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Hosp Community Psychiatry 36:73-76, January 1985
© 1985 American Psychiatric Association
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Mental Health Consultation to a Preschool Following the Murder of a Mother and Child

Spencer Eth M.D.1, Suzanne Silverstein M.A.,A.T.R.2, and Robert S. Pynoos M.D.,M.P.H.3

1 The West Los Angeles Veterans Administration Medical Center, The Department of Psychiatry at the University of California at Los Angeles
2 The Thalians Community Mental Health Center of the Cedars-Sinai Medical Center in Los Angeles
3 The UCLA-Neuropsychiatric Institute

Eth at The VAMC, 691/B116A12, Los Angeles, California 90073

The murder of a five-year-old boy and his mother disrupted the entire small community of the preschool he had attended. A two-stage mental health intervention consisting of separate group sessions with the preschoolers, teachers, and parents was initiated to help them work through their grief and fear and to reverse their increasing isolation from one another. The reassuring presence of adults who were not struggling with the crisis and the creation of a supportive milieu relieved the children's anxiety, enabling them to discuss their fears and fantasies about the deaths, and alleviated the anxious mistrust and sense of lost personal security of the teachers and parents. The teachers were able to resume their professional functioning, and the parents were better able to assist their affected children.




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