Grief and Loss Handbook - Lake · PDF fileGrief and Loss Handbook Lake County School Board...

61
Grief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services Jan Tobias Administrative Coordinator, Student Services Mary Minich Program Specialist, Student Services Linda Wice, Ed.S., NCSP School Psychologist August, 2010 Student Services 512 South Palm Avenue Howey-in-the-Hills, FL 34737

Transcript of Grief and Loss Handbook - Lake · PDF fileGrief and Loss Handbook Lake County School Board...

Page 1: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

Grief and Loss Handbook

Lake County School Board

Susan Moxley, Ed.D.

Superintendent

Jay Marshall

Director, Student Services

Jan Tobias

Administrative Coordinator, Student Services

Mary Minich

Program Specialist, Student Services

Linda Wice, Ed.S., NCSP

School Psychologist

August, 2010

Student Services

512 South Palm Avenue

Howey-in-the-Hills, FL 34737

Page 2: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

2

TABLE OF CONTENTS

TABLE OF CONTENTS ................................................................................................... 2

INTRODUCTION............................................................................................................... 6

A FRAMEWORK FOR GRIEF AND LOSS COUNSELING ....................................... 6

CRISIS, TRAUMATIC EVENT, POST TRAUMATIC STRESS, DEATH,

BEREAVEMENT, AND GRIEF ....................................................................................... 7

Crisis ............................................................................................................................... …..7

Traumatic Event .................................................................................................................... 8

Post-Traumatic Stress ........................................................................................................... 8

Death ..................................................................................................................................... 9

Bereavement ......................................................................................................................... 9

Grief ...................................................................................................................................... 9

DEVELOPMENTAL STAGES OF GRIEF ..................................................................... 9

Infancy .................................................................................................................................. 9

Pre-School Age (2 ½ to 5 Years) ........................................................................................ 10

School Age .......................................................................................................................... 10

FIVE EMOTIONS THROUGH WHICH PEOPLE MAY PASS WHEN

CONFRONTED WITH DEATH .................................................................................... 11

Elisabeth Kübler-Ross - Framework of Grief ..................................................................... 12

GUIDELINES FOR HELPING SOMEONE WHO IS GRIEVING ........................... 14

How to Converse/Comfort Grieving People ....................................................................... 14

How to Comfort Children Who Grieve .............................................................................. 15

Page 3: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

3

Emotional First-Aid ............................................................................................................ 15

STUDENTS WHO ARE CONSIDERED “HIGH-RISK” FOR

COMPLICATED GRIEF ................................................................................................ 16

Problematic Expressions of Grief ....................................................................................... 16

Factors Which Indicate “High-Risk” for Complicated Grief ............................................. 16

WORKING WITH THE MEDIA ................................................................................... 17

CAMPUS SECURITY ...................................................................................................... 19

EMERGENCY CHECKOUT PLAN .............................................................................. 19

PRINCIPAL’S ROLE ...................................................................................................... 19

Pre-Planning Phase ............................................................................................................. 20

Protocol Implementation (Crisis has occurred) .................................................................. 20

Post Implementation Follow-up .......................................................................................... 24

ROLE OF THE CRISIS MANAGEMENT TEAM LEADER AND OTHER

TEAM MEMBERS ........................................................................................................... 24

GUIDANCE AND ITINERANT STAFF ROLES ......................................................... 25

TEACHER’S ROLE ......................................................................................................... 27

ROLE OF CLASSIFIED STAFF .................................................................................... 29

PARENT COMMUNICATIONS .................................................................................... 30

Guidelines for Parent Communications by Phone .............................................................. 30

Guidelines for Parent Communications in Writing ............................................................ 30

Guidelines for Parent Meetings .......................................................................................... 30

COPING WITH A SUICIDAL DEATH......................................................................... 31

A Parent’s Perspective Following the Suicide of Their Son............................................... 32

Page 4: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

4

GRIEF SUPPORT GROUPS........................................................................................... 34

Some Ideas/Suggestions...................................................................................................... 34

Parent Referrals for Counseling .......................................................................................... 35

FUNERAL SERVICES AND MEMORIALS ................................................................ 35

Guidelines Regarding the Funeral ...................................................................................... 35

APPENDIX A: REPRODUCIBLE HANDOUT FOR TEACHERS............................ 37

Helping Your Students Deal with Grief and Loss .............................................................. 37

Teachers' Role ................................................................................................................. 37

Specific Information for Elementary Teachers ................................................................... 38

APPENDIX B: CLASSROOM ACTIVITIES HANDOUT .......................................... 39

Activities for Children by Age ............................................................................................ 39

Birth to 2 years ................................................................................................................ 39

Preschool and Kindergarten ............................................................................................ 39

School Age (7 to 12 years).............................................................................................. 39

Middle School to High School (12 to 18 years) ............................................................. 39

Other Ways of Expressing Loss .......................................................................................... 39

APPENDIX C: SAMPLE LETTERS, MEMORANDUMS, AND NOTICES ............ 40

Letters to Parents................................................................................................................. 40

Sample A: General .......................................................................................................... 40

Sample B: General .......................................................................................................... 41

Sample C: Death by Suicide, Homicide, or Tragic Accident ......................................... 42

Memoranda to Faculty ........................................................................................................ 43

Sample A: Announcing a Suspected, but Unconfirmed, Death by Suicide .................... 43

Sample B: Announcing a Death by Suicide that Occurred Over the Summer

Break ............................................................................................................................... 44

Sample C: Announcing an Accidental Death ................................................................. 45

Sample D: Announcing the Death of a Teacher to Students .......................................... 46

Notices ................................................................................................................................ 47

Sample A: Announcing a Death by Suicide to the Student Body................................... 47

Sample B: Postvention Counseling Group ..................................................................... 48

Page 5: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

5

APPENDIX D: REPRODUCIBLE STAFF CHECKLISTS ......................................... 49

D1: Principal Checklist ....................................................................................................... 49

D2: Crisis Management Team Leader Checklist ................................................................ 51

D3: Guidance and Itinerant Staff Checklist ........................................................................ 52

D4: Teacher Checklist......................................................................................................... 53

APPENDIX E: GRIEF AND LOSS RESOURCES ....................................................... 54

Recommended Reading ...................................................................................................... 54

For Children .................................................................................................................... 54

For Teens ........................................................................................................................ 56

For Parents ...................................................................................................................... 56

Pet Loss ........................................................................................................................... 58

For Schools ..................................................................................................................... 58

BIBLIOGRAPHY ............................................................................................................. 60

Page 6: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

6

Introduction

Principals, teachers, and guidance counselors often feel ill-prepared to address a

death of a student or faculty member. This manual and its guidelines are intended

to assist principals and their staff in meaningfully responding to an event with the

potential to profoundly affect the school and its surrounding community.

When requested by a building principal, a Student Services Administrator

provides support to the school-based Crisis Management Team in their efforts to

aid members of their school community to deal with a loss. Typically, school

wide-loss may include the death of a student or teacher.

As envisioned, the school-based Crisis Management Team would handle most

situations as they arise. Once a building framework is in place, this Grief and Loss

Manual can provide added details and guidance on specific issues as they arise. It

provides suggestions for best practices. It is suggested that each school review the

information contained herein and make necessary changes to its school-based plan

so that campus needs are addressed. If it happens that the loss necessitates extra

assistance, the Student Services Department is prepared to provide that help on

request.

A separate district response team is prepared to assist in the event of a critical

incident. A critical incident is defined as any unplanned event that can cause

significant injury to employees, students, visitors, or the public or that can shut

down a school, disrupt operations, cause physical or environmental damage, or

threaten the campus operational standing or public image. In the event of a critical

incident, refer to the current Lake County Schools’ Emergency Response and

Crisis Management Plan.

A Framework for Grief and Loss Counseling

As first responders to grief and loss or bereavement situations in our schools, we

should see the bereaved persons we serve and counsel as our teachers. They

should be allowed to teach us what their experience is, rather than us constructing

some set of goals and expectations that we expect them to meet and achieve. We

should not see ourselves as the experts on anyone’s grief, but meet those grieving

without expectations about what they should be feeling or what should necessarily

happen. There are no experts in bereavement counseling.

The Companioning Model of Bereavement Caregiving stipulates that we, as grief

and loss caregivers, help people to integrate life’s losses by being present to them

and observing them – companioning.

Companioning is about honoring the spirit; it is not about focusing on the

intellect.

Page 7: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

7

Companioning is about learning from others; it is not about teaching them.

Companioning is about walking alongside; it is not about leading.

Companioning is about discovering the gifts of silence; it is not about

filling every painful moment with words.

Companioning is about listening with the heart; it is not about analyzing

with the head.

Companioning is about bearing witness to the struggles of others; it is not

about directing those struggles.

Companioning is about being present to another person’s pain; it is not

about taking the pain away.

Companioning is about respecting turmoil and uncertainty; it is not about

imposing order and logic.

As helpers in our schools, therefore, we need to

Listen in a supportive manner to students’ concerns.

Help survivors recognize that, in most cases, their emotional reactions are

natural, normal, and to be expected.

Help students to reduce added stress by organizing and prioritizing day-to-

day and recovery-related tasks.

Help students to understand and recognize the wide range of reactions to

trauma, such as numbness, frustration, confusion, anger, anxiety, sadness,

and feelings of helplessness.

Assist students to draw on their own strengths and develop vigorous

coping mechanisms that allow them to steadily resume their pre-disaster

level of functioning.

Thoughtfully and caringly help students to grieve their losses in their own

unique ways.

Systematically draw upon a range of recovery assets for appropriate

referrals.

Crisis, Traumatic Event, Post Traumatic Stress, Death,

Bereavement, and Grief

Crisis

The death of a school community member can be a crisis event. A crisis is defined

as a state of emotional turmoil. Emotional crises have four characteristics:

1. They are sudden.

2. The "normal" method of coping with stress failed.

3. They are short in duration. Most crises last from twenty-four to thirty-six

hours and rarely for longer than six weeks.

4. They have the potential to produce dangerous, self-destructive, or socially

unacceptable behavior.

Page 8: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

8

Traumatic Event

A death of a school community member is a traumatic event if the impact on the

students and staff is sufficient enough to overwhelm the usual effective coping

skills. Traumatic events are typically sudden, powerful events which are outside

the range of ordinary human experiences. Because of the suddenness of the event,

even well-trained, experienced people can experience a sense of strong emotions.

To determine the degree of trauma following a death, three variables are generally

considered:

1. Who - The number of people the person who has died knew and his/her

length of time at the school.

2. How - The circumstances of the death (suicide or murder generally result

in more trauma than death by natural causes.)

3. Where - A death at school, or to and from school and school-related

activities, generally results in more trauma.

