Families who have experienced traumatic events like abuse or neglect need support. This lesson will continue to describe the protective factors framework. It will provide strategies for strengthening all families including those affected by abuse or neglect.
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- 确定防止儿童虐待和忽视的保护区因素。
- 描述与家庭创伤有关的压力因素。
- 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。
学习

知道
Think about these three words: Safety, Stability, 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 is just 6 weeks old. After a high-risk pregnancy and complicated delivery, Chandra’s mom, Jayne, is nervous about going back to work. As a single mom, she knows it is something she has to do. Jayne is happy that Chandra has a space in the Child Development Center. Several of her friends and co-workers have infants in the program, too. She makes an appointment to meet Chandra’s teachers and tour the child development center that Chandra will enter next week. Jayne brings her own mother with her on the tour. Jayne’s mother has been a big help since the baby was born. Jayne knows she can count on her to help whenever she can. Chandra sleeps peacefully in Jayne’s arms throughout the tour. 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。亚慱彩票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”。
Ravi waits patiently for his father to pick him up from the school-age program. His mom is coming home tonight from a 6-month deployment. He can hardly wait. He quickly glances out the window and sees his dad’s car pull into the parking lot. He carefully picks up the artwork he created for his mom. It’s so precious to him that he won’t even put it in his book bag. As dad comes in, Ravi rushes over, hugs him while carefully protecting the artwork, and asks, “Is it time?” They drive together to the welcome site and chat about Ravi’s day, the preparations they made for mom, and the things they’ll do together over the next few days.
Like all families, Chandra’s, Charlotte’s, and Ravi’s families have experienced some stress. Whether faced with single parenting, relocation, separation, financial or job-related stress, strong families are resilient and bounce back. No matter what, they make sure their children have safe, stable, and nurturing relationships. Chandra’s mom has extended family support, close friends, and a strong bond with her infant. She is beginning to build a strong relationship with the caregiver at the child development center. Charlotte’s parents understand her emotional needs. They help her maintain connections with old friends and build new friendships. Ravi’s family communicates with one another, celebrates one another, and spends time connecting and reconnecting.
疾病控制和预防的中心考虑了安全,稳定,培养的关系,就像这些“童年的必需品”之一。让我们探讨疾病控制中心如何定义这三个词。
- Safety:Safety is “the extent to which a child is free from fear and secure from physical or psychological harm.” This means that adults protect child from harm. Adults regulate their own emotions and monitor children’s development.
- 稳定性:稳定性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.
- 培育:培育is “the extent to which a parent or caregiver is available and able to sensitively respond to and meet the needs of their child.”
安全性,稳定性和培育关系在整个生活中都很重要。不幸的是,创伤(如虐待或疏忽)可能会损害或摧毁孩子的安全感,稳定和培育。这种影响发展。想想学龄儿童在你的照顾中。他们所有人都有安全,稳定和培育的关系吗?根据您已经学到的内容已经学到了本课程,很明显,对于一些孩子来说,答案是“不”。但是,我们不必接受这个答案。我们的工作是帮助加强家庭,帮助每个人回顾他们的童年并回答,“是的。”
您可以通过意识到影响您家庭的压力源来完成此操作。参与涉嫌儿童虐待或忽视的案例可能对家庭带来了极大的压力。本课程的其余部分将重点关注(a)您在一份报告中涉及的行为或问题以及(b)如何帮助经历这种创伤的家庭。记住:任何时候你都不舒服或不知道该怎么办,你可以去你的T&CS或主管寻求帮助。你不需要孤单。
看到
许多参与儿童虐待或疏忽指控的家庭都经历了某种创伤。这可能意味着他们经历了虐待或忽视了孩子。在家中也可能有家庭暴力。他们可能会遇到家庭或社区暴力。
创伤可以影响家庭如何与您互动。寻找这些特征(预防儿童虐待,2013):
经历过创伤的家庭可能会发现与您建立信任关系很难。他们可能并不容易信任任何人。
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。
- 该y 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。
经历了创伤的家庭
做
该following list of strategies is from the Preventing Child Maltreatment and Promoting Well-Being: A Network for Action 2013 Resource Guide. Consider ways you can use these strategies to support families who have experienced trauma:
- Talk to your米尔T&CS或任何时候支持的监督员,您对一个家庭有疑虑。
- Understand that parents’ reactions (including anger, resentment, or avoidance) may be reactions to trauma. Do not take them personally.
- Remember that parents who have experienced trauma are not “bad.” Blaming or judging them is likely to make the situation worse.
- Recognize that all parents want their children to be safe and healthy. Compliment parents’ good decisions and healthy choices when you see them.
- Stay calm, and keep your voice as neutral and non-threatening as possible. Model direct and honest communication.
- 始终如一。当你做出承诺时,通过。
- 请注意,您可以体验次要创伤压力,当您看到或听到其他人的创伤时可能会发生。照顾好自己,花点时间来解决自己的反应,当你觉得你被压倒时。
您应该了解社区中家庭可用的资源米尔或安装:
- 存在军事家庭宣传计划,受害者宣传和过渡赔偿,以通过预防,干预,待遇和受害者援助来解决家庭滥用。访问http://www.milelateonesource.mil/abuse.想要查询更多的信息。
- 家庭准备系统(FRS)是计划,服务,人员和机构的网络,以及其中的合作,促进了服务成员及其家庭的准备情况和质量。通过家庭准备系统提供的服务可以帮助家庭在军事生活中的每个阶段提出新的技能,并解决生活的挑战。服务因安装而异,但可包括:移动和部署援助,搬迁援助,个人财务管理,配偶教育和职业服务,家庭生活教育,紧急家庭援助,国内滥用预防和响应服务,虐待预防和响应服务,新父母支持,特殊家庭成员支持,非医疗人员和家庭咨询,过渡援助,士气,福利和娱乐以及信息和推荐。
- Non-medical counseling is available to all Service members and their families at no cost. Non-medical counseling programs provide confidential, short term counseling to active duty members, National Guard and reserve service members and their families. Counselors possess a master’s or doctorate degree in a mental health field and are licensed or certified in a state, territory or the District of Columbia to practice independently. Non-medical counseling is designed to address issues such as improving relationships at home and work, stress management, adjustment issues (for example, returning from a deployment), marital problems, parenting, and grief and loss issues. These personal sessions are available face-to-face, by phone, and online. Non-medical counseling is not designed to address long-term issues such as child abuse or neglect, domestic violence, suicidal ideation and mental health issues, but it can be an option for families that are facing short-term stressors. For more information, visithttps://www.militaryonesource.mil/confidential-help/non-medical-counseling。
就像这个课程与儿童的例子一样,安全,稳定和培养的关系,让我们结束这一课程,这课程可以减轻经历了创伤的家庭中的压力。考虑凯尔和他的母亲:
凯尔在家里遭受了忽视,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。凯尔今天打了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。如果我失去了这个课后的空间,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。
第二天当凯尔的妈妈进来时,你匆匆忙忙地说,“好消息!我们有一些问题,但凯尔今天做得更好。我们正在取得进步!“凯尔和他母亲的脸上笑着笑。你觉得很好知道只是把东西放在角度上有助于减轻家庭的压力。
探索

