Who helps our helpers? Vic Compher’s “Portraits of Professional Caregivers” documents their passion, pain

ACompher2Vic Compher, director and co-producer of Portraits of Professional Caregivers: Their Passion. Their Pain,” didn’t start out as a filmmaker. This documentary — his fourth — was inspired by his 20 years working in child protective services, and another 10 years working in hospice and clinical social work with older adults.

During that decade, he learned that many professional caregivers who work with traumatized people experience secondary trauma  — also known as compassion fatigue or vicarious trauma. This includes firefighters, emergency medical crews, ER nurses, doctors, police, and others.

The first part of the documentary — which was co-produced by  Rodney Whittenberg, who teaches filmmaking, and who also composed the music for this film — focuses on secondary trauma, or what caregivers experience when they respond to and care for people experiencing trauma.

“Secondary trauma, or compassion fatigue, is one more layer of the trauma experience,” says Compher, “a parallel process for many professional caregivers with symptoms that at times can somewhat resemble what their clients may be experiencing.

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In “Childhood Disrupted”, Donna Jackson Nakazawa explains how your biography becomes your biology…and that you really can heal

childhood-disruptedcovIf you want to know why you’ve been married three – or more — times. Or why you just can’t stop smoking. Or why the ability to control your drinking is slipping away from you. Or why you have so many physical problems that doctors just can’t seem to help you with. Or why you feel as if there’s no joy in your life even though you’re

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Just Breathe — the kids in this video explain how to calm your brain

From filmmaker Julie Bayer Salzman’s description on YouTube:

The inspiration for “Just Breathe” first came about a little over a year ago when I overheard my then 5-year-old son talking with his friend about how emotions affect different regions of the brain, and how to calm down by taking deep breaths — all things they were beginning to learn in Kindergarten at their new school, Citizens of the World Charter School, in Mar Vista, CA. I was surprised and

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Meditation 2.0: A new way to meditate

Dr. Amit Sood, a professor of medicine at the Mayo Clinic and founder of the Global Center for Resiliency and Wellbeing, narrates this animation, which he produced after becoming frustrated with how difficult it was to meditate. After he realized that modern humans might need to do meditation a different way, he came up with this approach. Here are a couple of paragraphs from his description:

I was born in India. I like meditation. What is not to like about meditation? It is known to be relaxing, health improving, brain enhancing, and free of side effects. The problem was–after decades of learning and practicing I must confess that  I found meditation a very difficult practice. I had a few good days, but on most days I didn’t even know what I was doing. If after years of practice, this was my state, I can only begin to imagine what others might be going through. It occurred to me
that the busy minds of the 21st Century need a modified version of the practice to access its full benefits. I went back to the drawing board, immersed myself in neuroscience and evolutionary biology.
I started developing a simpler way to access meditation,  which was in many ways very different from what I had learned over the years. Applying those ideas helped my personal practice, but I was still unsure.
In the midst of it all, I met the world’s preeminent authority on meditation – His Holiness Dalai Lama.

Nadine Burke Harris: How childhood trauma affects health across a lifetime

Childhood trauma isn’t something you just get over as you grow up. In this 16-minute TED Talk, pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain.

This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple the risk for heart disease and lung cancer. This is an impassioned plea for pediatric medicine to confront the prevention and treatment of trauma, head-on.

Most Californians have experienced childhood trauma; early adversity a direct link to adult onset of chronic disease, depression, violence

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Nearly two-thirds of California adults have experienced at least one type of major childhood trauma, such as physical, verbal or sexual abuse, or living with a family member who abuses alcohol or is depressed, according to a report released today.

The report – “Hidden Crisis: Findings on Adverse Childhood Experiences in California” (HiddenCrisis_Report_1014) – also reveals the effects of those early adversities: a startling and large increased risk of the adult onset of chronic disease, such as heart disease and cancer, mental illness and violence or being a victim of violence.

Ten types of childhood trauma were measured. They include physical, sexual and verbal abuse, and physical and emotional neglect. Five family dysfunctions were also measured: a family member diagnosed with mental illness, addicted to alcohol or other drug, or who has been incarcerated; witnessing a mother being abused, an losing a parent to separation, divorce or other reason.

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Alberta Family Wellness Initiative changes minds by informing Canadians about effects of toxic stress on kids’ brains

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A cartoon outline of a child – in a video – stands alone near a cracked sidewalk heaped with obstacles: giant red bricks labeled “neglect,” “abuse” and “parental addiction.” The voice-over says: “It’s possible to fix some of the damage of toxic stress later on, but it’s easier, more effective and less expensive to build solid brain architecture in the first place.”

The four-minute animation—which covers toxic stress, caregiver-child interaction and the role of communities in building healthy brains—has reached many people since its release in October 2013. But the video is just one snippet of the Alberta Family Wellness Initiative (AFWI), a project aimed to better the lives of children and families in one of Canada’s westernmost provinces.

Dr. Michelle Gagnon, vice president, Norlien Foundation

Dr. Michelle Gagnon, vice president, Norlien Foundation

The AFWI, launched in 2007 by the private Norlien Foundation, has an ambitious agenda: to promote the use of scientific knowledge about early brain and biological development in order to change beliefs, policies and practices related to children, families and communities—in short, to “bridge the gap between what we know and what we do,” according to a 2013 AFWI report.

The AFWI began its work by capturing the attention and engagement of high-level “change-makers”—government officials, community leaders, policy experts, academics and administrators who could learn the newest science, discuss it in depth, then take that story home to influence research, policy and practice.

“In the early days, the focus of our effort was on policy-makers and professionals rather than the public. You need to start changing the thinking of those in the system who are making decisions before you start focusing on a public audience,” said Dr. Michelle Gagnon, vice president of Norlien.

