ACE Detection and Treatment: A Holistic Approach for Foster Youth

As explained in my previous posts, adverse childhood experiences (ACEs) are detrimental to juvenile development and have lasting affects that shape adult behavior. Therefore, the subsection of youth in the foster care system is vulnerable to the detrimental affects of ACEs and should be afforded additional care and services.

But since ACEs seem to be fairly pervasive, how do we determine who has ACEs and how many they have?

Implementation of a Universal Form of ACE Testing:

The 1998 Kaiser-CDC study that introduced ACEs found that 52% of participants reported at least 1 ACE, and 25% of participants had more than 2 ACEs. It is unlikely that the Kaiser-CDC ACE findings have decreased given that the United States has the highest incarceration rate in the world, greatly surpassing our neighbors abroad.  In the US, almost 1 in 28 children have a parent who is incarcerated. For that reason, it is important that a standardized ACE test is implemented as a base determination of child trauma and as a mechanism to assess what services may be beneficial to youth who are entering the dependency system.

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The Dangers of Repressed Trauma: Mario’s Story of Overcoming Adverse Childhood Experiences

In my last post, I discussed ACEs and their effects on a macro-level. As previously discussed, adults with high ACE scores are more likely to exhibit maladaptive behaviors, including drug and alcohol use disorders. In 2017, approximately 19.7 million American citizens, aged 12 and older, had a substance abuse disorder related to abuse of alcohol or illicit drugs. In 2016 the Centers for Disease Control (CDC) conducted a review of all drug overdose data. They found that accidental drug overdose was the cause of death for 63,632 Americans in 2016. The rate of overdose deaths increased in all categories, regardless of age, gender, ethnicity, sexual orientation, and socio-economic class.

Additionally, drug and alcohol disorders place a great strain on the criminal justice system. In 2018, 456,000 people were incarcerated for drug possession, trafficking, or other non-violent drug offense. According to a 2017 study by the National Institute on Drug Abuse, drug abuse and addiction cost the American economy more than $740 billion annually in “lost workplace productivity, healthcare expenses, and crime-related costs.” When the cost of addiction tops $740 billion and places such a strain on society, we are all affected by addiction, whether or not we personally struggle with substance abuse.

Continue reading “The Dangers of Repressed Trauma: Mario’s Story of Overcoming Adverse Childhood Experiences”

Inequality for Youth: Why Do Foster Youth & Juvenile Offenders Receive Different Treatment?

I. Introduction: How Does Society Want To Treat Its Children?

            There is a shared belief in society that children should grow up in environments that are conducive to living healthy and productive lives. There are certain things that we believe that all children need and deserve. Those beliefs are even enshrined in the Convention on the Rights of the Child, which sets out the rights that must be realized for children to develop their full potential: to be free from hunger and want, neglect and abuse. When these things might be lacking, society has in place mechanisms to try and remedy those deficiencies. Judge Leonard P. Edwards, in an article for the National Council of Juvenile and Family Court Judges, wrote that “[w]hen the family fails or is unable to rear its child within acceptable norms, society has an interest in intervening to achieve its own goals.” Children are our future and it is the shared goal of a society to raise them as best we can. However, there are times when circumstances compel the state to act in the best interest of the child.

            It is because of that fact that society has procedures and systems to protect and nurture children to the best of our ability. Some youth are removed from their unsafe homes and placed into foster care and some youth commit offenses and are then incarcerated. In my last post, I wrote about how children in the juvenile justice system face similar traumas as children in the foster care system might experience and are often even the very same children, yet the treatment they receive is vastly different. The question is why? What is different about the youth that would necessitate a difference in treatment? These youth are often the same and they have all experienced similar trauma. Yet, because of a few different circumstances surrounding the trauma these youth might be experiencing (being removed from their homes and placed in foster care vs. being removed from their homes and being incarcerated) they receive different support.

            Society also collectively believes that children under a certain age lack a “level of maturity, thought process, decision-making, and experience” compared to individuals above the age of majority. We therefore generally distinguish between children and adults with regard to criminal culpability “We punish [criminal acts] because we believe such harm is morally deserved by a particular individual for a particular act.”  However, is that what we want for our children? We recognize that children should be treated differently than adults and that rehabilitative measures would be better for them and society, yet the reality is considerably different. In Miller v. Alabama (2012), a 14-year-old committed murder and was sentenced to life in prison without the possibility of parole. The Supreme Court held that mandatory life imprisonment without parole for those under the age of 18 at the time of their crimes violates the Eighth Amendment’s prohibition on cruel and unusual punishment, writing “that children are constitutionally different from adults for purposes of sentencing. Because juveniles have diminished culpability and greater prospects for reform…they are less deserving of the most severe punishments.”

There is certainly a different societal view on the two populations, foster youth and juvenile justice youth, but they are all still children and youth that are deserving of all that we believe children deserve. Both systems can be traumatizing, but we tend to think one set of youth deserve what they are getting because they have committed some criminal/delinquent act. This is especially true for children and youth that commit particularly heinous or violent crimes because instinctively, we believe they should be punished.  This idea is given credence in Chief Justice Roberts’s Miller  dissent, where he wrote “society may determine that [protecting the innocent from violence] requires removing those guilty of the most heinous murders from its midst, both as protection for its other members and as a concrete expression of its standards of decency.” Yet the fact that these children and youth still are treated differently despite experiencing similar trauma is unjust. These children all deserve similar support when they experience difficult circumstances.

