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Become a Volunteer

Get involved and help grieving families find hope and healing

Give A Donation

Help provide a measure of love, education and grief support

Adopt an Animal

Help provide care by symbolically adopting one of our rescue animals

We’ve educated our members, and some have participated, in research efforts in the area of traumatic death and grief including: etiology, epidemiology, cultural variance and culturally appropriate interventions, perinatal and pediatric death, homicide, suicide, evidence based psychosocial interventions and mental healthcare, provider vicarious and secondary traumatic stress, means of coping, critical psychiatry and bereavement-related psychopharmacology, neuroscience, social support and family systems, carefarming and deep ecology, meditation, and mindfulness-based approaches to traumatic grief.

Research Studies

This section identifies significant research studies by Dr. Joanne Cacciatore and colleagues in the area of trauma and loss.

Child Death

Melanie Fox, Joanne Cacciatore, Jeffrey R. Lacasse. This article examines the economic consequences associated with the death of a child. The economic costs (funeral and medical expenses and productivity losses) of child death 6 months following the death were estimated based on 213 parents who had experienced the death of a child (usually unexpectedly and predominantly mothers).

Young man comforting crying sad woman, caring friend consoling upset girl in tears, loving husband helping wife overcome problems or grief, compassion, empathy and support in relationships concept

Laura R. Umphrey and Joanne Cacciatore. Recognized as one of the most painful human experiences, the purpose of this study was to uncover the relational and metaphorical themes embodied in bereaved parent narratives following the death of a child.


Jeffrey R. Lacasse and Joanne Cacciatore. To examine psychiatric prescribing in response to perinatal/neonatal death, we analyzed data from a cross-sectional survey of 235 bereaved parents participating in an on-line support community.

sleepy doctor holding hand over her head headache. Doctor standing in medical clothing with a stethoscope around her neck near a white wall. mixed race asian chinese woman model

Kara Thieleman and Joanne Cacciatore. This study used a survey to investigate the relationship between mindfulness and compas- sion fatigue and compassion satisfaction among 41 volunteers and professionals at an agency serving the traumatically bereaved. Compassion fatigue comprises two aspects: secondary traumatic stress and burnout. Because prior research suggests that compassion satisfaction may protect against compassion fatigue, the authors hypothesized that (a) mindfulness would be positively correlated with compassion satisfaction, (b) mindfulness would be inversely correlated with compassion fatigue, and (c) there would be differences between respondents with a personal history of traumatic bereavement and those with no such history.


Joanne Cacciatore and Suzanne Bushfield. This article explores recent policy changes promoted by grassroots organizations relating to how stillbirths are recorded.

Stillbirth matters

J Frederik Frøen, Joanne Cacciatore, Elizabeth M McClure, Oluwafemi Kuti, Abdul Hakeem Jokhio, Monir Islam, Jeremy Shiffman, for The Lancet’s Stillbirths Series steering committee. In this first paper of The Lancet’s Stillbirths Series we explore the present status of stillbirths in the world—from global health policy to a survey of community perceptions in 135 countries. Our findings highlight the need for a strong call for action. In times of global focus on motherhood, the mother’s own aspiration of a liveborn baby is not recognised on the world’s health agenda. Millions of deaths are not counted; stillbirths are not in the Global Burden of Disease, nor in disability-adjusted life-years lost, and they are not part of the UN Millennium Development Goals. The grief of mothers might be aggravated by social stigma, blame, and marginalisation in regions where most deaths occur.

Woman in cemetery in deep sadness about death and loss puts a teddy to grave of her child

Kara Thieleman and Joanne Cacciatore. The fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders has incited vociferous debate among academics, clinicians, and the general public. Two contested changes are eliminating the bereavement exclusion from the major depressive disorder diagnosis and creating a new category for intense and prolonged grief called persistent complex bereavement-related disorder. This article critically analyzes research and debate regarding these two changes and considers the likely implications for bereaved parents and other traumatically bereaved groups, who may be especially vulnerable to consequences of the two proposed changes.


Ewa Nordlund, Astrid Börjesson, Joanne Cacciatore, Carissa Pappas, Ingrid Randers, Ingela Rådestad. The process of giving birth to a baby who has died is a significantly traumatic experience for the mother and her family and also for health professionals. support, or even the perceived lack of support, from professionals often influences whether or not the parents choose to see and hold their baby. Psychosocial clinical care may also affect long-term psychiatric sequelae. The purpose of this study is to explore the lived experiences of mothers following the death of a baby and their interaction with healthcare professionals.

Divorce and death

Karina M. Shreffler, Patricia Wonch Hill, Joanne Cacciatore. We build on recent studies on the consequences of miscarriage and stillbirth for women to assess the (a) odds of divorce among women who experienced a loss compared to those who did not; and (b) fer- tility-specific characteristics that increase odds of divorce. Utilizing a nationally representative sample of 3,461 women who have ever been pregnant and married, we find that women who experienced miscarriage or stillbirth have greater odds of divorce than women who did not experience a loss, and we highlight the importance of characteristics associated with the pregnancy and loss experi- ences: gestation length, whether the pregnancy had been planned, and experiencing multiple losses.

