Talking ACEs and building resilience in prison

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They’re the forgotten, the 2.3 million people in US prisons. The overwhelming majority of them have experienced significant childhood trauma. Before you click out of here, this isn’t another boo-hoo story, as some of you might describe it, about the dismal state of our corrections system, for inmates and guards alike. (Oh, yes, it is profoundly dismal.) This is a story about how one tiny part of it isn’t so dismal, and actually addresses head-on the fact that most (91 percent) of the approximately 2.3 million prisoners will finish their sentences and go home. To your neighborhood. So….wouldn’t you want the prisons to help these guys and gals so that they, and by definition, we, come out happier and more well-adjusted than when they went in?

Well, yea-uh.

Ok. Just in case you glossed over it, let’s go back to that sentence about childhood trauma. It is precisely why the 2,300 inmates at Washington State Penitentiary in Walla Walla, Wash., ended up there. Over the last 20 years some profound, intense research revealed that people who have a lot of childhood adversity have seven times the risk of becoming an alcoholic, 12 times the risk of attempted suicide, twice the risk of cancer and heart attacks. They’re more violent, more likely to be victims of violence, have more broken bones, more marriages, and use prescription drugs more often than people who have no childhood adversity. And those are just the few drops in the bucket of how childhood trauma affects people’s lives.

A big surprise in the groundbreaking CDC-Kaiser Permanente Adverse Childhood Experiences Study (ACE Study) — besides that most of us have at least one ACE — was how “normal” and ordinary some of the types of adversity are. Seeing your parents divorce. Living with a family member who’s an alcoholic or depressed, as well as having other mental illness. Verbal abuse, which includes being screamed at every day as well as being quietly told by your mother, “I wish you’d never been born, you freak.” Then there’s the stuff that you expect will mess with your head — physical and sexual abuse. Physical neglect. Emotional neglect — hardly being acknowledged or talked to during your entire childhood. Watching your mother being hit. And having a family member in prison. Since the ACE Study was published, dozens of other ACE surveys showed similar results. Recognizing that definitely more than 10 types of ACEs exist, other surveys have included racism, bullying, witnessing violence outside the home, serious illness or accident in the family, experiencing war, losing a family member to deportation, ending up in foster care, etc.

All these experiences damage the function and structure of kids’ brains. Kids experiencing trauma act out. They can’t focus. They can’t sit still. Or they withdraw. Fight, flight or freeze – that’s a normal and expected response to trauma. Kids who are experiencing trauma live in survival mode. So, they have a really hard time shifting their attention from survival brain to learning brain. Their schools often

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The fleeting childhood of U.S. border children

By Darlene Byrne, Judge, 126th Judicial District Court
The comments in this paper are solely the opinions of the writer and no other organization.  

As a judge in Texas who has presided over many hundreds of child abuse and neglect cases since 2003, I have seen firsthand what the trauma of removing a child from a parent can do to the child. The parent-child relationship is one of our most sacred and precious fundamental and constitutional rights, as recognized by many U.S. and Texas Supreme Court cases.

Sentencing innocent children at our U.S. borders, with instant removal from their parents with no notice, no warning, and no due process goes against the moral code of this nation. The events taking place at our southern border are no less traumatic for the affected children than cases in which a child is removed from their parents because of allegations of abuse and neglect.

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Those who separate immigrant children from parents might as well be beating them with truncheons

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Central American asylum seekers, including a Honduran girl, 2, and her mother, are taken into custody near the U.S.-Mexico border in June in McAllen, Texas.

They all agree. Physicians for Human Rights. American Medical Association. American Academy of Pediatrics. American Psychiatric Association. National Association of Pediatric Nurse Practitioners. 

Separating children from their parents or caregivers hurts children. Between April 19 and May 31, nearly 2,000 children were separated from their parents. As Celeste Fremon reported in WitnessLa,  that number has now passed 2,300 children (and is increasing by more than 60/day), with another 11,000 locked up in everything from large cages to a converted Walmart. 

“To pretend that separated children do not grow up with the shrapnel of this traumatic experience embedded in their minds is to disregard everything we know about child development, the brain, and trauma,” says a petition signed by more than 9,000 mental health professionals and 172 organizations.

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Early childhood educators learn new ways to spot trauma triggers, build resiliency in preschoolers

Julie Kurtz, co-director, trauma-informed practices in early childhood education, WestEd Center for Child & Family Studies/photo by Laurie Udesky

A hug may be comforting to many children, but for a child who has experienced trauma, it may not feel safe.

That’s an example used by Julie Kurtz, co-director of trauma-informed practices in early childhood education at the WestEd Center for Child & Family Studies (CCFS), as she begins a trauma training session. Her audience, preschool teachers and staff of the San Francisco, CA-based Wu Yee Children’s Services at San Francisco’s Women’s Building, listen attentively.

Kurtz leads them into a description of how a child’s young brain functions, how young children – regardless of whether they have experienced trauma or not — live in their reptile brain.

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‘Christmas Crime’ injects humor into a difficult subject

Sarah Ann Masse forwarded this just before Christmas, but I didn’t see it until after. Nevertheless, even though it has a holiday theme, it’s still worth watching, because We Are Thomasse have added a very clever twist — and wonderful clarity — to the sexual harassment and abuse issues that have surfaced over the last few months.

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The primal wound: Do you have one?

Is suffering a necessary part of the human condition? Is it species normal for individuals to feel anxious—like impending doom, a fear of intimacy, or a sense of falseness and meaninglessness?

John Firman and Ann Gila, following the psychosynthesis tradition of Roberto Assagioli (1973), say no, this is not part of being human. The “anxious estrangement” that most people today feel is not normal but unnatural (The Primal Wound, 1997, p. 2). It is the result of a violation in early life that results in broken relationship to parents, others and the world. More deeply it is the missing connection to Ultimate Reality or the Ground of Being. The primal wound is:

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Patient’s murder leads to soul searching, shift to ACEs science in UCSF medical clinic

Patient’s murder leads to soul searching, shift to ACEs science in UCSF medical clinic

It was the murder of a beloved patient that led to a seismic shift in the Women’s HIV Program at the University of California, San Francisco: a move toward a model of trauma-informed care. “She was such a soft and gentle person,” said Dr. Edward Machtinger, the medical director of the program, who recalled how utterly devastated he and the entire staff were by her untimely death.

“This murder woke us up,” he said. ”It just made us take a deeper look at what was actually happening in the lives of our patients.” The Women’s HIVprogram, explained Machtinger, was well regarded as a model of care for treating HIV patients – reducing the viral load of HIV in the majority of its patients to undetectable levels.

But the staff was clearly missing something. A closer look at the lives of their patients revealed that 40 percent were using hard drugs – including heroin, methamphetamine and crack cocaine, according to Machtinger. Half of them suffered clinical depression, the majority had isolated themselves due to deep shame associated with having HIV, and many experienced violence.

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