Tuesday, July 10, 2018

Part 6: Child Detainees- A Statement from Key Leaders
In this final contribution to this blog series, Dr. Inge Corless (Professor, School of Nursing) has shared a document that was prepared late last month by an interprofessional group of leaders to express concern over the separation of children and families.   Thanks to Dr. Corless for her leadership and willingness to share.  My hope is that this series of contributions adds to our collective understanding of the current situation affecting those being detained and separated.   As always, feedback is welcome!  Alex Johnson

Statement Concerning the Incarceration of Children and Adults
June 27, 2018
As an interdisciplinary, international group of health care practitioners, scholars, and experts in the field of loss and grief (including U.S. citizens), we are adding our collective voice in opposition to the current, continuing incarceration of children and their parents. The removal of children from parents can never be justified as a means of deterring migration, regardless of the driving forces. 
The family, in all of its different manifestations, is a core foundational unit of a stable society.  Separating children from their parents is known to have detrimental psychological effects for both children and their parents.  The effects of such traumatic stress can last for generations. 
Attachment, fostered within family systems, is a key factor in the physical, emotional and psychological growth and well-being of its members. Therefore, it is essential that all societies recognize their legal, moral and social responsibilities to respect, protect and fulfil children’s rights and needs within families. 
As members of the International Work Group on Death Dying and Bereavement we have extensive expertise in the areas of loss and grief. For children separated from their families, the resultant trauma has been shown to have profound, prolonged and intergenerational effects. For parents, the uncertainty of when or whether they will see their children again creates unbearable stress and grief.  The loss of a child is recognized as one of the most devastating losses one can experience. Families need safe and stable environments in which to effectively care for their children. Further, separation of children from their families has an impact on all inhabitants and is traumatizing not only for the affected individuals but also for the on-lookers; the children and adults for whom the current practice can also be traumatizing. The impact on law enforcement officers and other people charged with implementing a practice in violation of the Universal Declaration of Human Rights and the UN Convention on the Rights of the Child must also be considered.
We urge all governments, including the United States, to:
1.      End the human rights violations of vulnerable people, including separation of
       children from their families
2.      Rapidly reunite children with their families
3.      Treat asylum seekers with the customary care and respect heretofore given to such individuals.

We call on governments everywhere – including the United States Government- to fulfill their obligations under the United Nations 1951 Convention on the Status of Refugees towards all peoples who seek shelter and support outside their own countries of origin and, in particular, towards the most vulnerable of all: children. 

This statement was written by a group of concerned professionals in response to the separation of children and families entering the United States. This statement represents solely the opinions of the authors and signatories.

You have full permission to translate the document into other languages, and to distribute it via websites, blogs, the media, and other venues. It is our intention that the message be shared widely.

Contact information:  Inge B. Corless Icorless@mghihp.edu; 617 726-8018
Inge B. Corless PhD RN FNAP FAAN Professor, MGH Institute of Health Professions,
        Boston, MA. USA
Susan Cadell PhD Professor of Social Work, University of Waterloo, Waterloo, Canada
Debra Wiegand RN PhD FAAN Associate Professor, University of Maryland, Baltimore,
          MD. USA
Stacy S. Remke Professor, School of Social Work, University of Minnesota,
          Minneapolis, MN. USA
Irene Murphy M.Soc.Sc., C.Q.S.W, Director of Bereavement & Family Support Services,
        Marymount University Hospital and Hospice, Curraheen, Cork., Ireland. 
Andrea Warnick RN MA Andrea Warnick Consulting Guelph, Canada
Carrie Arnold PhD MED RSW CCC FT Thanatology, King’s College, London, Ontario,     
Lauren Breen PhD Associate professor Curtin University, Perth, Western Australia
Jane Skeen MD Auckland,  New Zealand
Phyllis Kosminsky PHD LCSW, New York, New York, USA
Donna Schuurman EdD Portland, Oregon, USA
Janice Nadeau PhD Private Practice, University of Minnesota, Minneapolis, MN, USA
Kathleen Gilbert PhD Professor Emerita, Indiana University Bloomington, Indiana, USA
Janet McCord PhD FT Chilton, Wisconsin, USA
Ida Martinson RN PHD Bemidji, Minnesota, USA
David Roth Funeral Director Bergisch Gladbach, Germany
Gerry Cox PhD University of Wisconsin-La Crosse, Salina, Kansas, USA
Andy Hau Yan Ho PhD MFT FT, Nanyang Technological University, Singapore
Mary L Vachon RN PhD RP, University of Toronto, Toronto, Canada
Catriona Macpherson EdD, Children and Family Services, Scotland
Daniela Reis E Silva MCP FT Associacao de terapia Familiar de Espirito Santo, Vitoria,
Ronit Shalev PhD The Center for Academic Studies. Israel
Emmanuelle Zech, Professor, Universite catholique de Louvain, Belgium
Signatories (continued)

