TRAUMATIC STRESSLink Title
Medical Trauma (Marcus)
Neglect (Majda)
Overview and experiment
Bullying (Yishan)
Community Violence (Yishan)
Symptoms of Community Violence 🚩
Examples of Bullying 🚩
physical
verbal
social
cyberbullying
spreading rumors
hitting
tripping
kicking
teasing
taunting
sexual comments
embarrassing someone in public
Physical abuse (Marcus)
Sexual Abuse (Eric Giles)
be purposefully exclusive
send negative, harmful, or false content via SMS or emails
post mean text or hurtful pictures through social media and blogs
Symptoms of Bullying 🚩
long-term
short-term
anger or frustration
loneliness and isolation
feelings of rejection, or poor self-esteem
stress
changes in sleeping and eating patterns
eating disorders
health complaints
poor relation skills
self-injury
seperation anxiety
poor academic performance
school avoidance, including missing or dropping out of school
Suicidal or homicidal ideas or actions
telling others not to be friends with someone
taking or breaking someone's things
PTSD
Examples of Community Violence 🚩
individual or group conflicts
bullying
fights among gangsters and other groups of people
shootings in public areas such as schools and communities
civil wars in foreign countries or “war-like” conditions in US cities
spontaneous or terrorist attacks
accidental trauma
homicide
sexual assaults
robberies
weapons attacks (e.g., bats, knives, guns)
trust crisis
persecution mania
I don't know whom I can trust.
I'm on edge on the time.
I will do anything for safe. E.g., carry a gun or knife with myself at any time and at any place.
I worry about my sister/brother being shot.
I can't stop thinking about the violence.
depressive disorder
dysphoria/ irritation: I feel angry even when nobody is messing with me.
anxious: I get jumpy or nervous at the smallest things or little sounds.
feelings of hopelessness: I’m more tempted to get drunk or high to numb it all.
insomnia: It’s hard for me to sleep because I have
nightmares about that fight.
Strategies ✅
trust crisis 🚫
trauma-informed approach
set up a SEL curriculum
adapt the physical space
build strong one to one relationship with students
transform learning environment
make students feel safe, nurtured and supported ❤
color strategy - use calming color of lighting
mindfulness strategy - essential oil diffusers (sensory)
a 'peace corner' for students to chill out when they feel frustrated or sad
check-in and check-out system
students come to see the teacher at the beginning and the end of every day
students feel that someone cares about them at school
build a rapport with students/ a strong mentor/mentee relationship
depressive disorder 🚫
💡Strategies
⚠️Symptoms of Neglect
📢 Examples of Neglect
Being frequently absent from school
Inappropriate clothing (e.g. shoes too small, clothes are ill-fitted or unsuitable for the weather conditions)
Clothes are consistently dirty or smelly
Being hungry
Changes in behaviour, such as becoming clingy, aggressive, withdrawn, depressed or anxious, displaying obsessive behaviour
Health problems, including anaemia, body issues, poor muscle tone or prominent joints, regular illness of infections, repeated accidental injuries (often cause by lack of supervision)
Emotional and interpersonal difficulties
High levels of negativity .
Physical care
Esteem
Safety
Affection/Love
Poor impulse control
Personality disorders
Low levels of enthusiasm
Low levels of confidence, and assertiveness
Learning difficulties and poor school achievement
Deficits in executive function and attention regulation
Low IQ scores
Poor reading skills
Low rates of high school graduation
Try to give him particular care without making it obvious to other students that he is being favored.
Begin group activities such as play or peer group counseling. Children who have been abused frequently isolate themselves.
Build a trusting relationship and positive self-esteem.
Self-Love exercises
I could lead exercises and activities in class that will assist the student in training their brain to be more self-loving, confident, and capable of confronting with setbacks and challenges.
Make opportunities for the neglected child to draw and do creative activities.This will help them to express their inner feelings and act as a release.
self-management strategies
exercise
medication and therapy
running
practicing Tai Chi
get right amount of sleep
leisure: find something that is fun
cooking
listening to some music
drawing
watching movies/ reading books
nutrition and diet
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social support
having a few close friends
consistent practice during depression period
adjust expectations and goals
pre-plan and list self-management tools
harness the power of other people
persecution mania 🚫
neuroleptic drugs, such as antipsychotics
cognitive-behavioral therapy
help students to rethink and revalue how they see the world
social emotional learning
practice the hard stuff
help students to handle challenging moments in the classroom by practicing how they would respond in challenging scenarios
Definition:
Medical trauma is emotional and physical responses to pain, injury, serious illness, medical procedures and frightening treatment experiences.