Mature Couple Talking With Counsellor

Laura Koopmans, Trish Wilson, Joanne Cacciatore, Vicki Flenady. Provision of an empathetic, sensitive, caring environment and strategies to support mothers, fathers and their families experiencing perinatal death are now an accepted part of maternity services in many countries. Interventions such as psychological support or counselling, or both, have been suggested to improve outcomes for parents and families after perinatal death. Objectives: To assess the effect of any form of intervention (i.e. medical, nursing, midwifery, social work, psychology, counselling or community- based) on parents and families who experience perinatal death.

Sad depressed woman or teen in depression holding pill and glass of water desperate troubled with pregnancy taking abortion meds drugs worried about side effects of antidepressant emergency medicine

Joanne Cacciatore & Kara Thieleman. There is little evidence to guide the use of psychotropic medications immediately following bereavement. This article presents a review of the relevant literature, followed by a case series on the use of psychotropic medication in traumatically bereaved individuals.

Asian parent hands holding newborn baby fingers, Close up mother's hand holding their new born baby. Love family healthcare and medical body part father's day concept panoramic banner

Joanne Cacciatore, PhD, MSW, FT, Ingela Ra ̊destad, PhD, and J. Frederik Frøen, MD, PhD. Some guidelines encourage mothers to see and hold their babies after stillbirth, which might be traumatizing. The study objective was to investigate the effects of women seeing and holding their stillborn baby on the risk of anxiety and depression in a subsequent pregnancy and in the long term.


Joanne Cacciatore PhD MSW FT, Stephen Schnebly PhD and J. Frederik Froen PhD. While most births result in a live baby, stillbirth (the birth of a dead baby) occurs in nearly 1 in 110 pregnancies. This study examined whether levels of maternal anxiety and depression are lower amongst mothers who received social support after stillbirth.


Joanne Cacciatore and Zulma Raffo.  Research on parental bereavement has focused on single or cross-gendered (heterosexual) bereaved parents. No previous studies have examined the unique experiences of same-gendered bereaved parents. This multi-cased study focused on child death in same-gendered -parent families.


Kara Thieleman, Joanne Cacciatore & Patricia Wonch Hill. This article presents a quasi-experimental study of a mindfulness-based intervention for traumatically bereaved individuals using a single group with pre-test and post-test design. The intervention consists of the ATTEND model, which is comprised of the following elements practiced by the clinician: attunement, trust, therapeutic touch, egalitarianism, nuance, and death education.


Cybele Blood and Joanne Cacciatore. Postmortem memento photography has emerged in Western hospitals as part of compassionate bereavement care for parents facing perinatal death. Many parents endorse this psychosocial intervention, yet implementation varies greatly and little research on parents’ specific needs guides health care professionals. Parents are in crisis and vulnerable after the death of their child, thus best practice is crucial. This study contributes 104 parents’ experiences and opinions toward the understanding of best practice in perinatal bereavement photography.


Joanne Cacciatore. This research study explores the effects of support groups on traumatic stress responses of women experiencing stillbirth.

Depressed woman

Jennifer Huberty, Jenn A Leiferman, Katherine J Gold, Lacey Rowedder, Joanne Cacciatore, and Darya Bonds McClain. In the US, approximately one in 110 pregnancies end in stillbirth affecting more than 26,000 women annually. Women experiencing stillbirth have a threefold greater risk of developing depressive symptoms compared to women experiencing live birth. Depression contributes negatively to health outcomes for both mothers and babies subsequent to stillbirth. Physical activity may improve depression in these women, however, little is known about acceptable physical activity interventions for women after stillbirth. This is the purpose of this descriptive exploratory study.


This is an ethnographic study that utilized extended observations of the group and both individual and group interviewing in order to create a cultural portrait specifically focusing on Hutterites experiencing traumatic child death.


Cybele Blood & Joanne Cacciatore. Postmortem photography is a widespread practice in perinatal bereavement care, yet few studies have explored how it affects bereaved parents, or how it might be received by parents of older children. This study is an examination of the meaning, utility, and social context of postmortem photography in a sample of 181 bereaved parents.


J. Cacciatore, Kerstin Erlandsson, Ingela Radestad. This study was designed to evaluate fathers’ experiences of stillbirth and psychosocial care.


For the grieving, we offer support through educational resources, mentors, forums, retreats, carefarm program, counseling, support groups, kindness walks, retreats and more. We provide key resources for community members, families, supporters and others helping someone experiencing traumatic grief. We offer researchers key insight into grief studies on trauma and loss, carefarming, green therapy, mindfulness and more. We offer providers specialized training and resources to improve their skills working compassionately with traumatized individuals. We provide grassroots advocacy support on important issues affecting our grieving families. We provide a sacred place for grieving individuals to connect with rescue animals who have also experienced the deepest suffering.