing after a death is
adults;
         (3) They do not need to be fixed;
         (4) They do not need to be taught how to grieve as much as they
need to be permitted to grieve and derive their own meaning from the death
experience;
         (5) They are resilient, but their resilience does not exist in a
psychosocial vacuum;
         (6) Theories may be helpful as guides to understanding, but they may
obscure our ability to be truly available to a bereaved youth;
 Source: Schuurman, D. (2002). The club no one wants to join: A dozen things I’ve learned
 from grieving children and adolescents. Grief Matters: The Australian Journal of Grief and
 Bereavement, 5(2), 23-25.
What Can We Learn from Grieving Youths?
                            [Dr. Donna Schuurman, 2002]

          (7) Labels may be fine for containers, but are not so good for bereaved
youths – we need to remember that behind every label is a frightened child or
adolescent;
          (8) Although bereaved youths’ expressions of grief facilitate the healing
process, the form that expression takes is highly variable, and what matters most
to the bereaved youth is feeling understood;
          (9) We would be better off reframing emotions as messages from our
souls, rather than as enemies from which to flee;
          (10) Sorrow needs varied opportunities for expression (e.g., words,
play, exercise, music, visual art, play), including silence;
          (11) Bereaved youths need, desire, and deserve honesty, truth, and
choices to build trust, regain control and stability, and take responsibility for their
decisions; and
          (12) The best thing we, as adults, can do for grieving youths is to listen
to them with our ears, eyes, hearts, and souls.

  Source: Schuurman, D. (2002). The club no one wants to join: A dozen things I’ve learned
  from grieving children and adolescents. Grief Matters: The Australian Journal of Grief and
  Bereavement, 5(2), 23-25.
―Whether a loss is due to the death of a student, a
 faculty or staff member, or a member of the community,
 a viable, organized strategy for coping with loss ensures
 that the tragedy does not increase the bereaved’s pain or
 the students’ vulnerability to further incidents.

    Although there are no surefire formulas for making
 everything OK in the face of enormous sadness, the
 school community can take specific actions to
 acknowledge grief and begin a healing process‖ (Carey,
 2008, p. 37).




Source:
Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
Educators Grieve, Too: Taking Care to Take Care of Yourself
         Educators sometimes relive previous death-related experiences
that compound the reality and emotion surrounding a student’s death,
and “teachers who have not adequately resolved their own misgivings
about death will be less able to help children and parents deal with the
issue” (Essa et al., 1995, p. 132).
          Because school management practices often do not acknowledge
the grief of school staff members, such individuals may benefit from
opportunities to validate their relationship with the deceased and openly
express their feelings about the death (Dr. Louise Rowling, 1995):
        ► Openly acknowledging the impact of traumatic
events/deaths on teachers and other school personnel;
        ► Identifying staff members who may be at-risk for
psychological difficulties due to prior traumatic experiences or current
stressors; and
        ► Providing support activities/counseling opportunities.
Educators Grieve, Too: Taking Care to Take Care of Yourself

       It can be difficult, painful, and physically/emotionally
 exhausting to work with grieving students.

       As such, The Dougy Center (2003, p. 27) has
 suggested the following ways for educators to take care of
 themselves after a death.
          ■ Making time to talk with other school staff members about
 grieving students;
          ■ Talking with trusted individuals about your feelings;
          ■ Remembering that grief issues take a varying amount of
 time to process;
          ■ Getting proper nutrition/hydration, exercise, sleep and
 reflective time; and
          ■ Seeking professional support, when necessary.



Source: (2003). Helping the grieving student: A guide for teachers.
Portland, OR: The Dougy Center, The National Center for Grieving
Children and Families.
10 Main Themes of Bereaved Youths’ Support Requests
                         from Adults in Their Environment
                                 [Dyregrov & Dyregrov, 2008, p. 91]

(1) Provide us with information that is accurate and sincere. Do not refrain from giving us
    information that we want to receiver or will hear from others.
(2) Do not pressure us to grieve like our parents or other adults.
(3) Do not pressure us to speak, but signal that it is OK and be there when we are ready and
    want to talk or share our feelings.
(4) Do not impose too much of the adults’ despair upon us or allow us to assume adult roles.
(5) Do not despair unnecessarily over insufficient reactions or talk on our part (most of us
    talk to our friends).
(6) Pay attention to whether or not we function well on a daily basis after the first few months
    (e.g., sleeping well vs. nightmares/sleep disturbances, eating normally vs. changed
    eating patterns, meeting friends or isolating ourselves, school performance as before vs.
    enhanced performance/drop in grades).
(7) Try to provide/accept that we need “time outs” to do fun things and to relax with friends,
    even at an early point in time when adults cannot conceive of such a thing.
(8) Talk to the school about how we are doing, check whether the necessary support
    measures have been implemented (in collaboration with us).
(9) Ensure that a close relative/acquaintance is available to serve as a “support figure” at
    the start (someone with whom we already have good contact/rapport).
(10) Make it clear that it is acceptable to speak about the deceased and the event over time.

 Source: Dyregrov, K., & Dyregrov, A. (2008). Effective grief and bereavement support: The role of family,
 friends, colleagues, schools and support professionals. London, UK: Jessica Kingsley.
“As educators, we are in a
                                                  profession that is solely based
                                                  on building productive lives
                                                  for our students. They are our
                                                  future and when one is cut
                                                  short, all of us are affected.
                                                  Dealing with a myriad of
                                                  human emotions comes with
                                                  the territory of teaching,
                                                  counseling, and
                                                  administrating within our
                                                  schools” (Greene, 2003, p. 18).



Reference: Greene, B. (2003). Grief in the classroom: Part 1. Bereavement Magazine, 17(5), 18–19.
EVERY ADULT ON THE SCHOOL
CAMPUS PLAYS AN IMPORTANT
   ROLE IN SUPPORTING AND
ASSISTING GRIEVING STUDENTS
When students experience a loss, it
helps to have somebody on whom they
can depend for support.
Wednesday’s Child Goes to School: Supporting Students Affected by Loss

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Wednesday’s Child Goes to School: Supporting Students Affected by Loss

  • 1. Wednesday’s Child Goes to School: Supporting Students Affected by Loss Gary W. Mauk, Ph.D., NCSP and M. Bruce Garris, B.A. School of Education Department of Professional Pedagogy and Research and Department of School Administration and Counseling The University of North Carolina at Pembroke Monday, March 14, 2011 2011 Annual Conference of the North Carolina Middle School Association
  • 2. Monday’s Child Monday’s child is fair of face, Tuesday’s child is full of grace, Wednesday’s child is full of woe, Thursday’s child has far to go, Friday’s child is loving and giving, Saturday’s child works hard for its living, But the child who is born on the Sabbath Day, Is bonny, blithe, and good and gay. – Author unknown [Sources: Opie & Opie, 1997, pp. 364–365; originally published in Bray, 1838, pp. 287–288] References Bray, A. E. (1838). Traditions, legends, and sketches of Devonshire on the borders of the Tamar and Tavy, illustrative of its manners, customs, history, antiquities, scenery, and natural history in a series of letters to Robert Southey, Esq. (Volume II). London, UK: John Murray. Opie, I., & Opie, P. (Eds.). (1997). The Oxford dictionary of nursery rhymes (2nd ed.). New York: Oxford University Press.
