Integrating Mental Health into Primary Pediatric Care

NEWS RELEASE

October 11, 2021
For immediate release
Media contact: Cara Scarola Hansen
Center for Child Counseling Public Relations Counsel
cara@yourmissionmarketing.com

 Integrating Mental Health into Primary Pediatric Care
Partnership between Center for Child Counseling and Palm Beach Pediatrics addresses the whole child to serve as best practice model of care

Center for Child Counseling (CFCC) in collaboration with Palm Beach Pediatrics (PBP) announce their partnership of integrating mental health care into primary pediatric care which began Monday, October 4, 2021. 

An estimated one in five children will experience a mental health disorder at some point in their lives. Of those children diagnosed with mental health disorders, 75 percent of children are currently seen in primary care settings, demonstrating the growing role primary care settings have in addressing mental health issues. At the same time, it is estimated that 75-80 percent of children in need of mental health services do not receive them.

Research has shown that unaddressed mental health problems among children can lead to lower educational achievement, greater involvement with the criminal justice system, and poor health and social outcomes overall. 

A recent Centers for Disease Control and Prevention (CDC) study reported a 31% increase in the proportion of mental health–related emergency department visits for youth ages 12–17 years during 2020 as compared to 2019. The uncertainty, anxiety, isolation, and economic insecurity from the COVID-19 pandemic are traumatic experiences that, if not addressed, can cause long-term health consequences. Youth anxiety, depression, and suicide rates were at an all-time high before the pandemic. Social isolation, fear, and stress have amplified these issues and are impacting children’s and teen’s mental health.

The pandemic is adding a huge increase in the need for pediatric mental health services. There are critical shortages in health professionals to meet the current and increasing demand for services. 

“Directly supporting trauma-informed and responsive approaches across systems that serve children and families, particularly pediatric primary care, can and will mitigate the negative impacts of overwhelming stress and help them thrive now and beyond the pandemic,” stated Renée Layman, chief executive officer of Center for Child Counseling.

For children and adolescents, many of the consequences of the pandemic will not be immediately visible, but they could be lifelong without immediate action to support their mental health and well-being. 

According to the AAP: “Pediatric clinicians are on the front lines of caring for children and adolescents and, thus, have the greatest potential for early identification of and response to childhood trauma. Data indicate that, although pediatric providers intuitively understand the negative effects of trauma, they report a lack of knowledge, time, and resources as major barriers to providing trauma-informed care. Yet, experts believe that the complete assessment of child and adolescent behavioral, developmental, emotional, and physical health requires consideration of trauma as part of the differential diagnosis to improve diagnostic accuracy and appropriateness of care.

Through this partnership, Center for Child Counseling, a local nonprofit, is embedding its services within Palm Beach Pediatrics to deliver an array of prevention, early intervention, and mental health services within the primary care setting. 

Over the past twenty-two years, Center for Child Counseling has used an integration model for services, locating CFCC staff within childcare centers, schools, and organizations serving children. This approach will now be used to fully integrate into the primary pediatric care setting for the first time. A CFCC care coordinator and therapist will be embedded at PBP, working seamlessly as a part of the PBP team to provide mental health services, consultation, crisis intervention, referral and triage, education, and resources for patients, families, and staff. 

Research shows that this holistic approach supports overall wellness, including short and long-term health outcomes.

According to Dr. Shannon Fox-Levine of Palm Beach Pediatrics, “This collaboration will promote a best practice model of care that addresses the whole child, supporting social-emotional, cognitive, and physical development to ensure that children, adolescents, and families receive immediate access to mental health services, education, and resources.”

This pediatric integration model and CFCC services to those who are not insured or under-insured are made possible thanks to grant funding through local funders such as Palm Beach Community Services, Quantum Foundation, Florida Blue Foundation, Children’s Services Council of Palm Beach County, Palm Beach County’s Youth Services Department, and Health Care District of Palm Beach County. 

About Center for Child Counseling
Since 1999, Center for Child Counseling has been building the foundation for playful, healthful, and hopeful living for children and families in Palm Beach County. Its services focus on preventing and healing the effects of adverse experiences and toxic stress on children, promoting resiliency and healthy family, school, and community relationships. 

For more information, visit centerforchildcounseling.org. Twitter: @ChildCounselPBC Facebook: @CenterforChildCounseling Instagram: @childcounselpbc

About Palm Beach Pediatrics
Palm Beach Pediatrics is one of the largest providers of primary pediatric care in Palm Beach County. With three locations spread throughout Palm Beach County (Royal Palm Beach, West Palm Beach, and Boynton Beach), they served 16,000 patients in 2020 and currently have 19,300 active patients. Palm Beach Pediatrics is committed to meeting the physical, emotional, and psychological needs of the children and young adults of Palm Beach County by providing the highest quality of care with compassion and honesty. 

For more information, visit pbpediatrics.com

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The Power of Relationships

Building healthy relationships or ‘relational health’ provides a strong foundation for life-long well-being, including boosting self-esteem, functioning better under stress, and even having better overall physical health.

On the other hand, poor relational health increases our risk for psychological distress.

Early relational health (ERH) is a term describing positive child development as a result of nurturing, warm, and responsive parent/caregiver child relationships – and safe communities defined by trust and social connectedness.

Maintaining healthy relationships takes time and attention, even under the best of times. Building or maintaining strong relationships in times of intense stress is far more challenging. Think about the stress that most of us have experienced because of the pandemic. The stress and resulting emotional fallout, particularly for children who were already facing adversity, call for immediate action and a public health approach that supports prevention and early intervention strategies.

