Trauma-Focused Cognitive Behavioral Therapy at CII

What is Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)?

Trauma-Focused Cognitive Behavioral Therapy is a structured, short-term evidence-based treatment developed by Drs. Anthony Mannarino, Judith Cohen and Esther Deblinger that effectively improves a range of trauma-related outcomes in 8-25 sessions with the child/adolescent and caregiver. This form of therapy can be useful for a variety of experiences and traumas and has proven to be highly effective at improving youth post-traumatic stress disorder (PTSD) symptoms and diagnosis (Trauma-Focused Cognitive Behavioral Therapy, 2024).

Currently, 25 randomized controlled trials have been conducted in the U.S., Europe and Africa, comparing TF-CBT to other active treatment conditions. The totality of this research is what distinguishes TF-CBT from other child trauma interventions and finding it superior for improving childrenā€™s trauma symptoms and responses (Trauma-Focused Cognitive Behavioral Therapy, 2024).

At Childrenā€™s Institute, TF-CBT can be an important tool in helping children and families who have experienced trauma and/or violence in their life.

First-Hand Experience from Ingrid E. MĆ¼rrle, LMFT, CII Therapist and Training Center Clinical Manager

ā€œOne of the adjunct benefits of TF-CBT is caregiver involvement. Studies have shown that the more involved a caregiver is in treatment, the better the outcome.

In one case, we had a caregiver who was feeling hopeless; yet she came to our sessions each week. I had the opportunity to work closely with her and we went through each of the TF-CBT components just like we did with the child, both separately and together. During the treatment, we began to look at how thoughts can impact behaviors which impact feelings. This is an intervention we use with the kids and with caregivers. We approached it little differently by helping them work backwards from what they see to what the child is experiencing.

With this caregiver, we made a list of the childā€™s behaviors that were challenging. After going through the list, I challenged this caregiver to think about the internal effect a child behaving in those ways would feel. The last step was to imagine what someone with all these behaviors and feelings would be thinking of themselves. The caregiver began to cry as she realized that the child was feeling unworthy, unloved, and unimportant. It was one of those sessions where you walk out drained yet knowing something powerful had just happened.ā€

At CII, Trauma-Focused Cognitive Behavioral Therapy has been proven to help children and their families process and heal from the effects of traumatic experiences. If you would like to learn more about TF-CBT as a clinician or parent, please visit tfcbt.org.

Resources:

Children’s Institute will be at the Festival of Books April 20-21!

The L.A. Times Festival of Books is the largest book festival in the nation and this year, Childrenā€™s Institute will be an exhibitor! Held at the University of Southern California (USC) campus from April 20-21, we are honored and excited to have our own booth alongside hundreds of other exhibitors, including NASA, Harper Collins Publishing and Vromanā€™s Bookstore ā€“ just to name a few.

This is a free, family-friendly event with indoor and outdoor activities. We are excited to be a part of this event because we hope to inspire a love for reading in the hearts of our youth. Reading opens hearts and minds to other worlds and endless possibilities while stimulating creativity.

Make sure to mark your calendars for April 20-21, 2024 to meet us at Booth #732 for books, games and info on Childrenā€™s Institute!

ā€œThere are many little ways to enlarge your world. Love of books is the best of all.ā€ ā€“ Jacqueline Kennedy

Top Ten Childrenā€™s Books with Mental & Behavioral Health Benefits

A recently published Ipsos research report on parenting, ā€œWhat the Future: Parenting,ā€ finds that mental health is now the top concern parents have as they’re raising children. Kate MacArthur, a research editor at Ipsos says, ā€œThinking about all the things that parents could worry about for their children, seeing that 40% of parents indicating that they are extremely or very worried their children will struggle with anxiety or depression is a key finding.ā€

At Childrenā€™s Institute (CII), the therapists that work with children are aware of the importance of addressing mental and behavioral health issues from an early age. Children are growing up in a time defined by one global crisis after another, on top of the everyday struggles of trying to be a kid navigating the world around them, which can magnify existing mental health issues.