Wendy Bowler PhD, La Trobe University, Melbourne, Australia
Tammy Bartel MA RCC CT, Private Practice, Surrey, British Columbia, Canada
Danai Papadatou Professor of Clinical Psychology, National and Kapodistrian University
           of Athens, Athens, Greece
Chris Paul Trauerinstitut Deutschland, Bonn, Germany
Regina Szylit Professor of University of Sao Paulo, Sao Paulo, Brazil
Betty Davies,RN PhD University of Victoria, VictoriaBritish Columbia, Canada
Leslie Balmer PhD Psychologist Missisauga, Canada
Astrid Ronsen Assistant Professor NTNU Fjellhammer, Norway


International Family Nursing Association https://conta.cc/2I8XFwB

National Council on Family Relations (NCFR)

Physicians for Human Rights:  http://physiciansforhumanrights.org

United Nations Health Commission on Refugees (UNHCR).

Monday, July 9, 2018

Detained Children-Part 5: Response to Confinement-Children and Parents

This is part 5 in a series of blog contributions from faculty members at the MGH Institute of Health Professions.   

Detainment. Separation. Neglect Abuse. Confinement. Cages.

Julie Keysor, PhD and Elise Townsend, PhD
Department of Physical Therapy
Andrea Fairman, PhD
Department of Occupational Therapy

None of these words are okay when it comes to people, and are even more deplorable when applied to children in the context of the recent U.S. policies about immigration. To see and hear the cries of detained children removed from their parents is heartbreaking. The stress from this situation will undoubtedly have long lasting effects on children and their families. Others in this blog are writing about the socio-emotional and psychological effects of this type of activity on children—the risk for significant short and long-term effects in these areas is crystal clear. My colleagues and I in our contribution to the blog are sharing a few thoughts on the physical health effects such situations can trigger.

From the most immediate and acute perspective, heart rate, blood pressure, and one’s ‘fight or flight’ nervous system will be triggered. These physiological changes may cause anxiety and behavioral responses. Limited opportunities to engage in play may result in global developmental delays including deficits in social, cognitive, sensory processing, gross and fine motor ability abilities. More specifically, prolonged restricted activity and movement will cause developmental delays in young children and could lead to abnormal bone growth and muscle development. Children will be at increased risk of developing chronic conditions such as diabetes, arthritis, and chronic pain, and these detained children have the risk of being under diagnosed or misdiagnosed leading to lifelong chronic disability, underemployment, and deprivation. The stress from this situation will impact health—no doubt—this is a health situation and affects health of the individual and our entire public health system.

And What about the Parents? 

Janice Goodman, PhD, 
Professor, School of Nursing

Most of the news has focused on the traumatic effects of separating parents and children at the border on children.  But, imagine also the anguish that a mother or father must feel to have their child ripped, crying and screaming, from their arms. Imagine not being able to comfort your child, to not even know where they are, who they are with, what is happening to them, if they are okay, when and even if they will ever see them again.  Just as with children, trauma and stress increases an adult's risk for mental illnesses such as depression, anxiety and post-traumatic stress disorder. Thus, it is heartbreaking, though not surprising, to know that Marco Antonio Muñoz, a Honduran man who crossed the border in May with his wife and 3-year old son, was so distraught that he kicked, screamed, and could not be calmed after his son was forcibly taken from him. Mr. Munoz was taken to a detention center and, less than 12 hours later was found dead in his cell, apparently having taken his own life. This is how this horrific policy affects parents!  It is beyond cruel. It is shameful and unacceptable.  

