For many students, the COVID-19 pandemic is compounding traumatic experiences for diverse reasons, such as potential increased incidents of neglect, abuse, and isolation. At the same time, educators are limited in how they can support their students while school are closed. In the Appalachia region, this new wave of stressors comes on top of the traumatic experiences students are experiencing related to the opioid epidemic. Family and community opioid use has devastating impacts on children and families, especially in this region, with about 170,000 children experiencing a range of stressors and trauma related to parental opioid use, such as losing a parent to an opioid-related death, having an incarcerated parent due to opioid use, or being removed from their home due to an opioid-related issue.1 REL Appalachia (REL AP) has been working with key stakeholders from the region in state and local education agencies, departments of health, community-based organizations, and universities to identify best practices for addressing student- and educator-related trauma through the Cross-State Collaborative to Support Schools in the Opioid Crisis (CCSSOC). Through this work, the collaborative developed and curated tools and strategies all educators may find useful when supporting students during this time.
Everyday strategies for educators to support students experiencing trauma

In response to education stakeholders' high-priority needs, the REL AP team and CCSSOC members co-developed the "Common trauma symptoms in students and helpful strategies for educators" handout.
The handout provides information about the common symptoms of trauma, grouped into five main categories,2 as well as everyday strategies3 that educators can implement in the classroom to support students exhibiting symptoms of trauma.
Everyday strategies in virtual settings
In the context of the COVID-19 pandemic, we adapted strategies from the handout to help educators address student's social-emotional and mental health needs associated with trauma in virtual settings:
- Provide structure and routine: Educators can work with parents to ensure that students have proper structure and routine--a critical need for students who experience trauma. One strategy is to work with families to build daily schedules that combine academic enrichment (e.g., reading, practicing math), physical exercise, and entertainment. Educators can also promote structure on a macro-level by organizing remote learning opportunities that follow a consistent and familiar structure for students, such as an abbreviated daily school schedule.
- Promote a sense of control: Students' resiliency increases when we help them increase their locus of control--the extent to which they feel in control of their own lives. To do so, educators can work with students to identify ways they can control their own lives--staying healthy (e.g., maintaining social distance), managing emotions (e.g., practicing mindfulness), and staying connected to others (e.g., connect with friends and relatives by phone).
- Be present: In this period of time, perhaps more so than ever before, students who have experienced trauma need to feel the support of trusted adults in their lives--including their educators. Educators can maintain ongoing (e.g., weekly) communication with students through various means: small group video calls, one-on-one phone calls, sending postcards, etc. The primary purpose of these interactions is to convey to each child that they can continue to emotionally lean on their educators even when school buildings are closed. For more information on relationship building, see Virtual Relationship Mapping (source: Harvard Graduate School of Education) which provides strategies and lesson plans for school administrators and staff to make sure that every student has a supportive adult mentor at the school.
- Provide emotional check-ins: During virtual interactions, educators should provide students with emotional check-in opportunities (e.g., using the mood meter; source: National Association for the Education of Young Children, NAEYC) and validate students' feelings. Educators should praise students for using relaxation or coping strategies. In addition, educators can follow up with students who endorse negative emotions, especially if they are noticing that this is becoming a pattern, and discuss appropriate coping responses and strategies to use in such situations.
- Strengthen self-regulation skills: Students (and adults) can develop skills to regulate their own emotions. As with any type of skill, self-regulation skills need to be learned, practiced, and then practiced some more to achieve mastery. These skills include mindfulness, breathing exercises, physical exercises, active journaling, and yoga. Educators can guide and practice these skills with students using various games and activities (source: Stop, Breathe, & Think) during remote learning meetings. Educators can also refer students and families to various apps and games; for example, see this collection from Common Sense. Educators can also help parents and caregivers make an at-home schedule with various activities to practice these skills with their children; see this blog post from the Children's Hospital of Orange County on how parents can schedule and spend one week focusing on building these skills with their children.
School-based programs to support students experiencing trauma
District and school administrators may consider implementing school-based programs to address student trauma once students return to school in the fall. The REL AP team and CCSSOC members co-developed two relevant resources to help school and district leaders address the likely overwhelming need for evidence-based or promising interventions that align with their specific needs and contexts:
- Selecting the right interventions to support students' mental health needs: This infographic provides key questions to ask when considering and selecting programs with specific decision-support tools and can be used with the Menu of trauma-informed programs for schools (below) to consider and choose from various programs.
- Menu of trauma-informed programs for schools: This handout provides descriptions of trauma-informed programs and available information about their implementation and evaluation/evidence.
Materials
These materials provide preventative and intervention strategies for supporting students affected by trauma. For suggestions on how to use the materials, refer to the relevant sections of this blog post.
- Common Trauma Symptoms in Students and Helpful Strategies for Educators
- Virtual Preventative Strategies to Support Students' Social-Emotional and Mental Health Needs Associated With Trauma
- Selecting the Right Interventions to Support Students' Mental Health Needs
- Menu of Trauma-Informed Programs for Schools
Additional resources to support students
- How can educators and families support students' mental health and social emotional needs?: The REL Northeast and Islands (REL NEI) put together FAQs to assist schools and districts in supporting students' mental health and social-emotional needs, sharing ideas from districts across the country, and resources from local and state education agencies.
- Distance learning resources for education stakeholders in the northwest: This REL Northwest (REL NW) page compiles a list of distance learning resources for education stakeholders.
- Supporting children during Coronavirus (COVID-19): This resource from The National Child Traumatic Stress Network (NCTSN) describes how adults can provide support, help, and guidance to children and youth during the COVID-19 outbreak.
- Staying resilient during COVID-19: This page from the Compassion Resilience Toolkit provides various resources on how to stay resilient during COVID-19.
- Student Behavior Blog's COVID-19 resources: This page shares resources to help families and teachers support children and themselves during the COVID-19 crisis.
Footnotes:
1Brundage, S. C., Fifield, A., & Partridge, L. (2019). The ripple effect: National and state estimates of the U.S. opioid epidemic's impact on children. United Hospital Fund. https://uhfnyc.org/media/filer_public/6e/80/6e80760f-d579-46a3-998d-1aa816ab06f6/uhf_ripple_effect_national_and_state_estimates_chartbook.pdf
2Symptoms adapted from:
- Statman-Weil, K. (2015). Creating trauma-sensitive classrooms. Young Children, 70(2), 72-79. https://www.naeyc.org/resources/pubs/yc/may2015/trauma-sensitive-classrooms
- National Child Traumatic Stress Network Schools Committee. (2008, October). Child trauma toolkit for educators. Los Angeles, CA & Durham, NC: National Center for Child Traumatic Stress. https://www.nctsn.org/sites/default/files/resources/child_trauma_toolkit_educators.pdf
3 Strategies adapted from:
- Honsinger, C., & Brown, M. H. (2019). Preparing trauma-sensitive teachers: Strategies for teacher educators. Teacher Educators' Journal, 12, 129-152. https://files.eric.ed.gov/fulltext/EJ1209431.pdf