For Mental Health awareness week, Gov. Hogan issued a proclamation recognizing the association of trauma with mental and behavioral health issues. He stated that all mental health services should identify any trauma which requires treatment to support the treatment of any mental health issues.
I recommend that the ACE’s Questionnaire in any of its variants be filled out on all clients so that if Trauma-informed care is needed, it can be provided.
The various types of trauma include:
- child abuse and neglect
- exposure to violence
- treating someone with disrespect or harshness
- a child’s parents or caregivers being arrested or incarcerated for illegal activity
- Being belittled or treated with emotional harshness
- Substance abuse by parents or caregivers resulting in neglect of youth in their care
The results of childhood maltreatment are:
- functioning at a developmental level less than would be expected given one’s age
- neurological disruption of ability to self soothe when upset and exercise emotional dyscontrol when upset
- cognitive disruption resulting in learning problems
- Difficulty getting along with others
- Aggression toward others
- lack of rule-following
- Getting in trouble with the law or school authorities
- Association with peers that get into trouble with school or law enforcement authorities.
Ways to Reduce the Risk of aggression toward others, breaking school rules, and law-breaking includes a combination of:
- trauma-informed care
- Neuro and biofeedback
- family therapy
- Skill building
- Increase in structure and rule enforcement
- Behavior modification and use of behavior contracts
- Accountability contracts
- Relationship building with a trusted adult
- Positive attention from trusted adults
- engagement in healthy activities
Thanks for reading.