AFWI focuses on the “core story of brain development,” a series of metaphors grounded in emerging biomedical science and developed with the help of the FrameWorks Institute  and the Center for the Developing Child at Harvard University.

  • Brains are not just born; they are built through a child’s experiences and interaction.

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Mindfulness protects adults from physical, mental health consequences of childhood abuse, neglect

Aeye2Fact #1: People who were abused and neglected when they were kids have poorer physical and mental health. The more types of ACEs (adverse childhood experiences) – physical abuse, an alcoholic father, an abused mother, etc. – the higher the risk of heart disease, depression, diabetes, obesity, being violent or experiencing violence. Got an ACE score of 4 or more? Your risk of heart disease increases 200%. Your risk of suicide increases 1200%.

Fact #2: Mindfulness practices improve people’s physical and mental health.

Now, says Dr. Robert Whitaker, a pediatrician and professor of pediatrics and public health at Temple University, there’s one more important fact: People who are mindful are physically and mentally healthier, no matter what their ACE scores are.

This study, to be published in the October issue of Preventive Medicine, is the first to look at the relationship between ACEs, mindfulness and health. And it has implications for anyone, and especially those who take care of children– teachers, parents, coaches, healthcare and childcare workers.

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Dr. Robert Whitaker

Many people think of mindfulness as sitting around and saying “Ommmm.” There’s actually more to it, and it’s worth explaining. People who aren’t mindful don’t regulate their own emotions very well. Situations that trigger traumatic memories may cause people who aren’t mindful to lose focus on what’s happening currently, and lead them to make snap judgments and have knee-jerk reactions of anger, frustration, or fear, which can further the spread stress and trauma. They also ruminate on situations they can’t control, and can’t let go. And they may not even be conscious that they’re doing any of this. They just think it’s part of their personality.

Here’s what it’s like not to be mindful:

  • “My co-worker’s angry today. I must have done something wrong. She’s JUST like my mother: moody, angry, a screamer. Well, I’d better get my defenses up and give her a piece of my mind before she attacks me.”

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To prevent childhood trauma, pediatricians screen children and their parents…and sometimes, just parents…for childhood trauma

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Tabitha Lawson and her two happy children

When parents bring their four-month-olds to a well-baby checkup at the Children’s Clinic in Portland, OR, Drs. Teri Pettersen, R.J. Gillespie and their 15 other partners ask the parents about their adverse childhood experiences (ACEs).

When parents bring a child who’s bouncing off the walls and having nightmares to the Bayview Child Health Center in San Francisco, Dr. Nadine Burke Harris doesn’t ask: “What’s wrong with this child?” Instead, she asks, “What happened to this child?” and calculates the child’s ACE score.

In rural northern Michigan, a teacher tells a parent that her “problem” child has ADHD and needs drugs. The parent brings the child to see Dr. Tina Marie Hahn, who experienced more childhood trauma than most people. Instead of writing a prescription, Hahn has a heart-to-heart conversation with the parent and the child about what’s happening in their lives that might be leading to the behavior, and figures out the child’s ACE score.

What’s an ACE score? Think of it as a cholesterol score for childhood trauma.

Why is it important? Because childhood trauma can cause the adult onset of chronic disease (including cancer, heart disease and diabetes), mental illness, violence, becoming a victim of violence, divorce, broken bones, obesity, teen and unwanted pregnancies, and work absences.

The CDC’s Adverse Childhood Experiences Study (ACE Study) measured 10 types of childhood adversity: sexual, physical and verbal abuse, and

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Failing schools or failing paradigm?

Roberto is an eight-year-old, former student in my second-grade class.  (All names are pseudonyms.)  In his short life, he’s experienced at least five major life traumas. One: his mother abandoned him when he was a baby. Two: he was placed in foster care with strangers. Three: he joined his father, but shortly after, Daddy was sent to prison. Four: Roberto moved again to live with Grandpop. Grandpop was ill and on house arrest, unable to leave his home, so Roberto was essentially under “house arrest” too, except for school. Roberto came to school, walked the perimeter of the classroom staring out windows, distracting other children. Sometimes, he just walked out of the classroom. His father was eventually released from prison and came to live with Grandpop, but Grandpop soon evicted Daddy after a fight with him. Five: Grandpop died.

Ashley, a bright and engaging nine-year-old, witnessed her stepfather break her stepbrother’s leg with a baseball bat last night. The police were called, invaded her home about 1 a.m., and took her stepfather away. This morning, she came to school as usual, but in a trance, unable to focus.

Jasmine responds much more aggressively. When she is off her medications, and her traumas are re-triggered, her tiny, wiry 45-pound frame can muscle a chair over her head. She screams and curses in guttural tones while heaving the chair at a classmate. She’s being raised by a hesitant uncle in place of her deceased parents.  Jasmine goes home to a darkened row-house, with ”illegal smoke” wafting out the front door that hangs wide open to the street.

Jamar’s been absent from school. After several suicide attempts, he’s at the Crisis Center. Jamar suffered brutal beatings from Mom’s boyfriend, who stuffed a sock in his mouth to muffle his screams. He will come back directly to my classroom from the Crisis Center, without the dedicated adult support he is due.

Ashley, Roberto, Jasmine and Jamar had at least eight other classmates with similar stories in our one classroom at the same time. These four real vignettes are hard to read. They’re tragic. Yet these kids are only a small portion of my class (see “Danny Goes to School).  For the last 13 years, one-half to two-thirds of the students in my urban, public school classrooms have experienced similar lives.  These children are only four of the thousands across only one city: Philadelphia.

Theirs is not a deficit issue. They’re not “sick” or “bad” children; they’re injured.

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