Post-Traumatic Stress

Under limited circumstances, some students may experience post-traumatic stress

as a result of a traumatic event. Post-traumatic stress is a condition which is

precipitated by an event beyond the range of typical experience. A student who

has, for example, suffered repeated losses in their life may experience post-

traumatic stress upon the death of a friend. Also, students may experience post-

traumatic stress if a catastrophe has occurred at school (i.e., shooting of teacher or

students, natural disasters, etc.).

Symptoms of post-traumatic stress include:

re-experiencing the traumatic event,

avoidance of stimuli the person associates with the traumatic event,

numbing of general responsiveness, and

a pattern of distressful behavior which lasts longer than one month.

As with any severe anxiety, a helper can assist by:

Providing a safe and supportive environment.

Reassuring the student that the reaction is a natural occurrence to the

event.

Helping the student discharge "pent-up" pain.

Page 9: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

9

Often times, counseling groups provide the most support for the individual,

particularly adolescents. The ideal group size is from six-to-eight members. The

group sessions should be time-limited with the purpose of providing mutual

support and understanding as each group member deals with his/her reactions to

the traumatic event.

Death

The sudden loss of a student or adult in the school system is a tragic event and can

be a point of crisis for the school system. The school community's response to the

death situation will set the stage for how well people cope with the loss. The best

approach to a death is to acknowledge the death, encourage people to express

their emotions and feelings, and provide adequate supportive assistance and

counseling.

Bereavement

Bereavement is the process of grieving. The process is unique for each person and

may last from six months to two years.

Grief

Grief is the sorrow, emotions, and confusion we experience as a result of the

death of someone important to us. Grief is mourning the loss of that person and

mourning for ourselves. All people grieve differently, depending upon their own

life experiences. However, all grief is painful, and like all other pain, the body's

first reaction to grief may be a feeling of numbness as if one were in shock.

Grief at Developmental Ages

Infancy

When a family member dies, an infant may receive less physical/loving care as a

result of his/her caregiver's grieving. The infant may react to this situation

physically by crying more than usual and not being easily soothed, developing

slight skin rashes, or clinging to caregivers. Generally, these behaviors tend to be

short-term and will diminish as caregivers are again able to focus normal attention

on their infant.

If a grieving caregiver requests help, he/she can be advised to:

Spend some time each day in a nurturing, soothing manner with the infant.

Keep the infant's routine as consistent as possible.

Let other nurturing family members help with care giving.

Allow others to help with household tasks in order to free up needed time.

Page 10: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

10

Pre-School Age (2 ½ to 5 Years)

Preschoolers do not understand that death is permanent. They view it as reversible

and temporary. Death may be confused with sleeping, or being merely absent for

a time. Children at this age are egocentric. They often perceive death as a

punishment for something they did wrong or caused because they had previously

wished the person dead. Sometimes, death is thought of as violent. Children also

sometimes think they might catch the condition which caused the death.

Preschoolers may exhibit the following behaviors upon the death of a parent, peer,

or other loved one:

May show little concern at times.

Bedwetting, thumb sucking, baby talk, fear of the dark.

Fear of separating from significant others.

May need to talk about death a lot. These repetitions make it real for the

child, and he/she may say things, such as, "Ben can't use his dump truck

anymore because he's dead."

Adults can do the following to help pre-school children cope with death:

Keep explanations short, simple, and truthful. The explanations may need

to be frequently repeated.

Encourage all adults in the school to use terms dead/death and not phrases

of passed away, sleeping, resting, or taken from us.

Tell them what to expect regarding the funeral and grieving parents/family.

Explain to them how things might look and what might happen.

Reassure them by adhering to routines, activities, and schedules as much

as possible.

School Age

From five to nine years of age (5 to 9 years), children begin to perceive

death as possible for others but not for them.

Between nine to eleven years (9 to 11 years), children perceive death as

including them. Death is becoming more real, final, universal, and

inevitable. Children may show interest in the biological aspects of death

and want to know details of the funeral.

Adolescents (12 to 18 years) will frequently have encountered several

situations of loss in addition to death. These losses may include separation

from friends, separation and/or divorce of parents, etc. Often deaths of

friends, relatives, or acquaintances will trigger feelings of unresolved

grief. Adolescents frequently respond to death very intensely.

Developmentally, the adolescent is searching for explanations regarding

all aspects of life which includes death. Many "why" questions are asked

which often cannot be adequately answered by adults.

Page 11: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

11

School-age children and adolescents may show these behaviors:

crying and/or sobbing

anxiety

headaches

abdominal pain

denial of death

hostile reaction toward deceased

guilt

failure to complete homework

poor grades

lack of attention and concentration

loss of manual skills

fear of maintaining bonds of friendship; concern they might lose another

friend

Adults can help school-age children and adolescents by:

providing answers for the questions asked,

physically and verbally comforting students - acknowledging their pain,

flexing the student's schedule as needed,

making referrals to appropriate counseling resources, and

admitting that adults do not always know why certain events happen.

Five Emotions Through Which People May Pass When

Confronted With Death

Dr. Elisabeth Kübler-Ross, in her seminal book On Death & Dying published in

1969, pioneered methods in the support and counseling of personal trauma, grief

and grieving, associated with death and dying. She also dramatically improved the

understanding and practices in relation to bereavement and hospice care. Her

ideas, notably the five stages of grief model (denial, anger, bargaining, depression,

acceptance), have evolved over the years. Russell Friedman and John W. James,

founders of the Grief Recovery Institute, state “We understand that people

engulfed in the aftermath of loss want to know what to expect and how long it

will last. Such questions can never be satisfactorily answered. Since every griever

is unique, there are no pat answers about grief. As much effort as we’ve put in to

refuting the stages, Kübler-Ross herself rebuts them better than we can in the

opening paragraph of On Grief and Grieving, coauthored with David Kessler and

published shortly after her death in 2004:

“The stages have evolved since their introduction, and they have been very

misunderstood over the past three decades. They were never meant to help

tuck messy emotions into neat packages. They are responses to loss that

Page 12: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

12

many people have, but there is not a typical response to loss, as there is no

typical loss. Our grief is as individual as our lives. Not everyone goes

through all of them or goes in a prescribed order.”

Elisabeth Kübler-Ross - Framework of Grief

Also known as the ‘grief cycle’, it is important to bear in mind that Kübler-Ross

did not intend this to be a rigid series of sequential or uniformly timed steps. It’s

not a process as such; it’s a model or a framework. There is a subtle difference: a

process implies something quite fixed and consistent; a model is less specific -

more of a shape or guide. By way of example, people do not always experience

all of the five ‘grief cycle’ stages. Some stages might be revisited. Some stages

might not be experienced at all. Transition between stages can be more of ebb and

flow, rather than a progression. The five stages are not linear; neither are they

equal in their experience. People’s grief, and other reactions to emotional trauma,

is as individual as a fingerprint.

In this sense you might wonder what the purpose of the model is if it can vary so

much from person to person. An answer is that the model acknowledges there can

be an individual pattern of reactive emotional responses which people feel when

coming to terms with death, bereavement, and great loss or trauma, etc. The

model recognizes that people have to pass through their own individual journey of

coming to terms with death and bereavement, etc., after which there is generally

an acceptance of reality, which then enables the person to cope.

The model is perhaps a way of explaining how and why ‘time heals’, or how ‘life

goes on’. And as with any aspect of our own or other people’s emotions, when we

know more about what is happening, then dealing with it is usually made a little

easier.

Grief is the normal and natural emotional response to loss. Stage theories put

grieving people in conflict with their emotional reactions to losses that affect

them. No matter how much people want to create simple, iron clad guidelines for

the human emotions of grief, there are no stages of grief that fit every person or

relationship.

Page 13: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

13

EKR stage

(Elisabeth Kübler-

Ross) Interpretation

1 - Denial

Denial is a conscious or unconscious refusal to accept facts,

information, reality, etc., relating to the situation concerned.

It’s a defense mechanism and perfectly natural. Some people

can become locked in this stage when dealing with a

traumatic change that can be ignored. Death of course is not

particularly easy to avoid or evade indefinitely.

2 - Anger

Anger can manifest in different ways. People dealing with

emotional upset can be angry with themselves, and/or with

others, especially those close to them. Knowing this helps

keep detached and non-judgmental when experiencing the

anger of someone who is very upset.

3 - Bargaining

Traditionally the bargaining stage for people facing death can

involve attempting to bargain with whatever God the person

believes in. People facing less serious trauma can bargain or

seek to negotiate a compromise. For example “Can we still

be friends...” when facing a break-up. Bargaining rarely

provides a sustainable solution, especially if it’s a matter of

life or death.

4 - Depression

Also referred to as preparatory grieving. In a way it’s the

dress rehearsal or the practice run for the ‘aftermath’

although this stage means different things depending on

whom it involves. It’s a sort of acceptance with emotional

attachment. It’s natural to feel sadness and regret, fear,

uncertainty, etc. It shows that the person has at least begun to

accept the reality.

5 - Acceptance

Again this stage definitely varies according to the person’s

situation, although broadly it is an indication that there is

some emotional detachment and objectivity. People dying

can enter this stage a long time before the people they leave

behind, who must necessarily pass through their own

individual stages of dealing with the grief.

(Based on the Grief Cycle model first published in On Death & Dying, Elisabeth Kübler-

Ross, 1969. Interpretation by Alan Chapman 2006-08.)

Page 14: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

14

Guidelines for Helping Someone Who Is Grieving

How to Converse/Comfort Grieving People

Friends, relatives, and neighbors are usually supportive at the time of a death and

during the wake and funeral that follows. Food, flowers, and physical presents are

among many thoughtful expressions given by those who offer support. But after

the funeral, many grieving people wonder where their friends are. In some ways

they need support and caring from their friends even more when the reality hits

and the long process of grief begins. Ways of helping grieving people are as

limitless as your imagination. Some suggestions are:

"I'm sorry" or "I care" is all that is necessary to say; a squeeze of the hand,

a hug, a kiss can express the “words” without actually having to verbally

say them.

Don't say: "You will get over it in time." They will never stop missing the

person who died. Time may soften the hurt, but it will not just go away.

There will always be a scar.

Listen, listen, listen. Talking about the pain slowly lessens its sting. Most

bereaved persons need to talk. It is helpful for someone to listen. Try to

become an effective listener.

Encourage expressions of specific feelings: anger, guilt, frustration,

confusion, depression, hate.

Be patient. Mourning takes time. People need you. Stand by them for as

long as possible. There is no timetable for grief. Do not give a pep talk or

suggest a timetable.

Talk about the good memories. They help the healing process.

Suggest that grieving people take part in support groups. Sharing similar

experiences helps healing.

“Be there,” saying "I'm sorry" and helping in practical ways.

Sincerely ask, "How are you doing?" Bereaved persons can tell if you

want to hear "fine" or if you really want to know.

Help the bereaved to eliminate expectations as to how they should feel and

when they will be healed.

Be approachable, aware, and interested. Extend an invitation to an event or

dinner. Don’t forget the person after time has passed.