Julie Fisher Cummings, Chair of the Board for the Community Foundation for Palm Beach and Martin Counties and Trustee of the Max M. and Marjorie S. Fisher Foundation states, “EARLY MATTERS! Research shows that 80% of brain development occurs by age 3. Recognizing this and acknowledging that social determinants of health constitute public health imperatives. Fisher Foundation has funded or is currently funding initiatives and programs as an embedded funder in Detroit to improve conditions and outcomes for children.”

Over the past few years, Mrs. Fisher Cummings has partnered with Center for Child Counseling to advocate and raise awareness across systems that make decisions on behalf of our children about the impact of Adverse Childhood Experiences (ACEs) and Adverse Community Environments. Utilizing a public health approach allows us the greatest opportunity to create systemic change because it addresses the causes, consequences, and potential cures for the impact on our youngest and most vulnerable children – and promoting relational health between children and their caregivers is at the heart of this work.

We must work toward having a society where all children grow up feeling safe and loved. Societal issues such as racism and poverty are complex but can be defeated. Science shows that many of the answers rest in early childhood.

The need has never been more urgent. There has been overwhelming grief and loss due to the pandemic. According to a recent study more than 140,000 children, primarily in communities of color, have lost a parent or caregiving grandparent to COVID-19. The death of a parent or caregiver in childhood is a significant trauma which may result in profound long-term consequences for health and well-being.

It is vital that parents and caregivers have the core capabilities - executive functioning and self-regulation skills - needed to support children’s mental health and resilience through safe, nurturing relationships. The call to action is creating a system that nurtures our most vulnerable children and families, fighting against inequities that keep intergenerational trauma firmly in place.

Mrs. Fisher Cummings states, “All are needed to create a world where every child has a chance to succeed by receiving the same support and care as my own grandchildren.”

Resources:

Center for Child Counseling

Center on the Developing Child-Harvard University

 

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Local agency aims to heal the frontline healers

NEWS RELEASE

September  10, 2021
For immediate release
Media contact: Cara Scarola Hansen
Center for Child Counseling Public Relations Counsel
cara@yourmissionmarketing.com
561-632-6747

New training creates happy, healthy healers and a happy, healthy workforce

You can’t pour from an empty cup. Center for Child Counseling (CFCC) recently launched a training program, Healing the Healers, to address the stress and various challenges faced by helpers and healers in the medical, mental, and behavioral health professions. Healers and helpers have been on the frontlines of our communities, supporting individuals and families experiencing overwhelming stress, grief, and loss. This training is designed to refill their cups.

According to the American Medical Association: Between May 28 and October 1, 2020, using the AMA Coping with COVID-19 for Caregivers Survey, 20,947 health professionals from 42 health care organizations across the U.S. assessed their workers’ stress during the pandemic. The survey found that 61% of those surveyed felt high fear of exposing themselves or their families to COVID-19, while 38% self-reported experiencing anxiety or depression. Another 43% suffered from work overload and 49% had burnout.

Burnout is a long-term reaction to occupational stress which involves, particularly, helping professions. Burnout can be caused by secondary trauma, compassion fatigue, stress or moral injury. According to several studies, it appears that up to 67% of mental health workers may be experiencing high levels of burnout, with the significant long-term impact of COVID to be determined.

Healing the Healers is designed to decrease burnout and compassion fatigue. The four-hour training teaches self-care and resilience-building strategies.

“Teaching these strategies is more important than ever as we witness frontline workers experiencing alarming rates of anxiety, depression, PTSD, and even suicide as a result of the pandemic. We must make sure that those who are helping to heal others are healthy themselves,” stated Renée Layman, chief executive officer of Center for Child Counseling. 

By utilizing CFCC’s online learning platform, the training is accessible to any healing professional anywhere in the world. 

Supported by grants from Healthier Jupiter, Community Foundation of Palm Beach and Martin Counties, and BeWellPBC, the training is low cost or free for healers in Palm Beach County to promote healing and wellness in our local community. 

Register online: centerforchildcounseling.org/healinghealers. For information on discounted rates or limited in-person training availability, email info@centerforchildcounseling.org

UPCOMING MEDIA/PHOTO OPPORTUNITY:

To formally kickoff the new Healing the Healers training, Center for Child Counseling’s entire staff of 73 members will take the training during Mental Health Wellness Day on September 27, 2021. The hybrid event will incorporate staff members participation from either in-person at the Riviera Beach City Marina (200 E 13th St, Riviera Beach, FL 33404) or online. This day will include Healing the Healers training, self-care, team building, and fun activities.

About Center for Child Counseling
Since 1999, Center for Child Counseling has been building the foundation for playful, healthful, and hopeful living for children and families in Palm Beach County. Its services focus on preventing and healing the effects of adverse experiences and toxic stress on children, promoting resiliency and healthy family, school, and community relationships. Twitter: @ChildCounselPBC Facebook: @CenterforChildCounseling Instagram: @childcounselpbc

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Beating Back-to-School Worries

When vaccines were approved to counteract the devastating effects of the global pandemic, many felt tremendous relief at the thought of life returning to a semblance of normality. But with the surging Delta variant now at play, especially in Florida, we are once again donning masks and adapting to mandates. There is no doubt that some of these issues are polarizing, but we can choose to look beyond political disagreements and focus on our children, find consensus to meet their mental health needs during this historically challenging time.

