Approximately 18% of New York City Children had Severe or Very Severe Post- Traumatic Stress Reactions (PTSR) Following the September 11th Attacks Doubtful or Mild 16% Moderate 66% Severe 15% Very Severe 3%

Parental Reactions were Most Important Predictors of Severe/Very Severe PTSR in their Children % Children with Severe or Very Severe PTSR 11% 31% 14% 56% 0% 10% 20% 30% 40% 50% 60% Parental PTSD Child Saw Parent Cry YesNoYesNo

School Psychologist or Counselor Approximately 9% of New York City Children Received Some Type of Counseling following the September 11th Attacks, Over Half in the Schools 91% No Counseling 9% Counseling Mental Health Professional Outside of School Teacher Religious Leader or Unspecified 15% 19% 38% 28%

Only 23% of Children with Severe/Very Severe PTSR Received Any Type of Mental Health Services, and Only 14% of Those With Behavior Problems Did Percent Receiving Counseling