With reference to the following link:
Medical Trauma link
Symptoms:
After a medical trauma, you may have a trauma response.
Some people experience posttraumatic stress disorder (PTSD). PTSD is a mental health
problem that causes anxiety or stress after a traumatic event.
If you have PTSD you may:
- Keep going over the details of the trauma in your head.
- Avoid things, places and people that remind you of the event.
- Have changes in the way you think and feel.
4.Feel very nervous.
With reference to the following link:
Fact sheet
Strategies to deal with Medical Trauma
Physical healing:
To take care of a physical wound, you might be asked to change bandages or take
medications
Emotional healing:
Talking, thinking and feeling your emotions about
the event can be painful, but it is an important step to healing.
How to cope:
- Talk about what happened -Share with people you trust
- Use deep breathing - Deep breathing can help you manage your pain and feelings
- Take time to adjust- take things one day at at time
- Seek help- seek out professional guidance if necessary
- Mental health apps - Apps like 'Virtual Hope Box' can help you learn new coping skills
With reference to the following link:
Fact sheet
Definition
According to https://www.nctsn.org/what-is-child-trauma/trauma-types/physical-abuse
"physical abuse occurs when a parent or caregiver commits an act that results in physical injury to a child or adolescent, such as red marks, cuts, welts, bruises, muscle sprains, or broken bones, even if the injury was unintentional."
Symptoms
(With Reference to the following link): Physical abuse
- Some children develop traumatic stress reactions.
- Some children may struggle with developing and maintaining friendships.
- They don’t trust authority figures
- Reactions vary depending on the age of the child, the kind of abuse, and how long it continues
- Aggression and “acting out” are very common
- Some abused children become anxious and fearful rather than numb and withdrawn
Strategies for Physical Violence
- AF-CBT (Alternatives for Families- A Cognitive Behavioral Therapy). "AF-CBT is a trauma-informed, evidence-based treatment designed to improve the relationships between children and caregivers in families involved in arguments, frequent conflict, physical force/discipline, child physical abuse, or child behavior problems." With reference to: AF-CBT facts
- CPC-CBT is a short-term, strengths-based therapy program for children ages 3-17 and their parents (or caregivers) in families where parents engage in a continuum of coercive parenting strategies. With reference to: CPC-CBT
- Parent-Child Interaction Therapy: PCIT is an evidenced-based treatment model with highly specified, step-by-step, live coached sessions with both the parent/caregiver and the child. With reference to: PCIT
Refugee Trauma (Eric Giles)
Family Separation (Jingyi)
Strategies ✅
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Example of family separation
1.parents divorce and live with one side parent
2.students parents who are or both in prison
3.students parents who are or both are dead.
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Definitions
According to: [https://www.nctsn,org/what-is-child-trauma/trauma-types/refugee-trauma/about-refugees:]
Refugee
"A refugee is someone who owing to a well-founded fear of being persecuted for reasons of race, religion, nationality, membership of particular social group or political opinion, is outside of his nationality, and is unable to or, owing to such fear, is unwilling to avail himself protection of that country."
Symptoms of family separation
Symptoms of Refugee Trauma
1.students live with father have high possibilities to be violent when he/she deals conflicts with his/her classmates.
Asylum-Seeker
"An individual who does not meet the legal definition of refugee, but who applies for asylum (or refugee) status after he/she is already present in the US or at a port of entry. Asylum applicants can have any (or no) immigration status when they apply. Asylum status can be granted by either a USCIS asylum officer or by an immigration judge within the US Department of Justice's Executive Office of Immigration Review."
Stomach aches, headaches
Crying a lot
Fear or Anxiety
Sadness or irritability
Thoughts about the traumatic event that won't go away
Avoid Thinking or talking about anything that reminds him or her of the traumatic event
3.students who are easily be social isolated in school because of insecurities.
Acting as if the event is happening right now (when it is something that occurred in the past)
Trouble managing behaviors or emotions
Pains in the body that don't seem to have a physical cause
Hopelessness
Nightmares
Trouble paying attention
Trouble falling asleep, or sleeping too much.
Getting upset when things happen that remind him or her of the traumatic
Lack of desire to play with others or take part in activities that her or she used to enjoy
2.students who are more vulnerable than kids with normal family
strategies of family separation
- classroom environment establishment: It is very important to let students in our classroom to feel secure and trustful. In order to build the safety environment, teachers should tell students the empathy and active listening skills for understanding others' suffering.(https://www.learningforjustice.org/magazine/spring-2016/responding-to-trauma-in-your-classroom)
- language conform from teachers. As for students with family separation, teachers are supposed to use the gentle and nice voice tone to calm them down and gain their trust and treat those kids like the family
- homeroom teachers should find some specific conference for those traumatic stress and refer those to students in needs in private and keep observing whether those conferences works or not.