This is an unprecedentedly confusing season for all of us — even more so for children who may not fully understand the constant changes we are all facing. As our little ones return to school, they may encounter different rules there than at the local mall, for example. What presents a danger and what doesn’t in the face of an invisible, indiscriminate virus?

A good place to start is to ensure your children understand as much as they can about the virus and the choices your family (and their school) are making. Most schools are doing their best to communicate their policies to teachers and parents, and enforce them for everybody’s safety. You can do your part by helping your child understand, in an age-appropriate way, what we know about the virus and why we are changing our behavior to protect the health of ourselves and others. There are great articles for older kids and, since most children love watching animation, you can augment your conversation with countless well-produced YouTube videos for all ages on understanding the virus, how vaccines work, why we are wearing masks, and how to manage worries about Covid-19.

Talk About the Science and Their Safety

Our understanding of the science of the virus is constantly evolving based on new data, and so the messages we are receiving from experts and authority figures are changing, too. This is confusing and frustrating for adults, so imagine how confounded our children must be! Keep the lines of communication open and make the topic approachable and open to discussion.

In general, these tips are helpful:

  • Communicate often, especially when mandates/rules change.
  • Explain that scientists and researchers are learning more about the virus every day. Reinforce that, as we learn more and understand the virus better, we need to change our behaviors based on the best knowledge we have at the time.
  • Because change can be scary, explain to children that we make behavioral changes (like wearing a mask again) because we know more now. We are always adapting so we can be as strong as possible in our fight against the virus.
  • Of course, in order to do this, we must follow the latest developments from reputable sources. These include national agencies like the Centers for Disease Control and Prevention, the World Health Organization, and the National Institutes for Health. You can rely on scientific research published in scientific journals like The Lancet, the New England Journal of Medicine, and the Journal of the American Medical Association which are all highly reputable and, most importantly, peer-reviewed and validated.
  • On the flipside, avoid sharing fearmongering, unsubstantiated rumors and stories that spread like wildfire on social media platforms. Encourage older children to use their common sense thinking to evaluate the truth of rumors they hear. You can even help them cross-reference and check these stories against the valid data provided by long-standing and distinguished organizations.
  • Children look to the trusted adults in their lives to model behavior that they then tend to adopt themselves. This means if you remain calm, measured in your responses, and reasonable, your children are more likely to feel safe and display those same traits.
  • Of course, more anxious children may need more time to accept and adapt to change and may require more of your time and attention during this time.

Why Change is Hard for Children

Change is difficult for children. Transitions of any kind require quite a lot of mental processing skills – skills that children may not have fully developed yet, so patience is required. Returning to school represents an enormous change for children, many of whom have spent more than a year being home schooled. It may feel daunting, even for the most self-confident child. We offer an online training on “Implementing Effective Transitions for Children” that is accompanied by a handy, printable tip sheet on the subject.

Of course, some situations unique to being back in school may arise again after lying dormant during the pandemic. Issues like bullying, difficulties socializing or making friends, having to share with others, focusing on work, and simply taking turns may all need to be handled anew by teachers and parents.

There are ways you can make back-to-school better, however, even for children who have become accustomed to having parents close by at all times during the pandemic.

Acknowledge Anxiety:
Feeling anxious or afraid is normal and okay – everybody feels these emotions from time to time. Teach your child that we can name and manage our emotions. Remind them that they have been afraid before and will likely be afraid again but they can control their responses to fear. This will help lower anxiety by providing perspective. You can remind them: “Remember when you were afraid of the swimming pool? But you learned how to swim and now you’re like a little fish.” You can work with your child to name the exact emotion they are feeling; sometimes just naming an emotion (“I am feeling fear because this is a new situation for me.”) helps diminish its hold. Talking things through is essential. As an adult, you have a lifetime of wisdom and experience to draw on and share with your child. For very anxious children, teaching mindfulness and meditation techniques is very helpful. Do this before your child finds his or herself anxious or dysregulated. You can also learn some breathing techniques and other calming behaviors on our website.

Build Independence:
Teaching your children that they are strong and capable on their own is key. You can do this by giving them small, age-appropriate tasks and reinforcing the positive behavior when they succeed. You can say things like:

  • “You were able to set the table all on your own.”
  • “You worked that whole puzzle out by yourself.”
  • “You kept trying even when it was hard.”

Building a track record of succeeding in increasingly more independent tasks helps reinforce resilience.

Establish Routines:
During a year-and-a-half when nothing has felt normal, many useful routines fell by the wayside. Children feel safe and secure when clear boundaries are established and this includes strong routines. Setting up a before school, after school, and evening routine will help your children know what to expect when other parts of their lives feel uncertain and insecure. Combine things they like to do (like hearing a story) as an incentive to do things they may not like but need to complete (like brushing their teeth).

Do Practice Runs:
When things are new, you can lessen anxiety by helping children know what to expect. Drive past their new school or after-school sports facility; show them where exactly they will be going each day. Many schools are focusing on being especially welcoming to new students this year. Encourage your child to take part in any events or activities that allow for meet-and-greet situations with others who are also new.

Build Excitement:
Focus on what’s good. Are they making new friends? Is there one teacher they are finding especially interesting or fun? What is new this year that they haven’t done before? Looking for bright spots is a great antidote to negative or anxious thinking.

Make the Most of Masks:
Masks are undoubtedly a barrier to human communication and closeness. Many of us find it challenging to simply let others know we are smiling, for example, when we are wearing a mask. We offer an online training to help parents, teachers, and caregivers to build resilience and manage children’s anxiety entitled: “Showing Affection During Covid-19.”

