Responding to COVID-19 | Grief, Loss, and Bereavement
Responding to COVID-19
Grief, Loss, and Bereavement
The COVID-19 pandemic and its consequences have caused significant loss, including lives, livelihoods, social/physical connections, our usual ways of life, and how we grapple with death and mourning.
Grief is the emotional, cognitive, functional, and behavioral reactions a bereaved person might experience as a result of loss. Although grief is a normal process, in some it becomes prolonged or complicated, requiring intervention. Moreover, aspects of COVID-19 have made the grieving process more difficult, such as ambiguous loss that has no resolution or closure (e.g., social isolation during shelter-in-place), the need to isolate hospitalized patients, rendering families unable to visit or say goodbye, and disruptions in mourning rituals (e.g., not gathering for funerals). Mental health and school mental health personnel are often not fully trained on helping patients manage grief, loss, and bereavement, especially in the types of situations seen during this pandemic.
Here, we highlight MHTTC training and technical assistance products and resources related to grief, loss, and bereavement, as well as a compilation of resources from other reputable organizations. A virtual learning series on grief sensitivity and grief counseling during COVID-19 will be available in the coming weeks.
MHTTC Upcoming Events:
MHTTC Products and Resources:
This webinar gives you an overview of what grief looks like at any time but especially during a time of ambiguous loss. We talk about how to care for yourself and others in a time of uncertainty.
Talking about death and dying is always difficult, but communicating to families during pandemics like COVID-19 poses special challenges. This presentation discusses strategies for respectfully communicating with Latino families about COVID related end of life issues.
This document informs on what complicated grief is and how the Hispanic and Latino children and youth express it. It provides key aspects of Hispanic and Latino culture and three evidence-based interventions that have been proven to work to address the grieving process with Hispanic and Latino children, youths, and their families. Also, it covers how school personnel can manage this process.
Crisis Readiness, Response, and Recovery Webinar Series | Pacific Southwest MHTTC
Bereavement outside the context of a crisis is common – the vast majority of children experience the death of a close family member or friend. These deaths have a significant and often long-term impact on learning, social and emotional development, behavior, and adjustment. This series provides practical suggestions on how schools can talk with and support grieving children in general.
- Part 1 - Principles of Commemoration and Memorialization: Commemorative activities and memorialization in schools present opportunities for students and staff to take an active role in constructing an enduring memory related to a crisis event and to honor those whose lives were lost. This session reviews key considerations for planning commemorative and memorial activities in school settings.
- Part 2 - Supporting Grieving Students During a Pandemic: The current pandemic is associated with a large and growing number of deaths. This presentation provides practical suggestions on how schools can talk with and support grieving children in general. This presentation also highlights the unique challenges for supporting students during the pandemic and describe free resources from the Coalition to Support Grieving Students that can be used to address these challenges.
- Part 3 - When school starts back: Helping students, staff, and yourself cope with crisis during the COVID-19 pandemic: This session summarizes the principles of psychological first aid and common reactions that may be seen in any crisis event, including the current pandemic. It also provides practical advice on how to help students and staff understand and cope with the current pandemic and begin to prepare for what may be needed to offer support to students when schools re-open. The session underscores the need for professional self-care and highlights some of the barriers as well as some potential solutions. Recording coming soon!
Grief Fact Sheet Series | MHTTC Network
Mental health professionals and school mental health personnel often do not receive intensive training on helping patients manage grief, loss, and bereavement, particularly grief related to situations seen during this pandemic. This series of fact sheets, developed by the MHTTC Network, is designed to help mental health professionals and school mental health personnel support patients, students, and families who may be experiencing grief at any time, including during the COVID-19 pandemic.
- Fact Sheet #1 - Introduction to the Fact Sheet Series and Defining Grief: In this sheet, we define grief and differentiate between normative or uncomplicated grief from prolonged or complicated grief.
- Fact Sheet #2 - Responses to Grief Across the Lifespan: In this sheet, we discuss differences in grief reactions based on developmental level.
- Fact Sheet #3 - Preventive Strategies and Protective Factors: In this sheet, we discuss preventive strategies and protective resources for complicated grief.
- Fact Sheet #4 - Cultural Responsiveness: In this fact sheet, we describe differences in cultural expressions of grief.
- Fact Sheet #5 - Evidence-Based Treatments for Grief: In this sheet, we highlight evidence-based treatments for managing grief.
This webinar takes a look at some of the challenges caused by the uncertainty of COVID19, including chronic stress, emotional distress, and loss through the lens of prevention. It provides strategies and solutions for health promotion, with practical tips that translate theory into workable practice. It also provides guidelines for implementing prevention strategies and educating clients on prevention. A workbook via a downloadable PDF accompanies the training to reinforce the concepts provided in the webinar and for use as an ongoing resource.
In this session one, trainers discuss what has changed as a result of the current health pandemic, how we can prepare rural providers to ask questions to determine isolation/loneliness, and more. Session two provides examples of programs that address rural isolation among older adults, and how they have adapted during the health pandemic. Finally, the third session focuses on grief and loss and supports available in rural areas.
- Part 1 - Rural Social Isolation and Loneliness: Rates, Importance, and Identifying Risk: In this session, participants learn about loneliness and social isolation among older adults in rural and urban areas. Dr. Henning Smith speaks to the data, what we know, how social isolation and loneliness are unique in rural areas, and how rural social isolation is a health and mortality risk factor.
- Part 2 - The Evolving Nature of Social Connections: Promoting Well-Being in Times of Crisis: This session addresses programs designed to make connections between and among individuals and organizations to promote well-being in the aging population.
- Part 3 - Rural but Reachable: How to Build Grief Support by Creating Community: This session addresses the unique qualities of our rural environments which lend people to create community surrounding the common denominator of grief. Attendees explored the ways in which they can start developing connections in their own communities to support those in grief and individuals experiencing loss.
This guide highlights how school mental health leaders can – and do – work with and through crises; provides an overview of the crisis continuum; explores the intersection between school crises and school mental health leadership; and examines each component of the school crisis continuum (readiness, response, recovery, and renewal) by learning from voices of experience from the field. A complementary Reflection Worksheet is designed to help readers work through the guide.
This is the third and final session of the three-part webinar series, Making a Good Connection: Engaging Students and Families in School Tele-Mental Health, that is geared toward providers who are making the transition from in-person to telehealth services. Session content focuses on practical strategies and equity concerns related to engaging children, adolescents, and families using distance technology.
Dr. Pauline Boss explains ambiguous loss, its effects, its differences from ordinary loss and PTSD, and its complicating grief. She presents six culturally inclusive guidelines for treatment and intervention, useful regardless of your discipline. She also addresses self-of-the-therapist issues for these uncertain times.
Webinars and Trainings
National Alliance for Grieving Children: In Conversation with Dr. David Weaver and Dr. Donna Gaffney: A Ground breaking study on the educational, health, and economic outcomes of parentally bereaved children.
Fact Sheets and Tip Sheets
Toolkits and Guidelines
SAMHSA’s Disaster Distress Helpline is standing by 24/7 to support you during the pandemic & beyond. Toll-free, multilingual, & confidential support services are available to all residents in the U.S. & its territories. Call 1-800-985-5990 or text TalkWithUs to 66746 to connect with a trained counselor.