Strategies for Intervention
Work to build trust with all the family members, not only to increase the benefits of treatment, but also to ensure the family will accept your recommendation and referrals.
Listen to the family's concerns, acknowledge the importance of their expressed primary problems, and address the first basic or most urgent needs.
Focus on aspects of the mental health services that relate to the family's expressed values, such as supporting a child's academic success.
When you are referring to other services, discuss what the resource can provide for the child or family and, if possible, facilitate contacting the referral.
Definition
According to NCTSN
"Child sexual abuse is any interaction between a child and an adult (or another child) in which the child is used for the sexual stimulation of the perpetrator or an observer. Sexual abuse can include both touching and non-touching behaviors.
Symptoms
An increase in nightmares and/or other sleep difficulties
Withdrawn behavior
Angry Outbursts
Anxiety
Depression
Not wanting to be left alone with a particular individual(s)
Sexual knowledge, language, and/or behaviors that are inappropriate for the child's age
Strategies
Problematic Sexual Behavior-Cognitive-Behavioral Therapy for School-Age Children (PSB-CBT-S)
A family oriented, cognitive-behavioral, psychoeducational, and supportive treatment group designed to reduce or eliminate incidents of problematic sexual behavior.
Risk Reduction Through Family Therapy (RRFT)
An integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
An evidence-based treatment for the children and adolescents impacted by trauma and their parents or caregivers.
Early Childhood Trauma. [Baldeep]
Definition
It refers to the traumatic experiences that occur to children aged 0-6
Causes: This trauma could be a result of intentional violence—such as child physical or sexual abuse, or domestic violence—or the result of natural disaster, accidents, or war.
Symptoms and Behavior-Unlike older children, young children cannot express in words whether they feel afraid, overwhelmed, or helpless.
Clingy and fearful of new situations
Easily frightened
Difficult to console
Agressive and impulsive
Difficulty sleeping
Lose recently acquired developmental skills and show regressions in functioning and behavior
Children aged 0-2
Children aged 3-6
When exposed to trauma may
Demonstrate poor verbal skills
Exhibit memory problems
Scream or cry excessively
Have poor appetite, low weight, or digestive problems
When exposed to trauma may
Have difficulties focusing or learning in school
Develop learning disabilities
Show poor skill development
Act out in social situations
Imitate the abusive/traumatic event
Be verbally abusive
Be unable to trust others or make friends
Believe they are to blame for the traumatic event
Lack self-confidence
Experience stomach aches or headaches
Interventions
Alternatives for Families - A Cognitive Behavioral Therapy
AF-CBT is a trauma-informed, evidence-based treatment designed to improve the relationships between children and caregivers in families involved in arguments, frequent conflict, physical force/discipline, child physical abuse, or child behavior problems.
Attachment, Self-Regulation, and Competence: A Comprehensive Framework
ARC is a framework for intervention with youth and families who have experienced multiple and/or prolonged traumatic stress.
Child-Parent Psychotherapy
CPP is an intervention model for children aged 0-6 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder.
Parent-Child Care
PC-CARE is a dyadic intervention, designed to expose the caregiver to strategies for enhancing the caregiver-child relationship and improving behavior management effectiveness.
Parent-Child Interaction Therapy
PCIT is an evidenced-based treatment model with highly specified, step-by-step, live coached sessions with both the parent/caregiver and the child. Parents learn skills through PCIT didactic sessions.
Intimate Partner Violence [Baldeep]
Definition
It is also referred to as domestic violence, occurs when an individual purposely causes harm or threatens the risk of harm to any past or current partner or spouse.
Effects on Children
Children are often the hidden or silent victims of IPV, and some are directly injured, while others are frightened witnesses. Children with IPV exposure are more likely to have also experienced emotional abuse, neglect, physical abuse, and community violence.