As the inevitable ups and downs of this return-to-school period arrive, however, the most important thing to remember is that children are like sponges, absorbing the attitudes, opinions, and atmosphere around them. If you choose to model behaviors that are calm, positive, supportive, and reassuring, you will see that your child will call on their innate resilience, as well as the life skills you have taught them, and find a way to thrive.

Sign up now for news, events, and education about Adverse Childhood Experiences (ACEs) and promoting resilience.


By submitting this form, you are consenting to receive emails from: Center for Child Counseling, 8895 N. Military Trail, Palm Beach Gardens, FL, 33410. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email.

ACEs and Attachment: Why Connection Means Everything

Anyone who has ever looked into the intense stare of a newborn baby knows that human beings, from infancy, seek connection. The bond between a baby and its caregivers (usually mom and dad) is one of the strongest of all relationships. It’s the relationship on which all future interactions with others will be based. We are social creatures and much of our communication is nonverbal. This means we rely on body language, gestures, tone of voice, and other subtle clues in addition to the actual words we use to convey the meaning of what we're saying. Babies are attuned to all these forms of communication long before they have the capacity to speak.

From the moment a child is born—in fact long before then, in vitro—they are connecting with their primary caregivers and siblings. Scientific research shows that the degree of connection a child experiences in the first crucial years of life sets them up for success or challenges for the rest of their lives. Let's explore why attachment is so important and why failure to attach as a result of childhood adversity can become a barrier to lifelong health and well-being.

Types of Attachment

Infant and early childhood attachment can be divided into four types:

  1. Secure
    A child feels secure when their needs are met by their caregivers, consistently and lovingly. A child with secure attachment learns that they are important and that adults can be relied upon and trusted.
  2. Insecure
    A child who experiences poor attachment feels insecure and unsafe in their environment. They learn that their needs are not met consistently, and they may become either anxious/resistant or anxious/avoidant types.
  3. Disorganized
    When the attachment is inconsistent (meaning that sometimes the child's needs are met and they are comforted and sometimes they are ignored and become frightened) attachment feels unreliable. The child feels fearful and mistrustful and may show several responses from freezing in the presence of their caregivers to desperately clinging to them.
  4. Disrupted
    When a child does not have a consistent primary caregiver, attachment is especially unreliable. This can occur when children are abandoned, neglected, or shuttled between different parents/caregivers and between a variety of homes without stable relationships.

You can learn more about the different attachment styles here.

Clearly, secure attachment offers a child the best opportunity for a healthy start in life.
Secure attachment offers three major benefits:

  • It gives the child a solid sense of security
  • It helps a child learn to regulate their emotions, experience happiness, and self-calm
  • Offers a good, safe “base camp” from which to explore the world

Sadly, the opposite is also true. A child who has failed to attach securely to his or her caregivers may show developmental impairment, both neurologically and behaviorally. This child may demonstrate learning difficulties and find it hard to form relationships with other children and adults. These issues may plague a child as they grow and manifest as severe issues in adulthood.

Be Aware of the Signs

What early signs can you look for that might suggest a child has had difficulty with attachment? In infants and toddlers, you may see a lack of emotional response or little interest in responding to sights, sounds, or touch. They may reject touch and avoid playing with others. They may find it very hard to soothe themselves or calm down; they may avoid being comforted.

Slightly older children, those of preschool age or in kindergarten, for example, may not wish to play with others; they may not communicate well and often have poor language skills. They may fight frequently with other children and not consider the needs of others. Attachment disorders can result in a child feeling fearful or on-guard at all times. Significantly, they often do not turn to adults for help and this reluctance to trust and bond can further burden the caregiver/child relationship.

Our manual and online training A Way of Being with Children: A Trauma-Informed Approach to Building Resilience dedicates sections to attachment and the neurosequential development of children’s brains to help you better understand the crucial need for security during the first few years of life.

Attachment and ACEs

Clearly, the negative consequences of poor attachment show up early and can last throughout the lifespan. So, where do Adverse Childhood Experiences (ACEs) and attachment intersect? When we look at the original list of 10 ACE questions first identified in studies conducted in the mid-1990s, we can identify areas of abuse, neglect, and household dysfunction that contribute to childhood adversity. It is not hard to look at these situations or experiences and see how secure attachment is unlikely to happen in homes where these circumstances are present.

For example, in a home where the primary caregiver has been incarcerated and so is absent, attachment between that caregiver and their child simply cannot occur. The ACE is incarceration of a parent or caregiver, but poor attachment is the result.

For another example, in a home where severe substance abuse is prevalent, the substance abuser may well be unavailable or incapable of forming secure attachment with their child. While the ACE is substance abuse on the part of the caregiver (and possibly neglect), once again the result may well be poor attachment.

In a previous blog, we looked into the issue of Adverse Community Environments. Children being raised in neighborhoods with poor community supports, physical danger due to violence, and a lack of opportunity for their parents and caregivers are at greater risk for high ACE scores. These negative environments place a strain on adults’ ability to form attachment with their children. The environment itself, in the home and in the greater community, is simply not conducive to effective attachment.

While we cannot hope to make up all the ground children with insecure attachment have lost, the good news is that we can go a long way to providing attachment lessons and modeling for young children. The most important thing is to be aware that, sadly, many children entering kindergarten and school arrive without the benefit of having formed secure attachments at home. This one simple fact will help teachers and caregivers understand that not all children arrive ready to learn from the same starting place. Many have missed out on crucial stages of neurological development. Studies show these children may require more care, time, and personal attention but, as an adult in their life, you can provide them with the connection they need to thrive.