  • 3. “Children come to school each day with more than their lunch and backpack. They bring life factors that shape their learning and development. These influences range from family issues and health and culture to behavior, learning style, and abilities. Virtually all are related to mental health” (Whelley, Cash, & Bryson, 2004, p. S5-25). Accordingly, along with their backpacks, early adolescents often bring to middle school grief associated with personally significant losses from various expected and unexpected causes. This presentation will discuss the nature and impact of loss, as well as ways that caring schools and educators can be critical harbors of support for grieving students’ healthy development. Reference: Whelley, P., Cash, R. E., & Bryson, D. (2004). Children’s mental health: Information for educators. In A. S. Canter, L. Z. Paige, M. D. Roth, I. Romero, & S. A. Carroll (Eds.), Helping children at home and school II: Handouts for families and educators (pp. S5-25 – S5-28). Bethesda, MD: National Association of School Psychologists.
  • 4. Types of School/District Events Higher • Student deaths • Staff deaths General Probability of Event • Accidents (students hit by cars, bus accidents, car accidents, swimming, etc.) • Violence in schools or community (assaults, murders, drive-by shooting in community, etc.) • Suicides • Natural disasters (tornado, earthquake, wildfire, hurricane, etc.) Lower • School shootings Source: Saiz, C., & Schneider, T. (2006, December 7). Recovery. Presentation at the Fiscal Year 2006 Emergency Response and Crisis Management (ERCM) Initial Grantee Meeting, San Antonio, TX.
  • 5. “As educators, we need to broaden our lessons of learning beyond the textbooks and recognize that grief is part of everyone’s life learning process. It is times like these that will demand our flexibility, strength, and understanding as a teacher and a friend…Growth and healing can occur if we first recognize the grief and then act upon it in positive and helpful ways” (Greene, 2003, p. 11). Source: Greene, B. (2003). Grief in the classroom: Part II. Bereavement Magazine, 17(6), 10–11.
  • 6. It is highly likely you see a grieving child almost every day, even if you don’t see any children grieving. – Dr. David Schonfeld, Executive Director National Center for School Crisis and Bereavement
  • 7. An Early Adolescent’s Behavior Is an Iceberg THE TIP BEHAVIOR Youth’s Problem or Crisis Youth’s Personality & Mental Health Peer SO MUCH IS Culture HIDDEN BELOW School and Community Environment Child Development and Family Influences
  • 8. “The goal of helping children of all ages to cope with death is to promote their competence, facilitate their ability to cope, and recognize that children are active participants in their lives” (Silverman, 2000, p. 42). Source: Silverman, P. (2000). Never too young to know: Death in children’s lives. New York: Oxford University Press.
  • 9. Families and Schools Together “Family is the first source of support for a child‟s mental health. However, the increased stress and fracturing of life today makes it imperative that schools partner with parents to help children thrive. Indeed, schools are excellent places to promote good mental health. Children spend a significant amount of time there, and, as trained caring adults, educators have the opportunity to observe and address their needs” (Whelley et al., 2004, p. S5-25). Reference: Whelley, P., Cash, R. E., & Bryson, D. (2004). Children’s mental health: Information for educators. In A. S. Canter, L. Z. Paige, M. D. Roth, I. Romero, & S. A. Carroll (Eds.), Helping children at home and school II: Handouts for families and educators (pp. S5-25 – S5-28). Bethesda, MD: National Association of School Psychologists.
  • 10. ―Students do not leave their grief at the schoolhouse door.‖ –– Dr. Martha D. Oates Death in the School Community (1993, p. 94)
  • 11. “School is one important place to deal with feelings about death rather than to hide such feelings” (Meyers & Pitt, 1976, pp. 563–564). Source: Meyers, J., & Pitt, N. W. (1976). A consultation approach to help a school cope with the bereavement process. Professional Psychology, 7(4), 559–564.
  • 12. Loss, Grief, and Middle School Students in North Carolina Consistent with a search of the ERIC database I conducted more than a decade ago while conducting a literature review for a chapter I was writing, only one North Carolina-based research study appears to be available regarding a description of loss events and grief among middle school students in one large school system. Dr. J. Conrad Glass, professor emeritus at North Carolina State University, published a 1991 article entitled, Death, Loss, and Grief among Middle School Children: Implications for the School Counselor, based on a survey he conducted in one large school system in North Carolina. In that article, he reported that, among the eight classes (211 students) in four middle schools in the North Carolina-based study (one large , 41% of middle school students had been personally involved with death within the past year (Glass, 1991). Source: Glass, J. C. (1991). Death, loss, and grief among middle school children: Implications for the school counselor. Elementary School Guidance and Counseling, 26(2), 139–148.
  • 13. Loss, Grief, and Middle School Students in North Carolina When the 211 middle school students were asked to indicated all losses (other than death) that they had experienced within the past year, Dr. Glass found the following:  Moved = 55%;  Lost a best friend = 53%;  Changed schools = 52%;  Lost a boyfriend/girlfriend = 50%; and  Experienced the separation or divorce of their parents = 28%. When Dr. Glass asked, “Of the losses you have experienced (including death), which one(s) would you consider to have had the most impact on your life?” the students could list as many as three responses. The top three answers were: (1) Death (55%); (2) Moving (26%); and (3) Loss of a best friend (25%). Source: Glass, J. C. (1991). Death, loss, and grief among middle school children: Implications for the school counselor. Elementary School Guidance and Counseling, 26(2), 139–148.
  • 14. Grieving Adolescents The adolescent-period tasks of achieving independence, separating from the family to engage more with peers, and developing an identity may be disrupted by loss or grief. Some adolescents whose families experience major losses ranging from chronic illness to cutting back on expenditures due to job loss may fall back to the family to assume new work or career roles at the expense of their own development and higher education or career plans. Some young people may refuse to engage with school, complain about feeling alienated by their loss experience, and may withdraw from peers at the very time they need to focus on these relationships. Dr. Nancy Webb (2002) suggests that other key challenges for bereaved adolescents include: (1) a reluctance to show strong emotions; (2) discomfort when talking to parents about feelings; and (3) the absence of a model for strong displays of emotion. Also, they may display bravado, denial, anger, sadness, or push their feelings underground and keep busy. Adapted from: Aston, C. (2008, September). Angels don’t have headlights. iteachonline: The Victorian Institute of Teaching Online Newsletter (Issue No. 3). Retrieved on March 12, 2009, from http://iteachonline.vit.vic.edu.au/issue0308/home.php?current=13 Additional reference: Webb, N. B. (Ed.). (2002). Helping bereaved children: A handbook for practitioners (2nd ed.). New York: The Guilford Press.
  • 15. Loss: A Universal Experience Loss is universal and resides at the core of grief – Someone or something we love/value is gone, and we grieve (react to) the loss. Dealing with loss is a very individual, mostly private experience. The range of feelings experienced depends on the individual and their degree of attachment to the thing or person that has been lost. In addition to the loss of a loved one through death, children and adolescents potentially experience sundry perceived minor and major losses and associated grieving from a variety of causes, such as… √ Losing a cherished item to the ravages of time, √ Parental separation/divorce/imprisonment, √ Moving to a new residence, √ Changing schools, √ Having a friend move away, √ Being bullied, √ Peer rejection, √ Breaking up with a romantic partner, √ Not being chosen for a team or other group, etc.
  • 16. Is uniquely grieved and revisited Affects development in unique ways Must not be compared Creates fear and anxiety Affects physical and emotional health Is universal Reverberates and affects others Is isolating/lonely Erodes trust and threatens security Disrupts life flow and causes stress LOSS Takes time to accommodate Entails temporary or permanent changes Involves personal meaning making Highlights individual differences Affects academic performance Affects interactions and behavior Often begets other (secondary) losses Can bring about personal growth Alters direction slightly/dramatically Respects no specific timetable/stages
  • 17. Loss: A Universal Experience Loss is most severe when it involves the death of a person who was an integral part of the surviving youth‘s life. The death of a loved one can yield many losses that fall into four major classes: (1) Relationship losses [e.g., loss of intimacy, emotional support, companionship, validation, instrumental support, mattering (“being needed”)]; (2) Lifestyle losses [e.g., loss of social and school-/work- related activities, loss of status/position in peer group, finances/material resources]; (3) Loss of biography [e.g., loss of personal history, shared memories, vision of/plans for the future]; and (4) Loss of the self/identity [e.g., loss of personal aspects of the survivor – such as positive feedback and specific roles and identities – that were interdependent with the relationship with the deceased].
