I. DEFINING THE ISSUE School Shooting Tragedies: What Are They? A Response to School Shootings - Trauma's Long Term Effects on Schools and Communities * School shootings are defined as a shooting which occurs on the school grounds, on the way to or from school, or at a school sponsored event. Findings from the Chardon High School Shooting, Chardon, Ohio, February 27, 2012 James C. Adams, CEO, Geauga County Board of Mental Health & Recovery Services * Mass school shooting events are VERY rare. * During the 2009-2010 school year there were approximately 50 million students attending classes through the twelfth grade in the U.S. During that same time period, there were 17 recorded school shooting deaths, all single fatalities, which made up less than 2% of all school related deaths for the year. * Only 12 mass school shooting events occurred in the last 20 years. * One-on-one shootings make up the vast majority of school shootings. Most often, the shooter is searching out one specific person. * To date, there are no reliable assessment tools that can accurately predict a school shooting perpetrator. At Columbine High School, the two shooters had successfully completed an early intervention program for at-risk youth. * At Chardon High School, the lone shooter had posted images of himself with weapons on the internet. Eric Harris and Dylan Klebold Columbine High School INTRODUCTION On the morning of February 27, 2012, the Chardon (Ohio) High School cafeteria erupted in gunfire. In just 38 seconds, six students were shot, of which three would subsequently die of their wounds. An array of behavioral health care agencies provided immediate mental health care to the school district’s students and staff, and the community at large. That care continues to this day as the Chardon community continues to recover. Since 1990, the U.S. has experienced more than 190 school shooting events, occurring at every level of the educational system, at preschools (Miami, FL), elementary schools (Newtown, CT), middle schools (Sparks, NV), high schools (Centennial, CO; Chardon, OH; Marysville, WA; Troutdale, OR), and universities (Hazard, KY; Isle Vista, CA; Tallahassee, FL). From 2000-2013 alone, these events have cost the lives of 117 individuals, wounded 120 others, and psychologically traumatized thousands of students, school staff, and their families (Blair et al., 2014). Little research has been done on how a school and the community recover days, weeks, months and even years after such an unimaginable event. The Geauga County Board of Mental Health and Recovery Services has overseen much of the recovery efforts within the Chardon community and beyond. Through a joint effort with Case Western Reserve University and the University of Toledo, we are learning how individuals, and communities as a whole, respond to these tragic shootings. We hope our work today will be of help to others in the future, and bring some measure of healing and meaning to this horrific event. Thomas J. (T.J.) Lane Chardon High School V. LONG TERM EFFECTS The Global Impact of Trauma: * Anecdotal evidence suggests that local deaths due to overdose and suicide increased over time after the high school shooting. Individuals closest to the event were most susceptible. Russell King, Sr., the father of one of the victims, died of a heroin overdose on the 2nd anniversary of the event. Adam Nolan, half-brother to the perpetrator, died of an overdose less than nine months after the shooting. * Out of county residential treatment rates for youth ages 12-18 climbed to more than double the previous years total, in less than 10 months. One youth was quoted as saying he wanted to, “finish what T.J. Lane started”. * Costs for youth residential treatment rates also rose, from less than $40,000 per year to over $120,000 per year, in the 12 months following the shooting. Length of stay and acuity levels were dramatically higher. * Cognitive Behavioral Intervention for Trauma in Schools assessments identified 23% of students in the Chardon High School at the time immediately following the shooting as “at risk” of significant mental health problems. Columbine High School assessments identified 15% at risk. Dr. Joseph A. Dake, PhD, MPH, FASHA Professor and Chair Department of Health and Recreation Professions University of Toledo Mallory Ciarra Rinckey, B.S.,CHES Masters of Public Health Research Assistant University of Toledo Emily Elizabeth Sterns, B.S., CHES Masters of Public Health Research Assistant University of Toledo Dr. Jill E. Korbin Associate Dean, College of Arts and Sciences Director, Schubert Center for Child Studies Case Western Reserve University Dr. James Spilsbury, PhD, MPH Director, Academic Development Core, Center for Clinical Investigations Department of Epidemiology and Biostatistics Case Western Reserve University College of Medicine VI. DEFINING THE FUTURE II. DEFINING THE EVENT The Chardon High School Shooting, What Happened: Identifying Trauma Issues With Ongoing Consequences: * Chardon High School, Chardon, Ohio suffered a mass school shooting on the morning of February 27, 2012. It was only the second mass high school shooting since Columbine High School, 13 years before. * At approximately 7:38 a.m. six students were shot in the cafeteria, as teenagers gathered in the cafeteria before classes. Three victims died of their injuries, another remains permanently paralyzed. * Increased costs for treatment, crisis intervention, increased behavioral health care staffing, increased security, and trauma informed care training were initially covered by state and federal public and private grant funds. * After four years, costs for programs like youth residential treatment care have remained high, though funding has been cut dramatically. * Chardon students represent approximately 50% of all residential placements, but comprise only 23% of the total county student population. * Behavioral health care professionals who were trained and certified in trauma