Cause for Hope

Even when children have missed out on vital primary caregiver attachment during the formative years, simple connection can go a long way to help them catch up developmentally. The old African proverb: it takes a village to raise a child has never been truer. Positive adult interactions can help buffer the effects of toxic stress in growing children, helping to get their development back on track. Children can benefit from time with well-balanced adults like extended family members, coaches, community leaders, and, crucially, teachers. The realities of modern life, including divorce, job insecurity, financial pressures, and the general increase in population mobility, have taken their toll on the traditional family unit. We now understand that a traditional nuclear family is not the only path to raising successful, happy children, however. Increasingly, studies show that children raised with love, affection, and caring discipline, regardless of who is doing that raising, are likely to enjoy happy outcomes. The key is the quality, patience, and love demonstrated by the caregivers -- no matter who they are. 

Why Teachers Matter Beyond Academics

The role of positive, caring adult in a child’s life is increasingly falling to teachers and those working in childcare settings. These men and women form the framework or scaffolding to build strong human beings for the next generation. Teachers often serve as an attachment figure for children; sometimes, they become real-life heroes in a child's life. The importance of this precious role cannot be overstated. Teachers are the models for many children’s first experience of a successful, calm, well-adjusted adult. By providing “secondary attachment” for children who may have missed out on some of the benefits of secure attachment, teachers can become one of the most important people in a child's life, a member of the child's extended family, and a positive example of a successful adult.

As adults, are we doing our best to compensate for poor attachment and childhood ACEs? Are we doing our very best to model well regulated, resilient behaviors? Center for Child Counseling offer lots of ways to provide positive engagement with children in your life from training workshops, to ways to play, to this educational blog series on Fighting ACEs. Let’s focus on how we interact with young minds because we may be the best example to a child who is looking to believe in people again.

Sign up now for news, events, and education about Adverse Childhood Experiences (ACEs) and promoting resilience.


By submitting this form, you are consenting to receive emails from: Center for Child Counseling, 8895 N. Military Trail, Palm Beach Gardens, FL, 33410. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email.

Youth mental health, an echo pandemic, escalates demand for supportive adults

NEWS RELEASE

June 23, 2021
For immediate release
Media contact: Cara Scarola Hansen
Center for Child Counseling Public Relations Counsel
cara@yourmissionmarketing.com
561-632-6747 

Youth mental health, an echo pandemic, escalates demand for supportive adults

Online training and public health campaign gives adult caregivers a new way to simply ‘be’ around children and build a trauma-informed community

While COVID-19 physically impacts some, it has impacted mental health on a much broader scale. A recent Centers for Disease Control and Prevention (CDC) study reported a 31% increase in the proportion of mental health–related emergency department visits for youth aged 12–17 years during 2020 as compared to 2019. 

Stress-induced cognitive and physical impairments and toxic stress related to the unpredictability of the COVID-19 pandemic has been prolonged and exaggerated. Another recent survey found that 64% of teens believe “the experience of COVID-19 will have a lasting impact on their generation’s mental health,” and 6 in 10 teens say their sources of support are harder to reach than normal.

Youth mental health issues have caused an echo pandemic of increased incidences of depression, anxiety, and suicide, escalating the demand for both therapists and other supportive adults who are mentally healthy themselves.

The science of early adversity proves that in the absence of protective relationships, toxic stress in childhood can change the architecture of the developing brain. Adverse childhood experiences (ACEs) impact everything–classroom behaviors, learning and comprehension, the ability to self-regulate–and can dramatically heighten the risk for future mental and physical health concerns. 

Center for Child Counseling (CFCC) recently launched “A Way of Being with Children: A Trauma-Informed Approach to Building Resilience.” This online training for parents, teachers, childcare workers, or anyone who regularly interacts with children and families, along with a public health campaign, aim to build a more trauma-informed community so that children can grow up with adults who understand the impact of trauma and adversity and do not risk re-traumatizing children through their words or actions.

Being trauma-informed involves understanding, sensitivity, and a deep knowledge of how trauma can affect a child’s growing brain and potentially result in lifelong physical and mental health implications.

The 5.5 hour online course, accompanied by a spiral-bound manual with over 80 pages of practical advice and technique-building exercises, introduces a new way for adults to simply “be” around children–a better way that can help bring families closer together and make the time spent with children happier and more fulfilling. Based on decades of research into childhood brain development and the expertise of countless childcare workers and professional therapists, “A Way of Being” aims to create family and school relationships where children feel accepted and parents and teachers feel empowered. 

Center for Child Counseling was founded in 1999 with the vision that every child will grow up feeling safe and nurtured in communities where they can thrive. CFFC’s work started in Palm Beach County, Florida, childcare centers, providing therapeutic support for young children experiencing adversity and trauma, while equipping their caregivers with effective practices for building social-emotional well-being and resilience. 

The Center’s work has expanded beyond childcare centers to now working with children birth to age 18 in schools, the community, and the child welfare system. A primary goal is to help providers, educators, caregivers, and child-serving systems to shift their everyday ‘way of being’ with children, families, and communities who have experienced adversity and trauma from a “What’s wrong with you?” to a “What happened to you?” approach. Using a prevention and healing-centered lens, CFCC focuses on changing the systems and practices that keep adversity and trauma firmly in place. 

For over two decades, CFCC has worked in partnership with families and communities, interacting with children in their most natural state of being: when they are at play. “A Way of Being” was developed based on this work and research over the last twenty years–grounded in science, guided by the voices of the families helped, and founded on best-practice principles using a trauma-informed, racial-equity lens. 

