Image credit: Fostering Forever ![]() Congratulations on adding to your family! Nothing compares to the joy of being a parent - but as we parents know, there are moments when we feel inadequate to the task. When we adopt from foster care, there are resources we can access, at little to no cost to the family. First Things First While adoption day is a significant and joyful milestone in a family’s life, it can be bittersweet for the child. Yes, they are “officially” a member of the family, but they are also re-experiencing the loss of their biological family. Depending on the age of the child, developmental level, the number of Adverse Childhood Experiences (ACEs) they’ve had, and the number of placements they have been in before the adoption, they may have mixed feelings that are expressed behaviorally. Even children adopted at birth may later express feelings of loss, as they had a bond with their biological parents while in the womb. Each time your child was removed from one home and placed in another, they experienced trauma. This is magnified exponentially with each new placement, and is a major contributor to the Foster Care to Prison Pipeline. Common Challenges Traumatized children communicate through their behavior, and yes, that includes teens. Parents sometimes express concern that a well-behaved child has “suddenly” become very poorly behaved when they hit the teen years. This is to be expected, and can be planned for and handled sensitively to guide the child into improved behavior. Some common challenges with kids who have been in foster care are:
Fortunately, with the loving support of parents and knowledgeable counselors, our children can and do make it through these challenges, avoid the pipeline, and become healthy adults. What Do We Do? You may have heard the Nigerian expression “It takes a village to raise a child”, and in this case, it’s certainly helpful to have a supportive community. Parents, however, are the key to success. This is not a situation in which parents can drop a child off for an hour of counseling every week and expect everything to be okay. This is the type of situation in which parenting becomes the remedy. Your effort is a major key to your child’s success. With that understanding, here are my top tips for parenting children who have been traumatized through the foster care system. N.B. This is not a comprehensive list, and is not a substitute for professional mental health counseling.
The most important thing is to put in the time doing the things that will help your child get through these rough patches. Parenting, especially of traumatized children, is different and often not instinctual like we expect it will be before we become parents. Be open to advice from professionals, be patient (it takes time!), and enjoy the experience. You’re building history. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here.
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![]() Imagine being the first police officers or paramedics to arrive on a scene after a child has been the victim of an acid attack, a wife has been killed by her husband in front of their children, or a teen is tearfully reporting the details of a sexual assault. Imagine being the doctor, nurse, or emergency room staff who treat these victims, or the medical examiners and morticians who respectfully care for a victim’s remains while answering calls from grieving family members. Now imagine having these experiences a few times a month or more, depending on where you live. Imagine doing this over and over while sleep-deprived, under pressure to perform your job to ensure the best possible outcome for the victims, and sometimes putting your own life at stake in the process. The scenarios in the first paragraph come from my own professional experiences as a mental health counselor, and even just hearing the victims tell their stories can lead to vicarious trauma over time - and that’s not even seeing the events as they are happening! Luckily, mental health counselors have an ethical obligation to maintain our own mental health by regularly checking in with our own counselors and maintaining a strong self-care routine. However, those doing battle on the front lines, whether actual military engaged in war or law enforcement and healthcare professionals on the front lines of rescue, often suffer silently. They frequently experience Post Traumatic Stress Disorder (PTSD), depression, and suicidal ideation, and often attempt to cope with their distress by substance use. They have increased suicide rates, as more die by suicide than in the line of duty (Tiesman et al., 2021). Both the symptoms experienced and the suicide rates occur at rates significantly higher than the general population. Despite this clear indicator of emotional and mental anguish, few in these rescue fields seek mental health treatment. Their reasons for not seeking treatment include, but are not limited to worries about remaining on the job and the lack of providers who understand the first responders’ unique experiences (Luster, 2022). If you are one of these men or women who needs some relief from the despair or wants to build resilience before it happens, from someone who “gets it” a little more than the average provider, please contact me. Your privacy and pain relief are my highest concerns. References Luster, R. (2022, September 9). First responders and mental health: When heroes need Rescuing. Psychiatric Times. Retrieved December 5, 2023, from https://www.psychiatrictimes.com/view/First-responders-and-mental-health- when-heroes-need-rescuing Tiesman, H. M., Elkins, K. L., Brown, M., Marsh, S., & Carson, L. M. (2021, April 6). Suicides among first responders: A call to action. Centers for Disease Control and Prevention. Retrieved December 5, 2023, from https://blogs.cdc.gov/niosh-science- blog/2021/04/06/suicides-first-responders/ In simple terms, the differences between Clinical Mental Health Counselors, Social Workers, and Marriage & Family Therapists are the approaches each take in helping clients, the education each completes, and the amount of practical, supervised experience each program requires (pre- and post- graduate, for Florida licensure). The three are similar, and all can be beneficial to many types of clients, but knowing the differences may help in selecting a helping professional for yourself or your family.