  • 18. Grief, Bereavement and Mourning GRIEF is the normal, dynamic, unique, and multidimensional set of feelings and thoughts and related reactions of an individual following an actual or perceived loss – i.e., the death of an emotionally important person (a loved one); non-death-related loss of someone or something of value/significance. Grief is both a NORMAL and an ADAPTIVE process. NORMAL = Because it is a reaction that helps a child or adolescent confront a loss. ADAPTIVE = Although it is painful to go through, it can be productive in that a child or adolescent can learn through the experience. Source: R. Dale Walker, M.D., Director of the Center for American Indian Education and Research and the One Sky Center at Oregon Health and Science University, Portland, OR
  • 19. Grief, Bereavement and Mourning Because grieving is a personally unique and highly variable and dynamic process, grief responses among children and adolescents vary according to different factors, such as: ● Manner of death; ● Nature and significance of the relationship to the deceased; ● Age and related developmental tasks; ● Gender; ● Physical/mental status; ● Social-emotional development and personality; ● Prior loss experiences; ● Death-specific religious beliefs; and ● Adequacy of personal coping resources and availability of helpful social support.
  • 20. Six Basic Concepts of Grief (1) Grief is a natural reaction to change, loss, or death. (2) Each person’s grieving experience is unique. (3) There are no ―right‖ or ―wrong‖ ways to grieve. (4) All individuals walk through the grieving process in their own timeframes and in their own ways. (5) Grief comes in waves — times of great intensity followed by times of relief. There is no reasoning or pattern and it can hit with little warning. (6) Grieving never ends. It is something the person will not permanently ―get over.‖ Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 21. Dual Process Model of Grieving Loss–Oriented Restoration – Oriented Involves the Dealing with the many emotional and life changes and new reactive processing roles that are brought of the loss about by the death Oscillating between these stressors Source: Stroebe, M. S., & Schut, H. (2001). Models of coping with bereavement: A review. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 375–403). Washington, DC: American Psychological Association.
  • 22. Grief, Bereavement and Mourning MOURNING, which has both personal and interpersonal components and is embedded in one’s religious and cultural tradition, is the public face of grief, the way a bereaved individual personally manages and overtly expresses their grief after a death of a loved one, and includes formalized rituals (e.g., memorial services, funerals, wakes, specific modes of dress, etc.). Wolfelt (2002) stated mourning is “taking the internal experience of grief and expressing it outside oneself” (p. 666). Bereaved youth must undertake several tasks as they work toward active resolution of a loss, including the following: (1) Overcoming denial and accepting the reality of the loss; (2) Experiencing and processing the pain of grief incident to losing a loved one; (3) Adjusting to an environment in which the deceased is missing by accepting and acquiring requisite post-loss concepts, roles, and skills; and (4) Finding realistic cognitive and emotional ways to think about the deceased and to move on with life and form new relationships (Worden, 2002).
  • 23. Grief, Bereavement and Mourning BEREAVEMENT refers to a youth‘s complete reaction to the loss, and includes both the experience of grief and the work of mourning. Six common phenomena that decrease in frequency over time among survivors in their acute and later phases of bereavement are: (1) Sadness; (2) A yearning or pining; (3) A need to talk about the deceased; (4) Intrusive thoughts; (5) Preoccupation with images/thoughts; and (6) Distress at reminders of the deceased (Burnett et al., 1994).
  • 24. Grief, Bereavement and Mourning Bereaved adolescents must undertake several tasks as they work toward active resolution of a loss, including the following: (1) Overcoming denial and accepting the reality of the loss; (2) Experiencing and processing the pain of grief incident to losing a loved one; (3) Adjusting to an environment in which the deceased is missing by accepting and acquiring requisite post-loss concepts, roles, and skills; and (4) Finding realistic cognitive and emotional ways to think about the deceased and to move on with life and form new relationships (Worden, 2002).
  • 25. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A PET Although the first death a child experiences is often the death of an animal companion, the developmental significance of the death of a pet, and incident grieving are rarely acknowledged. Clements, Benasutti, and Carmone (2003) noted, “The loss of a cherished pet creates a grief reaction that is in many ways comparable to that of the loss of a family member….The death, loss, or theft of a beloved animal results in the end of a special relationship and can be one of the most difficult times in a person‟s life” (p. 49). Because human-animal bonds are often not considered worthy of affirmation, validation, and respect, the loss of an animal companion could invoke disenfranchised grief (i.e., grief that is not openly acknowledged and disallowed; Meyers, 2002).
  • 26. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A PET (continued) Five factors that affect a youth’s reactions to pet loss include: (1) The youth’s level of cognitive and emotional maturity; (2) The role played by the pet in the youth’s life; (3) The youth’s loss history, concurrent life events, and coping ability; (4) The circumstances of the pet’s death, including whether the youth played any role in the death; and (5) The quality and availability of parental and other support Sources: Butler & Lagoni, 1996; Johns, 2000; Lagoni, Butler, & Hetts, 1994
  • 27. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A PET (continued) Adults should: (1) Acknowledge the psychosocial significance of human-animal bonds; (2) Provide honest and clear information to children and adolescents about what happened to their pet; and (3) Afford bereaved youths social and emotional support after the death of a pet (Butler & Lagoni, 1996). As developmentally appropriate, the following actions can assist youths to cope with the death of a pet: ● Creating rituals to acknowledge the loss; ● Encouraging children to participate in ceremonies; ● Teaching and encouraging mourning; ● Helping children choose appropriate mementos and photos for a memory box or other special creation; and ● Not introducing a new animal/not allowing anyone to replace the animal too quickly (Meyers, 2002, pp. 255-256).
  • 28. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A PARENT A parent is “unique and irreplaceable” (McLaren, 1998, p. 289), and a child will miss and mourn the deceased parent at many stages throughout their life (Swick, Dechant, & Jellinek, 2002). Four major variables mediate the effect of a parent’s death on a child: (1) The distinctive characteristics of the child (i.e., age and developmental level; personality and coping style; loss history; social, cultural, and religious background); (2) The personal–social significance and strength and quality of the relationship with the parent; (3) The particular circumstances of the death (e.g., sudden or anticipated, natural or traumatic, and time of year); and (4) The types and availability of custodial, social, and emotional support (Hatter, 1996).
  • 29. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A PARENT (continued) Many children, especially those who have conflicted, abusive, or neglectful relationships with parents, carry unresolved feelings regarding the parent’s death into adulthood. Those feelings can negatively influence self- esteem, coping skills, and relationships (Schuurman & Lindholm, 2002). In her study of primary school-aged children’s experience of parental death, Stephanie Dowden (1998) reported that boys who experienced parental death had “difficulty expressing strong emotions” and “often resorted to violent behaviour, directed at themselves and others, or intense physical activity” (1998, p. 61). Finally, she noted the preferred way for parentally bereaved children to cope with overwhelming feelings was to retreat to their bedrooms (i.e., a private space) until they could regain some emotional/situational control: “They used their bedrooms as a retreat where they could grieve in private and as a place where they felt safe and comforted” (1998, p. 61).