Children’s Institute serves children that experience this in addition to having to cope with community violence and economic hardship. It may not be easy to talk about difficult emotions with children but there are books and resources that facilitate these conversations in safe, accessible ways.

The therapists, teachers and staff at Childrenā€™s Institute came up with a list of resources and books that facilitate these types of conversations between parent and child. Here are their recommendations.

The Invisible String by Patrice Karst

The Invisible String is a great book as it helps children cope with separation anxiety, loss and grief. The book can help a child when they experience the death of a family member and even in class, when they need support while missing home.

In My Heart: A Book of Feelings by Jo Witek

This book helps children talk about their emotions and the issues they hold in their hearts. During the pandemic, I used this book to help kids verbalize their worries and anxieties, which helped facilitate those conversations.

Moody Cow Meditates by Kerry Lee MacLean

The child in this book has a very bad day and his uncle, who is a sensei, teaches him about regulating his feelings. The book has important lessons to hold onto and it even includes a childrenā€™s activity to make a calming jar.

Have You Filled Your Bucket Today? by Carol McCloud

This book helps children develop empathy and kindness. My daughterā€™s school read this book and it became the basis for their school-wide program to help students empathize with their classmates.

El Libro de los Sentimientos (The Feelings Book) by Todd Parr

This beginnerā€™s book illustrates the wide range of emotions humans ā€“ including children, can experience through the use of simple vocabulary and eye-catching illustrations. Instead of children bottling up their emotions, this book creates opportunities for your child to open up.

B is for Breathe: The ABCs of Coping by Dr. Melissa Munro Boyd

This book uses the ABCs in a way that helps children with coping skills to help manage their fussy and frustrating feelings. The story has fun illustrations which helps promote positive behaviors and self-regulating skills for children 2-5.

The Color Monster: A Story About Emotions by Anna Llenas

This story focuses on investigating feelings and introduces a method to help children identify their emotions. Children learn to identify their emotions by associating them with colors, helping them share how they are feeling.

The Bad Seed by Jory John

The Bad Seed introduces the concept of trauma and how it affects the way children think about themselves, behave and perceive others. Children can learn that positive changes are possible for each and every one of us.

The Goodbye Book by Todd Parr

This book is helpful when children deal with heavy emotions such as grief and anguish. Itā€™s a touching story that discusses loss and how it is okay to not know how to feel in those times while establishing a feeling of safety and support.

My Many Colored Days by Dr. Seuss

This Dr. Seuss book utilizes colors and animals to describe different moods and emotions. Reading this book helps children validate their emotional experiences and get back to their baseline.

 

Additional Resources for Caregivers:

Conscious Discipline

Social Stories – ABA ResourcesĀ 

The Best Behavior Series

NASP’s Book List for Children Dealing with Trauma and Loss

 

*Many thanks to Dr. Brandi Eichstedt, Dr. Diane Elias, Odalys DeLeon, Ingrid MĆ¼rrle and Riley Solorzano for contributing to this list of books & resources.

Deskside Chat with the Board: Ariff Sidi

We had the privilege of sitting down with one of our newest Board members, Ariff Sidi, former GM & Chief Product Officer at Edgecast, a division of Verizon Media. During our conversation, Sidi shared some of his major career accomplishments and his convictions as a father and how these experiences led him to join the Board at Childrenā€™s Institute.

Ariff, youā€™ve had quite an impressive career ā€“ from engineering to product management to media and tech! Could you walk us through your professional journey, highlighting some of your achievements?

I started off in software engineering at Qualcomm, having graduated from the University of California, San Diego. In the beginning, my work was hands-on, writing code. While it was intellectually challenging, it was also a bit removed from the consumer experience, and I wanted to create products that touched peopleā€™s lives more directly. That led me to Disney, where I began migrating from engineering to product management.

During my 12-year tenure at Disney, I built a variety of products and technology that people were using and enjoying daily, which I loved. I also played a central role in the development of ABCā€™s industry-first video streaming platform, which my team built in only 62 days, and kicked off an entire industry transformation that is still ongoing today! In the process, I filed 10 patents, won an Emmy award and two additional Emmy nominations. I also earned an MBA from UCLA during this time.