In conjunction with the online training, the Center has also launched a public health campaign on social media–including Facebook, Twitter, Instagram, LinkedIn, and YouTube–promoting this new way of being. The campaign aims to build awareness and education of the positive ways that adults can interact with the children in their lives to build lifelong resilience. 

“The goal is for all community members to understand and own the idea that we each have a stake and role in child and family wellbeing. The need for adults to provide positive mental health support has significantly increased during COVID-19. Children have tremendous potential–which our society needs–and which we have a shared obligation to foster and protect,” said Reneé Layman, chief executive officer of Center for Child Counseling. 

“A Way of Being with Children” online training and public health campaign has been made possible through the partnership and support of  Florida Blue Foundation, Early Learning Coalition of Palm Beach County, and Children’s Services Council of Palm Beach County. Grants from these funding partners make the training (live and online) available to childcare centers and public schools in Palm Beach County at no cost.

For more information on “A Way of Being” or to register for the online training or purchase the manual, visit: centerforchildcounseling.org/awayofbeing. For more information on training options for childcare centers, schools, or organizations, contact: info@centerforchildcounseling.org.

About Center for Child Counseling
Since 1999, Center for Child Counseling has been building the foundation for playful, healthful, and hopeful living for children and families. Its services focus on preventing and healing the effects of adverse experiences and toxic stress on children, promoting resiliency and healthy family, school, and community relationships. 

Twitter: @ChildCounselPBC Facebook: @CenterforChildCounseling Instagram: @childcounselpbc

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CFCC Board Member, Eddie Stephens, Honored with Prestigious Florida Bar Award

West Palm Beach, FL (June 17, 2021)Ward Damon equity partner Eddie Stephens was honored at the recent 2021 Annual Florida Bar Convention. Board-certified marital and family law attorney Eddie Stephens received the Florida Bar’s Excellence in the Promotion of Board Certification Award, recognizing his efforts to raise awareness about board certification for lawyers in Florida.

The Excellence in The Promotion of Board Certification Award recognizes excellence and creativity by a Florida Bar Board Certified lawyer or a law firm in advancing the public’s knowledge of and appreciation for legal board certification. Eddie Stephens created a monthly CLE series with board certification tips of the month which generates revenue donated to the Center for Child Counseling, Inc., as well as a program on how to pass the marital and family law board certification examination.

Eddie Stephens is a board certified attorney in Marital and Family Law who specializes in high-conflict matrimonial law.  He also leads the marital and family law department and manages community relations for the firm.  Stephens has earned the AV® Preeminent™ Peer Review Rating by Martindale-Hubbell, a professional rating indicating the highest ethical standards and professional ability, and has been selected for inclusion in Best Lawyers in America®, a peer-review publication recognizing the top 4% of attorneys in the country.  He graduated from the Leadership Palm Beach County Class of 2015, serves on its Board of Governors, and is currently Program Chair of Leadership GROW, its youth leadership program.  Stephens also serves as the Directors for Legal Education for the Center for Child Counseling in Palm Beach County.  Stephens earned his B.B.A. from the University of Miami and his J.D. at Stetson University College of Law.

About Ward Damon

Ward Damon, PL is an AV-rated, multidiscipline law firm serving the legal needs of its clients and community since 1987.  Ward Damon represents businesses and individuals through legal counseling, transactional work and litigation in federal and state courts.  Attorneys support clients in a variety of practice areas including real estate, business and corporate, marital and family, labor and employment, healthcare, construction, intellectual property, wills, trusts, and estates and more.  The firm has offices in West Palm Beach, Boca Raton, Jupiter and Stuart.  For more information, visit www.warddamon.com or call 561.842.3000.

Renée Layman Recognized for Leadership Excellence

CFCC’s CEO Renee Layman with LPBC’s President Vicki Chouris

On Thursday, June 3, 2021, Leadership Palm Beach County (LPBC) hosted it’s annual Leadership Celebration at the South Florida Science Center and Aquarium to celebrate graduates of its Engage program and honor the recipients of its 2021 Leadership Excellence Awards. The Leadership Excellence Award was created to celebrate those alumni who reflect LPBC’s core values of connecting, collaborating, and change; individuals who have made a notable contribution to improve and impact our community.

Center for Child Counseling (CFCC) is proud to announce that CEO Renée Layman was awarded the prestigious President’s Award for leadership and community impact. This award, selected by the current president and LPBC’s Board of Directors is presented annually to a leader who embodies organizational excellence and also consistent and intensive positive influence in educating, serving, and supporting local communities. Vicki Chouris, President of the LPBC Board and CEO of the South Florida Fair selected Ms. Layman for her dedication, selflessness, and commitment to the children and families of Palm Beach County.

During her speech at the event, Ms. Layman talked about the work she has conducted since she graduated from Leadership Palm Beach County in 2010. She is not only a dedicated alumnus of the LPBC organization but her work in her capacity as CEO of CFCC has impacted the mental health and well-being of thousands of children and families.

Beyond ACEs: Working Towards Acceptance

At Center for Child Counseling, we are seriously committed to helping educate the community about Adverse Childhood Experiences (ACEs). We offer free trainings through our online learning platform, we work in schools and community centers to bolster the childcare workforce, and we even host expert panels like last month’s “Lead the Fight” virtual panel event which brought together local leaders to discuss the best opportunities for building a more trauma-informed community within specific sectors. We even release this monthly blog post as part of a researched educational series to discuss every aspect of childhood trauma and adversity.

