Crisis Intervention Research Articles

State intervention and tourism business resilience: Exploring firm-level crisis responses

Business resilience and government intervention are critical in navigating crises. Guided by resilience theory and concepts of state intervention in global crises, this article examines firm-level strategies to the Covid-19 pandemic. The qualitative findings decipher adaptive resilience and business survival strategies concerning cashflow management, human resource management, management of current liabilities, asset management, and alternative business avenues. Government intervention included financial assistance, wage subsidy, loan moratorium, and other stimulus measures. Findings reveal mixed responses, highlighting the need for tailored and effective government intervention. The study extends resilience theory by integrating state intervention as an external driver of adaptive resilience, thereby providing a holistic understanding of resilience in crises. Practical implications provide policy-makers with insights on more effective crisis response strategies.

Psychological treatment of neurotraumatic injuries – crisis intervention in acute care

Patients who have suffered a neurotraumatic injury undergo severe physical and psychological trauma, which in many cases also traumatizes their relatives. Severe physical trauma and its long-term consequences have a significant impact on the lives of the people affected and their relatives. Acute health care, as well as the various periods of prolonged hospitalization, are a major physical and psychological challenge for both patients and their relatives. Patients who have suffered severe physical trauma are cared for by a multidisciplinary trauma team, which includes psychological support, too, in line with international professional guidelines. The involvement of psychologists and psychiatrists should be an integral part of acute care in the case of acute stress disorder and early-onset depression. The acute onset of psychological symptoms and the potential for long-term psychological disturbances warrant crisis intervention as close as possible in time and space to the critical event following the traumatic event. In the case of severe somatic trauma, combined therapy (pharmacotherapy and psychotherapy) can be used to relieve these symptoms and timely crisis intervention can reduce psychological symptoms and prevent the development of more serious psychopathologies (post-traumatic stress syndrome, depressive symptoms, anxiety disorders, sleep disorders), which in the long term can significantly impair quality of life and the risk of suicide. Providing regular psychological support helps the patient to adapt to the hospital environment and treatment, improves compliance, supports cooperation with physiotherapists and prepares the patient for rehabilitation. Basic psychotherapeutic care, using a variety of methods related to medical treatments and bodily processes, ranges from crisis intervention through supportive therapy to rehabilitation. It is essential that professional psychological support should be provided for the patient who has suffered a serious physical trauma as well as their relatives.

Crisis Negotiation in Suicidal Crisis Interventions

Suicidalno ponašanje vodeći je uzrok ozljeđivanja i smrtnosti svih dobnih skupina u svijetu. Policijski službenici često se susreću s osobama koje prijete oduzimanjem vlastitog života. Službenici koji su educirani, odnosno specijalizirani za takva postupanja i čije se intervencije u najvećem postotku odnose upravo na postupanja prema potencijalnim počiniteljima samoubojstva jesu policijski pregovarači. Krizno pregovaranje jedan je od najučinkovitijih policijskih alata koji se i u praksi i prema istraživanjima kontinuirano i dosljedno pokazuje kao vrlo uspješan način rješavanja različitih kriznih intervencija – uključujući i pokušaje samoubojstva. Cilj ovog rada jest predstavljanje djelovanja policijskih pregovarača u situacijama pokušaja samoubojstava. U radu su prikazane osnovne tehnike i strategija postupanja prema potencijalnim počiniteljima samoubojstva, kao i karakteristike pregovarača te upozoravajući znakovi u ponašanju počinitelja. Opisana su i dva primjera iz prakse te prijedlozi unapređenja policijskog pregovaranja u Hrvatskoj.

A unique model of care for youth in crisis: A pilot open trial.

