Tagged With "Client Treatment Retention"
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A Call to Children’s Residential Treatment Centers: Please, Please Do Your Own Trauma Work
The challenges of becoming an effective trauma-informed organization are considerable for sure. Taken as an opportunity, and not a burden, they present a unique platform for organizational learning, healing, and growth. Among so many other things, the efforts inure to the benefit of a milieu that becomes a sanctuary for healing and where little boys are not subject to blame for unintended treatment outcomes.
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A Pandemic Benefit: The Expansion of Telemedicine [nytimes.com]
By Jane Brody, The NY Times, May 11, 2020. Even if no other good for health care emerges from the coronavirus crisis, one development — the incorporation of telemedicine into routine medical care — promises to be transformative. Using technology that already exists and devices that most people have in their homes, medical practice over the internet can result in faster diagnoses and treatments, increase the efficiency of care and reduce patient stress. Without having to travel to a doctor’s...
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ACEs Research Corner — January 2020
Research papers this month include links between ACEs and bullying, dropping out of high school, adult disability, and the effects of countering ACEs.
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ACEs Research Corner — November 2019
[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens] Jackson DB, Chilton M, Johnson KR, Vaughn MG. Adverse Childhood Experiences and Household Food Insecurity. Am J Prev Med. 2019 Nov;57(5):667-674. PMID: 31522923...
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ACEs Science and Racism
This is a collection of resources regarding structural racism and trauma. This list aims to give a broad overview and is not all-inclusive. We welcome suggestions; if you have any, please comment below! The titles below and the PDFs in attachments are in alphabetical order. BSC Full Report Trauma Resilient Informed City Baltimore: This is the full report of the work, data, lessons, and direct quotes from several teams of people from various backgrounds in the Baltimore community as they...
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Adaptive Change to RECOVER Your Organization
The next installment of Villa of Hope's webinar series for the Alliance for Stronger Families & Communities is "Adaptive Change to RECOVER Efficiency & Strength to Build a Culture of Change & Empowerment." It takes a humble and courageous leader to do this work!
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At an HIV Clinic, Patients and Staff Have a Voice in Shaping Trauma Informed Care
Dr. Edward Machtinger, director of the Women and HIV Program, front row, center and clinic staff To the casual observer, the offices of the Women and HIV Program at the University of California San Francisco look like any other primary care clinic. There’s a waiting room with vinyl-covered chairs for the clinic’s patients. Staff check in patients from a non-descript desk ringed with a bank of computers. A video screen promotes the clinic’s services. But as you make your way further into a...
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At an HIV Clinic, Patients and Staff Have a Voice in Shaping Trauma Informed Care
Dr. Edward Machtinger, director of the Women and HIV Program, front row, center and clinic staff To the casual observer, the offices of the Women and HIV Program at the University of California San Francisco look like any other primary care clinic. There’s a waiting room with vinyl-covered chairs for the clinic’s patients. Staff check in patients from a non-descript desk ringed with a bank of computers. A video screen promotes the clinic’s services. But as you make your way further into a...
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Author Hopes to Put Her Emotions Journals in the Hands of Girls in Every State
Back in the spring, I was in the middle of putting together a panel on community interventions for ACEs when the conference planning chair suggested adding Tara Shephard. We had an amazing panel that day, but Tara hit it out of the park. Her love and care for African-American girls in Arkansas and the adversities they face was apparent in every word she spoke that day. To give some background, Tara is an author, education and mental health advocate; an auditor for the American Correctional...
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Case Statement on Trauma Informed Approaches
Attached is a Case Statement on Trauma Informed Approaches--it is a review of the Greater Harrisburg Area's and beyond's ACE scores, the outcomes of these ACEs and some ideas of how to resolve the negative consequences of this crisis of epidemic proportions. Please use it to advance the cause of moving from the bad news of ACEs towards the good news of becoming trauma informed and resilient. I would also welcome your comments, questions and recommendations! Thank you.