Be accepting of the person, of his/her feelings, his/her confusion. Give a

gift such as a collection of poems or donate a book to the library in the

name of the deceased

Acts of thoughtfulness include: a note, a visit, a plant, a helpful book, a

plate of cookies, a phone call, or an invitation to lunch or to go shopping

or to get a cup of coffee, etc.

Keep shared information confidential unless there is deep concern

regarding the person. Then seek help from Student Services personnel.

Page 15: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

15

Specific Ideas To Comfort Children Who Grieve

1. Give time: Spend time with the child walking, reading, and talking. Spend

some time with them away from the group.

2. Listen: Be sure to have good eye contact. Use simple, direct words. Let

them be mad or express other feelings.

3. Explain things: Give information about what's going to happen. Keep any

promises made. Be as predictable as possible.

Emotional First-Aid

During the first few days following the death of a student or adult in the school

community, each adult will be responsible for administering emotional first aid to

those in distress. The goal of emotional first-aid is to give people permission to

express their emotions during this time of acute distress. Emotional first-aid is the

freely giving of support without becoming invasive.

When administered through words, keep your words simple and be brief.

Use simple questions. “Can I help?"

Use simple suggestions. “It’s okay to let it out."

Use simple comments. "It must really hurt." "You must feel very badly."

During the grief process, a person may quickly switch emotions. The primary

shift in emotions is from crying to anger. Encourage the person to express his/her

anger without pushing it to the point of rage. The best way to be encouraging is to

accept the person's feelings of anger.

When administering emotional first aid, don't push the contact with the grieving

person. Take "no" for an answer. If you are concerned about the well being of the

person, stay nearby, find them something to drink, or make some gesture of caring

for his/her well being.

Page 16: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

16

Students Who Are Considered “High-Risk” for

Complicated Grief

Problematic Expressions of Grief

People grieve in different ways. Occasionally, a student or adult may grieve in a

manner that potentially could be harmful to the person. When administering

emotional first-aid, be aware of the following problematic expressions of grief:

Acting Out - Getting "carried away" by an enthusiastic expression of grief.

Take the person's grief seriously and consult a Crisis Management Team

member.

Self Pity - This is a normal part of grief but at times becomes problematic

in that it can bring out anger in the helper. The helper needs to restrain

his/her emotions but still be guided by his/her feelings.

Freezing - This can be a serious situation. This is when the grieving person

has no affective response. If attempts to communicate with the person fail,

remain with the person and have someone get help.

Endless Hysterical Sobbing - Be patient with the person; the sobbing will

stop when the person is exhausted. Make the person as comfortable as

possible, usually covering with a blanket.

Self-Destructive Behavior - In rare instances, the person may become self-

destructive by running around the room, crashing into objects. You may

have to encourage the person to yell instead, restrain without harming, etc.

Do not leave the person, but get additional help as quickly as possible.

Factors Which Indicate “High-Risk” for Complicated Grief

“High-risk” students need to be identified and offered help. These students

include anyone who:

Participated in any way with a suicide or accident.

Knew of the suicide attempt or potential attempt and didn't try to stop it.

Feels guilty about things they said or did to the deceased prior to the

death.

Had recently punished or threatened to punish the deceased for some

misdeed; did not take a suicide threat seriously, or had been too busy to

talk to a victim who asked for help.

Is a relative, best friend, self-appointed ‘therapist’; or was mentioned in a

suicide note.

Identifies with the victim's situation; has a history of suicidal threats or

attempts; is desperate and now considers suicide a viable alternative.

Page 17: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

17

Check in with students who are considered to be “high-risk” for complicated grief

reactions on a regular basis, particularly at “high-risk” times. “High-risk” times

include: anniversaries of a previous death, birthdays, holidays, expected

graduation dates, etc. of the deceased student, and the “high-risk” student's own

birthday.

Working with the Media

It is critical to have an established plan for communicating with the media when a

crisis occurs within a school or a school district. Members of the media can

become important partners in informing the community of the pertinent facts of

the crisis and the ways in which the school or district has responded. A high-

quality media communication plan will provide for a streamlining of accurate

information to the public and will enhance internal communication as well.

Lake County Schools has developed district policies and procedures regarding

media relations which can be accessed in the Lake County School District

Emergency Response and Crisis Management Plan. The following suggestions

can serve as a model for building a media relationship. These procedures should

be individualized in accordance with district policy to meet the needs and

conditions of your building.

Page 18: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

18

. From Lake County Schools Emergency Management Plan

WORKING WITH THE MEDIA

NOTE: While schools are public buildings, they are not necessarily open

to the general public. Administrators do not have to allow the media on

campus. Permission must be granted for members of the press to be on

campus.

1. Identify a school spokesperson.

2. Direct all media to the school spokesperson in order to maintain

consistency.

3. Prepare factual, written statements for the press, in cooperation with

the police, as soon as possible.

4. Be certain that every media member receives the same information.

5. Be accurate. If uncertain of the facts, don’t release information. If

necessary, refer media to appropriate sources.

6. Set limits for time and location.

7. When handling interviews

Ask in advance what specific questions will be asked.

Don’t say “no comment.” If an answer is not known, offer to

get information and

Don’t speak “off the record.”

Keep answers brief and to the point.

8. Emphasize positive action being taken. Turn negative questions into

simple, positive statements.

9. Maintain integrity of instructional day. Teachers and students should

be protected from media during the school day.

10. Ensure that the reporters respect the sensitivities of those who are

touched by the crisis.

11. Before agreeing to have staff members interviewed, obtain their

consent.

12. Students under the age of 18 may not be interviewed on campus

without parental permission.

13. Yearbook and school newspaper photographs are public documents.

Access to these must be provided.

NOTE: Let the police handle any questions regarding criminal investigations.

Administration should focus on what the school is doing and what is going to

happen tomorrow.

Page 19: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

19

Campus Security

Many school crisis situations draw attention from media, law enforcement, and

parents. Safety and privacy are important issues that must be planned in advance.

Please refer to Lake County School District’s Emergency Response and Crisis

Management Plan for assistance.

Emergency Checkout Plan

Designate well-supervised checkout area(s). They should

o Have controlled-access.

o Be secure.

o Have internet access.

Assign personnel to work this/these area(s).

o They should be sympathetic but able to maintain order.

Suggestions for handling parent(s) during a crisis:

o Establish eye contact.

o Speak in a calm but firm voice.

o Be persistent in not allowing parent to “look for child.”

o Assure parent(s) that their child will be released to the pick-up area

as conditions allow.

Organize parent area in such a manner as to minimize long lines.

o If possible, allow only two to three parents in checkout area at one

time. (It may be necessary to designate a room for organizing

checkouts.)

Have parent(s) present some form of personal identification (ID). Do not

release students to anyone not designated on student data system.

(Telephone verification with parent is required for non-authorized adult

who must show ID.)

School personnel should accompany students to the checkout area.

Principal’s Role (See Appendix D1)

When any individual within a school becomes aware of the sudden death of a

student, be it homicide, suicide, accidental death, or the death of a student

following an illness, it should be the responsibility of that individual to

immediately call the principal and inform him/her of all the known facts regarding

the death. It is important that the principal verify not only the surrounding facts

concerning the death but most importantly, who has died since there have, in

some instances, been inaccurate accounts of who actually was deceased.

Page 20: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

20

The principal needs to quickly assess the impact this death will have on the school

community, i.e., how popular was the person, did he/she participate in

extracurricular activities, etc. The principal will then take the lead in the

activation of the protocol and the process through which students will be notified

about the death. If the death occurs outside of school hours, the principal should

call members of the Crisis Management Team at home.

The team members notify the entire staff that there will be a change in the

procedure of the normal school day and, if the death occurred outside of regular

school hours, request them to come to school early the following morning. If help,

in addition to the building Crisis Management Team, is needed, the principal

should arrange to notify a Student Services administrator who can provide district

personnel (school psychologists, school social workers, district registered nurses)

to supplement school-based staff as needed. If the principal is not available, the

assistant principal or the principal's designee will begin this process.

A phone tree should be established each school year in order that school staff may

be notified of school-related emergencies in a timely manner.

Pre-Planning Phase

Step One

Annually appoint members to the building Crisis Management Team (typically

includes assistant principal(s), guidance counselor(s), and the school nurse,

among others). Designate a team leader.

Step Two

Organize/update phone tree.

Step Three

Hold annual 20- to 30-minute staff meeting to review protocol procedures.

Protocol Implementation (Crisis has occurred)

Step One

When notified of a staff or student death, verify the death with appropriate public

officials (if notification was not by family member or public official). Instances

have occurred where the notification of who died was incorrect.

Page 21: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

21

Step Two

Notify the school-based Crisis Management Team Leader and assess the expected

degree of response from the school community. Factors include deceased’s

participation in school-based groups, the popularity of the person, etc.

Step Three

If death was not during school hours, activate the pre-arranged phone tree to

notify staff of early-morning mandatory meeting. Request that Crisis Management

Team members meet with the principal thirty minutes prior to staff meeting.

Step Four

Designate the Crisis Management Team Leader as the person responsible for

orchestrating the emotional first aid activities for the next few days. This person

will serve as the "hub" of information and will direct the team's daily activities.

Step Five

Direct a staff member to immediately remove contents from deceased student's

locker and/or desk as appropriate. Hopefully, this can be accomplished discreetly

and prior to students returning to school. The personal contents belong to the

parents and removal to the principal's office will ensure they are properly

presented to the parents.

Step Six

Direct a staff member to 1) follow the deceased’ class schedule in order to

provide support within each classroom the student or teacher was assigned, and if

a student, 2) pull the deceased’ cumulative folder to determine what other schools

the deceased student might have attended, or if there are siblings attending other

Lake County Schools. The principal should call the other schools and inform

them of the events that have occurred, particularly if younger siblings are in those

other schools. Secondly, the principal should notify the district office of the

circumstances of the day. It is also helpful, at this point, to assign responsibility to

someone to pull the student's name off any mailing lists that would be sent from

the school and district office.

Step Seven

Identify a support center area in the building where students may come for

support and counseling. This area should be close to the guidance office and/or

the main office to facilitate communications between guidance and administrative

staff.

Page 22: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

22

Step Eight

Discussion needs to occur regarding the need to prepare an announcement to be

read over the public address system to the students. At the elementary level, it is

often best to have the classroom teacher make the announcement. (Do not

announce the death of a student until it has been verified by reliable sources, i.e.,

police department, hospital, parents, etc.)

Note: It is important to have a central spokesperson, usually the principal, for all

announcements to students. By the time students reach school following the death

of a peer, they will have heard many different versions about what happened. The

presence of a strong, caring, and supportive authority figure (i.e., the principal)

sharing information during this stressful time is important. (In elementary schools,

it is equally important for the classroom teacher to be a strong, caring, and

supportive presence since the teacher will be looked upon by the students to

provide stability during this crisis period.)