Suicide is the second leading cause of death for those ages 10-24 years in the United States, and emergency department (ED) visits due to youth self-injurious thoughts and behaviors (SITB) and increased substantially between 2016 and 2021. Although ED services are essential for an effective system of care, the ED setting is typically not well-suited for the comprehensive, collaborative, and therapeutic evaluation of SITB; treatment planning; and care coordination that youth in a suicidal crisis need. As a result, an urgent care model for mental health designed to provide comprehensive crisis triage and intervention services is needed within outpatient psychiatry. This pilot trial examined the feasibility, acceptability, and preliminary clinical outcomes of a brief, urgent care model, the Behavioral Health Crisis Care Clinic (CCC), designed to provide comprehensive outpatient triage and intervention services aimed at reducing suicide risk for youth in crisis. Participants were 189 youth (ages 10-20; 62.4% females; 58% Caucasian) who had past-week suicidal ideation or behavior and their caregivers. The results demonstrated the CCC model exceeded feasibility and acceptability benchmarks based on the Service Satisfaction Scale (M score > 3.00). CCC care was associated with significant decreases in self-reported suicide risk based on the Collaborative Assessment and Management of Suicidality Suicide Status Form with low levels of ED usage during CCC care (7.7%) and 1-month posttreatment (11.8%). Over 88% of patients without established outpatient care at the time of referral were connected to care during CCC treatment, almost all of whom (95%) continued with ongoing mental health care 1 month after ending CCC care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

초심상담자들의 자해 및 자살 위기 상담 수퍼비전 경험 분석 : 합의적 질적 연구법(CQR)을 중심으로

This study explores novice counselors’ experiences in receiving supervision for self-harm and suicide crisis counseling and identifies critical components of supervision to enhance crisis competency. Ten novice counselors who underwent crisis counseling supervision were interviewed about their expectations, positive outcomes, and disappointments. Using Consensual Qualitative Research(CQR), the study identified 20 categories across three areas. The counselors’ primary expectation was to receive a clear, specific crisis intervention plan and verify the appropriateness of their crisis response. Positive outcomes included support for crisis intervention challenges, validation of their efforts, medical/practical knowledge provision, and deeper client understanding. Disappointments centered on the lack of a concrete plan to apply supervision guidelines, which often did not align with clients’ unique needs and increased tension from assessment critiques. The findings inform the essential elements that crisis counseling guidance for novice practitioners should encompass.

USA EXPERIENCE REGARDING THE REINTEGRATION OF WAR VETERANS INTO CIVILIAN LIFE

The article summarizes the experience of the United States regarding the reintegration of veterans into civilian life, namely: the peculiarities of regulatory and legal regulation and the main directions of veteran policy. It was established that the American legislation uses two terms –«veteran» and «active military serviceman», while in Ukraine – «combatant», «military serviceman», «war veteran», «war participant». The American practice of military reintegration into civilian life involves mandatory participation in the Transition Assistance Program (TAP). The main directions of military reintegration into civilian life in the USA, which are under the competence of the Department of Defense, the Department of Veterans Affairs and the Department of Labor, are: social adaptation; psychological support; professional retraining; support with housing. Social adaptation includes social communication, social support and formation of new social skills. Psychological support includes specialized support and treatment. Professional retraining of veterans is the acquisition of new professional qualifications through the acquisition of additional education or skills. Support with housing includes providing a loan for the purchase of housing, maintenance and adaptation of houses to new requirements in case of disability.It has been established that the USA is a country where «military social work» was formed, which is understood as a specialized practice of social work that provides support to military personnel, war veterans and their family members. Military social workers provide a range of services (counseling, crisis intervention, supervision), conduct training and coaching, and organize presentations of special client health support events to colleagues at all levels. Regarding the provision of social benefits, the USA has an exclusive approach to veterans policy – welfare programs for veterans operate separately from programs for the general population. The current system of benefits for veterans in the United States is complex.

Study on Predictor Variables for Different Dimensions of Mental Health among Melavoi Village of Covid-19 Affected Young Adults Living in Anantapuram District, Andhra Pradesh

Early adulthood is an extremely diverse period of life. it encompasses a wide range of lifestyle choices and responsibilities. The pandemic has impacted the mental health of young adults very severely. Covid-19 pandemic there has been an increased risk of psychiatric disorders, chronic trauma with an eventual risk of increased suicidality and suicidal behavior linking this to immune mediated mechanisms of stress. For better dealing with these psychosocial issues of different strata of the society, psychosocial crisis prevention and intervention models should be urgently developed by the government, health care personnel and other stakeholders. Apt application of internet services, technology and social media to curb both pandemic and infodemic needs to be instigated. The main focus of the study was to swot on “Study on predictor variables for different dimensions of mental health among Melavoi village of Covid-19 affected young adults living in Anantapuram district, Andhra Pradesh”. Purposive random sampling technique was selected for the study. The respondents were selected from Melavoi village of Anantapuram district, Andhra Pradesh. Male and Female who are in the age group of 18-35 years affected with Covid-19 was selected for the study. The group consists of 30 Covid-19 affected young adults of 15 males and 15 females from Melavoivillage for the study. The study found that Covid-19 outbreak made respondents to experience lot of mental health problems like emotional distress, anxiety, stress, despair, dissatisfaction, impatience irrespective of gender.

