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About Keizertimes. (Salem, Or.) 1979-current | View Entire Issue (July 13, 2018)
JULY 13, 2018, KEIZERTIMES, PAGE A9 FOSTER, continued from Page A1 Only 57 percent of kids move placements one or two times over the course of their time in care. At the other end of the spectrum, 22 percent move more than fi ve times, according to Marion County foster care data aggregated by the University of Kansas. Brundidge spoke about the seven levels of safety— one feeling safe in public and seven feeling completely at ease all the time. The fourth level of safety is “Am I safe even if I provoke?” This is often a diffi cult question for foster parents to address, because provocation as a gauge of safety is one of the negative coping skills traumatized kids develop to test their environment. “And that’s what they get an answer of no to all the time,” Brundidge said. Traditional DHS foster homes often aren’t equipped to handle kids with acute trauma experiences, who have developed negative coping skills to handle their sense of trauma. When a kid is found to have a severe enough emotional or behavioral problem, they’re often referred to agencies that contract with DHS to provide therapeutic homes for foster kids. Therapeutic foster care is known as “treatment level” for kids who have been designated by DHS as in need of Behavior Rehabilitation Services (BRS)—essentially, kids who need more than just a stable home environment to heal from their experiences. Therapeutic foster homes receive special training and accommodation to deal with the needs of traumatized kids who haven’t learned to cope with their trauma. Trauma is diffi cult to quantify in a person’s life. How trauma impacts behavior Kids are resilient. Kids can heal from a single traumatic event—depending on its nature and impact—sometimes without long-term side effects. But chronic trauma is something else. Traumas like persistent abuse and neglect that occur throughout a person’s childhood can have long-term health and neurological effects. “Trauma lives with us throughout our lifetime,” said Brandi Ware, supervisor of therapeutic foster care at Maple Star Oregon. Negative behaviors in youth who experience trauma are discounted by some as merely acting out, but a trauma- informed approach to care acknowledges that reversing the neurological damage of a traumatic childhood takes time. “When our kids aren’t doing well, it’s not because they don’t want to, it’s because something is in their way,” said Ware. In addition to inhibited self-control and diffi culty with emotion regulation, the specifi c nature of a child’s trauma can impact their experience, especially if they have an ingrained “trauma trigger.” However, the Adverse Childhood Experiences Study (ACES) aims to measure the level of trauma a person endured before their eighteenth birthday in a series of 10 yes-or-no questions: whether they were physically, emotionally, or sexually abused, whether they were neglected, whether their parents used drugs, suffered from a mental illness or were generally absent. Every “yes” answer adds a point to the ACES score. According to an ACES survey of youth in children’s programs in Oregon, over 90 percent of the youth served in therapeutic foster care have an ACES score of 4 or higher. When children endure trauma without respite— which is what the average To explain trauma triggers, Ware uses the example of a kid who was neglected because of their parent’s drug abuse. If the kid’s father smoked marijuana and used other drugs, and the kid’s needs weren’t met as a result over an extended period of time, the smell of marijuana can become ingrained as a trauma trigger for the child. So, fi ve years after being removed from the home, the smell of marijuana can trigger a stress response in the child, and the kid might act out as a result. A trauma trigger “kicks them right back to the trauma they experienced,” Ware said. Trauma triggers don’t just have to be smells—they can be facial expressions, individuals who hurt them or resemble people who hurt them, or even a particular month in the year. In the case of a calendar trauma trigger, that can be the date a child was removed from their home or when a particularly traumatic event occurred. Sometimes the child may not even be aware of what’s triggering their stress response, they just begin to feel more stress and anxiety because “it’s infused into their bodies that this is a hard time,” Ware said. ACES score suggests happens for many kids who end up in treatment care—their brains develop in a way that inhibits self-control. These neurological problems result in severe behavioral problems. (See sidebar for more information about how trauma impacts behavior.) “These kids are in treatment really because of the signifi cant issues they’re having. Our job is to stabilize them, get them evaluated, and see if we can get them settled down to be able to go down to a lower level of care, or go home if they have a home,” said Debby Lute, executive director of Connections365, a therapeutic foster care agency based in Salem. Connections365 typically works with kids ages 12 to 18, and currently works with eight certifi ed families fostering 12 kids in the Salem area. Therapeutic Foster Care (TFC) agencies use the guidelines of the DHS foster parent training, but include additional elements on caring for traumatized kids, how trauma impacts brain development, and how kids use negative behaviors to communicate when trauma has impacted the way they think and see the world. Aside from special training for foster parents, TFC agencies employ mental health counselors and mentors on staff to provide the most support for kids, as well as around-the-clock on- call support for foster parents. “If you think about treatment foster care, [the foster kids] are part of a wraparound team,” said Lute. This team includes the foster