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Developing Community Resilience During the COVID-19 Outbreak
I have been fielding requests about community resilience development and want to share with all of you a document that others are finding helpful. I initially created the document (below and pdf attached) for our host entities to distribute to their cohorts (1500-plus people) of N.E.A.R. Master Trainers embedded in 25 states and a province. Dr. Rob Anda, Laura Porter and I train Master Trainers in N euroscience, E pigenetics, the A CE Study, and R esilience; additional information can be...
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Erasing My ACES
Why I hid ACES from my medical records in order to receive equal treatment.
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Essentials for Childhood Framework
From the CDC’s Injury Prevention & Control, Division of Violence Prevention: "Safe, stable, nurturing relationships and environments are essential to prevent child abuse and neglect and to assure all children reach their full potential. The Essentials for Childhood Framework proposes strategies communities can consider to promote relationships and environments that help children grow up to be healthy and productive citizens so that they, in turn, can build stronger and safer families and...
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Evidence of Trauma-Informed Care's Effectiveness in Residential Substance-Use Settings
Hello ACEs and Trauma-Informed Community, My name is Travis Hales, and I am a researcher at the University of North Carolina Charlotte. I have recently collaborated with the University at Buffalo's Institute on Trauma and Trauma-Informed Care to conduct a multi-year study on the impact of a substance-use residential agency adopting and implementing Trauma-Informed Care on a variety of organizational, staff, and client level outcomes. I wanted to briefly share the results of our study that...
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For Addicted Women, the Year After Childbirth Is the Deadliest [pewtrusts.org]
Katie Raftery was in a Massachusetts prison for drug-related crimes when she found out she was pregnant with her second child. A longtime heroin user, she was released to a residential drug treatment program where she stayed for seven months, until her baby was born. She got through pregnancy and drug treatment without a hitch and delivered a healthy baby boy with no complications. But at exactly six weeks after childbirth, Raftery said she started feeling lonely, empty and disengaged. The...
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How Exercise Has Helped My PTSD Recovery [bustle.com]
People exercise for many reasons, and one of the major ones is for its mood-boosting benefits. But as someone who lives with co-occurring mental illnesses, I was skeptical as to whether these benefits would actually work for me. However, as I read more and more research about the therapeutic benefits of working out, I decided to give exercising on the regular a shot. Developing an exercise routine as a way to cope with my PTSD and eating disorder became a pivotal moment in my healing process...
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I Wanted to Know What White Men Thought About Their Privilege. So I Asked. [nytimes.com]
By Claudia Rankine, The New York Times, July 18, 2019. In the early days of the run-up to the 2016 election, I was just beginning to prepare a class on whiteness to teach at Yale University, where I had been newly hired. Over the years, I had come to realize that I often did not share historical knowledge with the persons to whom I was speaking. “What’s redlining?” someone would ask. “George Washington freed his slaves?” someone else would inquire. But as I listened to Donald Trump’s...
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Inside the Adverse Childhood Experience Score: Strengths, Limitations, and Misapplications [ajpmonline.org]
By Robert F. Anda, Laura E. Porter, David W. Brown, et al., American Journal of Preventive Medicine, March 25, 2020 INTRODUCTION Despite its usefulness in research and surveillance studies, the Adverse Childhood Experience (ACE) score is a relatively crude measure of cumulative childhood stress exposure that can vary widely from person to person. Unlike recognized public health screening measures, such as blood pressure or lipid levels that use measurement reference standards and cut points...
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Introducing Dawn Daum, Community Manager: Becoming Trauma-Informed & Beyond
The movement to incorporate trauma-informed care, and the wave to bring awareness to ACEs science has manifested in to the perfect storm; the perfect mix of compassion and frustration. I've said over and over again, once you become aware of the research and science behind trauma, and start to talk to other people about what it all means and how it looks, its a game changer. Since our agency-wide ACEs/Trauma 101 training by Acesconnection.com community member, Dave Wallace , atleast once a...
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Introducing Lisa Wright, Community Manager: Becoming Trauma-Informed & Beyond
Hello Trauma-Informed & Beyond Community! I am excited to be one of the community managers for this new ACEs Connection community. I have worked as an outpatient trauma-focused treatment clinical social worker since 1993. My work has included providing treatment for children, teens and adults who have experienced sexual abuse, physical abuse, exposure to violence (community, family and interpersonal), witness to homicide and those with problem sexual behavior/sexual offending histories.