The criminalization of women with postpartum psychosis: "a call for action" for judicial change.

To prevent the incarceration and influence outcomes when criminal culpability is linked to postpartum psychosis. Infanticide, neonaticide and filicide are most often linked with postpartum psychosis, which affects 1-2 women per 1,000 births or 4,000 women each year in the United States. Multiple genetic, hormonal and psychosocial factors surrounding childbirth result in a 1 to 4% risk of infanticide in women with postpartum psychosis. The authors seek to increase awareness of postpartum psychosis and postpartum depression in state legislatures. Others are working to have it recognized intheDiagnostic and Statistical Manual of Mental Disorders(DSM) as a specific illness. Specific postpartum legislation for those charged with crimes related to maternal mental illness is necessary. In Illinois, the very first criminal law in the nation recognizing the pernicious effects of this illness went into effect in 2018. The authors and others are attempting to cause similar or broader legislation to be brought in other states. Several women have been released from extended incarceration utilizing this law. This temporary mental illness can lead to tragic outcomes when hospitalization and crisis intervention is delayed or the illness is misdiagnosed. The legal/judicial system has not utilized the growing body of scientific developments that medical researchers have discovered in recent decades. The lack of a unique diagnostic classification in the DSM and the lack of postpartum criminal laws, lead to mentally ill mothers in the U.S. receiving excessively harsh sentences when prosecuted, evidenced both in trial and sentencing.

Opportunities and Challenges to Build Behavioral Health Crisis Capacity in Rural America.

This column shares lessons learned from a 1-year pilot implementation of a crisis response program deploying crisis professionals to rural parts of Albany County, New York. The data (325 crisis interventions for 191 unique individuals, 57% of cases resolved on the scene) suggest that the program helps fill the crisis services gap in these communities. Police were present on 80% of cases. Educating police to build confidence in the program and providing clearer guidelines on the triage process for dispatchers may be important strategies to continue shifting crisis response duties from traditional first responders to crisis professionals.

Viral sexualities, viral songs: Queer musical interventions in the AIDS crisis in Turkey

The AIDS crisis was a global phenomenon, but the ways individuals responded to the crisis reflected local histories and sociopolitical dynamics. This was particularly true for musical productions. Turkey’s first high-profile HIV patient Murtaza Elgin’s albums demonstrate how queer cultural producers and their allies used stigmatized popular music genres to intervene in the AIDS crisis. The albums show how such collaborative projects become a site for artists diagnosed with HIV to resist criminalization and abjection, build artistic, social, and economic solidarity, mobilize affect for sociopolitical change, and develop a broader critique of homophobia and transphobia.

Armed actor interventions in humanitarian and public health crises: examining perspectives of crisis-affected community members

BackgroundDespite frequently providing non-military services in times of crisis, little systematic research has examined the perspectives of crisis-affected community members on the role of armed actors responding to humanitarian crises and public health emergencies.MethodsTo address this research gap, 175 interviews were conducted (2020–2021) amongst humanitarian and public health practitioners; armed actors; and crisis-affected community members across three country and four crisis contexts. Specifically, this effort included an Ebola outbreak in the Democratic Republic of the Congo; a refugee crisis on the Jordanian-Syrian border; and a volcanic eruption and COVID-19 outbreak in the Philippines. Data was analysed using grounded theory principles.ResultsCrisis-affected community members held diverse views. Non-state armed groups (NSAGs) and government armed actors were characterised as antagonists by some but supportive by others; gender issues were central to perceptions of armed actors, in ways that were both prejudicing and favourable. Overall perception was most closely linked to armed actor roles rather than the relative amount of conflict in a given area.ConclusionsFindings nuance the relevant literature characterizing NSAGs as disruptive agents, and also the relevant literature that does not fully consider the nuances of gender and armed actor roles as deeply relevant to crisis-affected community perspectives on armed actors. These findings have important implications for both policy and academic discourse on militarization and localization.