One example of an announcement is the following:

“Students, may I have your attention, please. Last night (student's name)

from (our junior class, Mrs. Smith’s third grade class, etc.) died. This

morning the faculty met to develop a plan to help all of us cope with this

sad event. There will be special support assistance available for any

student who feels they need this service. Today, counselors will be

available in (given location) all day. Pause. I would like all of us to reflect

for a minute in memory of (student's first name). Pause. Thank you for

your attention.”

Step Nine

Direct a staff member to collect funeral arrangement information and to prepare

details for student/faculty attendance at the visitation and funeral. When details

are final, an announcement can be made to staff and students. Designate one

secretary who will know how to reach the principal throughout the day so the

principal can respond to any emergencies/administrative situations which may

develop.

Note: It is very helpful to have faculty members present during the entire

visitation period to assist the funeral home staff in handling children and teens.

Step Ten

Call and/or visit the parents as early as possible to express the school's and your

condolences. Visiting the parents is encouraged, and the principal should take

along a staff member who has been well acquainted with the student. Ask the

parents about pictures and other school-related articles to be used for the student's

Page 23: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

23

funeral. Determine with the parents who will be the family contact for the school.

Recognize this may be the first of several visits. (The parents likely will be in a

state of shock. If the death was by suspected suicide, the parents may not

acknowledge or be in agreement with the coroner's finding which they have a

legal right to challenge.)

Contact the clergy who will be conducting the funeral to determine what role, if

any, students or faculty might play, and to learn what religious traditions will be

involved.

Step Eleven

Discuss the need to prepare a letter to be sent to all parents regarding the death of

a school community member. (See Appendix C)

Step Twelve

Arrange a 15-minute after school meeting with the entire school staff. Review the

day's activities and seek names of any students faculty thinks needs additional

emotional first aid. After meeting with the faculty, meet with the Crisis

Management Team. Review the day's activities and plan for the next day.

Step Thirteen

On the day following the funeral, the principal should make the following closure

statement to all students and faculty. (This is done the day following the funeral

because many of the deceased student's closest friends will not return to school

the day of the funeral.) In elementary schools, the classroom teachers may be the

most appropriate ones to deliver the following message of thanks to the students

for the support they have given to each other.

May I have your attention, please? I wish to thank all of the students and

faculty for the support you have shown each other during the past few

days. The example you have shown is a positive and healthy one and

provides us the opportunity to work toward strengthening our relationships

with each other. Guidance staff remains available if you should wish to

talk with a counselor.” (Any additional comments from the family that

have been passed on to the principal might be shared at this point.)

Step Fourteen

Begin to bring closure by encouraging teachers to resume regular classroom

activities (if not already in process) as quickly as is appropriate.

Page 24: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

24

Post Implementation Follow-up

Step One

Within two weeks following the funeral, meet with the Crisis Management Team

and debrief actions taken. Two key questions are addressed:

What worked well in dealing with this event?

What could be improved?

Step Two

Modify the building protocol based upon feedback from the Crisis Management

Team and others. Provide changes in the protocol to any district level planning

group as needed.

Role of the Crisis Management Team Leader and Other

Team Members (See Appendix D2)

Step One

The Crisis Management Team Leader informs teachers and classified staff what is

expected of them and reviews the accompanying hand-out materials (See

Appendices A, B, and D2). All confirmed public facts regarding the student

should be shared with the staff. (If death was by suicide, it is important that the

staff not confirm the cause since parents may eventually litigate the issue.

However, students will discuss the nature of death, and at that point, the staff can

and should discuss the nature of death and the issue of suicide. Reinforce the

concept that suicide is not an acceptable way to deal with life's temporary

problems and is an act of poor judgment.)

Request that any staff member who, for whatever reasons, does not believe he/she

can discuss this topic with the class, inform the Crisis Management Team Leader

or principal. The principal then needs to assign another staff member to the

classroom. (In many instances, the teacher(s) closest to the student will

automatically need a substitute for the day. The substitute is there to assist the

teacher so the regular teacher can spend individual time consoling students, going

with the principal to visit parents, etc. This is an especially important issue at the

elementary level.)

Step Two

Inform staff what announcement will be made to the students and when the

announcement will be made. (If possible, provide the teachers with a typed copy

of the announcement.)

Page 25: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

25

Step Three

Inform all staff members that any request for information should be immediately

directed to the principal or his/her designee.

Step Four

Announce that a mandatory 15- to 20-minute faculty meeting will be held after

school to review the day's events. This allows an opportunity to receive feedback

from faculty, to answer questions, and to review the next day's expectations. (At

this meeting, be sure to get the names of any other students the staff members feel

are “high-risk”.)

Step Five

Entertain questions and/or requests that the staff has at this time.

Guidance and Itinerant Staff Roles

The guidance and itinerant staff (school social worker, school psychologist,

district nurse, etc.) should take the responsibility of gathering information about

students’ and staff’s reactions to the death and facilitate individual and/or grief

group support sessions.

NOTE: When there is loss in a school, the most appropriate personnel to

work directly with students and staff are school-based personnel such as

counselors. Counselors will be familiar with individual needs of students and

staff. Conversely, students and staff will feel most comfortable with known

personnel. The itinerant staff can assist with supervision and management of

classrooms and lunchrooms etc. Certainly if the need for direct services is

beyond the capacity of the counselors, then itinerant personnel would assist.

Step One

Attend the a.m. staff meeting. (For itinerant staff, this may or may not be possible

due to time constraints.)

Step Two

As adjunct members of the Crisis Management Team, identify and have contact

with school staff acquainted with the deceased student and possibly in need of

extra support (e.g., a teacher who has had a special relationship with the student,

had the student in class, or has a sibling in class). Provide "in-class" assistance

when requested by Crisis Management Team Leader/Principal.

Page 26: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

26

Step Three

If directed by the Crisis Management Team Leader, start and maintain a master

list of “high-risk” students in need of extra support. These include, but are not

limited to: close friends of the deceased student, relatives, students in the same

activities or clubs as the deceased student, neighbors of the deceased student, and

students with other stressors (See Students Who Are Considered “High-Risk” for

Complicated Grief).

Step Four

If not already accomplished, guidance and itinerant staff should meet briefly with

all identified “high-risk” students and with any other students who are referred.

Decide what, if any, intervention is appropriate (triage). Options could include:

1. Individual grief counseling.

2. Grief groups. The grief group should automatically be formed the first

day, and students should stream in and out during the day. The focus

should be on memories of the deceased student and grief work. Typically,

students will be in grief group for only one or two periods and not all day.

For students requiring "excessive" intervention, parents need to be

informed and directed to appropriate community resources.

3. Referral to community mental health or other appropriate community

resources.

Step Five

Identify students who are absent who may be “high-risk”, and inform parents of

your concern for them.

Step Six

For students who request to leave school because of their grief reaction:

1. Release students only to parents or an adult designated by the parent.

Encourage the parent not to leave the child alone during the day.

2. Provide parents with guidelines on how to manage grief and a brief listing

of community resources. (Available from the school social worker and an

administrator with the Student Services Department)

3. Let students know that you expect them to return to school the next day.

4. Check to see if the students return the next day and briefly check with

them to see how they are doing. If a student has not returned, contact

his/her parent(s) to see how he/she is doing. Offer your assistance to the

parents and/or student.

Page 27: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

27

Step Seven

Attend the after-school staff meeting.

Step Eight

At the end of the first day, guidance and itinerant staff Crisis Management Team

members should meet to update themselves and review the list of “high-risk”

students. Throughout the week, review the status of “high-risk” students with the

master list. Determine which students may need to be referred to community

mental health services based on their previous history and immediate need.

Step Nine

Discuss the role guidance and itinerant staff will provide, if any, in the funeral or

memorial service. After the funeral, assist the building staff in moving toward a

"normal" atmosphere as soon as possible. (An announcement will be made by the

principal regarding continued availability of guidance staff.)

Step Ten

Carefully review with the principal and other Crisis Management Team members

the memorial requests for the deceased student.

Step Eleven

In a week or two following the crisis, meet as a team and discuss the response

activities including those procedures which may need to be modified.

Teacher’s Role (See Appendix D3)

Teachers play a vital role in helping students deal with their feelings regarding the

death of a fellow student, a parent, or any significant person in the student's life.

Teachers should review information relative to the grade level they teach in

Appendices A, B and D3 of this manual as soon as they are notified of a death. It

is important for teachers to determine if they can teach their class(es) this

particular day or if they will need help to "cover" their class(es) so they have

individual time to console distraught students, visit parents with the building

principal, etc. Sometimes teachers are also extremely distraught over the death. In

these instances, the teachers should request assistance to cover their class(es). It is

okay for teachers to grieve and seek help with their assigned duties.

The principal and the Crisis Management Team members will be available to

discuss concerns you may have regarding any of your students. It should be noted

Page 28: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

28

that it is important to take care of teachers as well. Take breaks and have time

away from students during the day. Be sure to eat meals and watch personal

nutrition and other health habits. After the students have left the building, give

yourself an opportunity to process what has happened during the day.

Step One

Attend mandatory all-staff meetings and review any available written information.

Step Two

Allow the expressions of grief. Acknowledge and encourage students to express

their feelings of loss, anger, sadness, etc.

Note: People have different reactions to grief. One way for teachers to encourage

students' expressions of grief is to acknowledge their own feelings immediately

following an announcement of a student's death. If teachers are uncomfortable

discussing grief or handling this situation in their classrooms, they should ask for

assistance from the Crisis Management Team Leader.

Step Three

Death by Natural Causes, Accident, Etc.

If the death was a sudden one following an accident or a long-term illness, it may

be important to have the students discuss their fears and to talk a bit about

funerals. This may be a time when students ask questions. Questions need to be

answered honestly, but tactfully and simply. The major focus should be on

assisting students in expressing their feelings and reactions. (Students will

respond differently based upon their past experience with death, coping skills, and

age.)

Death by Suicide

If death was by suicide, emphasize this tragedy as an error in judgment. Suicide is

a permanent solution to temporary problems. Encourage students to talk about

ways to cope with stress, loss, and personal problems. Do not glorify the deceased

or spend time calling attention to them.

Step Four

Channel names and/or students themselves to the guidance office if they seem

“high-risk” now or as the week progresses (see Students Who Are Considered

“High-Risk” for Complicated Grief in this manual). At the elementary level,

much of the crisis intervention will take place in the classrooms because these are

the places students feel most secure.

Page 29: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

29

Step Five

Attend a brief after-school meeting to review the day's events. The principal and

Crisis Management Team members will be available to discuss concerns you may

have regarding any of your students.

Step Six

Attend all mandatory staff meetings.

Role of Classified Staff

All building personnel are affected by the death of a student. Therefore, it is

important to inform classified staff of their role in dealing with this event.

