This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Highlights  24.2% of youth had clinically significant depression symptoms or diagnosis.  Depression was assessed via validated self-report measures or diagnostic interviews  Girls had greater odds of depression than boys.  Interpersonal violence yielded higher depression rates than other types of trauma  The effect of trauma exposure on depression scores was medium in size

Each year, millions of children are exposed to potentially traumatic events world-wide.

Introduction: The increasing prevalence of disasters worldwide highlights the need for established and universal disaster preparedness plans.The devastating events of September 11 and Hurricane Katrina have spurred the development of some disaster response systems. These systems, however, are predominantly focused on medical needs and largely overlook mental health considerations. Negative outcomes of disasters include physical damage as well as psychological harm. Mental health needs should be considered throughout the entire disaster response process, especially when caring for children, adolescents, and their families.Objective: To provide an overview and recommendations for the integration of mental health considerations into pediatric disaster preparedness and response in the medical setting.Methods: Recommendations were developed by a panel of disaster preparedness and mental health experts during the Childrens Hospital Los Angeles Pediatric Disaster Resource and Training Center: Workshop on Family Reunification in Los Angeles, California, March 31-April 1, 2008. Experts discussed the inclusion of mental health-specific considerations and services at all stages of disaster preparedness and response. Recommendations involve the integration of mental health into triage and tracking, the adoption of a child ambassador model, environment, and developmentally appropriate interventions, education, communication, death notification, and family reunification.Conclusions: The inclusion of mental health concerns into pediatric disaster preparedness may help prevent further and unnecessary psychological harm to children and adolescent survivors following a disaster.

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