But to focus exclusively on ACEs is to miss the full picture. If childhood adversity has potentially lifelong physical and mental health implications that can be devastating to individuals and communities, then childhood positivity, happiness, enrichment, and learning are bound to have the opposite effect – building lifelong resilience and communities that are strong and thriving.

Positive Childhood Experiences

So, let’s focus on positive childhood experiences for a while, those aspects of childhood that we all look back on with joy and credit with making us the people we are today. Childhood positivity is the antidote to ACEs. If we can build positive childhoods for our children where they feel secure, valued, and understood, we can surely ensure a much brighter planet for everyone.

But where does positivity start? It begins, of course, long before a baby is even born with prenatal care, but really, it begins before that with the good mental health and social support of both parents. Once a baby is born, the first few years of life are especially crucial. Very young infants and children are exposed to very little else besides their immediate parents and caregivers. They interact with the world through these people and the connections and attachment they build within these relationships. So how can we make these first interactions as positive as possible? It all starts with acceptance. In fact, all successful and healthy human relationships include strong components of acceptance. Nobody likes to feel judged. Everybody wants to be seen and known and loved for exactly who they are.

This is, however, easier said than done. Reaching a state of acceptance can sometimes be a lifelong journey. Very few parents end up with their dream child who is everything they imagined, never lets them down, and never puts a foot wrong. How could we expect that from a little, growing human being? Just as we delight in a child’s little triumphs and achievements like their first steps or words, so we inevitably see their little flaws, too – perhaps the first signs of stubbornness or a bad temper. Like all humans, a child is a complex combination of factors, personality traits, quirks, tendencies, and eccentricities. But the beginning of childhood positivity comes when a child feels that they are truly loved and accepted for who they are by the most important people in their lives – their parents, caregivers, and/or siblings.

Let’s look at ways we can work towards acceptance as the foundation of positive childhood experiences.

Focus on Being a Mindful Parent

The key to having a great relationship with your child is to really know them. Being connected to your child and in tune with their feelings helps them feel accepted and valued. Mindful parents bring awareness to interactions with their children, pulling lessons from situations to help the child better understand the world around them. Here are some ways you can show a child you want to know them for who they really are:

  1. Practice Active Listening: Really focus on what your child is saying and the words they choose to use. A lot of communication is non-verbal, so pay attention to gestures and facial expressions, too. Try to look your child in the eye or go down to their level to show they have your full attention. This type of focused listening helps you understand your child better and shows them that their needs matter to you.
  2. Communicate by Reflecting Back: Mirror back what a child tells you. Don’t judge; just repeat back what you hear them saying. For example, “You feel sad and worried because your puppy is sick.” This helps a child identify their emotions and name them. It helps build awareness of their own behaviors and reactions and lets them know you are understanding them.
  3. Help by Labeling Emotions: Often, children lack the vocabulary to name their emotions and so suffer from frustration. Hep you child become aware of different emotions by naming them. You can also connect an emotion with a behavior, so help a child make better choices. For example, “I know you are angry because your face is red and you’re yelling.”
  4. Demonstrate Self-Regulation: The best parents lead by example. They show their children techniques they use to calm down or practice self-control (this is called self-regulation). Maybe you count to ten slowly, or do breathing exercises, or choose to laugh and make a silly joke and laugh to diffuse tension. Your child learns from you.
  5. Show Empathy and Compassion: Showing empathy towards your child when they are upset shows them that you love them despite the situation and demonstrates your acceptance of them despite their behavior. Kindness goes a long way in helping a child feel accepted.

Understand Where Your Child is Developmentally

Sometimes, a parent or caregiver’s frustration with a child stems from a misunderstanding of the ages and stages of child development. For example, you may have heard of the “terrible twos” and even the “terrible threes” when children can be particularly exasperating because of their seeming defiance and love of the word: “No!” You may have found it hard to accept your child’s behavior at this stage, but when you understand that this is the very specific period of development when children are learning to understand their sense of self, it makes more sense that they are testing their autonomy and testing you. Often, understanding where your child is developmentally will help you avoid feeling frustrated with them. In our manual “A Way of Being with Children: A Trauma-Informed Approach to Building Resilience”, we dedicate an entire section to childhood development and a child’s developing brain, so that you can fully understand where your child is at each age.

Examine Yourself and Your Child

There may be a tendency to imagine your child as a reflection of you. For biological moms, this is most natural of all since the baby grew directly inside their body and was a part of them. But it’s valuable to examine how your child is different from you as well as how they are the same. The more you look at the differences your child displays when developing their own fully formed personality, the more you’ll be able to appreciate that they are unique individuals and that they are going to experience their own joys and struggles in life that will have very little to do with your journey. Noticing and appreciating differences is the first step in accepting your child as an individual.

Free Your Child From Your Dreams

Most parents have some preconceived notions about what their child will be like and what they will achieve in life. This is only natural and probably stems from great intentions. Who wouldn’t want a child to achieve great things in their career? Who wouldn’t want their child to experience the independence and excitement of going to college? But the truth is that many of your dreams for your children may not come true. Assumptions you’ve made about the choices they’ll make are likely wrong. College may not be right for your child. They may choose to pursue other interests. This can be particularly painful for parents who have very set ideas for the children, such as taking over a family business or following in the family’s religion. But the secret to maintaining a strong relationship with your child is accepting that they may not always do what you believe to be best for them. They are their own people and, like you, are going to make both good and bad choices in their lives. You cannot save them from bad choices or their consequences. But you can accept them and prepare them. You can only support them, guide them, and give them the best possible foundation for success by teaching them sound judgment and common sense.