While all three licenses require 1500 hours/ 2 years of post-Master’s supervised experience and a licensing exam, the path to getting there varies (Florida Board, n.d.). The following sections describe the current requirements for the three types; however, professionals licensed for many years may have been ‘grandfathered’ in due to their experience and having been licensed prior to newer requirements. Social Workers Generally speaking, social workers help individuals and families cope with life challenges they may be experiencing, connect their clients with available services for additional assistance, and advocate on behalf of their clients (What Social, 2023). A more complete description is available on the U.S. Bureau of Labor Statistics’ Occupational Outlook Handbook website. Social Work programs are accredited through the Council on Social Work Education (CSWE). Graduates first apply for Registered Intern status by submitting their transcript, an application, and a letter from a licensed professional who is additionally certified as a “Qualified Supervisor”. Applicants’ transcripts must show 24 hours of “theory of human behavior and practice methods as courses in clinically oriented services, including a minimum of one course in psychopathology” (Florida Board, n.d.). To complete the Master’s, social work students must also complete one semester of a field placement (practicum) in which they are providing services to clients under university and site supervision. Social Workers are eligible to apply for Registered Intern status with the state board after completing 15 semester hours of their required 24 semester hours. After completing at least 18 months of post graduate supervised experience, Registered Interns can apply for full licensure, although the requirement is at least 1 hour of supervision every two weeks for at least 100 weeks and 1500 hours of direct client services. The additional requirements for full licensure include passing a national board exam and completing three courses: an 8 hour Laws & Rules course, a 3 hour HIV/AIDS course, followed by a 2 hour Domestic Violence course within 6 months of licensure. Marriage & Family Therapists Marriage and Family Therapists (MFTs) work with individuals, couples, and families to help them deal with emotions and resolve issues, with significant attention given to how family and interpersonal relationships affect each person (What Marriage, 2023). For more detailed information, please visit the MFT page on the U.S. Bureau of Labor Statistics’ Occupational Outlook Handbook website. Marriage & Family Therapists complete programs which are accredited through either the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) or through Council for Accreditation of Counseling and Related Educational Programs (CACREP). For graduates of COAMFTE programs, the educational requirement is “Minimum of an earned master’s degree with major emphasis in marriage and family therapy, or a closely related field from a program accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE)” (Florida Board, N.D.). MFTs also complete a practicum during their program, which must include a minimum of 400 hours total, 300 hours of direct client contact, and 200 hours of which must be “relational” (Florida Board, N.D.). Students are eligible to apply for Registered Intern status when they have met 10 semester hours of coursework, with at least 6 hours in marriage and family systems, theories, or techniques. MFTs from CACREP accredited programs must complete 33 hours of additional coursework. Like Social Workers, Marriage & Family Therapists must complete 1500 hours/2 years of supervised clinical experience after graduation in order to be eligible for full licensure. Additionally, those hours must consist of at least 1 hour of supervision every two weeks for at least 100 weeks and 1500 hours of direct client services. They must also complete a national licensing exam and an 8 hour Laws & Rules course, a 3 hour HIV/AIDS course, followed by a 2 hour Domestic Violence course within 6 months of licensure. Mental Health Counselors Mental Health Counselors (MHCs), sometimes called clinical mental health counselors, work primarily with individuals or with groups. They may focus on a particular area of treatment, such as substance abuse, or may take a general approach. MHCs assess clients’ mental health and life challenges, work with the client to develop a treatment plan, and help clients develop new skills for coping with the issues they’re facing and the unhelpful behaviors that hinder them (What Substance, 2023). MHCs can also provide career counseling, especially for life transitions, and help clients develop the skills they need to continue to improve their lives after treatment has ended (What Substance, 2023). The Bureau’s description page for Mental Health Counselors provides additional information. Mental Health Counseling graduate programs are accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). These applicants must complete “Minimum of an earned master’s degree from an institutionally accredited program in mental health counseling or a closely related field that consists of at least 60 semester hours or 80 quarter hours and required graduate coursework” (Florida Board, n.d.), plus two additional classes in Human Sexuality and Substance Abuse. The Mental Health Counselors’ clinical requirement is at least 700 hours