  • 30. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A PARENT (continued) Dr. Nicholas Ross (2000) conducted research in which he elicited children’s cognitions and feelings regarding the support they experienced since the death of a parent: (1) Active support (i.e., in which a child’s grieving benefits from the overt behavior of another; e.g., actively listening to a child’s grief story, being physically with the grieving child through intense feelings, reflecting/sharing some of one’s own feelings/experiences); and (2) Passive support (i.e., in which the child knows active support is available as needed with no implicit pressure to grieve in a specified manner). His results demonstrated that each child’s unique grieving needs require an open, flexible stance from those seeking to support them, through a variable combination of active and passive support.
  • 31. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A SIBLING Many children and adolescents who die annually from various causes leave siblings behind to grieve their deaths. The death of a sibling can have special significance in the life of a surviving child or adolescent: “Through a shared history and common bonds, siblings have the potential for providing one another with intense emotional experience, support, guidance, information, and companionship. Consequently, the significance of the sibling relationship portends the profound effect that the death of one child can have upon brothers and sisters” (Davies, 2002, p. 94).
  • 32. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A SIBLING (continued) Because parents are involved in their own process of adjusting to their child’s death, they may sometimes be psychologically inaccessible to assist surviving siblings with grieving the loss of a brother or sister. In the aftermath of sibling death, young children in particular might be neglected, “often due to a desire by adults to protect them from further hurt” (Dowden, 1995, p. 72). Such reactions often leave the surviving sibling’s loss experience and feelings invalidated and their grieving needs unmet.
  • 33. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A SIBLING (continued) Stephanie Dowden (1995, p. 78) offered the following guidance for the care of bereaved siblings: ► Children have a need to grieve following the death of a sibling; ► Children have the right to know about and share in family grief; ► Each child is an individual and needs to be treated as such; and ► Given the opportunity and a safe environment, many children are able and willing to discuss issues surrounding death.
  • 34. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A FRIEND/PEER/CLASSMATE The death of a friend/peer is an all-too-common experience that can deeply affect children and adolescents in ways that adults may not comprehend or acknowledge: “There is no more challenging time than when we are called on to explain the death of a child to other children” (Metzgar, 1995, p. 167). Wass (2003) observed, “The death of a peer can destroy the sense of invincibility with which children tend to shield themselves, and make them aware of their own vulnerability, a discovery that may be extremely threatening” (p. 35). Also, because friends play crucial roles in helping youths accomplish various psychosocial tasks (e.g., achieving individuation, consolidating a personal identity), “the death of a friend may put at risk or delay successful completion of those tasks” (Oltjenbruns, 1996, p. 215).
  • 35. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A FRIEND/PEER/CLASSMATE (continued) Peers left behind in the wake of a friend’s death are frequently indirect victims and forgotten/invisible mourners who may experience disenfranchised grief: “Adults may not recognize that children also experience grief and have similar needs for information and clarity at a level and in language that they, the children, can understand” (Holland, 2004, p. 11). Bereavement as a result of a friend’s death “can evolve into losses of other friends who are not grieving, who find the person’s grief both uncomfortable and tiresome, and who withdraw from the relationship” (Balk, 1998, p. 5).
  • 36. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A FRIEND/PEER/CLASSMATE (continued) Educators are sometimes reluctant to engage in developmentally appropriate sharing of information regarding a classmate’s death, when such honest communication may indeed dispel rumors, mitigate confusion, and provide comfort and reassurance to grieving youths. Knowledge empowers grieving youths who have experienced the death of a peer/friend: “Experiencing the disappearance of a friend without knowing what happened to him can be more distressing than hearing about his death” (Essa, Murray, & Everts, 1995, p. 132).
  • 37. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A FRIEND/PEER/CLASSMATE (continued) When a student dies, he/she leaves behind an empty classroom desk, and, perhaps, an empty hallway locker. What is prudent in such circumstances? The Dougy Center for Grieving Children and Families (2003, p. 29) has suggested the following: ―There should be a time when his or her desk or locker remains unchanged. The visual reminder often helps students with their grieving. Whisking a student‘s desk out of the class immediately minimizes the impact of the student‘s life on others.‖ Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR: The Dougy Center, The National Center for Grieving Children and Families.
  • 38. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A FRIEND/PEER/CLASSMATE (continued) Sometimes, grieving students will emotionally attach themselves to a deceased classmate’s desk or locker, occasionally creating a “shrine.” In these cases, educators need to strike a balance between being sensitive to grieving students’ emotional needs and maintaining order/safety. In such cases, The Dougy Center for Grieving Children and Families (2003, p. 29) has suggested the following: ―Rather than simply taking down pictures, notes or drawings place on a student‘s locker and demanding that students disperse, provide a time to meet with the students affected and develop a compromise. For example, the school could allow a display case to be used to exhibit notes, cards and expressions….In general, it is a good idea to involve students in the class around these decisions, asking them what they‘d like to see done with the desk, locker, etc.‖ Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR: The Dougy Center, The National Center for Grieving Children and Families.
  • 39. Potential Psychosocial Impact of Various Types of Deaths DEATH OF A TEACHER/SCHOOL STAFF MEMBER The death of a teacher or other school staff member impacts the entire school community. Thus, it is critical to inform all students about the death and to be aware of varying, and often unpredictable and extreme reactions (sometimes from students you may least expect!). ―Students may exhibit varying reactions to the death of a school staff person, depending on how well they knew her, how the person died or other factors. Allowing the student to talk about the death and how they are being impacted is extremely helpful‖ (The Dougy Center, 2003, p. 34). Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR: The Dougy Center, The National Center for Grieving Children and Families.
