My concern about this report is not the content, which is basically what many of us have written at one time or another (and it's perfectly good). It's the challenge, in these times, of making grand recommendations. For some time, I have written about the urgency of state and community level dialogue and engagement. Working with schools, with community groups, with state advocacy groups...this is where we must focus...our ...more »
Can child wellness be achieved if parental wellness is lacking? What are promising practices in two-generation approaches to better mental and physical health?
Community, domestic and parental violence are all symptoms of the same disease - trauma. 'Fight' is a trauma response and if you live in the survival part of your brain, as many survivors to, then everything will be seen as a potential threat with only one conditioned response - violence. There really is no separation between the types of violence, only that resilience depends on whether you have experienced a physical ...more »
Community schools place health and wellness alongside learning and family supports to reinforce two-generation impact. Through community school partnerships, schools become hubs for early childhood education, well-child visits, family financial literacy, after school and summer programs, behavioral health counseling, high school and college preparation, and much more. Further, community schools present an opportunity ...more »
Are we ready to do away with distinctions between “mental” and “physical” health? Why and why not?
The report suggests that to separarte mental and physical wellness is artificial and can be harmful. Are there examples of how organizations or systems have overcome structural and financial barriers to providing integrated and holistic care that builds resilience in children and their families?
School-Based Health Centers can be the link among several report recommendations to achieve wellness in children and youth. SBHCs increase access to integrated health services, support families and students through universal wellness programs and direct mental health services, and influence school climate through teaching trainings, social-emotional learning programs, and youth-led stigma reduction campaigns. In order ...more »
The Academy on Violence and Abuse (www.avahealth.org) is an interdisciplinary, non-profit professional organization that brings together experts in the health impacts of violence and abuse from across disciplines and settings. This collaborative, research-focused group was created to address the concerns highlighted in a 2002 report released by the Institute of Medicine (IOM) regarding the health impact of violence and ...more »
To the best of my knowledge, this report is among the first publications to synthesize what we know about violent environments and child wellbeing. Additional research would help strengthen the argument that an integrated approach is needed by helping us know when in a child's life various types of violence are most detrimental. This would give us a better idea of when and where to intervene so we can develop evidence-based ...more »
The missing dynamic in forming strength-based approaches in many of the family-serving systems in our state include family education, empowerment and engagement. It is quite evident that when families are educated, empowered and engaged, they become active participants in the process of healing, and improving the overall health and wel lbeing of their families. The common thread of families lack of access to appropriate ...more »
In attempts to educate admins, teachers, and students about the impact of trauma on learning, I've had mixed responses. Admins/some teachers tend to view a "trauma-informed" models (Sanctuary, trauma-education, reflective supervision) as focused on "illness," making excuses for poor behavior, and stigmatizing. Other teachers are more open, and during training, one can see the "light bulb" moments happening for them ...more »
The point is that mental health policy needs to effectively develop a full intervention continuum: (1) promotion of mental health, (2) a focus on prevention of MH related problems, (3) a focus on responding as early after the onset of problems as is feasible, and (4) enhanced systems of care. It also needs to encompass a sophisticated approach to the role of schools. It is especially essential not to present wellness ...more »