Instead of offering compassion and safety, by forcibly separating children and parents we are inflicting further trauma and suffering on vulnerable families who have already experienced extreme suffering -- in their home countries, and during their migration to what they hoped would be a safe place.  As health care providers, our purpose is to alleviate suffering – both physical and emotional.

Detained Children -Part 4: Interruptions in Nursing Bonding During Early Development

In this fourth contribution prepared by clinicians who specialize in early development of young children, the effects of disruption and separation in infants and toddlers are discussed.

Interruptions in Nursing and Bonding During Early Development

Emily Zeman, OTD MS, OTR/L, Department of Occupational Therapy
 and Lesley Maxwell, MS, CCC-SLP, Department of Communication Sciences and Disorders

Regarding the news of infants being torn away from their nursing mother, and family separation in general:
An infant's development is dependent on the information they obtain from the environment.  Infants and newborns rely heavily on oral-motor, scent, taste, and touch sensory experiences in the context of the parent-infant and family bonds and daily routines in all environments.  A sudden change in the social and physical context, accompanied by negative experiences, may interfere with typical developmental trajectory. Overstimulated, neglected, and abused infants, resulting from sudden family separation, may present with negative behavioral traits later in development (Cronin & Mandich, 2016). A sudden removal of the nursing or caregiving parent may significantly endanger the rich environmental context of the parent-child bond, ideal for stimulating neuronal connections and supporting healthy socio-emotional development.  Such separation becomes an adverse childhood experience (ACE).  As infants are dependent, high quality and positive child-parent interactions are vital for healthy socioemotional development and a sense of security.  Infants require attentive parental attention and presence to ensure safety and adherence to a feeding schedule that promotes physical growth and typical attachment bonding patterns, all setting the stage for successful emotional development.  However, the stressful and sudden removal of a parent or parents from an infant may trigger an association of new feeding routines or format (to bottle), with strangers, as traumatic, and thus, not a positive experience.  Feeding and eating routines, as disrupted, may then alter not only the bonding process, but the infants typical progression in feeding milestones and expectations for nourishment.  All of this could lead to failure to thrive, a myriad of health concerns, and changed emotional affect in the child.  Even with return to parents at some point in the future, the infant will be forever changed by the stress caused by the separation.

Young Develop in an Environment of Relationships
Suggested citation: National Scientific Council on the Developing Child (2004). Young Children Develop in an Environment of Relationships: Working Paper No. 1. Retrieved from
https://developingchild.harvard.edu/resources/wp1/ (link to working paper and references)
“An “environment of relationships” is crucial for the development of a child’s brain architecture, which lays the foundation for later outcomes such as academic performance, mental health, and interpersonal skills. However, many of our nation’s policies fail to consider the importance of adult-child relationships for child well-being. This working paper from the National Scientific Council on the Developing Child explains how these relationships shape child development, and identifies ways to strengthen policies that affect those relationships in the early childhood years.”
The Science of Neglect
“Young children who experience severe deprivation or neglect can experience a range of negative consequences. Neglect can delay brain development, impair executive function skills, and disrupt the body’s stress response. This working paper from the National Scientific Council on the Developing Child explains why neglect is so harmful in the earliest years of life, and why effective interventions can improve long-term outcomes in learning, health, and the parenting of “the next generation.
Suggested citation: Center on the Developing Child at Harvard University (2012). The Science of Neglect: The Persistent Absence of Responsive Care Disrupts the Developing Brain: Working Paper No. 12. Retrieved from www.developingchild.harvard.edu.

