Medical community: It’s time to wake up and screen for trauma!

Etching by G.M. Mitelli, c. 1700. Wellcome Images.

An international array of physicians. Etching by G.M. Mitelli, c. 1700. Wellcome Images.

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Today was interesting.  I’m on my own with the kids for a few days. I had arranged for some sort of acid-reflux related procedure at the local hospital with my new ENT (all singers have one…ear, nose and throat physicians). Anyway, I carted the kids down to the doctor.

We blithely made our way to the ENT suite and were promptly met by my doc. Kids had to stay in waiting room (anxiety rose).  Nurse took vitals — my blood pressure yesterday at my GP: 102/70. Today at ENT: 118/90. Hmmm. This was BEFORE I knew anything about the procedure. I’d had vocal cord scopes before, so I figured it’d be no big deal. ERROR.

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The truth about trauma and the impact of terror, and how I learned resilience

Mom, Ann, Dad, Leisa, 1972 ______________________

Mom, Ann, Dad, Leisa, 1972
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I was about seven years old when my mom first told me about the abuse she had suffered at the hand of her mom, my grandmother. I remember this vividly because I had just poured a can of grape soda over my three-year-old brother’s head in a “do you dare me, yes I dare you” game I was playing with my five-year-old sister. My brother, of course, started screaming as if he was being murdered, and my gorgeous, stay-at-home mom bolted out the front door of our early 1900s home as if she was going to kill someone.

The look on her face was enough to scare all of us. Even my brother, who seconds earlier was wailing at the top of his lungs, turned his hysterics into mini whimpers. My mom, however, was just getting started.

“Who did this?” she yelled.

My brother pointed at me, my sister pointed at me… and I pointed at my sister.

My mom said, “All of you had better make up your minds about this because the one thing I hate more than anything is being lied to.”

And so, knowing that I was in way over my head, I said to my younger brother, “You were looking the other way, you heard Ann, she was daring me to do it, and when I wouldn’t she did it.” My brother turned his arm and pointed at my sister.

My sister shrieked, “Why are you lying? Why are you blaming me? You always blame me.”

By now, several of our neighbors had stepped onto to their front steps to watch.  The old lady at the house to the right was just shaking her head in disgust. It was the summer of 1976. Most of the fathers in the neighborhood worked in blue-collar jobs. Most of the neighborhood moms were home with their kids, at least in the summers. The city streets had sidewalks, and the houses were separated by narrow driveways. My mom used to tell us not to air our dirty laundry for the neighbors to see, and this was exactly what we were doing.

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‘Make It Happen’ program offers outlet for youths haunted by memories of violence

Kenton Kirby (right), head of Make It Happen, smiles with colleague David Grant (left) and a youth in the program. Credit: Make It Happen

Kenton Kirby (right), head of Make It Happen, smiles with colleague David Grant (left) and a youth in the program. Credit: Make It Happen

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By Samuel Lieberman

NEW YORK — It was dismissal time. Everyone had left the classroom, but John Sadler had to run back to pick up his backpack.  Three of his classmates, boys who were constantly picking on Sadler, were blocking the door on his way out.

“What are you doing, are you stealing?” they asked.

Sadler, 13, knew they were trying to get a rise out of him. “I already knew what was going to happen,” he said.

The boys blocked his exit so he pushed them back forcefully with his stocky legs. He ran down the stairs but was no match for his swift pursuers.

“I got to the bottom of the steps and they jumped me right there,” Sadler said. “They were stomping on my knees, my ankles. They kicked me on my side.” Sadler limped to the shelter where he and his mother were staying.

His mother came to school the next day. “But I couldn’t tell them who did it,” he said. “‘Snitches get stitches’ they said, and I didn’t want that to be me.”

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Weathered by my high ACE score

mounds

1. We are knee deep in one of the worst winters in history. When the winds pummel my house and the ocean flows through my basement, what am I thinking is: “I’m so glad I have flood insurance.”  What I am feeling is help. I scaredI want my mommy. I need a daddy.

It’s hard to admit as a middle-aged woman (and feminist) how much the idea of rescue appeals. I have decades of experiential knowing that wishing is futile.

I know my craving for the present, stable and loving parents I never had is like wanting to snort, stab a needle, drink too much or inhale food. I know not to dive into the craving but I can’t pretend desire is gone.

It comes and comes back. Always. Even when it goes away it returns. Usually when I’m tired, sick or afraid.

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Horses help kids recover from adverse childhood experiences

ChildWithHorseBackToCamera1Baylie is eight years old. Born to a mother addicted to cocaine and an alcoholic father, removed from her parents at six months and covered with bruises and cigarette burns, Baylie (not her real name) has spent her childhood shuffled from one foster home to another. She rarely speaks, makes little eye contact with adults, shows no interest in playing with kids her age, and recoils from any attempt at physical affection.

Baylie’s ability to connect with anyone, or anything, seemed impossible until the day she met a horse named Steady.

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How CA provides children’s mental health under Katie A. settlement

Screen Shot 2014-12-11 at 8.03.53 PMBy Melinda Clemmons

This is part one of a two-part look at mental health services mandated by the settlement of Katie A. v Bonta, a class-action lawsuit brought against the State of California over its lack of community-based mental health services for youths.

Michael’s biological parents were working hard to get him back, but they needed more time.

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Katie A. foster care case, part 1: Present and future of CA’s mental health mandate

courthouse

By John Kelly

In 2002, lawyers representing foster youth in Los Angeles sued the county and California over its failure to service the mental health needs of children in or at risk of entering foster care. For years the mental health issues that these vulnerable children face were often ignored. The children who did receive treatment were frequently hospitalized when outpatient services would have sufficed.

Twelve years later, the clock has nearly run out on the settlements that stemmed from Katie A. v Bonta. On December 1, 2014, separate court settlements with the state and Los Angeles County could end.

Following is our analysis of what has happened since the settlement and where the state and Los Angeles could go next with regard to providing quality mental health services to children in need.

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