youth, the foster parents, the caseworker—also typically an employee of the TFC agency and not DHS, so they have a smaller caseload— the mental health counselor, and any other individuals party to the child’s case, including biological relatives, or necessary for the youth’s recovery, including outside drug or alcohol counselors. Due to an increased number of youth in foster care who need this specialized treatment, and the intensifi cation of youth behaviors in recent years, the need for therapeutic foster homes has expanded. However, in terms of homes, “the system is compressing right now,” Lute said. This is particularly tough on childcare agencies, considering TFC homes can’t take as many children fi cation requirements, pass per home as general foster background checks, and have care—in TFC, single parents the time to devote one-on- can have up to four kids in one attention to a high-needs the home, including their foster youth—ideal thera- biological children, and peutic foster homes include couples can have up to fi ve a stay-at-home or work- kids total in the home, a from-home parent or retired reduction from the norms for parents. But the system also needs “foster parents that are traditional foster families. Brandi Ware is the curious and willing to learn. therapeutic foster care Willing to try things that are supervisor at Maple Star unconventional in parent- Oregon. Maple Star is a ing,” said Ware, because trau- childcare agency based in matized kids don’t respond Portland, which serves youth to traditional parenting tech- ages 6 through 21 living on niques. (For one example of the I-5 corridor between unconventional, trauma-in- Portland and Eugene, formed parenting, see Where including Marion County. is the strength?) Most importantly, they Ware said that they serve about twenty youth in their need parents who can TFC service range, and they give kids a better outlook are currently at capacity— on life and open up the but she still receives 50 new opportunities that have been referrals for BRS youth every closed off to them by their circumstances. month. “[Youth] have to have “A lot of them I have to say no to because we don’t hope. And hope is not built on their failures and their have the beds,” said Ware. A lack of treatment care mistakes and their behaviors, opportunities for struggling it’s built on their capacity and foster youth can have their resilience,” said Lute. Connections365 hosts consequences down the road. informational The importance of treatment open-house intervention, Jessica sessions for parents interested Carpenter, Connections365’s in either long-term fostering Community Outreach and or providing short-term Development Director, said, respite care. Upcoming informational is that TFC agencies are “the last chance for these sessions: Tuesday, July 24, 4:30-6 kids before they are adults and everything they do is a p.m., 4890 32nd Ave S.E. in permanent criminal behavior Salem. Tuesday, August 28, and effects their ability to get a job, have a place, get a car, 4:30-6 p.m. 4890 32nd Ave become a parent.” Providing S.E. in Salem. To fi nd out more about these services to all the youth who need them is essential, getting involved with Con- but there aren’t enough nections365 and other thera- therapeutic foster homes peutic foster care agencies, to serve every youth who visit FosterPlus.org could benefi t from treatment care. The cyclical nature of dysfunctional par- enting techniques, in- carceration and sub- stance abuse concern those who work in One goal of trauma- this fi eld—disrupting informed parenting is to fi nd this cycle is the goal the positive, even in problematic of treatment care, so behaviors, so youth can see as this generation of potential in themselves. Debby foster youth age out, Lute, executive director of they can become bet- Connections365, a therapeutic ter parents, healthier foster agency based in Salem, individuals, and more provided an example of what productive members fi nding the positive in a of society. Unfortu- behavioral situation looks like: nately, when there’s “Let’s say a kid kicks the wall not enough resourc- and makes a big hole. What do es to provide treat- you mean where’s the strength? ment for every youth, There’s something going on they’re likely to fall here. So you say things like, and back into the nega- this is truly trauma-informed, tive cycle from which ‘Wow, you have a lot of guts. they came. I mean to do something like That’s why thera- that, you have a lot of guts. So, peutic foster homes Johnny, I would think based on need more parents the strength of who you are, that who are willing to you might have enough guts to take on the respon- apologize for your piece of this.’ sibility. Therapeutic … ‘I know you’re upset and all foster agencies like that.’ I said, ‘Do you think you Maple Star and Con- could do that?’ And he smiles nections365 need and said, ‘Yeah,’” said Lute. parents who can complete the certi- Where is the strength? WorshipDirectory These Salem-Keizer houses of worship invite you to visit. Call to list your church in our Worship Directory: (503) 390-1051 PEOPLESCHURCH 4500 LANCASTER DR NE | SALEM 503.304.4000 • www.peopleschurch.com Father Gary L. Zerr, Pastor Saturday Vigil Liturgy: 5:30 p.m. Sundays: 8:15 a.m. & 10:30 a.m. La Misa en Español: 12:30 p.m. SUNDAY SERVICES 4505 River Road N, Keizer • 503-393-4507 www.FLCkeizer.org Sunday School - 9:00 am Worship Service -10:00 am 452 Cummings Lane North • 393-0404 8:30 am • 10 am • 11:30 am • 6 pm Faith Lutheran Church , ELCA Pastor Linda Matz Easterling John Knox Presbyterian Church JOIN US FOR SUNDAY WORSHIP 9:00 am Children’s Programs, Student and Adult Ministries 1755 Lockhaven Dr. NE Keizer 503-390-3900 www.dayspringfellowship.com and 10:45 am www.KeizerChristian.org Rev. Dr. John Neal, Pastor Worship - 10:30 a.m. Education Hour - 9:15 a.m. Nursery Care Available www.keizerjkpres.org