After my time at Disney, FOX and a couple of start-ups, I went on to become the Chief Product Officer at a division of Verizon During my time at Verizon, I led the business through two private equity transactions, after which I decided to take some time out to spend with my family.

Ā Wow, what an incredible impact youā€™ve made across multiple industries! It mustā€™ve been a rollercoaster of an adventure to be part of an unprecedented transition from traditional media to streaming, and congrats to you!

Can you share about what motivated you to join Childrenā€™s Instituteā€™s Board of Trustees?

Ultimately, being a father of two young kids in the same age range as Childrenā€™s Instituteā€™s children is what motivated me to join and why Childrenā€™s Instituteā€™s mission and work resonates with me personally. Ā I recognize that a stable and healthy childhood makes a huge difference in launching young people into successful and happy adults. If I were to think of my own kids in anything but the best conditions ā€“ not being cared for, not having access to education, feeling unsafe, not having the opportunities they currently have, not having their dad around, etc. ā€“ itā€™s heartbreaking.

Knowing that not all children are afforded these opportunities, and that Childrenā€™s Institute is pushing hard to change that is the source of my motivation to get involved. Iā€™m hoping that I can use my skills as a technologist, business leader, and dad to support Childrenā€™s Institute and the great work it does.

Thatā€™s wonderful to hear and thank you for your incredibly big heart and desire to help the children of Los Angeles, particularly those who are consistently marginalized and underserved. Childrenā€™s Instituteā€™s North Star states that all children and families can achieve educational success and emotional wellbeing to build lasting pathways to lifelong health and economic mobility. Can you share what specifically connects you to Childrenā€™s Instituteā€™s North Star?

I want to start off by sharing a quote by Martin Luther King Jr, from his book, ā€œWhy We Canā€™t Wait.ā€

It is obvious that if a man is entered at the starting line of a race 300 years after another man, the first would have to perform some impossible feat in order to catch up.

While this quote is specifically about racial inequality and reflects the challenges that many African Americans face today, I think it is has quite a lot of relevance to the work of Childrenā€™s Institute. It is difficult to compete if your starting line is so far behind your peers. Thatā€™s why the work of Childrenā€™s Institute and its work in early childhood education and head start programs is so important. How one starts their lives impacts their future and their early years in childhood carry forward into adulthood. I believe in a fair playing field, for kids most of all.

Letā€™s give these kids a better start to ensure better outcomes in the future.

What a powerful motivator. Itā€™s true that to make a lasting impact, it often starts with the early stages of childhood. That relates to a statement that was recently made by a fellow Board member, Sunil Gunderia, who said, ā€œThe most effective and efficient societal investments in education are those made in early childhood education.ā€

Now that you are a member of Childrenā€™s Instituteā€™s Board, what is something you would like to accomplish in your work and advocacy through Childrenā€™s Institute?

There are three parts to what Iā€™d like to accomplish as a Board member of Childrenā€™s Institute:

First, in an early meeting with Martine Singer and Catherine Atack, before I became a member of the Board, they had mentioned that Childrenā€™s Institute has been around for over a hundred years ā€“ since 1906, which is about the time LA Childrenā€™s Hospital was established. But a major difference is the level of public awareness between the two. I would like to help build awareness for Childrenā€™s Institute and its work through my efforts and connections.

Second, because of my background in tech, I hope to be helpful in guiding the use of technology to drive and improve efficiencies to contribute to better outcomes internally.

And third, also related to technology, but more specifically as it relates to its externally facing products. I hope to be helpful in guiding the use of technology to improve products and services delivered to CIIā€™s children and families.

Thatā€™s wonderful! Weā€™re so excited to have you onboard! On a personal level, can you share some of your hobbies?

I have a bunch of hobbies, most of which lean pretty technical. I enjoy photography; I also enjoy sailing and powerboating; Iā€™ve always been big into cars and had an amateur racing license at one point; I do a lot of DIY from electrical to plumbing to carpentry to metal work; I do some content creation; and Iā€™m building an AI home automation system. Iā€™m probably forgetting something. One day I will get a private pilot license, but my wife has forbidden me to do that while we have young kids!