informed care are being recruited out of the area, leaving gaps in the behavioral health system of care. * One shooter, T.J. Lane, used handguns he obtained from a relative’s home. * Some classes had already begun in the high school, so students experienced different levels of exposure to the trauma. * The F.B.I,U.S. Secret Service, Ohio State Highway Patrol, Geauga County Sheriff’s Department, the Chardon Police Department, the Chardon Fire Department, and many surrounding community emergency services personnel participated in the initial response. * Chardon High School was the only school to have “active shooter” training within the Board’s catchment area before February 27, 2012. * Nine months later, Sandy Hook Elementary School was the scene of yet another mass school shooting. III. IDENTIFYING THE TRAUMA RELATED ISSUES The Research Questions: * We have tried to identify community level issues that may have been made worse, or perhaps, even been improved by the unexpected influence of a tragic school shooting. * The question remains whether findings from this investigation may be appropriately applied to communities that experience other tragic events, such as “acts of God” like a tornado, flood, or hurricane. Similarities do exist between some of the early findings of our investigation and those of communities like Joplin, Missouri which experienced a devastating EF5 multiple vortex tornado on May 22, 2011. * Questions remain on the efficacy of some religious interventions at the time of the tragedy. While questions of faith were the number one issue encountered by behavioral health clinicians, who provided trauma counseling at the scene of the shooting, some clergy on the scene told survivors and family members that this was “pre-ordained” by God and their son (or daughter, or friend, or relative, etc.) was predetermined to die or be injured. Other clergy addressed the trauma of their parishioners in a very different way, focusing on the grief and loss of the moment. * We seek to determine whether communities that experience school shootings have similar outcomes over time. Have some school districts and surrounding communities experienced better outcomes due to different initial interventions? IV. FINDINGS ON SHORT TERM ISSUES The Broader Community Impact: IV. FINDINGS ON SHORT TERM ISSUES Columbine High School responded to the Chardon High School shooting with notes of sympathy and compassion from students and staff. The Broader Community Impact, Continued: * Within an hour of the initial 9-1-1 calls, volunteers were arriving at the scene of the shooting to provide clinical counseling services. Many were unknown to the system of care, and had no clinical experience in trauma. * The Geauga County Board of Mental Health and Recovery Services, as a governmental behavioral health authority and funder, serves not only the Chardon School District, but also those seven other school districts within the catchment area. * Individuals with severe and persistent mental illness had high levels of anxiety and depression. Even a year after the event, clients in the mental health system with severe and persistent mental illness were still reporting processing the influence of that tragedy as a part of their daily therapeutic interventions. * Within a week of the shooting tragedy, each of those eight school districts experienced a traumatic response to the shooting. Whether it was a suicide, suicide threat, bomb or fire threat, or the threat of another shooting, the trauma response was universal. * Younger children were afraid to go back to school later that week. Some high school students dropped out of school, started home schooling, or entered a private high school. * By focusing solely on the school district where a shooting occurred, many may miss the breadth of such a traumatic community event, and therefore the scope of healing that needs to be addressed in the aftermath. Little study has been done in how the community at large, and surrounding districts, are affected. * Within the next two years the school district would lose approximately 35% of the teachers who were present at the time of the shooting. * An increase in calls to the local mental health 24-hour hotline indicated other community members were traumatized as well. Calls from veterans, parents of students, siblings, and even individuals with no previous traumatic exposure appeared to increase dramatically. * As a preliminary exploration of the aftermath of the Chardon shooting, we examined readily available community-level data. For example, there was an increase in new concealed carry licenses in Geauga County compared to a similar Ohio county. VII. IDENTIFYING NEW QUESTIONS TO EXPLORE Research Issues For the Future: * How does a local traumatic event, such as a school shooting affect community issues like housing and business/industry? Does housing value diminish? Do local businesses prosper, flounder, or remain relatively static after a traumatic community event? * What is the long term mental health stability of students, staff, and community members? What strategies may be implemented in the future that could help ensure better outcomes? *Does Trauma Informed Care, initiated at the time of a school shooting, have a better long term outcome than other interventions? Number of Concealed Carry Licenses Issued * Can we make schools and students safer today and in the future by studying past school shooting events? * What role does social media play in exacerbating or reducing the negative effects of trauma on a population? * What can history teach us that will help us reduce the violence that our children face? Chardon High School students walk together to a memorial service, on the 1st anniversary or the Chardon High School shooting. Mourners overflow into the yard and parking lot of St. Mary’s Catholic Church during a Memorial Service for victims of the Chardon High School shooting.
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