Toxic Stress

  • “Toxic stress response can occur when a child experiences strong, frequent, and/or prolonged adversity—such as physical or emotional abuse, chronic neglect, caregiver substance abuse or mental illness, exposure to violence, and/or the accumulated burdens of family economic hardship—without adequate adult support. This kind of prolonged activation of the stress response systems can disrupt the development of brain architecture and other organ systems, and increase the risk for stress-related disease and cognitive impairment, well into the adult years.
When toxic stress response occurs continually, or is triggered by multiple sources, it can have a cumulative toll on an individual’s physical and mental health—for a lifetime. The more adverse experiences in childhood, the greater the likelihood of developmental delays and later health problems, including heart disease, diabetes, substance abuse, and depression. Research also indicates that supportive, responsive relationships with caring adults as early in life as possible can prevent or reverse the damaging effects of toxic stress response.”
The Importance of Serve and Return Between Parent and Child
“Because responsive relationships are both expected and essential, their absence is a serious threat to a child’s development and well-being. Healthy brain architecture depends on a sturdy foundation built by appropriate input from a child’s senses and stable, responsive relationships with caring adults. If an adult’s responses to a child are unreliable, inappropriate, or simply absent, the developing architecture of the brain may be disrupted, and subsequent physical, mental, and emotional health may be impaired. The persistent absence of serve and return interaction acts as a “double whammy” for healthy development: not only does the brain not receive the positive stimulation it needs, but the body’s stress response is activated, flooding the developing brain with potentially harmful stress hormones.”

Detained Children Part 3: Why do families flee?

This is part 3 in the continuing discussion of childhood detainees and its effect on their development.  One question that can be asked is "why are these people bringing their children to the U.S?"  What motivates immigration in this way.
In today's contribution , Professor Antonia Makosky (School of Nursing) describes her experience in dealing with a woman and her children in the Congo, while serving with Doctor Without Borders.  Antonia draws an important parallel to the current crisis in the US, citing the United Nations High Commission for Refugees' position on family unity.  I found the statement to be an important beacon in this discussion.  Thanks to Antonia for sharing this important message and for her service in the Congo.

Childhood Detainees, Part 3

Antonia Makosky, DNP, MSN, MPH, ANP-BC
Assistant Professor, School of Nursing

In my last trip to the Eastern Congo with Doctors without Borders I was posted in an area where the war had just recently ended.  Rebels still hid in the forests with their families.  One day, as we prepared to head home from a community health center, the nurse manager asked if we could take a family back to our hospital.  The family consisted of a woman and her three children; the woman was the wife of one of the rebels.  They had been hiding in the forest but now her middle daughter, age 3, was severely malnourished, and would die without special care.  The woman, her 8-year-old, and her infant son, were also malnourished.  The woman and her 8-year-old daughter were quiet and shy. 
It was against the usual policy to admit a family with multiple children unless the woman was pregnant.  However, the staff felt very strongly that we must take in and provide shelter and care to this whole family.  The staff said to me repeatedly, “they have nothing.”  There was never a question of separating the family; of only taking the sickest child to care for.  In African hospitals, the patient is always accompanied by a family member. 
Initially the hospital staff was concerned for the life of the 3-year-old child.  She was cared for in the pediatric ICU.  Slowly she improved.  Meanwhile the health of the woman and her other two children improved as well.  The eldest daughter became less shy and more interactive. 
This family was fleeing from violence, as so many Central American families are now.  These families have suffered untold hardships and trauma as they make their way north to escape drug and gang violence in their home countries.  The United Nations High Commission for Refugees (UNHCR) espouses a policy of family unity.  According to the UNHCR:  The right to family life and family unity is a right that applies to everyone, including asylum seekers whose status has not yet been determined.  There are many benefits to maintaining the family unit, including returning a sense of normalcy, easing a sense of loss, attempting to ensure safety and protect against danger.  In particular, keeping the family together helps protect against human smuggling trafficking, common in both the Eastern Congo and along the Mexico-America border. 
I am relieved by the recent decision to end this cruel and dangerous policy of separating parents from children on our southern border.  We must do our best to reunite those children already separated from their parents, and prevent this practice from recurring in the future.
Nicholson, F.  2018.  The “Essential Right” to Family Unity of Refugees and Others in Need of International Protection in the Context of Family Reunification.  United Nations High Commission for Refugees.  Retrieved from http://www.unhcr.org/en-us/protection/globalconsult/5a8c413a7/36-essential-right-family-unity-refugees-others-need-international-protection.html?query=family%20policy

