Refers to the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. When thinking about culture, keep in mind age, ethnicity, gender, religion, sexual orientation, socioeconomic status, as well as those with disabilities, individuals with low literacy, or those with limited English proficiency. Any emergency event, including natural disasters (earthquakes, tornadoes, hurricanes), accidents (train wrecks, plane crashes, fires), terrorist attacks, pandemic, or other emergencies (school shooting, arson, community violence). Children, adolescents, adults, and families go through stages of physical, emotional, cognitive, and social development. These developmental milestones can include family member birthdays; toddlers becoming toilet trained; school aged children learning to read, write, and do arithmetic; older adolescents learning to drive; adults having a child; or families buying a new home. Disasters can cause interruptions, delays, or reversals in the family's or a family member's development. Situations that bring to mind the absence of a loved one or possessions gone, and bring up strong feelings like sadness, longing, or nervousness. They can include sights, sounds, places, smells, specific people, the time of day, situations, and feelings. Examples include seeing a picture of a loved one who died or seeing belongings that were destroyed. Situations that evoke upsetting thoughts and feelings related to the event. They can be sights, sounds, places, smells, specific people, the time of day, situations, location, or even feelings. Examples after a tornado can include the sound of wind, rain, helicopters, screaming, and individuals present with the survivor at the time of the event.