adversechildhoodexperiences

How Child Abuse Impacts Mental Health

written by: Brooke Wallace, F2F Fall 2021 Intern

As someone who is deeply interested in psychology and working with children, it is important to me that people truly understand the roots of mental health and how to maintain one’s mental health. The term “mental hygiene” has been around since the mid-1800s when society began to notice the toll the Civil War was taking on people. Today, there is not as much of a stigma around mental health, as most people deal with some sort of mental illness. Back in the 1800s, mental illness was thought of as an exaggeration, along with many other things. Today, there are recognized illnesses and treatment plans to help people overcome their mental health obstacles.

The reason that I mentioned I enjoy working with children is because I hope to be a guidance counselor once I graduate from college. Taking the psychology route through college has opened my eyes to noticing mental disorders and understanding that they are in just about everyone. In my lifetime, I hope to help children who suffer from mental illnesses and disorders. I mainly want to help them notice that it is okay and that they are not weird or different for having those problems. The most common mental disorders in U.S. children are ADHD, anxiety, depression, and behavior problems. Over 3% of children between the ages of 2 to 17 have been diagnosed with depression in the U.S. While this may not seem like a lot, it is approximately 2 million children. The rates for depression and anxiety within children have increased over time. In 2003, 5.4% of children said they had been diagnosed with either anxiety or depression and in 2012, it was at 8.4%. Between the ages of 2 to 8, ⅙ children suffer from a mental, behavioral, or developmental disorder.

Now, what does abuse have to do with this? Every year, more than 6.6 million children are referred to child protective services for child abuse and/or negligence. In one study, 80% of 21-year-olds who had reported experiencing childhood abuse met the criteria for at least one mental disorder. Every day, at least four children sadly die as a result of abuse or neglect. Another study recorded that abused children are four times more likely to develop a mental illness than a non-abused child. These heartbreaking statistics are a real eye-opener into what happens beyond the front door of a household. It is so important that we as human beings protect the little lives that will one day walk in our shoes. If I have learned anything in my psychology classes, it is always important to listen and adjust to different behaviors and situations. Knowing the signs of child abuse and knowing how to act appropriately and accordingly could save a child’s life.

The Washington State Department of Children, Youth, and Families put out a report of ten ways that YOU can help to prevent child abuse:

1. Volunteer your time

Get involved within your community and other communities to help spread awareness and help vulnerable children and their families.

2. Discipline your children thoughtfully

When it comes to disciplining your child, it is important to look at HOW you are doing and HOW it will affect your child. Yelling at the top of your lungs for an extended period of time and/or laying a hand on the child, WILL NOT work. This will only make things worse for you and for your child. Make sure to encourage the good behavior your child shows and to listen to their problems when they’re exhibiting bad behavior.

3. Examine your own behavior

Remember, abuse is not only physical, it is also mental. The phrase “actions speak louder than words” is invalid in this case because children WILL remember those hurtful words for the longest time. These words will haunt them and make them overthink to the point where they think they caused this to happen to themselves. Another thing to think about is that some actions are replicated, so if you do something to your child, there is a chance that they will replicate those actions onto someone else.

4. Educate yourself and others

The best way to prevent child abuse is to educate yourself and others, which could be through fundraising and/or spreading awareness. There are hundreds of resources out there for any parent to learn from and so many support groups that help you know that you are not alone and that want to help you.

5. Teach children their rights

This stems back from what I said earlier where children replicate with learning. When children are taught what is right and wrong, that they are special and worthy, and that they have the right to feel safe, they are less likely to think abuse is their fault. It is so important that we set a good example for our own children and others. When children understand that they are in a bad situation, your lessons to them will help guide them out towards safety.

6. Support prevention programs

Prevention programs are created to help prevent, stop, and intervene in abuse situations. Helping these programs run, will only help more and more children escape those bad situations.

7. Know what child abuse is

Knowing the signs and understanding what an abused child is going through is key in helping them with their recovery process. Know that it is NEVER the child’s fault. No form of abuse is EVER the victim’s fault and it is so important that they understand this. Abuse can stay with the survivor for the rest of their life, so know that it is okay if mental health struggles resurface even years after the event occurred.

8. Know the signs

As stated above, it is key to know the signs of child abuse, both mentally and physically. Some signs are visible, like scars, bruises, and poor hygiene, but some are invisible, like a change in sleeping or eating patterns.

9. Report abuse

Report, report, report! A child almost always has no say, so make sure that they have a voice, even if it is not through you. The important thing to do is to make sure that they are in a supporting and loving environment. After reporting, make sure that the child knows and understands that they have done nothing wrong. Like mentioned before, the child did not ask for that to happen to them and legally they couldn’t give consent.