Are there any other interesting facts about yourself?

I mentioned I had several patents from my time at Disney. Thereā€™s a high likelihood, probably a certainty, that you have come across and experienced one of my patents if youā€™ve ever watched a streamed video with ads in it. If youā€™ve noticed the countdown timer during an ad or how you canā€™t skip the ads, youā€™ve come into contact with one of my patents!

Thank you so much for your time, Ariff. It was a pleasure getting to know you and your desire to make a positive impact on the lives of children. Welcome to Childrenā€™s Institute!

(more…)

Alarming Suicide Rates Impacting Latino Youth – NBC News Featuring CII

NBC News recently published an article reporting on the increase in youth suicide rates, featuring insights by Dr. Diane Elias, Vice President of Behavioral Health at Childrenā€™s Institute (CII). While the findings may not be surprising, especially to those familiar with recent mental and behavioral health trends, it serves as a sobering reminder of the importance of understanding and bringing awareness to this complex youth mental health crisis.

The rising rates of youth suicide and suicidal ideation can be seen locally in Los Angeles but also nationally, affecting rural, suburban, and urban areas, alike. What is interesting about the statistic is that not all groups are affected equally. According to NBC News,Ā the suicide rate for Hispanic people in the United States has increased significantly over the past decade. Even elementary school-aged Hispanic children have tried to harm themselves or expressed suicidal thoughts.

The statistics show that the rise in youth suicide has been more pronounced in communities of color, including Latino communities, where thereā€™s been a staggering 92.3% increase in suicide among Hispanic children 12 and younger from 2010 to 2019. There is a significant increase in emergency room visits and hospitalizations among young people for risky behavior and suicidal thoughts. Children as young as eight have required hospitalization for attempting to harm themselves, said Dr. Elias.

What makes this issue even more complex is that often, there are multiple layers and contributing factors and no one-size-fits-all solution. Issues including anxiety, a sense of uncertainty, a lack of access to mental health resources, and underlying mental health issues can exacerbate the problem but there are other factors that are unique to certain ethnic and racial groups that act as obstacles including, but not limited to, cultural and language barriers, stigma surrounding mental health, and even societal and economic pressures attributed to oneā€™s residency status. The article states that,Ā about one in five Spanish-language calls ended with the scheduler hanging up or informing the caller that no one was available to assist in Spanish, further proving how mental health care is often difficult to access. Itā€™s critical to note these cultural and language factors in providing the right access to care.

Childrenā€™s Institute is keenly aware of and considers these factors when developing specialized approaches to treatment. According to Dr. Elias, Childrenā€™s Instituteā€™s approach includes the following methods & services:

  • Trauma-Informed Care: addresses underlying issues and appropriately responds to the impact of trauma on mental health.
  • Cognitive-Behavioral Therapy (CBT): identifies and focuses on building coping skills and resilience.
  • Family Therapy: strengthens family support systems and communication within the family structure.
  • Crisis Intervention: provides immediate support and develops safety plans catered to the individualā€™s needs.
  • Collaborative Care: coordinates efforts with schools, other healthcare professionals, and community services for comprehensive care.
  • Holistic Approach: explores creative therapies, mindfulness, and self-care practices.
  • Culturally Competent Services: aligns with cultural sensitivities and beliefs held within different groups.

Additionally, Childrenā€™s Institute aims to support families and youth in reducing the risk of suicidal ideation by providing comprehensive mental health services. Individuals seeking help or those looking to support someone in need can benefit from Childrenā€™s Instituteā€™s diverse and personalized approach to mental health and well-being. To start the process, you can call 213-260-7600.

It is critical to approach any warning sign seriously and with compassion. If you or someone you know is experiencing these signs, seek help immediately. Reach out to mental health professionals for support and guidance and if there is an immediate risk of harm, call emergency services or go to your nearest emergency room.

If you are someone you know is struggling with suicidal thoughts or ideation, itā€™s crucial to seek immediate help.