Effects
Immediate reactions to IPV in Children
Generalized anxiety
Sleeplessness
Nightmares
Difficulty concentrating
High activity levels
Increased aggression
Increased anxiety about being separated from a parent
Intense worry about their safety or the safety of a parent
Long exposure to IPV in Children
Physical health problems
Behavior problems in adolescence (e.g., delinquency, alcohol or substance abuse)
Emotional difficulties in adulthood (e.g., depression, anxiety, PTSD)
Reactions by Age Group
Birth to 5
Sleep and/or eating disruptions
Withdrawal/lack of responsiveness
Intense separation anxiety
Inconsolable crying
Developmental regression, loss of acquired skills
Intense anxiety, worries, and/or new fears
Increased aggression and/or impulsive behavior
Age 6 to 11
Nightmares, sleep disruptions
Aggression and difficulty with peer relationships in school
Difficulty with concentration and task completion in school
Withdrawal and/or emotional numbing
School avoidance and/or truancy
Age 12 to 18
Antisocial behavior
School failure
Impulsive and/or reckless behavior, e.g.,
School truancy
Substance abuse
Running away
Involvement in violent or abusive dating relationships
Depression
Anxiety
Withdrawal
Interventions
Groups
Individual therapy
Dydaic treatment
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Racism(Iris) : :
Definition---Racism includes racial prejudice—having an unwarranted negative or hostile view of people simply because they are of a particular race. It is characterized by unjustifiable, stereotyped beliefs. Reference:https://kids.britannica.com/students/article/racism/334068 :
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Share your pain
Feeling like you can’t cope, can’t focus, or want to cry—these are all normal and valid responses to racial trauma. Holding in anger or painful feelings negatively affects our emotional well-being. Sharing difficult feelings with others—friends, family members, clergy, or mental health professionals—can help.
Acknowledge your anger
Anger and outrage are appropriate responses to injustice. The way we process and channel our pain can help protect us from long-term mental health effects and make us better citizens and advocates. While anger can sometimes turn volatile, it can also be useful. When channeled, anger and pain can spur meaningful action and effect change.
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Symptoms:
Avoiding situations that are related to racism or reminders of past racist experiences
Distrusting others due to multiple losses or letdowns
Feeling triggered by reminders of a racist experience, which can lead to strong emotional or physical responses (e.g., crying or rapid heartbeat)
Experiencing difficulty controlling emotional responsesBeing hypervigilant, overly alert, or paranoid about potential dangers or negative experiences because of one’s race Reference: https://www.apa.org/topics/racism-bias-discrimination/managing-distress-racial-trauma
Strategies for Racial Trauma
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Disaster
(Blanca Liliana)
Earthquake
Extreme Heat
Flood
Hurricane
Landslide
Covid- 19
Tornado
Tsunami
Wildfire
Windstorm
Winter storm
Impact on students
Mental effects:
Post traumatic stress
Hypervigilance
Sleeping disorder
Anxiety/fear/worries , fatigue, Altruism, Depression, Fatigue, Loss of interest in school, exposure to the event, loss of the loved one
Learning
Class disruption due infrastructure damage
Abstention
Low performance which is reflected on their grades
Concentration problems.
Interrupt students routines
School closed
Physical Illness
Students can experience symptoms such as headache, nauseas, lethargy
Actions to support Students and teachers
Family Preparedness
School community should be involve in preparing for emergencies. School must teach safety and emergency procedures to students and conduct evacuation drills
Support
Physical Protection
structure and non-structure safety and environmental protection when it possible- as some of the actions might requires government envolment
Response
School will develop a response procedure support by an organizational structure (staff)
Assessment and planning
Schools should have a disaster management team/committed, in charge to assess risk, vulnerability, create the contingency plan
Students who are on medication due medical condition, parents needs to contact the school to let them know as the school because in case of emergency they need to pass that information to the health service.
In case of emergency, parents must know how to contact the school and vice versa. Its advisable that the kid have with them their home address and telephone number written on their backpack/ jacket t in cases of emergency
Parents must ensure their kids know and understand the family evacuation plan (how to communicate, emergency contact, meeting points)
Listen to them , try to answer their questions, clarify any misinformation that they might have
Refer any student who needs support to the school counselor and/or psychologist
Encourage students to verbalize their feelings and any worries
Create a friendly environment in the class room to reduce stressor such as stress related to peer relation, evaluations, others.
Acknowledged the disaster and give conform. One way to do is reassuring that thing will change and life will back to normal.
Promote learning activities where students needs to use problem- solving, collaboration, communication
school avoidance 🚫
Talk with the child about the reasons why he or she does not want to go to school.
Acknowledge that you understand your child's concerns, but insist on his or her immediate return to school.
Make a commitment to be extra firm on school mornings, when children complain most about their symptoms.
may need to make some adjustments to relieve the pressure on the child in the classroom or on the playground.
poor self-esteem 🚫
talk to a mental health professional
accept some flaws
Silence critical inner voice
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risk-taking behaviors 🚫
talk about risky behaviors
keep an eye without being intrusive
have the kid reward him or herself with a preferred activity or item for getting through the tough time without any impulsive behaviors, e.g., drawing or reading novels