            In this post I will go through a brief overview of the criminal justice system and juvenile justice system as well as the theories underlying them. Then I will discuss issues with the juvenile justice system and its implementation and some of the realities of juvenile justice. I will also discuss some reforms to the issues addressed. Finally, I will discuss possible policy suggestions and further plans of action.

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A State-Wide Trauma-Informed Care Approach: Implementation of Stricter Guidelines for Discretion in Child Welfare Cases and a Shift Towards Family Services in the Early Stages

I. Current Landscape

            The good news is that California as a state recognizes the importance of implementing a trauma informed approach to child welfare cases. Assembly Bill 2083 was approved by Governor Brown at the end of 2018. The bill provides a continuum of care provision, which means that foster children will no longer be aged out of the system, and provisions for counties to ensure that foster care placements are actually equipped with training to deal with children who have trauma. The legislation is focused on creating case plans or placements that are tailored to the specific needs of each child, since we know that children entering the system have been through life events that create long-lasting trauma.

            In my view, AB 2083 establishes the threshold for a state-wide approach to child dependency. Assemblyman Ken Cooley, who introduced this legislation, asserts that the bill does the following:

  1. Sets the expectation for coordinated services at the local level for youth who require services from multiple agencies through formalized Memorandums of Understanding.
  2. Requires the Secretary of Health and Human Services and Superintendent of Public Instruction to establish a joint inter-agency resolution team at the State level with certain responsibilities, including but not limited to, providing technical assistance to county agencies to establish local MOUs, and link youth to needed services.
  3. Requires the interagency team to review the availability of appropriate placements (from family homes to congregate care) that are trained and/or supported to provide trauma-informed care to foster youth and make recommendations to the Legislature for improvements in this area.
  4. Requires the interagency team to consult with stakeholders, including practitioners, to develop a plan to increase the availability of trauma-informed services to youth in care.

All of these things are great and a step in the right direction, but what if there were state-wide Memoranda of Understanding that each county agreed upon that addressed the needs of families before children are removed and placed in foster care? Why are there not interagency teams established by the Secretary of Health and Human Services to link parents to drug treatment programs, housing opportunities, child care and job training so that families have the tools to create healthy environments for themselves and their children?

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Trauma Systems Therapy Training: What Social Services Needs to be Utilizing, But Isn’t

Children in foster care are exposed to many adverse experiences and are heavily impacted by their trauma. As discussed in my previous posts, trauma affects kids, leads to behavioral problems, and can result both in school discipline and in parents failing to understand the source of misbehavior- which results in placement instability. A foster care system that incorporates policy and training meant to deal with the effects of trauma can better support youth and improve their life outcomes.

In an attempt to reduce placement instability and promote the child’s well-being researchers and people involved in foster care have begun to move toward an approach of trauma-informed care. In this post, I will explain why California should use the Annie E. Casey Foundation (AEC) Trauma Systems Therapy for Foster Care curriculum to implement a standardized system of trauma training throughout the child welfare system. I will do this by examining recent actions by the California legislature and demonstrating why using the AEC materials is the best approach we currently have available.

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Stage 3 of 4: Barriers That Prevent Schools from Addressing the Needs of Youth with Trauma

My first paper introduced the strong impact that trauma has on kids’ ability to learn in school. I then explored the disheartening educational data surrounding our youth in foster care in my second paper. So, if we know that trauma affects learning, and youth in foster care are exposed to various levels of trauma and are therefore not performing well in traditional public schools, what are the barriers that prevent teachers and other school staff from being able to effectively teach youth with trauma? 

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The Impact of Receiving Disparate Public Services: A Comparison of Youth in Foster Care and Youth in the Juvenile Justice System

I. Introduction

            This blog post will focus on the different public services, mostly education, available to children in the foster care system and children in the juvenile justice system. Children and youth are a segment of the population that most individuals would view as needing protection, support, and guidance. This is even more true for children and youth that are in either the foster care system or the juvenile justice system. Both systems aim not to punish, but to rehabilitate and/or help children. However, foster youth generally receive more public services compared to youth in the criminal justice system even though they both experience similar social circumstances and traumas. In providing these services, governments seek to protect and provide for the most vulnerable members of our society and improve the quality of life after traumas. Additionally, there are children that exist in both systems referred to as dually involved youth. Dually-involved youth…[are] youth who are concurrently known to both the child welfare and juvenile justice systems at some level. However, children who are involved in both systems will not be the focus of this post. My research will focus on the disparity between the services provided to foster youth and youth in the criminal justice system. In terms of public services available to deal with trauma, displacement, and instability, foster youths generally receive more services. This is a problem because even though justice-involved youth are experiencing similar trauma (housing insecurity, poverty, etc.) they are not getting the services that might be able to help them.

Continue reading “The Impact of Receiving Disparate Public Services: A Comparison of Youth in Foster Care and Youth in the Juvenile Justice System”