of practicum and/or internships with at least 280 hours of direct client contact. These hours are not counted towards postgraduate supervision hours for licensure. Students may apply for Registered Intern status with the board after completing “7 of the 11 course content areas, if one of the 7 courses was in Psychopathology” (Florida Board, n.d.). Like the other two professional licensees, Mental Health Counselors must complete 1500 hours/2 years of post graduate qualified supervision. MHCs must complete at least 1 hour of supervision every two weeks for at least 100 weeks and 1500 hours of face to face psychotherapy with clients. They, too, must also complete a national licensing exam and an 8 hour Laws & Rules course, a 3 hour HIV/AIDS course, followed by a 2 hour Domestic Violence course within 6 months of licensure. As one can imagine, there is often overlap between the three professions and in some cases, it may not make a difference which professional is chosen to provide the service. However, knowing the differences between them can be helpful when looking for a professional to provide services specific to you or your family’s individual needs. As examples, whether a client needs a Social Worker to assist them with accessing community services and navigating through a troubled time, a Marriage & Family Therapist to help improve their relationship(s), or a Mental Health Counselor to evaluate and treat their trauma, it is really up to the individual client to determine which of these three professionals best fits them. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here. References Florida Board of Clinical Social Work, Marriage & Family Therapy, and Mental Health Counseling, licensing and registration. (n.d.). Florida Mental Health Professions.gov. Retrieved November 30, 2023, from https://floridasmentalhealthprofessions.gov/licensing/ What marriage and family therapists do. (2023, September 6). U.S. Bureau of Labor Statistics Occupational Outlook Handbook. Retrieved November 30, 2023, from https://www.bls.gov/ooh/community-and-social-service/marriage-and- family-therapists.htm#tab-2 What social workers do. (2023, September 6). U.S. Bureau of Labor Statistics Occupational Outlook Handbook. Retrieved November 30, 2023, from https://www.bls.gov/ooh/community-and-social-service/social-workers.htm#tab -2 What substance abuse, behavioral disorder, and mental health counselors do. (2023, September 6). U.S. Bureau of Labor Statistics Occupational Outlook Handbook. Retrieved November 30, 2023, from https://www.bls.gov/ooh/community-and- social-service/substance-abuse-behavioral-disorder-and-mental-health- counselors.htm#tab-2 ![]() Have you ever wondered why it's so relaxing to sit on a beach in the evening, watching and listening to the waves rhythmically roll in? Or why the scent of crisp, fresh mountain air is so invigorating? According to research, it's because nature contact works on our brains to reduce our stress. By incorporating as much direct nature contact as possible into our home and work environment, we can reduce our stress with little to no effort. Why? It could be due to the Biophilia Hypothesis, which in a nutshell, means our brains are programmed that way. If you'd like to learn a little more about the effects of stress on our minds and bodies, as well as how direct nature contact can be woven into our homes and offices, here's a video presentation to help. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here. Direct contact with nature has a statistically significant negative effect on stress. This effect increases with higher and more direct nature contact (Largo-Wight, et al, 2011, p. 129). Dialectical Behavioral Therapy (DBT) is an evidenced-based psychotherapy practice originally developed by Marsha Linehan. It has four modes, one of which is DBT Skills training. DBT Skills training also has 4 components: mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation. Although there are a multitude of resources available online, I created this one for a specific client, a kinesthetic learner, who wanted to incorporate adult coloring with their therapy "homework". Please enjoy this free resource to use on your own or with clients. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here. ![]()
![]() Mangrove trees are known for their ability to thrive in harsh conditions, growing in salty or brackish water in which most other trees can’t survive. Their strong root systems enable them to survive the daily ocean tides and filter the water. Where mangroves grow, people are more protected from hurricane storm surges and tsunamis, as the tree roots form a protective shield against rushing water. They are a great friend of the environment, providing habitats for young fish and removing more carbon dioxide from the atmosphere than any other tree species. There are even stories handed down in many different cultures about mangroves, often with environmental and spiritual themes. Like the mangrove, our clients have survived harsh conditions. They have lived in toxic environments and yet still remain standing. Sometimes, they give of themselves to improve the lives of others. When you’re facing the storms of life, let The Mangroves help you not just survive, but thrive, right where you live. Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC. You can read more about her here. |
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