Monday, June 25, 2018

Detained Children: General Health Issues- Part II

This is Part II  of this blog, devoted to child detainees and their health issues.  First, Christopher Sim,  a faculty member in our Department of Physician Studies further describes some of the medical concerns for immigrant populations.   The second contributor is Dr. Mary Thompson, a pediatric nurse practitioner and faculty member at the IHP.  She continues with more specific information that may be useful to providers concerned with care of children who are in refugee situations.  

Note: In Part III we will begin to focus on some of the specific developmental concerns and mental health issues facing these children and their families and caregivers.

From Christopher Sim, MPAS, PA-C, DFAAPA

Whether children arrive in the United States as part of a prearranged immigration with advanced notice, in a more urgent refugee crisis, or as undocumented emigres, they typically are at risk from multiple health factors.  Approximately 3.7% of children living in the US were born in other countries. This includes 7.7% of Latino children and 16 % of Asian children (Yun, 2016).
Hepatitis B, tuberculosis, parasites, anemia and high lead levels are the most commonly encountered diseases in children new to the United States (McBride, 2016). This is complicated by the countries of origin from which these children travel from. Although some children from refugee populations benefit from government or non-governmental organizations in terms of nutritional support and preventive health services, most refugee children from Central American countries have not been as fortunate. These children would be susceptible on their own, but also pose the risk of transmitting disease amongst themselves in the housing environments currently operated by Immigration Control and Enforcement in the US. It is also conceivable that children who arrived without such infections may, if returned to their countries of origin, transmit preventable new infection in those settings.
Failure to address these issues when children are under the care of the United States is unethical, irresponsible, and contrary to acceptable standards of humanitarian treatment of refugees. At the very least, these children require baseline testing for the most common parasitic diseases, hepatitis, tuberculosis, and lead screening. In identifying preexisting disease, public health authorities would be able to make insights into epidemiologic patterns and document current health states amongst these populations. Vaccination among these children is also either difficult to verify, if not impossible. Such children should also receive the same immunizations required of native-born US children, in the common interest of public health.

Yun, K., Matheson, J., Payton, C., Scott, K. C., Stone, B. L., Song, L., . . . Mamo, B. (2016). Health Profiles of Newly Arrived Refugee Children in the United States, 2006–2012. American Journal of Public Health,106(1), 128-135. doi:10.2105/ajph.2015.302873
Mcbride, D. L. (2016). Large Study of Health Issues for Newly Arrived Child Refugees. Journal of Pediatric Nursing,31(2), 222-223. doi:10.1016/j.pedn.2015.11.014