Steps to Reduce the Risk of Suicidal Ideations and Suicide for Families and Youth:

Open Communication:

  1. Encourage open and honest communication within the family.
  2. Create a safe space for youth to express their feelings without judgment.

Establish Support Networks:

  1. Build strong support networks involving family, friends, and community.
  2. Foster connections that provide emotional support during difficult times.

Encourage Professional Help:

  1. Promote the importance of seeking professional help including counseling/therapeutic services.
  2. Find mental health professionals and organizations that can provide support.

Identify Warning Signs:

  1. Changes in behavior such as sudden withdrawal from friends, family, or activities previously enjoyed.
  2. Communicating a sense of hopelessness
  3. Engaging in reckless or impulsive behaviors without regard for consequences
  4. Avoiding social interactions and isolation
  5. Persistent feelings of sadness, hopelessness, or sudden unexplained mood swings

Additional Resources and Other Steps to Take:

Suicide Prevention | CDC

Suicide Prevention: 12 Things Parents Can Do

Rising Latino Suicide Rates Worry Community Leaders | NBC News

National Suicide Prevention Lifeline: Call 1-800-273-TALK (1-800-273-8255) for free and confidential support 24/7. This Lifeline provides crisis intervention and emotional support for people in distress or for those around them.

988 Suicide & Crisis Lifeline: Call or text 988 if you or someone you know is struggling or in crisis. Help is available.

Crisis Text Line: Text HOME to 741741 in the United States to connect with a trained crisis counselor. This service is available 24/7 and provides support via text message.

Emergency Services: If the situation is urgent or life-threatening, call emergency services (911 in the United States) immediately.

 

 

Back-to-School Advice for Parents and Caregivers

For many parents, caregivers, and children alike, the back-to-school season is rarely synonymous with an easy time. Instead, this time often entails a transition from long summer days to structured school hours, which for many can be exciting, but also anxiety-inducing and even chaotic for some families. Understandably so, from as early as 0-5 years old, kids can have a hard time adjusting to new routines, which can add stress to family dynamics. Given this, weā€™d like to provide caregivers with information and advice on how to help ease their child and themselves during this time of year and beyond.

Beginning with the little ones, ages 0 to 5, the back-to-school transition is just as much a new experience for the kids as it is for the parents. Up until then, many of the kids havenā€™t left their caregiverā€™s side for extended periods of time, so this can be a jarring change for all parties involved. According to Odalys DeLeon, ASW, CIIā€™s Behavioral Health and Wellness Specialist, it is important for parents to observe and note their childā€™s temperament and consider sharing this with their teacher. Are they easy going or slow to warm up? Are they receptive to new experiences or do they take time to adapt? What is their frustration tolerance? These are all great questions Ms. DeLeon recommends you keep in mind during this time of year.

In some cases, little kids can start off very excited for the new year and new experiences, but as the year progresses and they settle into the routine, they may become increasingly dysregulated both at school and at home. Some warning signs include having a hard time with the morning routine and if there are tantrums before school and/or afterschool. These signs as far as one or two months into the school year should raise some alarms.

So, what can be done if a child is not adjusting that far into the school year? ā€œSomething to keep in mind,ā€ Ms. DeLeon mentions, ā€œis that consistency creates a sense of safety. Bedtime and morning routines can help with anxiety about school.ā€ Creating a social story can allow a child to visualize these daily routines and ultimately feel grounded when they are doing their routines in real-time. To create a social story, first ensure that the child is in an emotionally regulated state. Then, allow the child to draw themselves during each stage of their daily routines and caption the images with a few words about what they are doing. Example, ask the child to draw a picture of themselves brushing their teeth and write ā€œwhen I wake up, I brush my teeth.ā€ Other helpful activities include exposing them to media which portrays school in a positive way, such as Bluey or Sesame Street, or allowing them to bring a small item or token with them to school that reminds them of their caregiver.

