School-Based Post-Flood Screening and Evaluation: Findings and Challenges in One Community LANE GEDDIE PULLINS University of Dayton, Dayton, Ohio, USA SUSAN L. MCCAMMON, ANGELA SMITH LAMSON, KARL L. WUENSCH, and LESLY MEGA East Carolina University, Greenville, North Carolina, USA This study examined a school-based screening and evaluation project to identify children with adjustment problems following a natural disaster. Six hundred twelve children ranging in age from 5 to 19 were screened in the aftermath of a hurricane and exten- sive flooding. Two hundred forty-eight children and 86 parents participated in the evaluation phase of the project, although few completed all measures. Severity of exposure alone was a limited predictor of child adjustment. However, screening for depression increased prediction of adjustment, and screening for traumatic stress symptoms helped predict parent-reported child PTSD. Bar- riers to conducting a school-based screening are discussed. KEYWORDS screening, child adjustment, trauma, post-disaster assessment On September 16, 1999, Hurricane Floyd made landfall in North Carolina, bringing winds up to 105 M.P.H. and torrential rains up to 20 inches (Le Comte, 2000) throughout the eastern portion of the state. Flooding affected approximately 2.1 million persons (Anonymous, 2000) with 52 reported deaths; in one county damages were estimated at almost $1 billion dollars (Federal Emergency Management Agency, 2000). In a disaster such as this, it is difficult to know how best to meet the mental health needs of those Address correspondence to Susan L. McCammon, Ph.D., Department of Psychology, 213 Rawl Building, East Carolina University, Greenville, NC 27858. E-mail: mccammons@ecu.edu Stress, Trauma, and Crisis, 8:229249, 2005 Copyright # Taylor & Francis LLC ISSN: 1543-4613 print/1543-4591 online DOI: 10.1080/15434610500406343 229