Step One

All classified staff should attend all mandatory staff meetings to be informed of

the plans for the day. Assistance should be offered to classified staff members

who knew the student and are affected by his/her death.

Step Two

Secretarial staff should review procedures for handling requests or calls from

parents, news media, and others. Secretarial staff needs to remove the deceased

student's name from mailing lists. Secretarial staff needs to notify the principal as

soon as possible regarding students who are not in attendance.

Step Three

The guidance secretary/clerk should free guidance staff schedules for the day.

Some counselors may direct the secretary to clear their schedules for several days

so they can best respond to this situation.

Step Four

Classified support staff should give the names of any students they are concerned

about to the Crisis Management Team Leader.

Step Five

Classified staff needs to attend all mandatory after-school meetings.

Page 30: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

30

Parent Communications (See Appendix C)

Parents will want information when a death has occurred in the school.

Depending on the nature of the emergency, the entire community may be affected.

Special communications to parents may be extremely helpful in gaining their

support for the school and in reaching satisfactory closure to the crisis.

Guidelines for Parent Communications by Phone

Use active listening skills to calm an upset parent.

Contact the parents of any student who has had a difficult time coping

with the death and give suggestions on how to offer support at home plus

information on community mental health resources.

Reassure parents that the school is responding to the emergency and

describe the response activities.

Guidelines for Parent Communications in Writing

Depending on the impact of the death, a letter may be sent home with every

student in the class or classes involved and in some cases with the entire school.

This letter could include the following information:

Information about the death that has occurred.

What the children have been told.

Grief reactions that the parents might expect to see in their children.

How to respond to their children.

Resources available to the parents.

Steps the school is taking to cope with the situation.

Guidelines for Parent Meetings

The general experience of school personnel holding large group or assembly

meetings for parents has been that these meetings tend to add contagion to a crisis

rather than to minimize the impact for the community. The recommendations for

parent meetings, when necessary, are for small group meetings to be held off

school premises. If a meeting is held off campus, staff should attend the meetings

to reassure parents that the school is responding to the emergency.

Page 31: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

31

Coping With a Suicidal Death

The nature of a death by suicide is much different than one by natural causes or an

accident. For instance, in suicidal death, many "why" questions are asked which

have no rational or medical explanation. For example, friends and relatives often

ask "Why did the person kill himself/herself?" and "Why didn't he/she come to

me for help?" With suicide, survivors often experience a great sense of guilt and

anger. Guilt because they feel they should have been able to help the person, and

anger over the fact the suicidal person would abandon them in such a tragic and

untimely manner.

It is important in dealing with a suicidal death to be prudent in your responses:

Do not glorify the act of suicide. Stress to the students that suicide is an

error in judgment and is a "permanent solution to life's temporary

problems."

Do not announce that the death was by suicide when making general

public statements. Coroner's medical findings can be legally contested and

frequently are in cases of suicide. School personnel should allow the

discussion of suicide as the students talk about the death; however, it is not

essential that school personnel confirm the death was by suicide. As the

students are discussing the nature of the death (which they will do), school

personnel should take the opportunity to discuss the subject of suicide and

how the students might cope with stress, personal frustration,

disappointment, and other severe hardships.

Recognize the tragedy of the event and acknowledge the varied feelings of

those grieving.

Memorials should be carefully considered. Too much attention directed

toward the suicide victim may encourage “copy cat” attempts. If

memorials are held the memorial should be directed toward symbols of

coping and living (e.g., planting of a tree, donations to a crisis hotline, a

blood drive).

A return to "normal" school functioning should be encouraged as soon as

possible, so as, to regain a sense of stability and purpose in the lives of

those grieving.

The following letter was written by the parents of a 16-year- old student who

committed suicide (Jeffrey A. Knutson, 05/10/1983 – 07/28/1999). The following

information was written to help the individual reading this to understand their

background and their experience.

Jeff committed suicide on July 28, 1999. He was 16 years old and it was the

summer of his sophomore year at North Scott High School in Eldridge, Iowa. Jeff

was working as a lifeguard at the Scott County Park Pool that summer. He was

involved in his church youth group and had attended a week of church camp prior

Page 32: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

32

to his suicide. Jeff had been involved in Boy Scouts and had earned the rank of

Eagle Scout. He was an exceptionally good bass guitar player and had saved his

money working as a paperboy to buy his guitar and two amplifiers. He had many

friends and family who loved him very much.

Jeff did not show any of the typical signs of depression or share any suicidal

thoughts he may have felt. He left a note that just said good-bye to his family and

friends and did not give any reason for his suicide. To this day the reason is still a

mystery. After Jeff’s death, a toxicology report was done which showed no signs

of drugs or alcohol in his system.

Jeff’s family (Brad, Dawn and Ashley) knew that they would need help in dealing

with Jeff’s death. It came as a total surprise to them that Jeff had committed

suicide. They went to counseling for nine months learning how best to deal with

their grief, anger, hurt and loss. Many questions needed to be answered...how do

you face your community? How do you deal with the untrue rumors? How do you

pick up and move forward with your life? How do you teach all of the teens who

knew Jeff and were watching the family that you can take a tragedy in your life

and use it to help others?

A Parent’s Perspective Following the Suicide of Their Son

On July 28, 1999, our son, Jeff Knutson, committed suicide. Jeff’s suicide was

during the summer when school was out of session. As his parents, we were

devastated by Jeff’s death and shocked that he committed suicide. Since that time

we have been working to educate teens about depression and suicide prevention.

We have been working closely with [the school district] and were asked to share

our input on the events following Jeff’s death. To share what was helpful to us as

a family and what we feel was helpful from the community and school. We will

also share with you ideas that we think would be good to consider for future

needs.

Things that helped us emotionally directly after Jeff’s death:

1. School officials, teachers, social workers, and counselors attended Jeff’s

visitation and funeral. (School was not in session at this time and we felt

they were going above and beyond their job responsibility by being

available to the kids during the summer, they could’ve just let the parents

handle it alone.)

2. School counselors, social workers, and psychologists remained at the

funeral home during both visitation and funeral to help with any teens that

felt they may need help in dealing with their grief. It is important and a

relief for us to know that any of Jeff’s friends who needed help would

have it available to them.

Page 33: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

33

3. It is important to remember that a funeral and visitation are not a school

function-they are personal services planned by the grieving family and,

therefore, the school officials should ask for the family’s permission

before assuming they are welcome to provide those services at the site of

the funeral and visitation. An alternate location for counseling may be set

up if needed.

4. In regards to funerals during the school year, it is greatly appreciated when

the teens are allowed to attend the service. It is especially needed for their

healing and grieving process and also helps the family of the deceased.

5. We appreciated the teachers who took the time to stop by the house, call

or send cards.

6. The local clergy also provided places for teens to go to meet after Jeff’s

death. It was reassuring to us when we would get a call that a friend was at

a meeting and was okay.

7. We appreciated the school’s willingness to let us plant a memorial tree.

8. We appreciated the school’s working with Jeff’s classmates to have an

Isabel Bloom memorial in the Library and a stone and tree by the new ball

diamonds.

9. We appreciated the school calling us on such issues as a yearbook page,

memorials, and graduation ceremonies. It allowed us the ability to work

with the school and Jeff’s classmates on these issues and to handle them in

a way that was beneficial to all.

10. We appreciated the valedictorians (3 of them) calling us before preparing

their speeches and asking our permission to include Jeff in their speech. It

showed respect to our family and gave us forewarning and time to prepare

for what was to come at the ceremonies.

If we had any suggestions, it would be these three things:

1. Follow-up meeting: call the family to set up a time for one or two school

counselors, psychologist, social worker or representative to meet with the

family one or two weeks after the services. Many times the words were

said "let us know if we can do anything for you". Those are comforting

words; however, at the time of the visitation and funeral you are

overwhelmed and may not know what you need. Grieving parents may not

make the call themselves if they do need something. If school aged

siblings are involved it is especially important to have follow-up. We were

not aware of all the services the school and [the school district] could

provide and, therefore, did not know what we could request help with. If

there was a follow-up meeting those services could be discussed with the

family.

2. Continued grief counseling for the teens: provided by either the school,

community organization, or clergy would be beneficial. Teens do not

understand the grieving process and many times their parents do not

either. Teaching parents and teens what to expect may help them to

Page 34: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

34

understand their reactions and responsibilities in dealing with the death of

a friend.

3. There are many different beliefs and feelings regarding death by suicide.

Remember that depression is a mental illness. The family may have been

dealing with this illness just as other families deal with a child’s death by

cancer. The loss of a son or daughter – no matter what the cause – is

devastating to the family. Respect the family by not gossiping or sharing

in community rumors that may only come back to hurt the family, friends

and school. It is not anyone’s place to judge and, as professionals, others

will be watching you and taking your lead. Your words and actions can

make a huge difference in the recovery of that family.

Grief Support Groups

Some Ideas/Suggestions

1. Drop-in center all day the first day where news of a sudden death is

disseminated.

2. More than one counselor/facilitator is needed in the group at one time; it's

also a good idea to have others available for relief purposes.

3. Co-facilitating is especially critical to maintain continuity, in spite of the

"drop-in" process, for consultation in identifying “high-risk” students, and

for general support and help.

4. Focus on:

a. Memories, positive experiences with person who died.

b. Feelings about loss.

c. Elements of grieving (grief education) - students may bring up

spirituality.

d. Funeral and services - appropriate behaviors/concerns about

experience.

e. Future - What’s next?

f. Guilt work if needed; some need to focus on causation.

g. Family and friend's responses. (Kids often wonder "What can I

do?”, “How can I help?")

h. Students can identify others for whom they are concerned. It

provides them with an opportunity to help, gives them a purpose in

crises, and allows them to be part of a larger supportive community

response.

5. Avoid focusing on:

a. Narcissistic focus on suicidal thoughts, feelings, experiences, if the

death was by suicide.

b. Constant talk about the actual death (morbid focusing).

c. Blame.

Page 35: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

35

6. Bring group to some closure the second day - avoid adding new members

(may need to meet others on a one-to-one basis); probably will focus more

on funeral and services.

7. May need to reconvene after funeral for an hour to refocus on grief/loss;

bring group to some closure again and offer various resources for on-

going support.

8. Remember that throughout the course of group process, facilitators need to

identify students with chronic problems around the issue of suicide/self-

destructive behavior (regardless of the cause of the death) and to assess

whether these students need to be "pulled" from the group. If the students

in question are identified as "chronic manipulative attempters", they must

be removed from the group and an on-going counselor should be

identified.

Parent Referrals for Counseling

What should parents watch for in terms of referring their child for counseling?

Some indicators of children who might need counseling include the following:

Children who have experienced another recent loss.

A child who has made suicide attempts or who makes suicidal statements.

A child who had a close relationship with the deceased student but

pretends that absolutely nothing has happened and continues to do so for

an extended period of time.

