Parent-child agreement on reports of child exposure to the 9/11 World Trade Center attack Mass traumatic events including natural and manmade disasters affect a significant proportion of the world population each year (The International Disaster Database http://www.emdat.be/, Global Terrorism Database https://www.start.umd.edu/gtd/, Shulz 2014 Mass Shootings ). In the United States an estimated 14% of children and adolescents have experienced one or more natural or human caused disaster (Beckler-Blease 2013;McLaughlin 2013). Though especially vulnerable to the impact of these events, historically the needs of children have not been systematically addressed. Given psychiatric sequelae of trauma exhibit a dose response relationship with event severity, ascertaining the level of exposure for intervention or research purposes is crucial. When the victims are children, this can be particularly difficult. Establishing a child’s exposure history often involves the use of multiple informants. Rates of parent-child agreement gauge the challenge facing post-trauma mental health service providers and researchers. Without an objective measure at the time of traumatic exposures, parental report is often taken to supersede or supplement children’s own accounts1. In many situations, however, parents are uninformed regarding their child’s experiences, and children themselves may be the best informants. Trauma research suggests that particular factors are associated with
Terr, L. C. (1991). Childhood traumas: an outline and overview. Am J Psychiatry, 1, 48.
The effects of maltreatment in children can last through adolescence and on through adulthood for many. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a very popular type of therapy that join the caregiver and the child’s sessions. The basic process of this therapy is educate and improve parenting skills, teach relaxation techniques and skills, introduce cognitive coping skills, allow the child to talk about the narrative and make the child feel comfortable about talking about the trauma and allow the child cognitively process the traumatic events, ensure that the child feels safe. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). For children who suffer post-traumatic stress syndrome, this treatment can require maintenance for up to 2 years after the child has completed treatment (Deblinger, Steer, & Lippmann,
There are different types of trauma child welfare programs focus on. They typically focus on behavioral and emotional problems and ways to correct the child (Greeson et al. 94). However, it is not as simple as the welfare programs want it to be. One first must look at the trauma history of the child, or the “Trauma History Profile”, also known as THP (Greeson et al. 97). The THP addresses “lifetime exposure to trauma and contains a
The term “Psychological trauma” refers to damage wrought from a traumatic event, which that damages one’s ability to cope with stressors. “Trauma” is commonly defined as an exposure to a situation in which a person is confronted with an event that involves actual or threatened death or serious injury, or a threat to self or others’ physical well-being (American Psychiatric Association, 2000). Specific types of client trauma frequently encountered by which therapists and other mental health workers frequently encounter in a clinical setting include sexual abuse, physical , or sexual assault, natural disasters such as earthquakes or tsunamis, domestic violence, and school or/and work related violence (James & Gilliland, 2001). Traumatic
This prevalence rate is considerably higher than that of the general population, therefore confirming the theory that trauma occurring in childhood has the ability to play a significant role in the development of mental illness. In addition to broad and generalized findings, they also found specific age groups to be related to specific forms of trauma in terms of what can result in the most detrimental effects. In relation to emotional abuse, it is considered most damaging at ages 6, 14, and 16. Sexual abuse is most harmful at age 12. Non-verbal abuse was found to be more detrimental at age 14 (Schalinksi, 2016). All of these findings also proved to be predictive of the development of PTSD as well as other mental illnesses, such as
Sullivan, Murray, and Ake (2016) identified that in the child welfare system, the provision of trauma-informed care is particularly critical due to the fact that when compared to other child-servicing systems, it has been determined that within this system, the likelihood of exposure to traumatic events is higher. Their study is focused on the description and evaluation of the first nationally available trauma-informed training resource developed for
Risk factors suggested for intensified responses include preceding problems within the family unit or community structure and orphan status prior to the disaster. Indeed, the symptoms of PTSD in Sri Lankan children affected by both civil war and a natural disaster with the tsunami was as high as 40%, with the cumulative exposure to trauma and stress being a significant predictor for adverse mental health outcomes (Neuner et al. 2006).
This paper will define The Effects of Trauma and Crisis on Clients and Mental Health Counselors and give a brief overview on how these Natural and man-made disasters, crises, and other trauma-causing events have become a focus of the clinical mental health counseling profession. Due to the extreme trauma that children, adolescents and adult experience after a traumatic event it, is noted that most individuals that are exposed to traumatic experience usually develop major depression, generalized anxiety, and Post-Traumatic Stress Disorder (PTSD) later in
The likelihood of development of a mental illness and suicidal behavior increases with exposure to childhood trauma. One single childhood adverse
Honestly, I didn’t think about the important details about 9/11. I knew it was a day where the World Trade Center got collapsed by people hijacking the plane and controlling them into the buildings. I didn’t really care that much until this day hearing all the stories and situations that people had to face. Now I know how important this day is and why we all remember this day. There were about more than 2000 people who lost their life because of this day in those 2000 people. It was a terrorist attack on our country we didn’t know at all this was going to happen.
“American Psychiatric Association defines trauma as an event that represents a threat to life or personal integrity. Trauma can also be experienced when children are faced with a caregiver who acts erratically, emotional and /or physical neglect, and exploitation” (Maltby, L., & Hall, T. 2012. p. 304). Trauma comes in many different forms including: war, rape, kidnapping, abuse, sudden injury, and
To obtain the measures of the study Hukkelberg used different trauma detections. One of the measures Hukkelberg used was” The Traumatic Events Screening Inventory for Children” (as cited in Ford et al., 2000). “The Traumatic Events Screening Inventory for Children was used to assess trauma experiences” (as cited in Ford et al., 2000). “The Traumatic Events Screening Inventory” (as cited in Ford et al.,2000) assed how serious the trauma experiences were that the child went through. The screening was a checklist that included these experiences “severe accident, natural disaster, sudden death or severe illness of a close person, extremely painful medical procedures, violence outside the family context, witnessing violence within the family physical abuse within the family, sexual abuse inside and outside the family, and other overwhelming experiences” (as cited in Ford et al., 2000). The study had the children rate how many times they were involved in from 0 to 3 (p. 263). “The 0= Not at all, 1 Once a week or less/once in a while, 2= 2 to 4 times a week/ half of the time, and 3= 5 or more times a week/ almost always” (Hukkelberg, 2013). If a child circled a three to all or almost all of the experiences they were involved in they were assessed for posttraumatic stress disorder systems (p. 263).
Childhood is a time for playdates and learning, a time for big dreams and imaginary adventures. Safety and security should not be questions that linger in uncertainty. However, this is not the case for many children across the globe. Thousands of children from all walks of life each day are faced with unspeakable horror and must deal with the resulting trauma from then on. However, in children, managing this trauma takes a different toll on the mind and heart than it does in adults. While the type of trauma may vary in pervasiveness across countries, trauma occurring in childhood has the ability to cause long term damage to the growing neurological functioning in the brain and negatively influence children’s spiritual development, wounding
The key concept of this literature review is to better understand how childhood trauma is associated with mental health, such as post-traumatic stress disorder
Emotional abuse can cause serious burdens on society. Emotional abuse has a significant cost in educational and societal failures, crime, and health care costs (Hibbard, Barlow, & MacMillan, 2012) Pediatricians need to be alert and trained in recognizing emotional maltreatment of children. This can be a very difficult task for pediatricians. Learning to interview children when they are developmentally ready is an important skill which can be critical in detecting emotional abuse. Children who have been emotionally abused have higher rates of psychological disorders such as depression, anxiety, suicidal thoughts and behaviors, and aggression. Providers need to be cognizant of risk factors that may indicate a greater risk for emotional abuse. Some of the risk factors were parental psychiatric illness, depression, and substance