Taking Charge of Your Health

BEN SAUNDERS: Violence in the home and violence against children at the hands of caregivers is one of the most serious types of violence that kids can experience. MICHAEL DE ARELLANO: When children don’t receive services for trauma-related problems, we know that they are at greater risk for being re-victimized and for other types of problems, so it’s very important that we provide to kids that we serve the best possible treatment.   YAMEIKA HEAD: Here at the Medical Center in Central Georgia, we see children that have been maltreated– so, physical abuse, neglect and sexual abuse kids. A pediatrician just has to realize that when they see things that they need to take note of things. You know, this doesn’t look right or that story doesn’t sound right. So, Christian, how did you get these? They have to be proactive. BEN SAUNDERS: There are many bad things that happen in the lives of children that are not necessarily traumatic. When we say traumatic, we mean that there is a threat either to the life, the health, physical integrity of a child in a way that it very likely raises fear and anxiety. YAMEIKA HEAD: These abused children usually have some emotional problems, so we need good mental health people to deal with the aftermath. The child has to be able to express themselves and be able to talk through their feelings. MICHAEL DE ARELLANO: There’s no one set profile for how kids respond to traumatic events. It’s important to keep in mind that not every child who experiences a traumatic event necessarily has long-standing problems. So the key is to do a real clear assessment. JIM HENRY: Moving into foster care. And when did that happen? MICHAEL DE ARELLANO: We know there’s a cumulative effect of trauma. The more traumatic events a child experiences, the harder it is to deal with subsequent events. BEN SAUNDERS: Children that have been exposed to violence oftentimes have difficulty processing emotion. They have difficulty processing things cognitively as well. This translates into difficult and sometimes dysfunctional behavior for them. YAMEIKA HEAD: We know from studies that children that have been physically abused are more aggressive, they have more school problems, they have poor social interactions. BEN SAUNDERS: We now have a variety of interventions that have a significant threshold of empirical research, demonstrating that they actually work with kids who have been victimized– kids from all ethnic backgrounds, kids from all sorts of families, all areas of the country. One of the hardest things that we have to deal with in the child victim world is: How do we put a child in contact with a trained therapist? MICHAEL DE ARELLANO: When law enforcement is coming into contact with these children, when guardians ad litem, when child protective services– all these different organizations that deal with children who have been violence exposed– they really need to be trained to provide appropriate referrals for evidence-based treatments. CINDY LEDERMAN: The harm that had been inflicted on this young boy was horrendous. From the moment a child comes into the child welfare system, into our courts, we focus like a laser on that child, what that child’s needs are. We try to use research and science to anticipate what some of the problems will be. For example, if this is a very young child, one to three, we know from the research that they have four to five times greater chance of having a developmental delay than children in the general population. We’ve set up a system of care once we identify the problem, to treat it and follow up to make sure that the child gets the treatment– developmentally, psychologically, emotionally and physically, as well. BEN SAUNDERS: We really use a variety of different evidence-based interventions with the kids we see. Probably the most common one we use is Trauma-Focused Cognitive Behavioral Therapy. MICHAEL DE ARELLANO: TF-CBT is really a very flexible type of treatment that can be adapted to different types of trauma problems, to different types of ethnic groups, you can integrate cultural constructs into it. CINDY LEDERMAN: Child-parent psychotherapy is one of the evidence-based practices that we have incorporated into our Miami Child Well-Being Court. It’s an amazing intervention. We have moms who come to us in our court who do not know that they should smile at their baby. They do not know that when their baby cries, they should pick their baby up. They think that is spoiling the baby. If there is a way to stop the intergenerational transmission of child maltreatment, this is it. BEN SAUNDERS: Virtually all effective interventions for children exposed to violence involve parents, caregivers, or other folks who are in charge of taking care of this child. YAMEIKA HEAD: When children don’t deal with their abuse issues, they have problems later on in life– a lot of physical things, emotional things. There’s a very important study that’s called the ACE Study about the adverse childhood experiences with abuse and violence. And it has shown that those people that have been exposed to that have high blood pressure, diabetes, heart problems, depression. So we know that we need to take care of those children that have been abused and maybe that can help with preventing those adulthood diseases that will affect them later on in life. BEN SAUNDERS: Coming up with new, creative ways of spreading evidence-based services so that every victimized child in every corner of the country has access to the effective interventions that they need is our biggest challenge in the field right now.