A student's schoolwork takes a dramatic decline or the student develops a

phobic fear of school.

Note: A child's behavior changes significantly over a long period of time.

Funeral Services and Memorials

Guidelines Regarding the Funeral

During the contacts the principal and Crisis Management Team members have

with the family to offer support and assistance, the family's wishes about funeral

services will be explored. Let the family know that many staff and students will

likely want to attend the funeral, but be sensitive to any family preferences for a

closed service. Offer to make announcements of funeral arrangements at school.

Ideally, these announcements should be made in small groups. Decisions about

school response to the funeral will depend on a variety of factors including the

funeral arrangements, the impact of the death on the school, the circumstances

surrounding the death, etc. Parents should always be encouraged to accompany

their children to the funeral, especially in the elementary grades.

Page 36: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

36

The most accepted practice for funeral attendance has been to excuse students to

attend the funeral only if they have parental permission. The deceased's family

may be receptive to scheduling services after school hours so that more people

could attend. If district buses are made available to transport students, parents

must provide written permission for their child to ride the bus. Staff should be

available both at the funeral and at the building to assist distraught persons.

If the family chooses to have a closed service, this decision may have its own

ramifications since the funeral is a way for people to say "good-bye" to the

deceased. The family may agree to a memorial service for the deceased. Such a

service should be held after school hours and off school premises, if possible,

although the school may be an appropriate site for the service, i.e., accidental

death of an administrator. It may also be appropriate for the school to host a

memorial service in the event of multiple accidental deaths of students/faculty.

In the case of a suicidal death, school personnel need to be careful not to

glamorize or romanticize the death. Students may be excused with parental

permission to attend the funeral. Continue to stress the fact that suicide is a

permanent response to temporary problems. If appropriate, contact the minister

and discuss ways to help decrease possible contagion. Crisis Management Team

members and other support persons may want to attend the funeral/burial to help

any unattended or “high-risk” persons. If the funeral is during school hours, some

team members need to remain in the building to help those students unable to

attend.

Page 37: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

37

Appendix A: Reproducible Handout for Teachers

Helping Your Students Deal with Grief and Loss

Teachers Role

Following the death of a student, those left behind grieve in a variety of ways.

This brief handout is intended to provide a guide for teachers’ use in assisting the

students in their classes as they resolve their feelings related to a death.

Normal grief is generally characterized by a framework of shock and denial, rage

and anger, disorganization and despair, and finally acceptance and hope.

In the event of a sudden death, many students may arrive at school already

"buzzing" with the news. Rumors will have already started before school

convenes, but there will also be many students who arrive with no knowledge of

the deceased student's/staff member’s death. Students will be saying, "I just can't

believe it!" "Not him/her. It can't be!" "This must be a joke."

Some students will quickly move to being angry. They will want to blame anyone

and everyone for the death - other friends, parents, police, teachers, medical

personnel, and finally, themselves.

Guilt will be a feeling many students may experience and want to discuss. In the

aftermath of an adolescent death, many students will be going back and retracing

their last encounter with the adolescent who died. They add to their guilt by often

blowing out of proportion small fights that may have occurred or minor

disagreements they may have had. After their guilt period, they may feel that they

are in some way responsible for the death.

For many of your students, this may be their first encounter with death. They will

look to you for guidance and modeling. To share with the students your own

feelings when you are told of the death - your shock, your sadness, your confusion

- is valuable. To reminisce about your relationship with the deceased student/staff

member, if you know him/her, is important. Share with students what you will

remember about the deceased.

Let students know these feelings are normal. Reassure them that they are not

responsible for what happened. Encourage the students to be supportive of one

another and to escort any friend who is upset to a teacher or the guidance office.

Reassure them that the adults in the building are available to help. Also,

encourage the students to discuss their feelings with their parents.

The most important thing teachers can do is to allow some opportunity for

students to express feelings related to the death. Help them through the grief cycle

Page 38: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

38

by acknowledging the pain and grief they are experiencing, by being a good,

active listener, and by reassuring them that their feelings are normal and expected.

Specific Information for Elementary Teachers

The response of a young child to the death of a significant person may vary

depending upon personal, family, and social factors. The grieving process does

not always have discernible stages as might be observed in adolescents or adults.

Such factors as the closeness of the relationship, the time of preparation for the

death, and the family's response to the death may influence the nature, duration,

and severity of the grief response. After the loss of a loved one, a child may be

reluctant to trust other adults for fear they too will die or go away. This confounds

the teacher's role in supporting the student.

The varieties of responses to death often hide a child's true feelings. A child may

behave as if nothing is really wrong, hoping that they can convince themselves

that death is a reversible process, and the deceased will return. Often the signs are

physical or behavioral in nature, including: crying, clinging, and thumb sucking.

Other signs of bodily distress might include: chronic worrying, lack of energy,

and loss of appetite. A child may also demonstrate hostile reactions or there may

be a looking to others or substituting that is designed to satisfy some physical or

emotional need. There may be an idealizing of the deceased during the initial

response. Perhaps the most powerful response of young children to death is one of

guilt. There may be concern that they have done something to cause the death or

should have been more helpful while the person was alive.

A teacher can be very helpful to a young child by giving him/her accurate

information in simple and understandable words. Any information shared should

be guided by a child's questions and should avoid the use of phrases such as

"going on a long trip" or "going to sleep." By supporting a child's expressions of

feeling in a caring manner, a teacher prepares the child for later grief events. If

possible, it is helpful to young children to use such experiences as the loss of a pet

to begin to acquire the skills necessary to get through the death of a person to

whom they are acquainted.

Page 39: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

39

Appendix B: Classroom Activities Handout

Activities for Children by Age Birth to 2 years

Activities for home: frequent cuddling, caring, maintaining routines, and

remaining calm.

Preschool and Kindergarten

Activities for home or school: play acting, physical contact, puppets, art, stories,

large muscle movements (throwing balls, etc.).

School Age (7 to 12 years)

Activities for home or school: play acting, puppets, drawing and painting, sharing

experiences in groups, reading, and creative writing or discussion.

Middle School to High School (12 to 18 years)

Activities at school: general classroom activities, literature or reading, peer

helpers, health class, art class, speech/drama class, social studies/government, and

history.

Other ways of Expressing Loss

Children may find it useful if they are given other ways of expressing how they

are feeling. Some useful alternative methods of expression include painting,

drawing, or writing about the event. Adults or older children can help preschool

children to reenact the event since preschool children may not be able to imagine

alternative "endings" to a disaster and hence may feel particularly helpless. It may

also be helpful to have children write a letter to the person who has died. Plant a

tree. Make a poster or collage with drawings, pictures, and thoughts.

Page 40: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

40

Appendix C: Sample Letters, Memorandums, and Notices

Letters to Parents

Sample A: General

Dear Parent(s) or Guardian:

It is with sadness that I inform you of the death of (name of deceased), a (grade

level) in our school. (Name) died from (cause of death) which occurred (day/date

of death) (do not specify reason if death by suicide or causes which are unknown,

etc.).

The funeral will be held at __________ at __________ a.m./p.m. Visitation will

be held at __________ during the hours of __________ to __________. Parents

are encouraged to attend the funeral with their children. (Note: Send a letter home

to parents even if you do not know the details of the funeral arrangements.)

Students will have varied reactions to the death of a peer (or teacher). Any

reaction is normal in the grief process and can range from withdrawal to anger. I

encourage you to openly discuss with your child his/her reactions and feelings

regarding the death of (name of deceased).

Special counseling services have been made available to students today and will

continue to be available throughout the week and longer, if needed.

If you think your child needs additional counseling support, please do not hesitate

to contact the __________ (school counseling office) at __________ (phone

number).

Sincerely,

Principal and Staff

Page 41: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

41

Sample B: General

Dear Parent(s) or Guardian:

As you may be aware, our school district has experienced a death of a

(student/faculty member) that has affected us deeply.

Students and staff will react in different ways to the death of one of our school

community members. We all should expect and try to understand that there will

be a variety of emotions and responses to what has occurred. The most important

thing we can do is to be supportive and encourage an open expression of feelings.

At the school, we have implemented a plan for responding to this tragic event

focused on helping our students, their families, and our staff get back to regular

learning and every day activities as soon as possible. This plan has evolved from

the district's experience with death in the past and the advice of mental health

professionals within our district and from the community.

Our teachers and counselors have been briefed on our plans and have received

guidelines for discussing death and reactions to it. There will be district/school

personnel available to students who need special attention and support. (There is

also help available from the community.) We will try to maintain as normal a

routine and structure as the situation and people allow, and we encourage you to

do the same.

If you feel that your child or family needs some assistance, please contact us, and

we will do everything we can to help you.

If you have any questions or concerns, please contact the school at (give preferred

phone numbers). We know you will join us in our concern and sympathy for the

family.

Sincerely,

Principal and Staff

Page 42: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

42

Sample C: Death by Suicide, Homicide, or Tragic Accident

(Only use for suicide if verified)

Following some deaths, the principal communicates with parents by mail and/or

public forums. A sample letter to be used following a student suicide is given

below. A similar letter may be needed after a homicide death or tragic accident.

Dear Parents:

The ________________ school community has been saddened by the suicide

death of one of our students, __________. I want to let you know what steps we

are taking to assist our grieving students. (Describe what actions are being taken).

You can expect that your child will be affected in some way by this tragedy even

if he or she did not know this student well. I encourage you to talk to your child

about what happened. Discussing thoughts and feelings about death is important

to the resolution of grief. You will not “put ideas into your child’s head” by

talking about suicide. We all need to reinforce, however, that such actions are

foolish and that there is help for any problem. Encourage your child to talk to you

or some other adult when life stressors become overwhelming. If you are

concerned about your child, please contact (staff person) at (phone number).

I have enclosed an information sheet that may help you understand and respond to

your child’s feelings. (Enclose information about helpful responses, how students

this age react to death, and warning signs of depression or at-risk behaviors.)

A meeting for concerned parents will be held ____________. (If a meeting is

planned, give the details.) If you have any questions concerning this incident or

the actions we are taking, please call my office. You are an important part of our

school community and your child’s life.

Sincerely,

Principal and Staff

Page 43: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

43

Memoranda to Faculty

Sample A: Announcing a Suspected, but Unconfirmed, Death by Suicide

TO: All Faculty

FROM: __________, Principal

DATE:

Please read the following announcement to students in your first period class:

We are saddened to learn of the death this weekend of one of our students:

___________. He/She died Saturday afternoon of____________. The

complete details of his/her death are not available at this time. I know that

this news may be upsetting to some of you. If you need to talk with a

counselor, please let me know. I will give you a pass to the guidance

office.

Suggestions for Helping Your Students

(Note: Refer to Announcing a Death by Suicide to the Student Body notice for

information that may be helpful in this situation.)