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Introducing Melissa McGinn, Community Manager: Becoming Trauma Informed & Beyond
What can readers expect to learn from you? At this point in my career I am doing less direct practice, and more teaching, training and consulting. My focus has really shifted to helping individuals, organizations and systems put their knowledge of trauma, ACES and resilience into practice. What does being trauma informed actually look like in our day to day interactions, on the job, or in our community? Over the last few years there has been a positive increase in the amount of awareness in...
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Introducing NEW Becoming Trauma-Informed & Beyond Community
Earlier this year @Dawn Daum wrote to us when she was ready to share ACEs science with people in the organization she works in to make a case for moving towards more trauma-informed care for the benefit of the staff and those they serve. She was frustrated because almost all the training and resources she found were geared towards schools, clinical staff or to organizations working with children and families rather than ACE-impacted adults in the workplace and who are...
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Medicaid Expansion Could Prevent Evictions [howhousingmatters.org]
By Heidi L. Allen, Erica Eliason, Naomi Zewede, and Tal Gross, How Housing Matters, October 8, 2019 As of August 2019, 37 states have adopted and implemented a Medicaid expansion that extends Medicaid eligibility to uninsured people whose incomes are at or below 138 percent of the federal poverty level. Prior research shows that Medicaid expansion has numerous positive effects on health-related and economic outcomes, among which are reductions in uninsurance rates among people with low...
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ACEs Science Champions Series: Meet Florida's Johnny Appleseed. She plants seeds of ACEs science!
Dr. Mimi Graham is Florida’s Johnny Appleseed, but instead of planting apple trees, she’s been seeding hundreds of ACEs-science-informed schools, courts, juvenile detention centers, hospitals, childcare centers, home visiting programs, mental health agencies, law enforcement agencies, and drug treatment centers. Graham, who has served as director of the Florida State University Center for Prevention and Early Intervention Policy in Tallahassee since 1993, focuses on early childhood,...
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Mental Health In The Workplace
Mental health disorders and stress is something that affects countless working Americans each year. In fact, nearly one in five U.S. adults 18 or older reported some type of mental illness in 2016. Also, over 70 percent of adults reported at least one symptom of stress according to the Center for Disease Control and Prevention . Unfortunately, when people deal with mental health issues at work, it can affect business and lead to problems with job performance. Poor mental health and stress...
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Next "A Better Normal" community discussion series: April 9, 2020 — Ingrid Cockhren, Joshunda Sanders on inequities in healthcare
Dave Granlund This week, we're hosting two more 'A Better Normal' discussions: on Thursday, April 9; and Friday, April 10, 2020....12 pm PT/ 1 pm MT/ 2 pm CT/ 3 pm ET. Thursday, April 9, 2020 Ingrid Cockhren, ACEs Connection community facilitator and DEI (Diversity, Equity & Inclusion) expert, and Joshunda Sanders , freelance journalist and author ( The Beautiful Darkness: A Handbook for Orphans ) , lead a conversation focused on the inequities in our healthcare system and how those...
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NPPC shares lessons learned and results from ACEs screening pilot sites
For Dr. Mercie Digangi, a pediatrician at Kaiser Southern California in Downey, CA, ACEs screening provided a crystal clear before-and-after in how she changed treatment plans for her pediatric patients, she explained to attendees of a December 2 webinar organized by the National Pediatric Practice Community on ACEs (NPPC) and cosponsored by ACEs Connection. Dr. Mercie Digangi One case that turned ACEs screening into a never-go-back moment for her was a three-year-old who was speech-delayed.
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Promoting Agency & Employee Wellness
Wellness is a key ingredient to building a more resilient workforce and has been a big part of the journey in becoming trauma-informed. I was asked by a police lieutenant last week what our agency, Greater Richmond SCAN (Stop Child Abuse Now) does to promote wellness. I told him about recent activities that I've organized within the CAC TFT Program (Child Advocacy Center Trauma-Focused Treatment Program) that I oversee and about ongoing agency efforts. This conversation got me thinking that...