17 thoughts on “Children, Violence, and Trauma—Treatments That Work

  1. This is not true the system is broken and they usually put them on drugs and there is no accountability in the court system. They make money off abusing children by putting the child with the abuser and attack the protective parent. They also make money from taking the child away putting them in foster homes where they often continue to be abused then are paid to adopt them out.

  2. I took abuse from many authority figures and I had seizures, Finally, to end the weakness cycle of bullies and teachers doing nothing, I wrote a vary harsh 15 page letter addressing the issues at school and having talked with My friend who is a principle, He advocated and informed the board and these other teachers on My behalf that I'm nearly at the end of My rope with high school, After the board tried to tell Me to have decorum, I finally said Myself to the school board quote, "I'm done, I've fucking had it, enough, no more". I went out, got drunk at home, attempted to go out to school in a drunken rage but thankfully My Dad talked Me out of it just kept Me home and We drank beers all night. So, I took a 4 week leave and just drank. Finally they did something about these bullies and the irresponsible teachers which got fired. So after that, there were no problems.

  3. Nice Video! Forgive me for the intrusion, I would love your initial thoughts. Have you thought about – Trentvorty Kids Science Theorem (google it)? It is a smashing exclusive guide for becoming an excellent parent minus the hard work. Ive heard some incredible things about it and my friend got excellent success with it.

  4. Rapist child molesters abusers should get the worst sentence . Even though they didn't kill me physically they kill me inside .

  5. The solution to my mental issues is just.

    "Shut the fuck up and deal with it you useless paper clip."

    Works 100% of the time it's foolproof.

  6. how are they sure the kids aren't lying?
    I know I wouldn't confess in real life about my brother threatening to kill me when I was young, so I assume many others with similar issues wouldn't either​.

  7. Why do not teach the adults the conséquences of their anger or attempts on the children ?

    Children can become abused adults in the future.

  8. I find dialectical to be far more helpful in therapy regarding neglect or abuse cases. Afterwards, CBT (cognitive) can be helpful after dialectical.

    Jumping straight into CBT can often lead to poor participation in applying corrections to learned (mal-adaptive) patterns. If the child is not heard first from a non judgmental aspect by allowing them a voice, they are more likely to be combative during the healing process.

    I suppose I think of how these wounds are created: in order to effectively meet the needs the victim has the abuse may have deprived from them, to be heard and valued FIRST is crucial. Then when enough time has passed and the child begins to heal in the self worth and esteem areas introducing CBT could be more effective than if dialectical was skipped, entirely.

    Someone has to meet those needs in order to get the child to a more psychologically receptive place where CBT is effective.

    What are your thoughts?

  9. The problem might be because of cultural oppression too and though times , also the parent might have been also neglected by his own parents . I think it doesn’t only have to do with kids , but also parents , idk some parents know how to provide really good , but they have no emotional help , because they likely had the same issue in their childhood . It would be good if both sides are taken care off .

  10. Such propaganda. Let's play heart wrenching music and speak in fake concern as act like we are heroes to cover up this fraud system, so most people will believe the system is the perfect solution. Nazi paperclip propaganda in the media…what a joke, same type of ads done for imprisoned animals in with kill shelters.. ..

  11. My abuser is my dad and he is a paediatrician and my step mum a GP… my biological mum neglected us and left us with my dad when were toddlers age 6… they have been acting like God over our lives! My suicide attempt failed when I was 15 but my brother shot himself at 15 and he died! You think doctors are people who can be trusted, who care, but some use their position to play God… in South Africa children are to be seen and not heard! I have a lifetime of issues they handed me.. some medical professionals are disturbingly evil! My dad and step mum denies everything and still walk free .. for me this is most disturbing!

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