Based on what you learned in this lesson and throughout this course, write a different ending for the Miller family. At each critical time point in Braden and Bethany’s story, think about what could have happened to change the family’s trajectory. View and complete the反思虐待和忽视case study activity. Describe the resources, supports, or conversations that might have made a difference for the siblings and their foster family. Share your responses with a coach, trainer, or administrator. Then review the suggested responses for additional reflection.
应用

该Keeping Your Family Strongtip sheet below from Preventing Child Maltreatment and Promoting Well-Being: A Network for Action 2013 Resource Guide is designed to be distributed to parents and caregivers to address a particular parenting concern or question. The information is easy to read and focuses on concrete strategies parents and caregivers can use to take care of their children and strengthen their families. Each tip sheet is available in English and Spanish.
下载并打印Keeping Your Family Strong提示表并与您的培训师交谈有关与家庭分享信息的方法。
下载并打印Keeping Your Family Strongtip sheet and share them with families.
花一些时间反映你加强家庭的方式。查看并完成加强家庭:保护因素自我评估一个dapted from the Center for the Study of Social Policy's Strengthening Families Program Self-Assessment. Use it to reflect on your interactions and relationships with families. The full tool is available in the Management and TCS courses and athttp://www.cssp.org/reform/strendencingfamilies/practice.。
演示
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/violienceprevention/acestudy/about.html.。
Harris, Nadine Burke. (2014, September) Nadine Burke Harris: How Childhood Trauma Affects Health Across a Lifetime [Video file]. Retrieved fromhttps://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime.
美国疾病控制和预防中心(N.D.)。儿童虐待预防的战略方向:防止儿童虐待通过促进儿童和照顾者之间的安全,稳定和培育关系。
U.S. Department of Health and Human Services (2013). Preventing Child Maltreatment and Promoting Well-Being: A Network for Action 2013 Resource Guide.