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Report: ACEs and trauma-informed care across 8 countries
The International Initiative for Mental Health Leadership (IIMHL) is a virtual international collaborative which aims to strengthen leadership and thereby improve services for people with mental health or addiction issues. Eight countries belong to IIMHL: Australia, Canada, England, Ireland, New Zealand, Scotland, Sweden and the US. Countries’ pay a small amount to belong and in exchange there are regular communications on innovation, research and national work plus every 16 months a...
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Resource List -- ACEs Science Videos & Documentaries
You can find videos and video clips of ACEs presentations and on-air segments listed here.
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Resource List -- Trauma-Informed Guides, Presentations, & Self-Assessment Tools
The resources listed in this blog focus on how to implement trauma-informed and resilience-building practices based on ACEs science.
These materials can be used by organizations, agencies, programs, and communities to better understand how to bring a trauma-informed lens to their work.
Resources are divided according to format type (guide/toolkit, presentations, videos, webinars) and organized alphabetically.
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Sponsorship Opportunity to Help Community Resilience Initiative
CRI is seeking various levels of sponsors for our Fourth Annual Beyond Paper Tigers conference. We would love if you would consider partnering with us to assist our community's education, best practices, and treatment strategies. Sponsorships will help pay for speakers, meals, supplies, and conference activities. To partner with us at our highest gift level- as a lead sponsor- would bring profound impact to our conference. We would be grateful for the honor of calling you our lead sponsor,...
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Spotlight: An ACEs Connection community, Resilient Sacramento, tackles the issue of the traumatic impacts of racism and oppression
Resilient Sacramento has recently made explicit, their commitment to doing trauma-informed education & engagement that centers race, and other forms of structural oppression, as sources of trauma. The resources shared in a recent Resilient Sacramento meeting are described here for the entire ACEs Connection community. Please add your resources to the comments!
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The Future of Healing: Shifting From Trauma Informed Care to Healing Centered Engagement (www.medium.com)
Excerpts from an article by Shawn Ginwright Ph.D.:
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The implicit bias of, “Mental Illness” and “mentally ill”, a lexicon of hurt.
How can we heal from the implicit bias of “ Mental Illness ” and “ mentally ill ”? I hear these words and it sounds like fingernails scraping down the chalkboard. “ The stain of dehumanization colors the mind, body and spirit and it is not so easily washed away.” - Michael Skinner Recently I read a blog post at the ACEsConnection website, “Erasing My ACES” by Sirena Wheeler. It was posted on April, 19, 2020. It struck a chord with me, many in fact and it put me on a spiral down memory lane.
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The Trauma-Informed Supervisor Training Tool
That is the question that so many of us champions of change are asking ourselves right now. Luckily, the information is and logistics of how to make this happen are becoming clearer. Thank you to @Christina Cunningham, Prevention Coordination Specialist for the Fairfax County Department of Neighborhood and Community Services for allowing me to share this resource with our community. (see attached PDF file) It has been a valuable tool in helping me coordinate an agency training on the...
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The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy (Journal of the American Psychiatric Nurses Association)
Grabbe L, Miller-Karas E. The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy. Journal of the American Psychiatric Nurses Association. 2017; 24 (1): 76-84.
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The Trauma-Sensitive Parenting Summit & Commentary
"Having a history of trauma or loss does not by itself predispose you to have a child with disorganization. It is the lack of resolution that is the essential risk factor. It is never too late to move toward making sense of your experiences and healing your past. Not only you but also your child will benefit." That's a quote from the book Parenting from the Inside Out: How A Deeper Self-Understanding Can Help You Raise Children Who Thrive, which was published fifteen freaking years ago. It's...
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This Survivor is Helping Doctor's Patients Not Die 20 Years Too Young
Earlier this year I shared one piece of my trauma history with my family doctor... it’s finally out in the open, but I really wish I didn’t have to be the one to start that conversation every time.