Police responses to vulnerable populations: tracking the evolution from “zero-policing” to “co-responding”

PurposeThe paper examines the historical shifts in policing strategies towards individuals with SMI and vulnerable populations, highlighting the development of co-response models, introducing the concept of “untethered” co-response.Design/methodology/approachThis paper conducts a review of literature to trace the evolution of police responses to individuals with serious mental illness (SMI) and vulnerable populations. It categorizes four generations of police approaches—zero-policing, over-policing, crisis intervention and co-response—and introduces a fifth generation, the “untethered” co-response model exemplified by Project SCOPE in Philadelphia.FindingsThe review identifies historical patterns of police response to SMI individuals, emphasizing the challenges and consequences associated with over-policing. It outlines the evolution from crisis intervention teams to co-response models and introduces Project SCOPE as an innovative “untethered” co-response approach.Research limitations/implicationsThe research acknowledges the challenges in evaluating the effectiveness of crisis intervention teams and co-response models due to variations in implementation and limited standardized models. It emphasizes the need for more rigorous research, including randomized controlled trials, to substantiate claims about the effectiveness of these models.Practical implicationsThe paper suggests that the “untethered” co-response model, exemplified by Project SCOPE, has the potential to positively impact criminal justice and social service outcomes for vulnerable populations. It encourages ongoing policy and evaluative research to inform evidence-based practice and mitigate collateral harms associated with policing responses.Social implicationsGiven the rising interactions between police and individuals with mental health issues, exacerbated by the COVID-19 pandemic, the paper highlights the urgency for innovative, non-policing-driven responses to vulnerable persons.Originality/valueThe paper contributes to the literature by proposing a fifth generation of police response to vulnerable persons, the “untethered” co-response model and presenting Project SCOPE as a practical example.

Evidence-based brief interventions targeting acute mental health presentations for children and adolescents: systematic review.

Brief intervention services provide rapid, mobile and flexible short-term delivery of interventions to resolve mental health crises. These interventions may provide an alternative pathway to the emergency department or in-patient psychiatric services for children and young people (CYP), presenting with an acute mental health condition. To synthesise evidence on the effectiveness of brief interventions in improving mental health outcomes for CYP (0-17 years) presenting with an acute mental health condition. A systematic literature search was conducted, and the studies' methodological quality was assessed. Five databases were searched for peer-reviewed articles between January 2000 and September 2022. We synthesised 30 articles on the effectiveness of brief interventions in the form of (a) crisis intervention, (b) integrated services, (c) group therapies, (d) individualised therapy, (e) parent-child dyadic therapy, (f) general services, (g) pharmacotherapy, (h) assessment services, (i) safety and risk planning and (j) in-hospital treatment, to improve outcomes for CYP with an acute mental health condition. Among included studies, one study was rated as providing a high level of evidence based on the National Health and Medical Research Council levels of evidence hierarchy scale, which was a crisis intervention showing a reduction in length of stay and return emergency department visits. Other studies, of moderate-quality evidence, described multimodal brief interventions that suggested beneficial effects. This review provides evidence to substantiate the benefits of brief interventions, in different settings, to reduce the burden of in-patient hospital and readmission rates to the emergency department.

Case Study of “Five-Tier Pyramid” Psychological Education: Analysis of Interpersonal Crisis Intervention for College Students with Depression

In recent years, the prevalence of depression among college students has steadily increased due to factors such as their primary family environment, societal pressures, interpersonal relationships, and self-perception. These students are particularly susceptible to psychological crises upon entering university campuses. Empowering students with depression and serving as their spiritual “ferrymen” is a critical initiative for university counselors committed to their original mission of cultivating virtue and nurturing students. It is essential to thoroughly understand the developmental experiences and real-life challenges faced by students with depression, delving beyond their overt behavioral manifestations to uncover the underlying root causes, thereby effectively addressing their practical issues. This study proposes the “five-tier Pyramid” psychological education framework, which integrates the collaborative efforts of the institution, faculty, counselors, classes, and students. By harnessing the comprehensive effects of holistic, ongoing, and all-encompassing psychological education, it aims to enhance intervention strategies for students with depression, offering practical insights for university counselors engaged in crisis prevention and intervention.