  • 40. Loss and Grief in the School Community: Activating Caring and Effective Responses Deborah Carey, principal of West Middle School in Auburn, NY, in her 2008 article, Gone but Not Forgotten: Grief at School, asserted that “an effective crisis management plan contains six key components that must be adapted depending on the particular incident and the available personnel” (p. 37). Deborah Carey’s six recommended components are explicated in the next few slides through indicated direct quotations and emphasis added (i.e., bold type, underlining of some direct quotations, and bracketed text). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 41. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #1: DESIGNATED ROLES Although the principal provides leadership direction, ensures safety, and handles the demands of the entire school, in the face of sorrow/grief, other individuals also must assume important support roles: “The school community must know who is in charge in each context to ensure the emotional and physical safety of all” (Carey, 2008, p. 37).  Communications Manager: Coordinates communication among transportation and custodial/physical plant staff members, part-time workers, and school visitors who enter the school “after the initial emergency meetings” (Carey, 2008, p. 37).  Counseling Team. Led by a counseling team leader who directs the counseling plan, the “team should be composed of administrators and counselors who have received grief management training, typically through local mental health services” (Carey, 2008, p. 37).  Security Manager. Because a student death may cause peers to act unpredictably (including physically escaping from the emotion-laden school environment), “rigorous, attentive security measures should be in place” (Carey, 2008, p. 37). The Security Manager may be an assistant principal who can direct “faculty and staff members to secure the building and keep close tabs on students” (Carey, 2008, p. 37). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 42. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS  Pre-Opening Calls:  Have an up-to-date phone tree.  Principal makes calls to faculty and staff members before school convenes.  Designated staff members may assist the principal to: handle before-school telephone calls; greet school visitors; and “prepare written communications” (Carey, 2008, p. 37).  Crisis Team Meeting:  Should be the first meeting of the day.  Business should include: Review of the official message regarding the death: assignment of responsibilities; identification of meeting sites; and compilation of a preliminary list of students “likely to be affected by the death” (Carey, 2008, p. 37). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 43. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS  Faculty and Staff Meetings:  Before the school day begins, adults in the school community should convene “to hear the news and to share their feelings of loss and sadness” (Carey, 2008, pp. 37–38).  A written outline of the plan for the day should be prepared.  Clear directives should be given to faculty regarding: (1) releasing students from class so they can “go to counseling locations” and (2) “the need for vigilance in the hallways and while taking attendance” (Carey, 2008, p. 38).  When the school day is over, “faculty and staff members should attend another meeting where they can react to the day and share their successes and concerns” (Carey, 2008, p.38). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 44. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS (continued)  Informing Students:  Do not use the PA system to announce the death! The coldness, impersonality, and possible incoherence of the PA system outweigh its convenience.  Instead, teachers should break the news about the death to their homeroom students or the student group/class they have at the beginning of the school day.  The principal should prepare “a brief written message that includes nonjudgmental facts about the death; an expression of sadness about [the] loss; and brief, simple information about available support” Carey, 2008, p. 38).  If a teacher cannot read the principal’s message aloud to the students, then the principal should assign another adult to read the message (or someone may wish to volunteer). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 45. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS (continued)  Communicating with Families:  Contact with the deceased student’s family and expressions of sympathy/support from the school are important.  If the family of the deceased student had been active participants in the school community, then “the loss of their child also means the secondary loss of the social network they had at school (Carey, 2008, p. 38). When this is the case, “personal connection and reassurance is of particular comfort” (Carey, 2008, p. 38).  Typically, it is often valuable to send a letter home to all parents.  Also, “when the death is a mysterious one or occurred on school property, the community needs accurate information and the assurance that the school is handling the tragedy” (Carey, 2008, p. 38). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 46. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #2: EFFECTIVE AND TARGETED COMMUNICATIONS (continued)  Media Contact. Public attention for a student death due to a long-term illness (e.g., cancer) is rare. However, “Deadly accidents, suicide, and unexplained death draw intrusive and awkward media attention. The principal must designate a media contact person, either him- or herself or a subordinate… [This person should talk about] the school’s support plan for distraught students [and] reassure the community about the quality services the school was offering to students” (Carey, 2008, p. 38). Component #3: SCHEDULE FOR THE DAY  Extended homeroom/first period: (1) teacher/designee reads the principal’s message to students; (2) preparations are made for students who need to leave the school; and (3) remaining students’ questions and concerns are answered/addressed.  “Grade-level assemblies [can be used to bring] students and teachers together to reassure students about their own well-being. Children’s emotional and physical comfort is increased when they recognize that knowledgeable, caring adults are in charge” (Carey, 2008, p. 38). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 47. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #4: SECURITY PLAN  The Security Manager and other selected/assigned school staff members secure the school building from:  Media intrusion;  Parents who remove their upset children without following standard procedures; and  Anyone who might try exploit “the unusual atmosphere” (Carey, 2008, p. 38).  Doors should be locked or supervised by staff members.  Responsibilities of teachers (and available support staff members) should include periodic checks of bathrooms and other locations in which students might hide.  “The heightened sense of building security can be a comfort to those who are emotionally distraught” (Carey, 2008, p. 38). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 48. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #5: BASIC COUNSELING STRATEGIES  Honor students’ requests to go to the designated counseling site(s).  The school counselor(s) [or other school mental health professional(s)] “will quickly identify „curious‟ students, who often opt to return to class because they feel awkward in the emotionally charged environment” (Carey, 2008, p. 38).  Occasionally, adults in the school environment may be skeptical about particular students’ connections to the student who died, and then discover that “they were neighbors, went to the same day care, or played Little League ball together” (Carey, 2008, p. 38).  Also, some students “may have unresolved grief and need help coping with resurrected sadness (Carey, 2008, p. 39). [Note: In some cases, there may be students who picked on and/or had conflicts with the student who died, and, thus, they experience guilt incident to their prior interactions with the deceased student] (Carey, 2008, p. 39). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 49. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #5: BASIC COUNSELING STRATEGIES [continued] Primary Counseling Space:  Should be a location in the school that is “large enough for a circle that allows counselors to see all reactions and to assess needs” (Carey, 2008, p. 39).  Students should “sign in and out of this site with specific passes” (Carey, 2008, p. 39).  Teachers and other school staff members should be welcome to attend the counseling sessions: “Sharing their own sadness and tears gives students important models for how to cope with uncomfortable feelings and will help students feel connected and cared about” (Carey, 2008, p. 39). Secondary Spaces: “Students who exhibit excessive, distracting grief should move to another setting with a counseling professional until they are able to rejoin the larger group” (Carey, 2008, p. 39). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 50. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #5: BASIC COUNSELING STRATEGIES [continued] Counseling Process:  “Ground rules” for counseling sessions – The school-based mental health professional who leads large-group counseling sessions should begin the sessions by announcing the following ground rules:  The right to personal/individual feelings and experiences;  The right to listen quietly;  The confidentiality of the emotions and stories that are shared during the session; and  The need to sign in and sign out of the counseling session. (Carey, 2008, p. 39)  In the counseling session(s), “The lead counselor should channel the conversation from reaction to shared stories about the student to students’ concerns about the death to a discussion of next steps [e.g., family visitation, funeral/wake attendance]” (Carey, 2008, p. 39). Students who express fear/anxiety regarding attending death-related rituals “should be encouraged to talk with relatives about attending the services, and school personnel should consider attending to support students and the sorrowing family” (Carey, 2008, p. 39).  The counseling session(s) “should work toward considering ways to honor the memory of their lost friend and classmate” (Carey, 2008, p. 39). A safe and suitable way for students to express their feelings is to create notes or cards for the deceased student’s family. Finally, “Students should be told about ongoing support that is available from counselors and administrators” (Carey, 2008, p. 39). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 51. Loss and Grief in the School Community: Activating Caring and Effective Responses Component #6: FOLLOW-UP ACTIVITIES  “Children and adults all welcome an opportunity to comfort the sorrowing family” (Carey, 2008, p. 39):  Creating cards/posters that include personalized condolences to the student’s family; and  Fundraisers for scholarships/contributions to a particular charity.  Consider “lowering the flag [to half-staff] in light of the nature of the death (Carey, 2008, p. 39).  Toward the end of balancing care with caution, however, it is important to keep the following caveat in mind: “too much attention to tragedies, such as suicide, may prompt copycat behavior from students who would like to receive the same amount of attention or a means of punishing others whom they perceive as being hurtful” (Carey, 2008, p. 39). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 52. Common Signs of Grieving Youths in the Classroom The student… ► Has become the class clown or class bully ► Has become withdrawn and unsociable ► Has become restless and unable to stay seated ► Calls out of turn ► Does not complete schoolwork ► Is having problems listening and remaining on task ► Has become overly talkative ► Has become disorganized ► Engages in reckless physical actions ► Shows poor concentration around external stimuli ► Shows difficulty in following directions ► Shows a change in grades and lack of interest in school Source: Goldman, L. (2006). Best practice grief work with students in the schools. In C. Franklin, M. B. Harris, & P. Allen-Meares (Eds.), The school services sourcebook: A guide for school-based professionals (pp. 567–575). New York: Oxford University Press.
