Critical Incident Guidance for Schools and Other Settings D:\106758542.doc Bradford Educational Psychology Team CRITICAL INCIDENT GUIDANCE FOR SCHOOLS AND OTHER SETTINGS General Organisational Issues Schools and settings should strike a balance between the maintenance of their normal routines and acknowledgement of incidents. Normality helps to anchor a child allowing them to deal with difficult events more successfully. The most important support resource for children and adults lies within schools and settings themselves, children’s families and the community. Specialist help e.g. bereavement counselling, should only be required in a very small number of cases where children or adults do not respond to the facilitated natural support around them. Incidents should be publicly acknowledged as forcing children or adults to bottle up concerns does not help in the long run. Consideration should be given to responding to the event during the normal routine times when groups come together – assemblies, form groups, staff briefings etc. Discussion of events and death should not be avoided, but remember that individual children and adults will vary in their need to talk about events that have distressed them. Opportunities for children and adults to talk about their concerns should be provided and made OK to use. A simple question ‘Would you like to talk about ….. ?’ by those who know a child or colleague will allow the need to be assessed, and where appropriate opportunities given to talk. There are two key features here – knowing the child or adult, and strength of the pre-existing relationship. Knowledge of the child or adult informs the assessment of their need and the strength of the relationship increases the value and effectiveness of any subsequent support. When utilised these two key features give inherent strength to a setting, family or community’s support. Where a loved one has been lost, this can lead to feelings of confusion and loss of control. Giving children and young people real choices in how they respond to the loss and what support they use, can create a sense of control that allows them to deal naturally and more successfully with loss. Creating specific acts of remembrance should be suggested and facilitated. Asking children and adults how they would like to do this is important. Examples might include remembrance books, contributing to relevant charities, attendance at funerals and physical memorials such as trees and benches. D:\106758542.doc Natural Responses to the Loss of Loved Ones Where loss of a loved one has occurred, children as well as adults will naturally grieve for those they cared for. Grieving can be expressed in a number of ways: o o o o o Initial shock and numbness. Disbelief or denial – knowing the person has died but not being able to accept it at a deeper level. Searching for the loved person even though they know they are dead. This searching can take many forms e.g. looking at and talking to photographs, going into rooms associated with them in life. Anguish and sadness, sometimes the intensity of this emotion can be frightening and generate a feeling of anger. There is often a need to talk about the loved one at this point. Physical and emotional stress, e.g. loss of appetite, lack of patience, muscular tension etc. In younger children these reactions may be less clear but their counterparts and effects can be recognised by those who know them. Seeking the support of familiar adults, reluctance to leave familiar places, excessive quietness and lack of engagement, tearfulness and angry outbursts are not uncommon or unnatural. Many of these reactions are fuelled by a fear of ‘what might also happen’. Grieving often, but not always, follows a process that is helpfully described by the Whirlpool of Grief. It is important to realise however that grieving is not a linear process and previously experienced emotions are often revisited, albeit with lesser intensity. Thinking about where the child or adult might be, and sometimes with older children sharing the Whirlpool, can be helpful. The Whirlpool of Grief can be found separately in the Educational Psychology Team area on Bradford Schools on Line. D:\106758542.doc Supporting Children The best support comes from those you know and trust. By reflecting on this, settings will be aware of who is best able to give support to particular children and should facilitate access wherever possible. Fear and anger, especially in younger children can be countered by reinforcing attention and basic nurturing activities, allowing them to re-establish a sense of dependability and consistency. Children can regress for a time and appear to need less age appropriate nurturing. This is OK but will need to be reduced over time. Some children may exaggerate the expression of their power in order to counteract fear or express their anger towards an event. This can look like ‘naughty’ behaviour but with reassurance this behaviour should disappear. It is still important to signal that boundaries have been crossed, but to also convey a sense of understanding and confidence that their behaviour will get better. Feelings of guilt can sometimes emerge, especially where information has been dealt with economically. Reassurance that children are not to blame usually helps, but this emotion can be more difficult to deal with and settings may need some advice on how to deal with it if it persists. Try to foster a sense that it is OK to play and have fun as well as to sometimes feel sad and upset. Children grieve cyclically and for intensely loved ones the process can go on for many years. As children and young adults acquire new thinking tools they may revisit death in order to integrate more elaborate thinking into their life story. Talking to Children Talking and listening is a very important form of support for children. Try to respond by reflecting back what the child is saying, or summarising, rather than trying to move the conversation on as we do in everyday conversation. It is not helpful to the child to force a conversation by introducing ‘things you think should be talked about’, this takes away the child’s control of the agenda and may introduce things