If you have a first or second period conference, please go to the counseling office

to see if your assistance is needed. A counselor will follow the deceased’s class

schedule to meet with his/her classmates throughout the day. If I feel that any

further action is needed in response to this death, I will call a faculty meeting or

will send you a memorandum.

(Note: Although it was common knowledge among students at this school that

____________ died under difficult circumstances, the coroner has not ruled the

death a suicide. When this information is available, there will be an

announcement provided.)

Page 44: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

44

Sample B: Announcing a Death by Suicide that Occurred Over the Summer Break

(Only use if the suicide is verified)

The following memorandum is given to teachers before the first day of school

concerning a student who killed himself/herself over the summer. At a pre-

planning in-service meeting, the principal advises teachers to make this

announcement only if students seem upset or ask for information. Those students

should then be counseled individually.

TO: All Faculty

FROM: ______________, Principal

DATE:

Read the following announcement only if there seems to be a need (i.e. students

request information about the death or seem upset).

_______________, who would have been a

senior/junior/sophomore/freshman in the fall, died on __________ of a

self-inflicted__________. A memorial service was held on ________ at

______________Funeral Home. If you find this news upsetting, you may

want to talk with a counselor. The counselors will offer a grief and loss

support group beginning next week for interested students. A workshop

for concerned parents may also be held. Information about these activities

is available in the guidance office.

TEACHERS: As most of you know, grief and loss groups are offered at school

for students grieving the death of a relative or friend. Please notify the counseling

office of students who may benefit from a group of this nature. The parent

workshop on student suicide may be of interest to you as teachers or parents, as

well. Descriptions of the student group and parent workshop are available in the

(designate room).

Page 45: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

45

Sample C: Announcing an Accidental Death

TO: All Faculty

FROM: __________, Principal

DATE: __________

Please read the following announcement to your first period class:

A ____ grade student, _____________, died as the result of an automobile

accident that occurred shortly after midnight Friday. __________ was

killed instantly. Another student, _________, was seriously injured and is

in the Medical Center or hospital. We are all saddened by this news. If

anyone needs to talk with a counselor, please let me know. The accident

happened on ________ Road. Apparently the car in which these girls were

riding tried to avoid a car that approached them with its headlights off.

Their car veered off the road and struck a large tree. As additional

information comes to our attention, it will be announced.

Page 46: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

46

Sample D: Announcing the Death of a Teacher to Students

TO: All Faculty

FROM: __________, Principal

DATE:

Please read the following announcement to students in your first period class:

As some of you may know, one of our teachers, __________, died

yesterday. Although the exact reason for his/her death is not clear at this

time, it was by natural causes. I know that this news may be very upsetting

to some of you. If you need to talk with a counselor, you should let me

know.

Page 47: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

47

Notices

Sample A: Announcing a Death by Suicide to the Student Body

(Only use if suicide is verified)

The suicide of a student, particularly one who was well known or popular, can

produce campus-wide trauma if the death occurs when school is in session. In

announcing the death, it may be helpful to include information about the grieving

process and sources of assistance. The following is a suggestion:

The ______________ school community is saddened by the reported suicide of

one of our students. The death of any member of a community is a loss that in one

way or another diminishes each of us, but the tragic circumstances of

__________________’s death are even more difficult to accept. Feelings of

anger, hurt, depression, and guilt are natural following a suicide. Although feeling

guilty is natural, none of us can assume responsibility for what happened because

the ultimate decision was not ours to make. There is, however, something each of

us can do. Students can assist their friends and classmates. Teachers, counselors,

and administrators are here to help all students, whatever the problem. If you or

one of your friends need to talk, let a teacher or counselor know. Both students

and faculty can be alert for others who need help. Often a friendly smile, a word

of encouragement, or just listening can make a difference.

Page 48: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

48

Sample B: Postvention Counseling Group

(The following information should be printed on school letterhead.)

Parent Permission Form

To: The parent(s) of__________________

From: ______________, Principal (or counselor)

Date:

There are loss events in the lives of young people (or children) that cause them to

grieve. The counseling staff at _______________ School offers a grief and loss

support group to help our students process their feelings and learn to cope with

future losses. Your son/daughter has requested to participate in this group.

This group meets (once a week for 8 weeks). Students in the group will not miss

any class (or subject, if elementary school group) more than twice during that

time. The group has a learning component and a sharing component. Topics

covered usually include the following:

1. Type of losses

2. Phases of grief recovery

3. Identifying, normalizing, and sharing feelings

4. Healthy versus unhealthy grief responses

5. Recognizing and coping with depression

6. Myths about grief

Please sign and return the form below if you give permission for your

son/daughter to participate in this group. If you have any questions, please call

__________ at __________.

My son/daughter ______________________ may participate in the grief and loss

support group.

(Parent signature) (Date)

Page 49: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

49

Appendix D: Reproducible Staff Checklists

D1: Principal Checklist

Verified death circumstances.

Designated the Crisis Management Team Leader.

Met with Crisis Management Team.

Notified Administrator of Student Services of need for itinerant personnel

support (only when school-based staff resources need augmenting).

Activate phone tree.

Arranged for substitute to assist or cover student's classroom teacher.

Designated a faculty member to follow class schedule of the deceased.

throughout the first day to provide support as needed.

Instructed a staff member to remove locker contents from deceased

student's locker. (Secondary)

Implemented campus security plan as necessary.

Implemented emergency checkout plan as necessary.

Designated a counseling support center in building.

Met with building staff.

Directed staff member to review student's cumulative folder and notify

other school principals as needed (i.e. siblings at other schools).

Informed students regarding the death.

Wrote letter to parents of all students regarding the death.

Designated a staff member to collect funeral arrangement information.

Informed students/staff regarding funeral arrangements.

Page 50: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

50

Directed a staff member to remove student's name from all mailing lists,

including the district's central office.

Called and/or visited parents.

Held mid-day meeting with Crisis Management Team Leader to assess

response activities.

Contacted clergy who will be conducting funeral services.

Held after-school meeting.

Met with Crisis Management Team at end-of-day to:

o review day's activities.

o review list of "high-risk" students.

o plan for next day's activities.

Arranged next day’s all-staff a.m. meeting.

Encouraged staff to resume regular classroom activities two to three days

after funeral if not already underway.

Met with Crisis Management Team within two week following the crisis

to debrief.

Modified building protocol based on feedback received from Crisis

Management Team and others.

Contact family within two weeks for follow-up to situation.

Page 51: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

51

D2: Crisis Management Team Leader Checklist

Informed staff of expectations and of any scheduled mandatory meetings.

Reviewed hand-out materials.

Informed staff of upcoming announcements.

Informed staff of media protocols.

Listed the teachers and staff who will need extra support because of their

closeness, etc. to deceased.

Assigned staff member to classroom where assistance by the teacher has

been requested.

Maintained a list of "high risk" students.

o Assisted in identifying students who were absent and “high risk”.

o Reviewed with team all students on “high risk” list and assigned

staff member as a case manager.

Organized the building's counseling efforts including grief group(s).

Recommended to the principal students who (A) needed to go home or (B)

needed additional community mental health resources.

Assisted in organizing staff's role in funeral arrangements including

visitation.

Met with Crisis Management Team at end of day to update and plan for

next day's activities.

Page 52: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

52

D3: Guidance and Itinerant Staff Checklist

Gathered information about students’ and staff’s reactions to the death

event.

Attended any mandatory staff meetings (if scheduled and if time allows).

Identified and contacted school staff acquainted with the deceased and

who were in need of extra support (e.g., a teacher who had a special

relationship with the deceased, had the deceased in class, or had a sibling

in class).

Provided “in-class” assistance when requested by the school-based Crisis

Management Team Leader/Principal.

Initiated and maintained a master list of “high-risk” students in need of

extra support.

Met briefly with all identified “high-risk” students and any other students

who were referred, as needed, and implemented a “triage” system of

intervention.

Identified students who were absent who might have been “high-risk” and

informed their respective parent(s) of the school’s concern (if requested by

the Crisis Management Team Leader).

Adhered to the building Emergency Checkout Plan when students

requested to leave school due to grief issues.

Met with Crisis Management Team (if an assigned member) to debrief.

Discussed the role guidance and itinerant staff will provide, if any, in the

funeral or memorial service.

Reviewed any memorial requests for the deceased with the principal and

other Crisis Management Team members.

Met as a team one to two weeks following the death event and discussed

response activities and any modifications that may be needed.

Page 53: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

53

D4: Teacher Checklist

Attended any mandatory staff meetings (if scheduled).

If needed, requested a substitute to assist with individual time to console

students, visit with deceased student's parents, etc.

Modeled the classroom discussion by sharing with students feelings and

reactions. (or)

Could not lead class discussion and informed the principal or Crisis

Management Team Leader to request a team member to lead the

discussion.

Allowed students to go to counseling support center (sent peer or aide to

accompany them).

Kept list of student(s) considered "high risk" and gave names to Crisis

Management Team Leader during and at the end of the day.

Offered to assist colleagues who were in need of help any assistance I

could give them.

If appropriate, attended the visitation and/or funeral.

Page 54: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

54

Appendix E: Grief and Loss Resources

Recommended Reading

For Children

Alexander, A. (1999). Sunflowers & rainbows for Tia: Saying goodbye to daddy.

Centering Corp.

Baritzer, E. (2000). What is death? Veronica Lane Books.

Boulden, J. & Boulden, J. (1994). Goodbye forever. Boulden Publishing.

Brown, L & Brown, M. (1998). When dinosaurs die: A guide to understanding death.

Little Brown & Co.

Brown, M.W. (2002). The dead bird. Willow Morrow & Co.

Buscaglia, L. (1983). The fall of Freddie the leaf. Holt Rinehart Winston.

Coehn, C. Heiney, J. & Gordon, M. (1997). Daddy’s promise. Promise Publications.

Clifton, L. & Grifalconi, A. (1988). Everett Anderson’s goodbye. Henry Holt & Co.

Crossley, D. (2001). Muddles, puddles & sunshine: Your activity book to help when

someone dies.

Winston’s Wish.

Deymaz, L. & Smith, S. (1997). Mommy, please don’t cry. Multnomak Publishers.

Dodge, N. (1984). Thumpy’s Story. Prairie Lark Press.

Freidman, J. & Old, W. (1994). Stacy had a little sister. Concept Books.

Goldman, L. (1998). Bart speaks out: Breaking the silence on suicide. (2nd ed.). Western

Psychological Service.

Gryte, M. (1988). No new baby. Centering Corp.

Haynes, M. (2000). Grandma’s gone to live in the stars. Albert Whitman & Co.

Heegard, M. (1988). When someone very special dies: Children can learn to cope with

grief. Woodland Press.

Heegard, M. (1992). When something terrible happens. Woodland Press.

Hemery, K. (1998). The brightest star. Centering Corp.

Page 55: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

55

Hodge, J. (1998) Finding grandpa everywhere: A young child discovers memories of a

grandparent.

