The need for counseling and mental health services for those affected will only grow in year two, says Deb Del Vecchio-Scully, a trauma counseling specialist and executive director of the Connecticut Counseling Association, a branch of the American Counseling Association.
"The mental health needs of this community are immense. … And the thing is, there are many people who have not sought counseling yet," she
"[The shooting was] a major, major mental health event which has overwhelmed the mental health community."
Professionals are seeing entire families seek therapy and children with posttraumatic stress disorder, Del Vecchio-Scully
Some Newtown families are driving 30 to 40 minutes outside of town for sessions because local counselors are fully booked.
Del Vecchio-Scully helps run a support group and serves as an advocate for Newtown survivor-witness families.
She is also a board member of the Newtown Memorial Fund.
Though much work remains to be done, there has been "a tremendous spirit of community, really supporting the town," Del Vecchio-Scully
Helping children return to school and "resume a sense of normalcy" has been a priority for counselors, Del Vecchio-Scully
Expressive therapy and pet therapy, including the use of "comfort dogs," has been useful, as has encouraging children to resume sports and other activities.
"Helping [children] regain a sense of safety at school again has been a major focus, so they can return and learn," she
Counselors and other mental health professionals have made great strides in "unwinding the trauma," but there is years of work ahead, Del Vecchio-Scully
points out that each group affected on Dec. 14 - from those who were inside a classroom where the shooting took place to the other kids in the school, the teachers, the school staff, parents, emergency responders and the community at large - has different mental health needs.
The trauma rippled through the town in "concentric circles," Del Vecchio-Scully
One psychiatrist estimated that the most traumatized of Newtown's children will need counseling for the next decade, at an estimated expense of $100,000.
"Who could ever bear that [financial] burden?
Tips and techniques from Deb Del Vecchio-Scully, counselor and trauma specialist:
Create safety, both internally and within clients' homes, schools and communities
Help with emotional/affect regulation by teaching self-soothing through the expressive arts therapy continuum (art therapy, creative arts therapies, play therapy and expressive therapies)
Focus on distress tolerance by using the creative arts to normalize and enhance resiliency
Identify the body's responses to stressful events and memories through trauma-informed evaluation and sensory-based interventions
recommends the following websites for more information on trauma-informed training: