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    Objectives:
    • Identify protective factors that prevent child abuse and neglect.
    • Describe the stress factors related to family trauma.
    • 确定您的计划和社区资源以支持家庭。
    • 描述与家庭合作以确定和防止虐待儿童和忽视的方法。

    Learn

    Learn

    Know

    想想这三个字:安全、稳定、and Nurture. What do they mean? Think about a relationship in your own life that was represented by these three words. What did others in the relationship do that made it feel safe, stable, and nurturing? What impact did that relationship have on your life? Whether you recognize it or not, relationships like these likely shaped your outlook on the world and your ability to succeed. Let’s take a look at a few relationships that could be considered safe, stable, and nurturing.

    Chandra只有6周岁。经过高风险的怀孕和复杂的交付,Chandra的妈妈杰恩,对工作恢复很紧张。作为一个单身妈妈,她知道这是她必须做的事情。Jayne很高兴Chandra在儿童开发中心有一个空间。她的几位朋友和同事也有婴儿在该计划中。她预约会见Chandra的老师并在下周将进入Chandra的儿童发展中心。Jayne在旅游中与她带来自己的母亲。jayne的母亲自宝宝出生以来一直很大帮助。Jayne知道她可以依靠她,尽可能帮助她。Chandra在Jayne的武器中安静地睡觉。 When she wakes and begins to fuss, Jayne sings and soothes her. Grandma smiles and offers to hold the baby while Jayne completes paperwork. Jayne and her mother chat happily with the caregivers about Chandra’s routines, preferences, and temperament.

    当她的家人收到父亲的工作时,夏洛特即将转到4岁时,当她的家人接受了全国各地的命令。夏洛特对她即将到来的生日非常兴奋,但她的妈妈和爸爸知道这一举动可能会改变他们的一些计划。夏洛特的妈妈和其他父母谈过,并安排她从她的新家里有一个Skype“生日派对”。一旦他们到达他们的新家,夏洛特的父母在娱乐中心看到了一场比赛游戏团的一流。万博体育全站app夏洛特和她的父母去了游戏组,遇到了其他住在街道上的家庭。夏洛特很激动,在她甚至开始参加新的儿童发展中心之前,她有新的“最好的朋友”。

    拉维耐心地等待他的父亲从学龄计划中挑选他。从6个月的部署,他的妈妈今晚正在回家。他几乎不能等待。他很快瞥了一眼窗外,看到他的爸爸的车进入停车场。他仔细挑选了他为妈妈创造的艺术品。对他来说,他甚至不会把它放在他的书包里。正如爸爸进来的那样,拉维冲过来,在仔细保护艺术品时拥抱他,并问:“是时候了吗?”他们一起开心欢迎网站,聊聊ravi的一天,他们为妈妈做的准备工作以及他们将在接下来的几天内完成的东西。

    像所有家庭一样,Chandra,Charlotte和Ravi的家庭经历了一些压力。无论是面对单一的育儿,搬迁,分离,财务或工作相关的压力,强烈的家庭都是弹性和反弹。无论如何,他们确保他们的孩子有安全,稳定,培养的关系。Chandra的妈妈拥有长大的家庭支持,亲密的朋友,以及与她的婴儿的强烈联系。她开始与儿童开发中心的照顾者建立牢固的关系。夏洛特的父母了解她的情绪需求。他们帮助她与老朋友保持联系,并建立新的友谊。Ravi的家人彼此沟通,互相庆祝,并花时间连接和重新连接。

    The Centers for Disease Control and Prevention consider safe, stable, and nurturing relationships like these one of the “essentials of childhood.” Let’s explore how the Centers for Disease Control define these three words.

    • Safety:安全是“儿童摆脱恐惧的程度,从身体或心理伤害中获得。”这意味着成年人保护孩子免受伤害。成年人规范了自己的情绪并监测了孩子的发展。
    • 稳定: Stability is “the degree of predictability and consistency in a child’s environment.” This means the child comes to learn that the world is a manageable place. Consistent family routines are one way stability is provided for children.
    • Nurture: Nurture is “the extent to which a parent or caregiver is available and able to sensitively respond to and meet the needs of their child.”

    Unfortunately, trauma (like abuse or neglect) can damage or destroy a child’s sense of safety, stability, and nurture. This impacts development. Now think about the infants and toddlers in your care. Do all of them have relationships that are safe, stable, and nurturing? Based on what you have learned already in this course, it is clear that for some children the answer is, “no.” We do not have to accept that as an answer. It is our job to help strengthen families and help each and every person look back on their childhood and answer, “yes.”

    You can do this by being aware of the stressors affecting your families. Being involved in a suspected case of child abuse or neglect can bring a great deal of stress to a family. The rest of this lesson will focus on (a) the behaviors or issues you might see after a family has been involved in a report and (b) how to help families that have experienced this kind of trauma. Remember: any time you are uncomfortable or don’t know what to do, you can go to yourMILT&Cs or主管帮助。你不需要孤单。

    To reflect a little on how your role has a crucial, positive impact on children's trajectory, take a moment to watch Dr. Nadine Burke Harris' 16-minute TED Talk video about how childhood trauma affects long-term health. Follow the link below to see the talk:
    https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime.

    See

    Many families who are involved in allegations of child abuse or neglect have experienced some kind of trauma. This might mean they experienced abuse or neglect themselves as children. There may also be domestic violence toward adults in the home. They may experience family or community violence.

    Trauma can influence how a family interacts with you. Look for these characteristics (Preventing Child Maltreatment, 2013):

    • Families that have experienced trauma may find it difficult to build trusting relationships with you. It might not be easy for them to trust anyone.
    • 家庭可能会感知它不存在的侵略或危险。他们可能会努力保持自己或他们的孩子安全。你可能会发现自己质疑他们的决策。
    • 他们可能会滥用药物或酒精。
    • 他们可能很难控制他们的情绪。
    • They may seem numb or “shut down.”

    观看此视频以了解更多关于支持创伤影响的家庭的更多信息。

    与经历创伤的家庭合作

    了解在经历创伤的家庭合作

    Do

    以下策略列表来自防止儿童虐待和促进福祉:行动2013资源指南的网络。考虑您可以使用这些策略来支持经历创伤的家庭的方式:

    • Talk to your T&Cs or supervisor for support any time you have a concern about a family.
    • Understand that parents’ reactions (including anger, resentment, or avoidance) may be reactions to trauma. Do not take them personally.
    • 请记住,经历过创伤的父​​母并不“坏”。责备或判断它们可能会使情况变得更糟。
    • Recognize that all parents want the children to be safe and healthy. Compliment parents’ good decisions and healthy choices when you see them.
    • 保持冷静,使您的声音保持中性和不威胁。模型直接和诚实的沟通。
    • 始终如一。当你做出承诺时,通过。
    • Be aware that you could experience secondary traumatic stress, which can occur when you see or hear about trauma to others. Take care of yourself and take time to address your own reactions when you feel you are getting overwhelmed.

    您应该了解社区中家庭可用的资源MILor on your installation:

    • The military Family Advocacy Program, victim advocacy, and transitional compensation exist to address family abuse through prevention, intervention, treatment and victim assistance. Visithttp://www.militaryonesource.mil/abuse为更多的信息。适合所有为家庭提供咨询t be available through installation behavioral health services or family advocacy resources. Also contact your Family Advocacy Program about education services that can be provided to families. FAP can assist families to get the support and help they need, either through installation behavioral health resources, FAP counseling services, or civilian resources.
    • The Family Readiness System (FRS) is the network of programs, services, people, and agencies, and the collaboration among them, that promotes the readiness and quality of life of service members and their families. The services available through the Family Readiness System can help families develop new skills and tackle life’s challenges in every stage of military life. Services vary by installation but may include: mobility and deployment assistance, relocation assistance, personal financial management, spouse education and career services, family life education, emergency family assistance, domestic abuse prevention and response services, child-abuse prevention and response services, new parent support, exceptional family member support, non-medical individual and family counseling, transition assistance, morale, welfare, and recreation, and Information and referral.
    • 所有服务会员及其家庭都可以提供非医疗咨询。非医疗咨询计划为现役成员,国民卫队和储备服务成员及其家属提供机密,短期咨询。辅导员在心理健康领域拥有硕士或博士学位,并在州,地区或哥伦比亚地区进行许可或认证,以独立练习。非医疗咨询旨在解决在家庭和工作,压力管理,调整问题的改善之类的问题(例如,从部署返回),婚姻问题,育儿和悲伤和丧失问题等问题。这些个人课程可以面对面,通过电话和在线提供。非医学咨询尚未旨在解决儿童虐待或疏忽等长期问题,家庭暴力,自杀性思想和心理健康问题,但它可以选择面临短期压力源的家庭。有关更多信息,请访问https://www.militaryonesource.mil/confidential-help/non-medical-counseling

    Just like this lesson opened with examples of children in safe, stable, and nurturing relationships, let’s end this lesson with an example of ways you can reduce stress in a family that has experienced trauma. Consider Kyle and his mother:

    凯尔,2岁,在他的家中忽视了忽视,他的母亲目前正在报告和调查后接受社区的帮助。你注意到凯尔比平常更多地表现出来。在当天结束时,当凯尔的妈妈来捡起他时,你会看到你的同事跑到她身边并说,“你需要签署这个事件报告。今天凯尔特4个其他孩子。如果这保持上面,我们可能需要为他推荐另一个展位。“

    凯尔的母亲泪流满面,说:“我不知道我要做什么。我从工作试图成为一个更好的妈妈的工作中脱掉了这么多时间。如果我失去育儿,我恐怕我会被解雇。我要做什么?“她拉出了一个哭泣的凯尔出门。

    The next day when Kyle’s mom comes in, you rush up and say, “Good news! We had a few issues, but Kyle did much better today. We are making progress!” A smile comes across both Kyle’s and his mother’s face. You feel good knowing that just putting things in perspective can help reduce stress in the family.

    探索

    探索

    Based on what you learned in this lesson and throughout this course, write a different ending for Timothy. At each critical time point in Timothy’s story, think about what could have happened to change the family’s trajectory. Download and print theCase Study Reflection activity。描述可能对蒂莫西和他的家人产生差异的资源,支持或对话。与主管,培训师或教练分享您的回复。然后审查建议的答复以获得额外的反思。

    Apply

    Apply

    这些提示纸免于防止儿童虐待和促进幸福:用于行动2013资源指南的网络被设计为分发给父母和看护者,以解决特定的育儿关注或问题。这些信息很容易阅读,专注于具体的策略父母和护理人员可以用来照顾孩子,并加强家庭。每张尖端表都有英文和西班牙语。

    Download and print the提示纸and talk to your trainer about ways to share the information with families.

    Download and print the提示纸and share them with families.

    Spend some time reflecting on ways you strengthen families. Download and printSelf-Assessment adaptedfrom the Strengthening Families Program Self-Assessment. Use it to reflect upon your interactions and relationships with families. The full tool is available in the Management and TCS courses.

    Glossary

    Term 描述
    Maltreatment 以伤害或虐待方式对待孩子
    次要创伤应力 An emotional and physical reaction to the traumatic experiences of others. For example, you might feel a great deal of stress on behalf of a child who is injured or in danger
    Trauma A serious injury or shock (physical or emotional) to the body

    Demonstrate

    Demonstrate
    Assessment:

    第一季度

    以下哪项思想可能会妨碍与受儿童虐待或忽视影响的家庭建立积极关系?

    第二季

    你怀疑Destin的虐待妈妈虐待并提出了一份报告。几天后,Destin的爸爸进入该计划,他非常愤怒。他从该计划中撤回了Destin。你没有看到他,但你稍后学会了他叫你伤害的名字。你回应的最健康方式是什么?

    第三季

    You have just made a report of suspected child abuse after months of observing Austin and noting minor concerns. Something happened this week that made you feel sick to your stomach. You made the report, but you still can’t stop thinking about it. You can’t sleep at night. You have no appetite, and you feel nervous all the time. What might be happening?

    第四季度

    为什么安全,稳定,培养的关系被认为是“必需的”?

    Q5

    Last year you suspected Jacque’s family of neglect and made a report. Since then, Jacque’s mother has seemed very disengaged from you and the program. She seems to get angry very easily. Which of the following actions can help you support Jacque’s family?

    参考资料:

    Felitti,Vince J.等。(1998)儿童虐待与家庭功能障碍的关系对成年人死亡的许多主要原因。American Journal of Preventive Medicine.14,p 245-258。DOI:10.1016/S0749-3797(98)00017-8从...获得https://www.cdc.gov/violenceprevention/acestudy/about.html

    哈里斯,Nadine Burke。(2014年9月)Nadine Burke Harris:儿童创伤如何影响终身时间[视频文件]。从...获得https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime.

    U.S. Centers for Disease Control and Prevention (n.d.). Strategic Direction for Child Maltreatment Prevention: Preventing Child Maltreatment Through the Promotion of Safe, Stable, and Nurturing Relationships Between Children and Caregivers.

    美国健康与人类服务部(2013年)。防止儿童虐待和促进幸福:行动2013资源指南的网络。