10. Invest in kids

Encourage everyone to be supportive of children and families. Have others learn the signs and what they can do to help too. Many employers have family-friendly work environments, so make use of this feature. You can also send letters to government officials to help support legislation that works to improve the lives of children.

Ways to help with children’s mental health is very similar to the ways to help abused children. Lastly, I just want to say that everyone should aim to provide children with the best possible life they can have. Everyone parents differently, but they should all be looking out for their child’s best interests.

For more information on understanding and addressing child abuse, you can contact the Childhelp National Child Abuse Hotline 24/7 at 1-800-422-4453.

Adverse Childhood Experiences (ACEs): What are they and what can they tell us?

written by: Shelly Averett, F2F Development Assistant

Have you ever wondered why things happen in your mind and body throughout your life? All things spiritual aside, I’m talking about the underlying biological and neurological effects accumulated from your birth to the present day. Most people associate these outcomes, either negatively or positively, to mere human actions such as diet and exercise. What if I told you that those actions don’t even begin to scratch the surface on underlying root causes? In order to better understand the whole picture, we must first dive deep into what shaped us into the adults we have become. More specifically, we must look at what experiences we endured during our adolescent years (birth to 17 years). It was during this time period when we were at our most vulnerable and any Adverse Childhood Experiences (ACEs) would have occurred. 

What are ACEs?

To get a clearer picture, let's start with a definition of ACEs. According to the Centers for Disease Control and Prevention (CDC), ACEs are potentially traumatic events that happen in one’s lifetime before the age of eighteen. Some examples include: experiencing child abuse and/or childhood sexual assualt, being neglected by one’s parents or support system, witnessing violence in one’s home or community, witnessing substance abuse, or facing instability due to parental incarceration. Keep in mind, this is just a sample list and does not outline all potential traumas faced by adolescents all over the United States. 

What is the ACE Study?

The CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study was a confidential survey conducted between 1995-1997 in Southern California in over 17,000 participants. Participants in the survey were asked questions related to their childhood (i.e. experiences) as well as adulthood (i.e. health status and current behaviors/responses to situations). Throughout the findings, ten types of childhood traumas were identified as most common: physical abuse, verbal abuse, sexual abuse, physical neglect, emotional neglect, alcoholic parent, child of a domestic abuse victim, family member incarcerated, family member with mental health diagnosis, and coming from a divorced home. Using these commonalities, the ACE Study was adapted to ten questions where participants are scored one point for every yes answer to a question. The total sum is one’s ACE score. 

In the original study, more than two-thirds of the participants had at least one as their final score. As the score increases, so does the participant’s risk for physical ailment such as chronic disease as well as their potential for social and emotional distress (i.e. anxiety and depression). For participants with scores of 4 or more, the “likelihood of chronic pulmonary lung disease increases 390 percent; hepatitis, 240 percent; depression 460 percent; attempted suicide, 1,220 percent” (Aces Too High News).

Want to get your ACE Score? Click Here

What are the impacts?

The negative effects of ACEs can be seen during both childhood and adulthood. Children from underserved, racially segmented, or food scarce communities tend to have higher rates of ACEs. These children have a more difficult time forming safe and healthy relationships with other children and adults in their lives. According to the CDC, the toxic stress associated with ACEs can also hinder these children by limiting their ability to focus, retain learned information, or process and respond to stress without transitioning into flight or fight mode. As children age into adulthood, the effects of ACEs present differently. Chronic disease, chronic mental health disorders, substance abuse, and risky sexual behavior are all more likely in adults with higher ACE scores. Additionally, adults with higher ACE scores can experience financial instability due to mental health struggles and/or poor work histories. 

Image by Centers for Disease Control and Prevention (https://www.cdc.gov/violenceprevention/aces/about.html)

How can we use this information?

The ACE Study is meant to be a guide in identifying and addressing root cause issues in behavior, development, and physical ailment whether in children or adults. In fact, ACES are indeed preventable in children and surmountable in adults. According to the CDC, creation and sustainability of safe, nurturing environments for children is key to the prevention of ACES and their ability to thrive. We must also welcome and encourage our parents to ask questions of their caregivers, seek advice from professionals, and pursue medical guidance for concerns without fear of repercussions or stigmatization. For adults, it’s a bit more challenging. It’s about being open to the knowledge of how your experiences shaped the opportunities you had in particular moments of your life while understanding and owning the power of your own resiliency. We can all help adults overcome their ACEs by standing up for, encouraging and destigmatizing seeking help for mental illness and/or substance abuse. We have the ability as a society to help prevent undue physical, emotional and social distress caused by adverse childhood experiences.