From Mary Thompson, PhD, RN, CPNP-PC
The American Academy of Pediatrics (AAP) has adopted a Toolkit to inform health providers of “common matters” related to the healthcare needs of immigrant children, which can be accessed here: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Immigrant-Child-Health-Toolkit/Pages/Immigrant-Child-Health-Toolkit.aspx
According to the Toolkit, many children who are newly immigrated have not had regular medical care in their country of origin. They require specialized healthcare screening for: exposure to infectious diseases (such as tuberculosis, HIV, and parasitic infections), immunization history (if known), medical history (including birth history), nutrition history, medications and use of complementary and alternative treatments, environmental hazards (including lead exposure), exposure to (tobacco, opium/heroin, and other drug use), dental history, social history, educational history, and sexual or other abuse.  Children who undergo forced separation due to immigrant enforcement may not be able to provide this information.
Many children who have newly immigrated have faced ACE’s prior to immigrating from their country of origin, or during their immigration. Separation from parents further exacerbates the negative effects from the exposure of ACEs. These children demonstrate a number of health problems, including anxiety, depression, poor school performance, sleeping and eating disruptions. Table 1 from the Toolkit includes a list of Mental Health and Developmental Screening Instruments and Resources that can be used to assess the mental health needs of immigrant children separated from their parents.
The United Nations High Commissioner for Refugees (UNHCR) document titled: Refugee Children: Guidelines on Protection and Care  offers insight in how to be responsive and acknowledge the needs of children affected by separation from their caregivers during immigration. In the immediate, children should be provided with appropriate:
Play: “Play is vital to the healthy development of a child. It is a child's way of coping with what has happened, of relaxing and relieving tensions and of assimilating what (s)he has experienced and learned. . . Playgrounds Refugee camps, settlements or reception centers should have play areas from the outset.”
Infants: “Breast feeding should be facilitated. . . Children of about 10 months (who are just about to develop speech, crawl and walk) are particularly vulnerable. In such situations the integration of infant stimulation programmes in other emergency services, such as feeding programmes, has proven helpful.”
Developmental Screening: “. . . is needed to identify children whose development is delayed. This involves knowledge about what normal development in this specific culture means. A group of refugee mothers may be able to help you. - Intervention if there is abuse or neglect.”
Counseling and Support Groups: “Children will become anxious when they do not understand what is happening to them. . . When a child becomes depressed, anxious or upset, the right to participate may effectively be lost: a child may not be able to process the information, and may not be able to make realistic decisions. Counselling to reduce stress may be necessary before children can focus on and absorb information fully. - Support groups: Encourage the creation of support groups where children have an opportunity to talk about problems and ways of addressing them. It is important that they understand that they are not alone and that they are not responsible for what has happened.”
Restoring Normalcy: “Restoring normalcy for unaccompanied children requires that tracing for parents begin immediately. When parents or relatives are located, children need help in maintaining communication with them until they can be reunited. . . The threat to psychosocial well-being is inevitably increased when lengthy or permanent disruptions occur between child and primary care-giver, or child and family. The loss of the mother, or substitute mother figure, particularly at an early age, places a child at a higher psychological risk. Arranging for substitute family care or immediate family reunion is critical.”
Perhaps most important of all:
Helping children by helping the family “The single best way to promote the well being of children is to support their family.”  This includes preserving family unity, tracing parents who have been separated, providing family support, establishing parental support networks, and helping families prepare for reunion by offering counseling.

Thursday, June 21, 2018

Detained Children: Understanding the Issues

 I have felt as concerned as many of you about what we can do to be helpful with the current situation regarding detained families and separation of children from their parents.  As of yesterday, June 20, President Trump has signed a new policy that prevents separation of children from parents at the borders.  However, there is no clear plan for detainees currently in custody.  Over 2000 infants, toddlers, children, and adolescents are currently being held in residential arrangements of various types.

The political discussion about responsibility for this mess goes on and on.   As always, the politics are debatable and inconclusive.  The political debate appears to offer no immediate solution for these children or their families.   What I do know is that this problem of detention, congregate living, and separation presents a host of health issues unfamiliar to many of us.

Thus, I have reached out to several colleagues from around the IHP to provide us with current thinking on a number of issues that should concern all of us, especially those who will be caring for these children.  Reading through the contributions of our colleagues makes me proud of the capability and insight of those with whom we work.  At the same time, reading this makes me worry for the future of these young children and their families.  I will start posting these contributions daily and invite you to read, share with your students, and extend a thank you to the writers.

Finally, if you would like to contribute to this blog on a topic I may have overlooked, don't be shy.  Send me your contribution and I will happily post it.  This appears to be a small step that we can take today.   This is a health problem and education is almost always the answer.

