{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T02:33:43Z","timestamp":1776220423020,"version":"3.50.1"},"reference-count":30,"publisher":"American Medical Association (AMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Extreme weather disasters leave behind long-lasting mental and physical health problems. Displacement related to climate change disproportionately impacts children, whose developmental stage leaves them particularly at risk to its devastating effects.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To compare pediatric mental health needs and care for those in need between displaced households and other households.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This repeated cross-sectional analysis with multivariable logistic regression models used data from the US Census Household Pulse Survey, a nationally representative dataset, from June 1, 2023, through September 31, 2024. The study included biweekly, individual-level data reported by individual adults for all members of their household.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n Experience of displacement in the past year due to a natural disaster.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n Mental health needs were defined based on response to a question asking whether any children in the household needed mental health treatment, such as counseling or medication, in the past 4 weeks. Then the likelihood of receiving mental health treatment was examined for those who reported mental health needs.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of the 324 466 households with children identified during the study period, 277 081 respondents (mean [SD) age, 42.7 [0.05) years; 162 288 [58.6%] female) were included in the analytic sample. This sample represents approximately 35 million US households with children. Among households with children, those that experienced displacement due to natural disaster had a significantly higher chance of reporting that the children needed mental health counseling or medication (odds ratio, 1.29; 95% CI, 1.12-1.48;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001). Among households with reported pediatric mental health needs, displaced households were more likely to report inadequate or no treatment, even after controlling for socioeconomic hardships (odds ratio, 0.55; 95% CI, 0.38-0.66;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n The cross-sectional study found that displaced children experience more unmet mental health needs after natural disasters compared with nondisplaced children, which may negatively impact their long-term development. As climate change progresses, targeted research is urgently needed to understand how best to meet these needs.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2026.4922","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T15:30:15Z","timestamp":1776180615000},"page":"e264922","source":"Crossref","is-referenced-by-count":1,"title":["Pediatric Mental Health Needs, Unmet Care, and Disaster-Related Displacement"],"prefix":"10.1001","volume":"9","author":[{"given":"Joniqua N.","family":"Ceasar","sequence":"first","affiliation":[{"name":"National Clinician Scholars Program, Perelman School of Medicine, University of Pennsylvania, Philadelphia"},{"name":"Department of Psychiatry, University of Pennsylvania, Philadelphia"},{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keven 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