  • 53. Children’s and Adolescents’ Reactions to Grief and Loss  Tend to go in and out of grief  Developmental stage will influence their reactions  All cannot talk openly about their loss and feelings  May not seem to be affected at all (external vs. internal responses or “survival mode”)  Play is one way in particular they make sense of the changes in their world  Not unusual for them to experience physical reactions  Need to grieve any significant loss/change/death at all developmental stages for healthy resolution Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 54. Academic Responses of Grieving Students  Inability to focus or concentrate  Failing or declining grades  Incomplete or poor quality of work  Increased absence or reluctance to go to school  Forgetful, memory loss  Over achievement, trying to be perfect  Inattentiveness  Daydreaming Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 55. Behavioral Responses of Grieving Students  Disruptive behaviors, noisy outbursts  Aggressive behaviors, frequent fighting  Non-compliance to requests  Increase in risk-taking or unsafe behaviors  Isolation or withdrawal  Regressive behaviors to a time when things felt more safe and in control  High need for attention  A need to check in with parent/significant other Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 56. Emotional Responses of Grieving Students  Insecurity, issues of abandonment, safety concerns  Concern over being treated differently from others  Fear, guilt, anger, regret, sadness, confusion  “I don’t care” attitude  Depression, hopelessness, intense sadness  Overly sensitive, frequently tearful, irritable  Appears unaffected by change/loss/death  Preoccupation, wanting details  Recurring thoughts of death, suicide Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 57. Social Responses of Grieving Students  Withdrawal from friends and family  Withdrawal from activities and sports  Use of alcohol and other drugs  Changes in relationships with teachers/peers  Changes in family roles  Wanting to be physically close to safe adult  Sexual acting out  Stealing, shoplifting  Difficulty being in a group or crowd Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 58. Physical Responses of Grieving Students  Stomachaches, headaches, heartaches  Frequent accidents or injuries  Nightmares, dreams, or sleep difficulties  Loss of appetite or increased eating  Low energy, weakness  Nausea, upset stomach, hives, rashes, etc.  Increased illnesses, low resistance  Rapid heartbeat Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 59. Developmental Responses of Middle School Youths  Experience range of  Withdrawal, sullenness emotions impacted by  Need healthy physical physical/hormonal outlets development  Lack of concentration  Comprehend  Risk-taking behaviors change/loss/death as final (alcohol/drugs, sexual acting and unavoidable out, stealing)  Feelings of helplessness  Unpredictable ups and and hopelessness may downs or moodiness increase risk-taking behaviors  Erratic, inconsistent reactions  Argumentative, anger, fighting Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 60. How to Help Middle School Youths  Expect and accept mood swings  Provide supportive environment where student can share, when needed  Anticipate increased physical concerns, illness, body aches, pains  Allow to choose with whom and how s/he gets support  Encourage participation in support group  Allow flexibility in completing school work Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 61. Checklist of Common Grief-Related Behaviors of School-Age Youths  They cannot decide when feelings will erupt, and may not be able to label their feelings accurately.  They cannot decide which feelings to have and may have difficulty talking about them.  Explosive emotions may be an outward expression of grief work directed toward anyone available.  They may be fairly protective of themselves and their emotions when they are with peers.  They may generally keep their emotional reactions secret, perhaps becoming withdrawn and depressed.  They may use denial and maintain an appearance of control and ―life as usual.‖  They may take on a ―caretaker‖ role.
  • 62. Common Mistakes When Dealing with Death ● Words and actions to avoid: — Acting as if nothing has happened — Suggesting the person has grieved long enough — Indicating they should ―get over it‖ and move on — Expecting business as usual when it comes to school/work performance ● Please don’t ever say… — “It could be worse…” — “I know how you feel…” — “You’ll be stronger because of this…” Source: Operation: Military Kids (OMK) – Ready, Set, Go! Training. Chapter 8: Impact of Grief, Trauma, and Loss on Children and Youth. Gainesville, FL: University of Florida, College of Agricultural and Life Sciences, Institute of Food and Agricultural Sciences. [http://4h.ifas.ufl.edu/Military/ReadySetGo/PowerPoints/RSG_8PPT.ppt]
  • 63. Secondary Losses: Grief Ripples in the Pool of Life When an immediate family member or significant other dies (e.g., friend, teacher), children and adolescents must cope with not only the loss of that relationship, but also may have to deal with secondary losses incident to the death (Baker, 1997; Klicker, 2000; Raveis et al., 1999; Smith, 1999; Wolfelt, 1996). Secondary losses are consequences that “are not directly related to the death, but rather result from the initial consequences of the death, or occur simultaneously with the dying, death, or during bereavement” (Mahon, 1999, p. 301). Many of these losses stem from experiences and behavioral expectations inherent in the attachment relationship with the deceased (Weiss, 2001).
  • 64. Secondary Losses: Grief Ripples in the Pool of Life Among the cascade of secondary losses that can complicate the grieving process and often go unacknowledged in their affect on the child or adolescent are: ■ Loss of income; ■ Loss of future together; ■ Loss of special relationship; ■ Change in household routines; ■ Family disintegration; and ■ Moving/having to live with relatives. Sources: Cournos, 2001; Mahon, 1999; Raveis et al., 1999; Smith, 1999; Wolfelt, 1996
  • 65. Possible Gender-Related Grieving Differences ► Boys and girls may differentially desire and be offered/receive varying degrees, durations and types of social-emotional support in the midst of grief from family members and peers (e.g., having someone listen as they share their experience of the loss, understand their feelings, express sorrow, hug them, allow them to cry, help with problem solving, share memories of the deceased, distract them from the loss). ► In particular, adolescent boys may have a difficult time grieving, especially “when they have been taught that showing emotion is something that girls do – but macho guys don‟t” (Fitzgerald, 2000, p. 74).
  • 66. Possible Gender-Related Grieving Differences ► Although “grieving patterns are influenced by gender, not determined by them” (Doka, 1999, p. 8), there appear to be distinct patterns of grieving or strategies of adapting to loss among many males and females – for example, “instrumental” and “intuitive” grievers (Martin & Doka, 2000). ―Instrumental‖ Grievers ―Intuitive‖ Grievers (likely boys) (likely girls) Tend to have a tempered More likely to experience their affect to a loss grief as waves of affect Describe their grief in Frequently need to express physical or cognitive terms their feelings and seek the Are more likely to support of others cognitively process or immerse themselves in activity
  • 67. Possible Gender-Related Grieving Differences The experiences of a youth counseling national help line/web- based counseling service in Australia appear to support these apparent gender-related differences in problem solving behaviors: “Compared to females, males are more likely to focus on what to do about their concerns and less likely to want to explore the nature of those concerns…Counsellors tend to avoid directly asking males about their feelings, preferring instead to use more subtle ways to engage them on an emotional level. A common approach is to ask the caller what he thinks about an experience or event rather than what he feels. The focus on thoughts rather than feelings appears to be a safe way for males to reflect and provides a space in which feelings may surface.” (Kids Help Line, 2002, p. 3)
  • 68. Possible Gender-Related Grieving Differences To foster a school environment that is supportive of gender-related differences in grief, Dr. Louise Rowling (2002, p. 289) has suggested using the following generic questions: (1) How did you react? (not What did you feel?) (2) How do you experience your grief? (3) What did the loss mean to you? (4) What strategies do you use to cope that are helpful? (5) What kind of advice (guidance) is helpful? and (6) With whom do you share your loss? Source: Rowling, L. (2002). Youth and disenfranchised grief. In K. J. Doka (Ed.), Disenfranchised grief: New directions, challenges, and strategies for practice (pp. 275-292). Champaign, IL: Research Press.
  • 69. “Disenfranchised Grief” With certain types of losses, a youth’s grief experience is often “disenfranchised” – because of socially determined “grieving rules” of parents, other adults, and peers that endeavor to specify who, when, where, how, how long, and for whom a child or adolescent shall grieve, the child or adolescent is not “accorded the right to grieve…[Their] grief is not openly acknowledged, socially validated, or publicly observed” (Doka, 2002, p. 5). Dr. Kenneth Doka has suggested five broad categories of loss that are disenfranchised: (1) Lack of recognition of the relationship; (2) Lack of acknowledgement of the loss; (3) Exclusion of the griever; (4) Circumstances of the death; and (5) The ways individuals grieve.
  • 70. “Disenfranchised Grief” The following are some of the loss-related events frequently involving disenfranchised grief: ► A friend moving away ► Loss/breakup of a romantic relationship ► The death of a friend/peer ► Divorce ► Adoption ► Placement in foster care ► Incarceration of one or both parents ► Death of a pet ► Moving to a new residence/changing schools ► Losses involving very young children ► Deaths involving societal stigma (e.g., suicide, homicide, HIV/AIDS)
  • 71. “Disenfranchised Grief” Because the very nature of disenfranchised grief creates additional problems for grievers while removing or minimizing their sources of support (Doka, 2002), support groups may offer disenfranchised grievers: (1) Validation for their losses by connecting them with others who share similar losses; (2) Suggestions for coping; (3) Hope to members at different points in their grief journeys through sharing of stories; and (4) The possibility of enhancing their self-esteem through providing assistance to others (Pesek, 2002). Also, rituals (i.e., memorials, funerals) can be a powerful therapeutic tool for enfranchising disenfranchised grievers, because they can validate grief and allow opportunities for catharsis, may offer support and help grievers in their search for meaning in the midst of loss (Doka, 2002).
  • 72. Proactive Post-Loss Support and School-Based Interventions Individual and Group Counseling/Support for Bereaved Youths Although grief, as a process, is natural, the course of grief may not always come naturally, and intervention/guidance from a mental health professional may be beneficial, assisting the bereaved child or adolescent to not grieve their loss alone and to facilitate the integration of the loss into their life and move on. The goal of grief counseling is to facilitate mourning in a recently bereaved child or adolescent (Worden, 2002). “Counseling children who have sustained a loss is not traditional psychotherapy. It is a combination of comforting, educating, exploring, and inviting expression” (Ward-Wimmer & Napoli, 2000, p. 111).
  • 73. Proactive Post-Loss Support and School-Based Interventions Individual and Group Counseling/Support for Bereaved Youths [continued] McGlauflin (1992, p. 18) delineated several important elements in grief counseling with bereaved youths: (1) A time for declaring or relating the detailed story of the loss, including who/what and when, and how it happened, how the youth felt about how they were informed of the loss, and what part, if any, they played in family rituals associated with the loss; (2) A time for remembering the lost person, place, or thing, including discussing positive/negative qualities, important times/experiences/events, and times when they most miss the lost person, place or thing; (3) A time for expressing all kinds of feelings in all their intensities; and (4) A time for renewal and looking toward the future, which entails considering the bereaved youth’s coping skills, identifying support resources, anticipating particularly difficult times (i.e., anniversaries, holidays), and reestablishing hope.
  • 74. Proactive Post-Loss Support and School-Based Interventions Individual and Group Counseling/Support for Bereaved Youths [continued] Because youths often dislike being considered “different” from their peers, bereavement groups can “offer the peer support that the bereaved child so greatly craves, since the group helps him/her realize that other children have also lost loved ones to death” (Webb, 2002, pp. 253-254). Group counseling activities and support groups can provide a normalizing and safe environment of commonality/universality in which bereaved youths can talk about their loss, express feelings, acquire and practice coping skills, and experience personal validation and social support: “Because bereaved children may feel lonely, angry, anxious, and guilty, the use of group intervention may ease their feelings of loneliness and self- attribution as they disclose their common experiences to others” (Ayyash-Abdo, 2001, p. 428).
  • 75. Proactive Post-Loss Support and School-Based Interventions Individual and Group Counseling/Support for Bereaved Youths [continued] Therapeutic group work may be especially beneficial when a few or several children and adolescents have experienced a common loss (e.g., a parent, sibling, pet, etc.), because participating youths can typically see and hear what they are experiencing is also known to others: ―There‘s a felt connection. They no longer feel alone, but join with kindred others going through a similar experience. There‘s a sense of ‗You, too?‘ and ‗Me, too.‘ The depth and intensity of grief is shared, legitimized, and validated‖ (Dr. Betty J. Carmack, 2003, p. 63).
  • 76. Proactive Post-Loss Support and School-Based Interventions Creative Arts-Based Interventions Creative arts-based activities can provide opportunities for bereaved youths to express their thoughts and feelings about a death: “Even teenagers often find it safer and more true to their feelings to express them in paint, poetry, clay, theater, crafts, and created rituals, rather than trying to tell someone explicitly how they feel” (Fry, 2000, p. 126). Because drawing is a natural exploratory and expressive activity in which children engage, it is an ideal vehicle for younger bereaved children (Hogan & Graham, 2002) and youths exposed to sudden traumatic deaths (Clements, Benasutti, & Henry, 2001) to explore and communicate loss-related thoughts and feelings. Diane Le Count (2000) observed that creative art therapy can help children “work from the inside out” – “Working with the arts can feel safe for the child. It can create a safe place for an emotional discharge, at other times pictures or play may enable the expression of the struggle and confusion surrounding a loss or multiple losses which the child may only be able to express non-verbally. It can also be a way of working through unacceptable feelings” (p. 18).
  • 77. Proactive Post-Loss Support and School-Based Interventions Written Expression-Based Interventions Some children and adolescents may not feel comfortable talking about/sharing their grief-related feelings individually with a helping professional or in a group setting. In such cases, Pennebaker, Zech, and Rimé (2001) advocated the use of writing/journaling as a clinical tool for the following reasons: (1) Writing allows the student to express his or her emotions without the direct evaluation of another person; (2) It does not need a real recipient to be present; and (3) Writing may induce the structuring of thoughts, feelings and meaning making. As aids to grief resolution, journaling, creative writing, letter writing, poetry, and essays and other creative writing activties may have preventive and therapeutic-personal growth benefits for bereaved youths (Brandell, 2002; Gaines-Lane, 1997; Goldman, 2000; Wolfe, 1995).
  • 78. Proactive Post-Loss Support and School-Based Interventions Memory Boxes/Books “Death robs us of a present and future with our loved one, but it has no firm grip on the past. Therefore, memories are probably the most precious gifts that survivors are left with….By reminiscing, children are demonstrating their beginning acceptance of the loss” (Normand, Silverman, & Nickman, 1996, pp. 108-109). Memory is a way of holding onto the things you love, the things you are, the things you never want to lose. – From the television show, The Wonder Years
  • 79. Proactive Post-Loss Support and School-Based Interventions Memory Boxes/Books Toward that end, Winston’s Wish, a bereavement support program for youths and their caregivers located in Gloucestershire, UK, advocates the use of memory boxes, memory/life books, calendars of memories, family records, and storytelling about the deceased (Stokes & Crossley, 1995). Involving children and adolescents in activities such as these serves several purposes: ♥ To support a bereaved young person and their family; ♥ To preserve a continuing link with the person who has died; ♥ To involve young people in the mourning process; and ♥ To assist bereaved youths and their families take steps along their unique bereavement journeys.
  • 80. Proactive Post-Loss Support and School-Based Interventions Memorializing the Deceased When a school community experiences a death, “Goodbyes are necessary and a healthy part of the healing process,” and “are essential in order to regain the focus on learning at school” (Booth & Cowdrey, 1992, p. 44). Fast (2003) noted that memorializing deceased children and adolescents in the form of “grief projects” involving artistic expression and social activism is best understood in the context of the task of adjusting to an environment in which the deceased is missing (i.e., Worden, 2002). Regarding school memorial activities following traumatic events, Poland and Zenere (2004) have recommended that memorial activities be: (1) Based on the needs and desires of the school community; (2) Initiated, if possible, within one week of the traumatic event [at least the initial memorial activity]; (3) Planned by a school-based committee comprised of administrators, teachers, parents, students [especially those who had personal ties to the victim(s)], and community members; and (4) Planned as a series of activities involving survivors, rather than a traditional establishment of a permanent marker or structure.