they are not yet ready to talk about. Listen carefully and stay with the child’s agenda. Giving information to the child is important and counters confusion and the sense of loss of control over their life. Listening carefully to the child will provide the clues to what information the child needs. Information should be given in concrete, honest, culturally relevant terms, avoiding euphemisms. Be ready for repeat questions from children as this is part of the grief work that will occur. Watch for cues that you have ‘lost’ the child e.g. fidgeting or poor eye contact, and don’t force interactions if this occurs. Acknowledge the child’s emotions and reassure them that the feelings are normal. When the feelings are a little less intense it is useful to introduce the idea that they will feel D:\106758542.doc better in time, though it will be ‘up and down’. The Whirlpool of Grief can help here with older children. Memories and emotions associated with grieving can be very mixed up, pain, anger and sadness can sit with the pleasure and warmth associated with remembering good times with the deceased. This can be confusing for children and the Three Stones metaphor can be helpful. A jagged angular stone signifies the painful, sharp memories of loss and grief, a smooth rounded stone signifies the memories of the lost person’s everyday but personal behaviours, a shiny precious stone the special memories of happy shared times. All 3 stones can be held in the hand at the same time signifying the mixed, complex but normal feelings a child might have. With young children, the use of emotion labelling words e.g. sad, angry or scared, can be helpful and used to externalise, acknowledge and support the grieving process. Acknowledge children’s fears and validate them as difficult to think about and deal with. Don’t worry about ‘saying the wrong thing’. If you use common sense, any ‘getting it wrong’ just won’t be helpful to the child rather than actively harmful. As children get older their understanding of death grows and particularly in adolescence this may result in ‘philosophical’ reflection. Questions may arise like – Why has this happened? What is life and death? Why wasn’t it me? These sort of questions are best responded to by listening and responding in ways that support the young person’s own thinking whilst not actively shaping it. Responses like – ‘That’s a really difficult question, you’ve obviously thought about it, what thoughts have you had so far?’ - should open up a helpful conversation. The subsequent use of reflective techniques will allow the young person to begin to explore their thinking in a way that is controlled by them and therefore ‘safe’ for them. Concern over Progress We do not get over the death of an important person in our lives, we learn to live with it, integrate it into our life narrative, and hopefully rediscover the joy in life. This has been described as finding a new kind of normal. This process takes time but where children and adults do not appear to be doing this more specialist help and support may be required. The signs and signals that specialist help may be required include: o o o o o o Minimal or total absence of emotional expression in relation to the loss. Prolonged inability to recognise that the loss has occurred. Extreme reactions to grief that can persist over time, usually guilt of anger. Significant changes in health without other explanation. Prolonged states of depression, tension, agitation, insomnia. Prolonged feelings of self blame or worthlessness. Settings concerned about a child’s progress should raise this with the Educational Psychology Team (EPT) or Education Social Work Service (ESWS). Settings concerned about an adult should advise them to visit their GP, contact their human resources adviser or approach a bereavement counselling service. D:\106758542.doc Further Advice to Schools and Settings The Educational Psychology Team and Education Social Work Service are able to advise schools and settings on their response to specific events. In many cases we get to hear of an event and approach a setting ourselves. However, please feel free to contact us to discuss any situation and we will try to help. In some cases this may involve us working with other services such as Diversity and Cohesion, Social Care or voluntary partners. When dealing with critical incidents it is better to be ‘wise before the event’ and the EPT would be pleased to support the development of a settings pre-planning. Useful Resources The web site Winston’s Wish is an excellent resource and includes lesson plans dealing with death and loss for all Key Stages. The site also has an interactive section for children. http://www.winstonswish.org.uk/ Amazon has a good range of books and their reviewer’s comments can help you to chose the right books for your circumstances. For younger children try, Badgers Parting Gift by Susan Varley or Always and Forever by Alan Durant, as starting points and follow the ‘customers who bought this item’ links. Books for older children are less common, but Charlotte’s Web by E B White may be helpful for 7 -12 year olds and Mama’s Going to Buy You a Mocking Bird by Jean Little for slightly older children. When Parents Die: Learning to live with the Loss of a Parent by Rebecca Abrams may be useful for older teenagers. Other relevant books are available from Winston’s Wish. Activity books such as the Grief Encounter Workbook by Shelley Gilbert or Muddle, Puddles and Sunshine by Diana Crossley, can be a useful resource, again try Amazon and Winston’s Wish. For further advice on books and reference material please contact the Educational Psychology Team. Additional Guidance The following guidance is also available from the Educational Psychology Team or Education Social Work Service and is downloadable from the EPT area in Support Services for Pupils on Bradford Schools Online. Critical Incident Guidance Individual Bereavement Planning Guide Critical Incident Guidance Major Incident Planning Children’s Understanding of Death Supporting Bereaved Children Guidance for Carers The Whirlpool of Grief Paul C Nicklin Principal Educational Psychologist Tel: 01274 385532 D:\106758542.doc