Johnson, J. & Johnson, M. (2001). Tell me Papa. Centering Corp.

Keough, P. (2001). Remembering our baby. Centering Corp.

Levy, J. (1995). The spirit of Tio Fernando. Albert Whitman & Co.

Maple, M. (1992). On the wings of a butterfly: A story about life & death. Parenting

Press.

Mellonie & Ingpen. (1983) Lifetimes: The beautiful way to explain death to children.

NY: Bantam Books.

Mills, J & Chesworth, M. (1993). Gentle willow: A story for children about dying.

Magination.

Mundy, M. & Alley, R.W. (1998). Sad isn’t bad: A good-grief guide book for kids

dealing with loss. Abby Press.

Nobisso, J. (2000). Grandma’s scrapbook. Gingerbread House.

Nobisso, J. (2000). Grandpa loved. Gingerbread House

Obershaw, R. (1998). Cry until you laugh: Comforting guidance for coping with grief.

Fairview Press.

O’Toole, D. (1988) Aarvy aardvark finds hope. Compassion Books.

Owens, G. & Cohn, J. (1994). Molly’s Rosebush. Concept Books.

Palmer, P. & Burke, D. (1994). I wish I could hold your hand: A child’s guide to grief &

loss. Impact Pub.

dePaola, T. (2000). Nana upstairs, nana downstairs. Puffin.

Park, B. (1996). Mick Harte was here. Random House Children’s pub.

Peterkin, A. (1992). What about me?: When brothers or sisters get sick. Magination.

Reynolds, R. (1995). Bring me the ocean: Nature as teacher, messenger & intermediary.

Vanderwyk & Burnham.

Rothman, J. (1996). A birthday present for Daniel. Prometheus Books.

Schwiebert, P. & DeKlyen, C. (2001). Tear soup. Perinatal Loss.

Silverman, J. (1999). Help me say goodbye. Fairview Press.

Simon, N. & Rogers, J. (1992). The saddest time. Albert Whiteman & Co.

Page 56: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

56

Stickney, D. (1997). Waterbugs & dragonflies: Explaining death to young children.

Pilgrim Press.

Temes, R. (1992). The empty place: A child’s guide through grief. New Horizon Press.

Traisman, E. (1994). A child remembers. Centering Corp.

Turner, B. (1996). A little bit of Rob. Albert Whitman & Co.

Varley, S. (1992). Badger’s party gifts. Mulberry Books.

Bigna, J. (1991). Saying goodbye to daddy. Albert Whitman & Co.

Viorst, J. & Blegvad, E. (1971). The tenth good thing about Barney. Atheneum.

White Deer of Autumn (1992). The great change. Beyond Words Pub. Co.

Wolfelt, A. How I feel: A coloring book for grieving children. Compassion Press.

Woodson, J. (2000). Sweet, sweet memory. Jump at the Sun.

For Teens

Dower, L. (2000). I will remember you: What to do when someone you love dies: A

guidebook through grief for teens. Scholastic Trade.

Dougy Center Staff (1998). Helping teens cope with death. The Dougy Center for

Grieving Children.

Fitzgerald, H. (2000). The grieving teen: A guide for teenagers & their friends. Simon &

Schuster.

Grollman, E. (1993). Straight talk about death for teenagers: How to cope with losing

someone you love. Beacon Press.

Kuehn, E. (2001). After suicide: Living with the questions. Lifematters Press.

Lehmann, L., Jimerson, S. & Gaasch, A. Teens together: grief support group curriculum.

Perschy, M.K. (1997). Helping teens work through grief. Taylor & Francis.

Traisman, E. (1992). Fire in my heart, ice in my veins. Centering Corp.

For Parents

Aub, K. (1995). Children are survivors too: A guide book for young homicide survivors.

Grief Educational Resources.

Page 57: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

57

Bernstein, J. (1998). When the bough breaks: Forever after the death of a son or daughter.

Andrews McMeel Publishing.

Braza, K. (1995). To touch a grieving heart: Healing ways to help ourselves & others

walk the journey of grief. Salt Lake City, UT: Panacom Inc.

Callanan, M. & Kelley, P. (1997). Final gifts: Understanding the special awarenesses,

needs, & communications of the dying. Bantam.

Christ, G. (2000). Healing children’s grief: Surviving a parent’s death from cancer.

Oxford University Press.

Coloroso, B. (1995). Kids are worth it! Giving your child the gift of inner discipline.

NY: Avon Books.

Coloroso, B. (2001). Parenting through crisis: Helping kids in times of loss, grief, and

change. NY: Harper Collins.

Davis, D. (1999). Empty cradle, broken heart: Surviving the death of your baby. Fulcrum

Pub.

Dougy Center Staff (1998). Helping children cope with death. The Dougy Center for

Grieving Children.

Emswiler, M. & Emswiler, J. (2000). Guiding your child through grief. NY: Bantam.

Fitzgerald, H. (1992). The grieving child: A parent’s Guide. Fireside.

Fitzgerald, H. (2000). The grieving teen. Simon & Schuster.

Goble, P. (1993). Beyond the ridge. Aladdin Paperbacks.

Goldman, L. (1994). Life & loss: guide to help grieving children. Muncie, IN:

Accelerated Development, Inc.

Grant, J. (1998). When your friend’s child dies: A guide to being a thoughtful and caring

friend. Angel Hugs Publishing.

Harpham, W. (1997). When a parent has cancer: A guide to caring for your children.

Harper Collins.

James, T., Friedman, R. & Matthews, L. (2001). When children grieve: for adults to help

children deal with death, divorce, pet loss, moving & other losses. Harper Collins.

Klass, D., Silverman, P., & Nickman, S. (Eds.) (1996). Continuing bonds: New

understandings of grief. Washington, DC: Taylor & Francis.

Kohn, I., Moffitt, P., & Wilkins, I. (2000). A silent sorrow: Pregnancy loss – guidance &

support for you and your family. Routledge.

Page 58: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

58

Lafser, C. & Tickle, P. (1998). An empty cradle, a full heart: Reflections for mothers &

fathers after miscarriage, stillbirth, or infant death. Loyola Press.

Lothrop, H. (1997). Help, comfort and hope after losing your baby in pregnancy or the

first year. Fisher Books.

Papenbrock, P. & Voss, R. (1990). Loss: How children and teenagers can cope with

death and other kinds of loss. Redmond, VA: Medic Publishing Co.

Peppers, L. & Knapp, R. (1985). How to go on living after the death of a baby.

Peachtree publishers.

Rubel, B. (2000). But I didn’t say goodbye: For parents & professionals helping child

suicide survivors. Griefwork Center, Inc.

Silverman, P. (1999). Never too young to know: Death in children’s lives. Oxford

University Press.

Tatelbaum, J. (1994). The courage to grieve, the courage to grow: Recovering and

growing through grief. Carmel Valley, CA: Impact Enterprises.

York, S. (2000). Remembering well – Rituals for celebrating life & mourning death.

John Wiley & Sons.

Zonnebelt-Smeenge, S. & DeVries, R. (2001). The empty chair: Handling grief on

holidays & special occasions. Baker House Books.

Pet Loss

Adamec. C. (2000). When your pet dies: Dealing with your grief & helping your

children cope. iUniverse.com.

Davis, C. (1997). For every dog an angel. Lighthearted Press.

Kowalski, G. (1997). Goodbye, friend: Healing wisdom for anyone who has ever lost a

pet. Stillpoint.

Montgomery, M. & Montgomery, H. (1991). Goodbye my friend. Montgomery Press.

Nieburg, H. & Fischer, A. (1996). Pet loss: Thoughtful guide for adults & children.

Harper Perennial.

Sife, W. (1998). Loss of a pet: New revised & expanded edition. Hungry Minds, Inc.

Wilhelm, H. (1989). I’ll always love you. Crown Pub.

For Schools

Cassini, K. & Rogers, J. ( ). Death & The classroom: A teacher’s guide. (revised ed.).

Page 59: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

59

Dougy Center Staff (1998). Helping the grieving student. The Dougy Center for

Grieving Children.

Dougy Center Staff (2000). When death impacts your school: A guide for school

administration. The Dougy Center for Grieving Children.

Fitzgerald, H. (1998). Grief at school: A guide for teachers & counselors. American

Hospice Foundation.

Fitzgerald, H. ( ). A Manual for School Personnel

Klicker, R. (1999). A student dies, a school mourns: Dealing with death & loss in the

school community. Taylor & Francis.

Stevenson, R. (2002). What will we do?: Preparing schools to cope with crises. (2nd ed.)

Baywood Pub.

Page 60: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

60

Bibliography

“Coping with the Death of a Student,” M. Cashman, Mississippi Bend Area

Education Agency (1988).

“The Grieving Student in the Classroom” B. Ragouzeous (1988)

A Practical Guide for Crisis Response in Our Schools,

www.SchoolCrisisResponse.com

American Association of Suicidology

American Association of Suicidology; Youth Suicide Fact Sheet

Archives of Pediatrics and Adolescent Medicine. 2008; 162[5]:403-410.)

Batts, James. Death and Grief in the Family: Providing Support at School for the

National Association of School Psychologists. 2004

Chapman, A. (2006-2008). The Elisabeth Kübler-Ross 'Grief Cycle' (1969) by

permission of the EKR Foundation. www.businessballs.com.

Corr, C. A., and Corr, D. M. (Eds.). (1996) Handbook of Childhood Death and

Bereavement. New York: Springer Publishing Company.

Friedman, R., & James, J. W. (2008). The myth of the stages of dying, death, and

grief. Skeptic, 14(2), 37-42.

Jellinek, M., Bostic, J. Q., & Schlozman, S. C. (Nov 2007). When a student dies:

An intervention mindful of the grieving process can help schools cope with the

loss of a student. Association for Supervision and Curriculum Development

Educational Leadership, 78-82.

Kelly Webb-Ferebee, Ph.D., LPC, RPT-S, NCC The Sandbox: A Way of Being

972.471.6000

Kubler-Ross, E. and Kessler, D. Life Lessons. Scribner. NY. 2000

Mauk, G. W. and Leopold, G. D. (1994, January). Triumphing over tragedy:

Adolescent suicide postvention in schools. Program session presented at the

Association for Specialists in Group Work (ASGW) National Conference, St.

Petersburg Beach, FL.

Page 61: Grief and Loss Handbook - Lake  · PDF fileGrief and Loss Handbook Lake County School Board Susan Moxley, Ed.D. Superintendent Jay Marshall Director, Student Services

61

New York State Office of Mental Health (2004). Grief counseling resource

guide: A field manual. New York, NY: Bureau of Education and Workforce

Development.

Temporal variations in school-associated student homicide and suicide events –

United States, 1992-1999. (2001). Morbidity and Mortality Weekly Report,

50(31), 657-660.

Welshons, J. Awakening from Grief. Open Heart Publications. NJ. 2002.