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TIC: News and Notes for the Week of July 8, 2019
ACEs, Adversity's Impact ACEs linked to higher health care costs in adulthood Beyond the ACE score: Examining the relationship between timing of developmental adversity, relational health and developmental outcomes in children Toxic stress: The other health crisis politicians should be talking about California doctors to begin screening for trauma Lupus patients with adverse childhood experiences report worse disease activity and overall health, study says Dr. Gabor Mate on childhood trauma,...
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Trauma-Informed Care for CPTSD
Today CPTSD is recognized as needing long-term treatment because of the damages done to a person’s self-identity, deficits in self-regulation and their inability to see there is hope and healing available to them. Fear and hopelessness can be a daily reality for most survivors living with CPTSD symptoms. Therapists choosing to collaborate with patients living with CPTSD symptoms must take the time to receive the education they need to provide trauma-informed care. Additionally, they will need to
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Trauma-Informed Care Toolkits
*Updated 10/09/2014 "Becoming trauma-informed is a process that involves striving towards a new way of understanding people and providing services and supports. This process involves a gradual integration of trauma concepts and trauma sensitive...
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Trauma_Informed Design: Providing a Calming Effect for Clients [traumainformedoregon.org]
From Christine Stone (Department of Human Services, Communication, Trauma-Informed Oregon, January 31, 2020 The Department of Human Services (DHS) is building a new three-story, 96,000-square-foot building in Gresham. But it’s not just another government-looking edifice. Trauma-Informed Design The building, planned for 22200 S.E. Stark Street, will have a trauma-informed design. This means creating a physical environment that promotes a sense of safety and calm for our clients and our staff.
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Trauma-Informed Social Justice: Q&A with Dr. Bukuloa Ogunkua
Cissy's Note: I work with people who challenge systems and policies, who reform or start non-profits, and who see hope and promise where others see despair or destruction. While some folks shake their heads or shrug indifferently in the face of injustice and suffering, others organize, mobilize, and channel their time and energy towards making a change. Maybe a physician hosts an annual conference bringing trauma-informed approaches to medical practice. Perhaps a woman shares ACEs 101...
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We Need a Healing Movement
What if you had developed a cure for the most painful and costly public health problem in America, you had proven that it worked, and you were offering it for free, but could not reach those who need it most because no one wants to talk about the problem? Tragically, this is my reality and the truth about human nature. It is easier to suffer in silence than acknowledge the painful things that happen to us. Over 20 years ago, researchers at the Centers for Disease Control and Kaiser...
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We Want YOU to be Part of The League of Extraordinary People
You are extraordinary. Writing this post feels like I have come full circle. In April of 2019, Alfred White reached out to me on ACEs Connection. Shortly after, we spoke at length about the plans he had to create a place of healing and hope in Federal Way and King County, Washington, specifically for individuals with a history of trauma and who were now impacted with symptoms such as addiction and homelessness. I recall sharing with Alfred that there was such a need for this in that...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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WEBINAR | Integrating a Trauma-Informed Approach into Substance Use Disorder Treatment
Join a webinar highlighting how two providers have incorporated trauma-informed care into their substance use disorder treatment practices, shaping the experiences of their patients and staff.
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Webinar: Mental Health During a Pandemic: Helping Clients Through COVID-19
NASW sponsored Webinar: Thursday, March 26, 12 - 1:30 EST Illness and pandemics can produce far-reaching mental health effects. This webinar examines who in the community is most at-risk for worsening mental health in the wake of illness, isolation, quarantine, and instability and how to help them cope. It also considers what types of mental health responses should be mobilized in order to meet needs. Presenter: Karen Zilberstein, LICSW , Clinical Director of the Northampton, Massachusetts...
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What If I Told You?
What if I told you that I was a victim of child sex abuse? As a survivor of child sexual abuse , I have a clear understanding of the importance of addressing stigma and shame as it pertains to sexual abuse, sexual assault and rape. Victims, especially young children, often do not disclose sexual abuse. Those who are witnesses of child sexual abuse, or who are trusted by survivors enough that they confide in them, are often ill-equipped to handle the responsibility. And, many times, parents...