  • 81. Guiding Principles for Memorials  A memorial should not overshadow or interfere with the school’s primary mission of educating students  A memorial should add to a positive learning environment and add to the mission of educating students  A memorial should be life affirming, inspiring and spiritually uplifting  The school belongs to the students of the future, not only to the students of the past and the present Source: Wong, M., Kelly, J., & Stephens, R. D. (2001). Jane’s School Safety Handbook. Alexandria, VA: Jane’s Information Group.
  • 82. Some Ways Adults Can Actively Involve Children and Adolescents in Commemorating a Loss ► Create a ceremony, such as releasing a balloon with a special note, lighting a candle, etc. ► Create a memorial wall with stories and pictures of shared events ► Have an assembly about the person who died ► Plan a memorial garden ► Initiate a scholarship fund ► Establish an ongoing fundraiser (e.g., a car wash, a bake sale) with proceeds going toward the bereaved family’s designated charity ► Place memorial pages in the school yearbook or school newspaper ► Send flowers to the grieving family Source: Goldman, L. (2006). Best practice grief work with students in the schools. In C. Franklin, M. B. Harris, & P. Allen-Meares (Eds.), The school services sourcebook: A guide for school-based professionals (pp. 567–575). New York: Oxford University Press.
  • 83. Concluding Remarks There is very little access to the brain, when the heart is in pain. –– Janet E. Hart 4th-grade teacher West Yarmouth, MA The grief of a child or adolescent does not follow a “pacing guide.” –– Dr. Gary W. Mauk
  • 84. What Can We Learn from Grieving Youths? [Dr. Donna Schuurman, 2002] Dr. Donna Schuurman, National Director of The Dougy Center for Grieving Children in Portland, OR, proffered some lessons she has learned from grieving youths (Schuurman, 2002, pp. 23-25): (1) They know and understand much more than that for which we give them credit; (2) One of the greatest obstacles to their healing after a death is adults; (3) They do not need to be fixed; (4) They do not need to be taught how to grieve as much as they need to be permitted to grieve and derive their own meaning from the death experience; (5) They are resilient, but their resilience does not exist in a psychosocial vacuum; (6) Theories may be helpful as guides to understanding, but they may obscure our ability to be truly available to a bereaved youth; Source: Schuurman, D. (2002). The club no one wants to join: A dozen things I’ve learned from grieving children and adolescents. Grief Matters: The Australian Journal of Grief and Bereavement, 5(2), 23-25.
  • 85. What Can We Learn from Grieving Youths? [Dr. Donna Schuurman, 2002] (7) Labels may be fine for containers, but are not so good for bereaved youths – we need to remember that behind every label is a frightened child or adolescent; (8) Although bereaved youths’ expressions of grief facilitate the healing process, the form that expression takes is highly variable, and what matters most to the bereaved youth is feeling understood; (9) We would be better off reframing emotions as messages from our souls, rather than as enemies from which to flee; (10) Sorrow needs varied opportunities for expression (e.g., words, play, exercise, music, visual art, play), including silence; (11) Bereaved youths need, desire, and deserve honesty, truth, and choices to build trust, regain control and stability, and take responsibility for their decisions; and (12) The best thing we, as adults, can do for grieving youths is to listen to them with our ears, eyes, hearts, and souls. Source: Schuurman, D. (2002). The club no one wants to join: A dozen things I’ve learned from grieving children and adolescents. Grief Matters: The Australian Journal of Grief and Bereavement, 5(2), 23-25.
  • 86. ―Whether a loss is due to the death of a student, a faculty or staff member, or a member of the community, a viable, organized strategy for coping with loss ensures that the tragedy does not increase the bereaved’s pain or the students’ vulnerability to further incidents. Although there are no surefire formulas for making everything OK in the face of enormous sadness, the school community can take specific actions to acknowledge grief and begin a healing process‖ (Carey, 2008, p. 37). Source: Carey, D. (2008). Gone but not forgotten: Grief at school. Principal Leadership, 8(8), 36–39.
  • 87. Educators Grieve, Too: Taking Care to Take Care of Yourself Educators sometimes relive previous death-related experiences that compound the reality and emotion surrounding a student’s death, and “teachers who have not adequately resolved their own misgivings about death will be less able to help children and parents deal with the issue” (Essa et al., 1995, p. 132). Because school management practices often do not acknowledge the grief of school staff members, such individuals may benefit from opportunities to validate their relationship with the deceased and openly express their feelings about the death (Dr. Louise Rowling, 1995): ► Openly acknowledging the impact of traumatic events/deaths on teachers and other school personnel; ► Identifying staff members who may be at-risk for psychological difficulties due to prior traumatic experiences or current stressors; and ► Providing support activities/counseling opportunities.
  • 88. Educators Grieve, Too: Taking Care to Take Care of Yourself It can be difficult, painful, and physically/emotionally exhausting to work with grieving students. As such, The Dougy Center (2003, p. 27) has suggested the following ways for educators to take care of themselves after a death. ■ Making time to talk with other school staff members about grieving students; ■ Talking with trusted individuals about your feelings; ■ Remembering that grief issues take a varying amount of time to process; ■ Getting proper nutrition/hydration, exercise, sleep and reflective time; and ■ Seeking professional support, when necessary. Source: (2003). Helping the grieving student: A guide for teachers. Portland, OR: The Dougy Center, The National Center for Grieving Children and Families.
  • 89. 10 Main Themes of Bereaved Youths’ Support Requests from Adults in Their Environment [Dyregrov & Dyregrov, 2008, p. 91] (1) Provide us with information that is accurate and sincere. Do not refrain from giving us information that we want to receiver or will hear from others. (2) Do not pressure us to grieve like our parents or other adults. (3) Do not pressure us to speak, but signal that it is OK and be there when we are ready and want to talk or share our feelings. (4) Do not impose too much of the adults’ despair upon us or allow us to assume adult roles. (5) Do not despair unnecessarily over insufficient reactions or talk on our part (most of us talk to our friends). (6) Pay attention to whether or not we function well on a daily basis after the first few months (e.g., sleeping well vs. nightmares/sleep disturbances, eating normally vs. changed eating patterns, meeting friends or isolating ourselves, school performance as before vs. enhanced performance/drop in grades). (7) Try to provide/accept that we need “time outs” to do fun things and to relax with friends, even at an early point in time when adults cannot conceive of such a thing. (8) Talk to the school about how we are doing, check whether the necessary support measures have been implemented (in collaboration with us). (9) Ensure that a close relative/acquaintance is available to serve as a “support figure” at the start (someone with whom we already have good contact/rapport). (10) Make it clear that it is acceptable to speak about the deceased and the event over time. Source: Dyregrov, K., & Dyregrov, A. (2008). Effective grief and bereavement support: The role of family, friends, colleagues, schools and support professionals. London, UK: Jessica Kingsley.
  • 90. “As educators, we are in a profession that is solely based on building productive lives for our students. They are our future and when one is cut short, all of us are affected. Dealing with a myriad of human emotions comes with the territory of teaching, counseling, and administrating within our schools” (Greene, 2003, p. 18). Reference: Greene, B. (2003). Grief in the classroom: Part 1. Bereavement Magazine, 17(5), 18–19.
  • 91. EVERY ADULT ON THE SCHOOL CAMPUS PLAYS AN IMPORTANT ROLE IN SUPPORTING AND ASSISTING GRIEVING STUDENTS
  • 92. When students experience a loss, it helps to have somebody on whom they can depend for support.