Frequency of early childhood trauma in psychiatric patients: an investigation with the Early Trauma Inventory–Self Report

IntroductionChildhood trauma is an important public health problem but there are limitations in our ability to measure childhood trauma. Early Trauma Inventory is a self-report instrument for the assessment of childhood trauma that is valid but simple to administer.ObjectivesWe aimed to assess the frequency of childhood trauma in patients of a large sample of the Crisis Intervention and Psychiatric Ward in Budapest, Hungary.MethodsData from 279 patients referred to Péterfy Alexander Hospital, Crisis Intervention and Psychiatric Ward, Budapest, Hungary, were analyzed. Most participants were female (n = 202, 72.4%) between the ages of 17 and 86 (M = 38.37 yrs). Half of the participants were diagnosed with major depressive disorder (n = 138, 49.5%) or anxiety disorder (n = 149, 53.4%), while 47 of the participants suffered from bipolar disorder (16.8%). One hundred thirty-eight participants had at least one suicide attempt in their life (49.5%). Childhood traumas were assessed by the Early Trauma Inventory– Self Report (ETI-SR), an instrument for the assessment of physical, emotional, and sexual abuse, as well as general traumas, which measures frequency, onset, emotional impact, and other variables. We assessed the most frequent traumas in the physical, emotional, and sexual abuse, as well as general trauma domains.ResultsFamily mental illness (n = 136, 58.1%), witnessing violence (n = 129, 54.7%), divorce/separation of parents (n = 114, 48.3%), and observing death/serious injury of others (n = 112, 47.5%), were the most frequently experienced general traumas. Out of physical traumas, most of the participants experienced being slapped in the face (n = 169, 73.2%), being spanked with a hand (n = 152, 65.5%), being hit or spanked with an object (n = 93, 40.3%), and being pushed or shoved (n = 81, 33.4%). Among emotional traumas, being often put down or ridiculed (n = 170, 74.2%), the needs being failed to be understood by parents (n = 164, 72.7%), often shouted at or yelled at (n = 154, 67.5%), and being often ignored or made feel like they do not count (n = 109, 46.2%) were the most frequent. From the sexual abuse domain, being exposed to flashing (n = 72, 32.9%), being touched in intimate parts in an uncomfortable way (n = 63, 29.2%), being exposed to inappropriate comments about sex (n = 61, 28.5%), and being rubbed by someone’s genitals (n = 44, 20.3%) were the most common. Further results will be presented at the conference.ConclusionsIt is already recognized and our study also confirms that childhood maltreatment, especially sexual abuse can lead to suicidal behaviour. The precise role of particular types of childhood maltreatment and the mediators of the relationship between childhood maltreatment and suicide is yet to be investigated in more details.Disclosure of InterestNone Declared

A Cross-Sectional and Longitudinal Investigation of Hopelessness Among University Students in the Aftermath of the COVID-19 Pandemic

Under the shadow of the COVID-19 pandemic, it is of vital importance to explore its impact on the psychological wellbeing of the students in higher education. Accordingly, this research investigated hopelessness among students at a state university in Turkey throughout the pandemic. The research was conducted in two separate studies, one cross-sectional and the other longitudinal. Study I examined students’ hopelessness level in relation to gender, job or income loss, social media use, academic unit, and grade. Study II compared students’ hopelessness level during the distance and hybrid education periods. The data were collected online through Personal Information Form and Beck Hopelessness Scale in both studies. The findings of Study I indicated significantly higher hopelessness scores in females, students who experienced job or income loss, and seniors at faculties. It was also found that the level of hopelessness increased as the duration of social media use rose. In addition, Study II revealed that students’ hopelessness scores significantly decreased during the hybrid education in contrast to the distance education. Based on these findings, we suggest that during distance education in times of crisis, psychological counseling and career guidance interventions should be planned and coordinated according to the characteristics of risk groups, and e-learning models offering the highest social interaction should be preferred.

Post-traumatic stress disorder in parents of schizophrenic patients at the Arrazi Psychiatric Hospital in Salé following familial violence