Accept Yourself

Many of us come to self-acceptance later in life. As we mature and grow wiser, we realize that life may not turn out exactly as we planned. We may have failed at something very important to us. We may not have fulfilled all our dreams. We slowly learn to feel okay about that and make peace with ourselves. Reaching self-acceptance is a large part of accepting others. When we’re critical of others (in other words judgmental), it’s often because we feel they are demonstrating negative traits or behaviors that we fear we, too, may be prone to. So, when you are being critical of your child, is it most often during times when you feeling bad about yourself? In other words, are you taking out your lack of self-acceptance on your child because you’re trying to protect them from your own flaws and failings that you perhaps see mirrored in them?

If you want to work on building a better relationship with your children, we encourage you to explore our free trainings on a variety of topics relevant to parents and caregivers. We also offer an array of free resources from ways to play more creatively with your children to ways to help children through a crisis or disaster. Our world-class manual on understanding and enjoying children more fully entitled “A Way of Being With Children: A Trauma-Informed Approach to Building Resilience” is available in print format or as a series of online trainings. We know it will help you build the foundation for a more playful, healthful, and hopeful family life.

Sign up now for news, events, and education about Adverse Childhood Experiences (ACEs) and promoting resilience.


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Online training and public health campaign to transform adult caregivers

NEWS RELEASE

May 26, 2021
For immediate release
Media contact: Cara Scarola Hansen
Center for Child Counseling Public Relations Counsel
cara@yourmissionmarketing.com
561-632-6747 

Center for Child Counseling launches online training and public health campaign to transform adult caregivers 

A new way to simply ‘be’ around children and build a trauma-informed community

Center for Child Counseling recently launched “A Way of Being with Children: A Trauma-Informed Approach to Building Resilience.” This online training for parents, teachers, childcare workers, or anyone who regularly interacts with children and families, along with a public health campaign, aim to build a more trauma-informed community so that children can grow up with adults who understand the impact of trauma and adversity and do not risk re-traumatizing children through their words or actions.

Being trauma-informed involves understanding, sensitivity, and a deep knowledge of how trauma can affect a child’s growing brain and potentially result in lifelong physical and mental health implications.

The 5.5 hour online course, accompanied by a spiral-bound manual with over 80 pages of practical advice and technique-building exercises, introduces a new way for adults to simply “be” around children–a better way that can help bring families closer together and make the time spent with children happier and more fulfilling. Based on decades of research into childhood brain development and the expertise of countless childcare workers and professional therapists, “A Way of Being” aims to create family and school relationships where children feel accepted and parents and teachers feel empowered. 

Center for Child Counseling was founded in 1999 with the vision that every child will grow up feeling safe and nurtured in communities where they can thrive. CFFC’s work started in Palm Beach County childcare centers, providing therapeutic support for young children experiencing adversity and trauma, while equipping their caregivers with effective practices for building social-emotional well-being and resilience. 

The Center’s work has expanded beyond childcare centers to now working with children birth to age 18 in schools, the community, and the child welfare system. A primary goal is to help providers, educators, caregivers, and child-serving systems to shift their ‘way of being’ with children, families, and communities who have experienced adversity and trauma from a “What’s wrong with you?” to a “What happened to you?” approach. Using a prevention and healing-centered lens, CFCC focuses on changing the systems and practices that keep adversity and trauma firmly in place. 

The science of early adversity proves that in the absence of protective relationships, toxic stress in childhood can change the architecture of the developing brain. Adverse childhood experiences (ACEs) impact everything–classroom behaviors, learning and comprehension, the ability to self-regulate–and can dramatically heighten the risk for future mental and physical health concerns. 

For over two decades, CFCC has worked in partnership with families and communities, interacting with children in their most natural state of being: when they are at play. “A Way of Being” was developed based on this work and research over the last twenty years–grounded in science, guided by the voices of the families helped, and founded on best-practice principles using a trauma-informed, racial-equity lens. 

“A Way of Being” represents a shift in working with children and each other. It provides the foundation for shifting everyday practice to support children’s social-emotional well-being to build lifelong resilience. 

In conjunction with the online training, the Center has also launched a public health campaign on social media–including Facebook, Twitter, Instagram, LinkedIn and YouTube–promoting this new way of being. The campaign aims to build awareness and education of the positive ways that adults can interact with the children in their lives. 

“The goal is for all community members to understand and own the idea that we each have a stake and role in child and family wellbeing. Children have tremendous potential–which our society needs–and which we have a shared obligation to foster and protect,” said Reneé Layman, chief executive officer of Center for Child Counseling. 

“A Way of Being with Children” online training and public health campaign has been made possible through the partnership and support of  Florida Blue Foundation, Early Learning Coalition of Palm Beach County, and Children’s Services Council of Palm Beach County.

For more information on “A Way of Being” or to register for the online training or purchase the manual, visit: centerforchildcounseling.org/awayofbeing. For more information on training options for childcare centers, schools, or organizations, contact: dominika@centerforchildcounseling.org.

Since 1999, Center for Child Counseling has been building the foundation for playful, healthful, and hopeful living for children and families in Palm Beach County. Its services focus on preventing and healing the effects of adverse experiences and toxic stress on children, promoting resiliency and healthy family, school, and community relationships.

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Sample of public health approach awareness campaign being used on social media.

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