General Health Concerns:
Prepared by
Dr. Patrice Nicholas, School of Nursing

The American Public Health Association released a statement on June 15, 2018 entitled Separating Parents and Children at US Border Is Inhumane and Sets the Stage for a Public Health Crisis. The statement notes that the Trump administration’s policy of separating parents and children at the U.S. and Mexico border will negatively affect the detained children and their health, both now and into the future. 
"As public health professionals we know that children living without their parents face immediate and long-term health consequences. Risks include the acute mental trauma of separation, the loss of critical health information that only parents would know about their children’s health status, and in the case of breastfeeding children, the significant loss of maternal child bonding essential for normal development. Parents’ health would also be affected by this unjust separation.”
"More alarming is the interruption of these children’s chance at achieving a stable childhood. Decades of public health research have shown that family structure, stability and environment are key social determinants of a child’s and a community’s health.”
"Furthermore, this practice places children at heightened risk of experiencing adverse childhood events and trauma, which research has definitively linked to poorer long-term health. Negative outcomes associated with adverse childhood events include some of society’s most intractable health issues: alcoholism, substance misuse, depression, suicide, poor physical health and obesity.”
The full text of the statement can be viewed here:
 Adverse childhood experiences (ACEs) are stressful or traumatic events, including abuse and neglect. ACEs are strongly related to the development and prevalence of a wide range of health problems throughout a person’s lifespan, including those associated with substance misuse. The Centers for Disease Control and Prevention (CDC) addresses the health consequences associated with ACEs.
ACEs include:
  • Physical abuse
  • Sexual abuse
  • Emotional abuse
  • Physical neglect
  • Emotional neglect
  • Intimate partner violence
  • Mother treated violently
  • Substance misuse within household
  • Household mental illness
  • Parental separation or divorce
  • Incarcerated household member
For the children detained in the current circumstances, they are experiencing parental separation, incarcerated household member, and their own incarcerated circumstances in “tender camps” which are tantamount to serving in jails/cages.
The full text of the Centers for Disease Control and Prevention website on ACEs can be viewed here:

Saturday, June 16, 2018

Locked Up on Father's Day

Precious Children Locked Up

Children, minors under age 18, are the most precious resource available to our own culture and to all the world.  They represent all the hope and all the future possibilities available to everyone, everywhere.  This hopeful preciousness is agnostic to their national origin, their parents’ status in social strata, their health or physical status, their religious background, or their race or ethnicity.   Dependent on the adults “in the room,” their lives are precious, and they must hold special status in every aspect of society, and everywhere in the world.    In the United States we have a long history of protecting children (at least trying to), and our laws attempt to provide access to health and education and assure quality of life to the fullest extent possible.  When we consider violence or other inhumane acts against children we are outraged. 

 Recall the media coverage, the marches and protests that occurred, in response to recent school shootings in Texas and Florida.  Think of Newtown and the humanitarian and noble response of Americans to that disaster, where many precious six-year-old lives were lost.  Our collective conscience must never allow us to disregard the principled value we hold for children.  It is in our DNA as Americans and shared  by all civilized people of the world.

Juxtapose this view against your own experience as a child, parent, or grandparent.  All of us connect in some way to that innate childhood connection with adults critical to our safety, protection, and love.  For me, I think of my two sons (now grown up) and my three grandsons, ages 6, 4, and (almost) 2.  My connection with all of them is profound.   I can’t disconnect or dishonor that relationship in any way.   They are all precious.   When I see the sweetness and vulnerability of my grandsons I am awed.  When I see their joyousness, their robust life- changing personalities, and their need for connection with their parents I am humbled. Some say that when they see the face of a young child, they see the face of God.  Regardless of one’s religious bent, isn’t it fair to say that in such faces one sees the reality of goodness?

And now, I can’t think of those faces, connections, and smiles without comparing them with the hundreds of children who have been ripped out of their parents’ arms by my government.  I can’t justify this for any political, legal, or moral reason.  When I hear others try to legitimize this on religious grounds, I am sickened at the hypocrisy and hatefulness of their argument.  I can only see my little grandsons, being taken from their parents, moved to a fenced in “shelter”, and being held against their will.  I can only feel the amazing heartbreak, outrage, and shock this would cause their parents.   I am deeply aware of the wounds, the pain, and the anger that would persist over generations and lifetimes.     I identify with these feelings viscerally. 

I hope that many speak out and act against this.  While I know that our political leaders on both sides are failing us here, I hope that churches, communities, and other organizations find ways to fight these horrific actions, against children and families, by our government.   This must stop.