IntroductionParents whose adult child has a serious mental illness are at risk of serious violence from their child. One of the reasons for the high risk of PTSD is violence in the home [1,2]. The high risk of PTSD in parents of patients with schizophrenia is an issue of great concern because parents are likely to fear repeated violence and, therefore, to object to patients being discharged from hospital.Objectives To assess the existence of post-traumatic stress disorder in relatives of patients with schizophrenia treated at the Arrazi University Psychiatric Hospital in Salé following familial violence.MethodsThis was a descriptive cross-sectional study using a questionnaire including sociodemographic criteria, clinical criteria, questions about domestic violence and an “IES-R” post-traumatic stress symptom assessment questionnaire to investigate the existence of post-traumatic stress disorder in relatives of patients with schizophrenia followed up at Arrazi University Psychiatric Hospital in Salé following familial violence.ResultsThe response of 72 relatives of schizophrenic patients was collected. About 70% of the participants were mothers. The average age of the participants was 58. All lived with children who had been treated for schizophrenia for more than 18 years (57% of participants). Around 20% of these children were in hospital at the time of completing this questionnaire. About 80% of the children with schizophrenia spent all their time at home, and about 89% of the participants had already been victims of violence from their sick children. 90% had been sworn at and insulted, the majority blamed themselves for the illness, about 56% had already been kicked or punched, and 36% had already received death threats and 12% serious injuries/. For all items, parents with a high IES-R score had significantly more experiences of violence than parents with a low IES-R score. The percentage of parents with a high IES-R score was 45%.Conclusions The experience of severe violence and hospitalisation of a patient was related to a high risk of post-traumatic stress disorder in parents. These two factors can be considered as traumatic events arising from crisis situations and can have harmful consequences for parents and their schizophrenic children, who are sometimes rejected. There seems to be a need to create crisis intervention programmes that offer a multidisciplinary approach capable of rapidly detecting the exacerbation of a serious mental illness and providing rapid and intensive treatment as quickly as possible. Finally, the provision of support, education or treatment for parents during their child’s hospitalisation is essential.Disclosure of InterestNone Declared

School social workers’ experiences delivering mental health supports amid COVID-19 school reopening

Child and adolescent mental health needs are at unprecedented rates in the continued wake of COVID-19. While prior research has examined school mental health practice during initial COVID-19 school closures, few studies have examined school mental health practice amid COVID-19 school reopening. This exploratory study investigates school social workers’ perceptions of their mental health service and support delivery during COVID-19 school reopening as well as the facilitators and barriers they experienced to delivering these supports. This study also examines school social worker’s perceptions of the mental health supports they wished were offered. Fifteen current school social workers in one southeastern state who practiced during the first full school year amid COVID-19 school reopening (2020–2021) participated in virtual interviews. Interview data were analyzed using a qualitative content analysis approach. Findings suggest crisis intervention and counseling were primary mental health services provided by school social workers during this time, and barriers to service delivery included the virtual format of service delivery, emerging experiences of burnout, and a lack of mental health providers. Facilitators to providing mental health services included collaboration with school and community-based partners and supervisor support. Participants wished schools had offered additional in-person mental health services and supports and expressed a need for additional school mental health professionals to be hired. Implications are offered for school mental health practice and research with the aim of helping to inform ongoing responses to COVID-19, future crisis response planning, and areas for improvement in current school mental health approaches.

Mental Health Nursing Student's Perception of Clinical Simulation about Patients at Risk of Suicide: A Qualitative Study.

qualitative descriptive phenomenological study through focus groups and reflective narratives in a sample of 45 students. A thematic analysis was performed using ATLAS-ti. After the analysis, three themes were obtained: (a) management and handling of emotions, (b) identification of suicide motives, and (c) intervention in suicidal crisis. Clinical simulation in mental health allows students to exercise clinical judgment reasoning, detect warning signs for a better treatment approach, and provide tools for effective intervention and management of patient care. The results of this study indicate that nursing students face challenges in approaching mental health clinical simulation due to a lack of prior exposure.

School psychologists' training and experience in providing grief support

AbstractSchool‐based mental health professionals consistently report that they are either not prepared to support grieving students, or do not have time to integrate crisis intervention support into their hectic schedule. Given that inadequate school mental health services can increase a bereaved student's risk of developing emotional problems, it is critical that school psychologists increase their comfort in grief. This study surveyed 75 school psychologists in the Northwestern United States regarding their training and experience in grief support. A reflexive thematic analysis identified four themes related to the challenges and recommendations in grief support: lack of training, limited role of the school psychologist, lack of formalized grief response system, and lack of school and community resources. Furthermore, only 3% of participants reported taking the lead in providing grief support and 64% provide grief support fewer than five times a year. The majority (81%) reported that they had zero courses devoted to grief support during their graduate degree, with more participants (67%) obtaining grief training postdegree. Study limitations, areas for further research, and implications for schools and school psychologists are also discussed.