Though we can expect children to become more resilient as they grow older, it can still be hard for kids in higher grade levels to feel integrated, especially if they are starting at a new school. According to Dr. Karla Harness Brown, Inglewood Unified School Districtā€™s Child Welfare and Attendance Advisor, something to look out for in teens and pre-teens is ā€œspill-overā€ from the school day into the evening time. This can look differently depending on the child, but some signs include withdrawal from social situations, wanting to stay in their room all the time, having negative conversations about school, and becoming heavily involved with the internet. Overall, the child is communicating that they had a hard time at school during the day.

Thankfully, it is possible to intervene when you sense that your child is struggling. Dr. Harness Brown recommends that caregivers use the window of time on the ride or walk home to naturally ask ā€œWhat did you like about school today?ā€ Even if it was just what they had for lunch, this is a good way to help the child feel safe to talk about their day to their caregiver. Also, it is still advised to reach out to their teachers. ā€œTalk to the teacher. Itā€™s okay to do that,ā€ says Dr. Harness Brown, ā€œIn the beginning teachers are doing ice breaker activities that help build bonds between students. During this time of year, teachers can also set up a buddy system for recess and lunch.ā€ If the child is a bit older, you can also encourage them to join clubs and school activities to help them integrate. ā€œItā€™s hard for new students when their classmates have attended the same schools overtime. Ā In this situation, a parent can also connect with other parents at their childā€™s school to help create a social network with their child,ā€ says Dr. Harness Brown. Building a social network of parents can also be very beneficial for neurodivergent children who have a harder time in social situations. If needed, talking with a school counselor is also an option as they can act as the liaison between the parent and the teacher.

Though it may feel natural to stay focused on the childā€™s experience during this time, it is just as important to simultaneously practice self-care as a parent. Both Odalys DeLeon and Dr. Harness Brown recommend finding a mindfulness activity to help parents understand their own feelings and soothe their emotions. Meditation, deep breathing, prayer, and yoga are all great ways to begin this practice. In addition, understanding oneā€™s own triggers is essential to help navigate stressful situations both at home and at school.

Though this time of year brings many changes, it also allows an opportunity for growth and development. As with any transitional period, moments of uncertainty are common. Though tantrums or mood swings are uncomfortable to bear, caregivers are encouraged to approach tough situations with curiosity and know that children may lack the maturity and language to communicate that they are having a hard time adjusting. It is great to know that there are ways to help students integrate and there is a community of adults, including teachers and school counselors, dedicated to helping the child succeed at school and beyond. CII wishes everyone a great 2023-2024 school year!

Tis the Season for our Winter Festival Toy Drive-Thrus!

This month, Childrenā€™s Institute held our Winter Festival Toy Drive-Thrus for the third year in a row. Our staff was filled with the holiday spirit as we gathered together to give toys to our wonderful families at our Long Beach, Wilmington, Otis Booth, Watts, Compton campuses! Across our different festivals, we had appearances from Elsa, Olaf, Snoopy, and even the Grinch!

We are incredibly grateful for all of our sponsors and community partners who made this possible: Filmtoys, Mattel, JAKKS Pacific, Inc, Project Pop Drop, Dodgers, Mayor Garcetti’s office and a host of individual donors. Because of them, we were able to give away thousands of toys, hundreds of grocery bags, and hundreds of baby necessities such as diapers.

Total Toys: 3500 +
Yummy Bags: 750 +
Baby Diapers: 250+
Children Clothing: 300+

We would also like to thank all our staff and volunteers who worked tirelessly to prepare distribute, and organize each event. Our families were the shining stars of all our Winter Festival activities!

We wish our community a happy, safe, and healthy holidays this season!

A December to Remember

In December 2022, more than 100 foster youth in CII’sĀ Individualized TransitionĀ Skills Program (ITSP) celebrated the holidays with friends, mentors and chosen family at our Otis Booth campus in Echo Park. Guests enjoyed a holiday meal, music,Ā plenty of games, prizes and photo ops.

This was the first time in over threeĀ years that CII’s foster youthĀ program was able to celebrate the holidays in person due to the COVID-19 pandemic and financial limitations.Ā This celebrationĀ truly would not have been possible without the generous support of our donors and greater LA community partners.Ā A special shoutout to DJ Lani Love for providing the tunes, Donny Joubert BBQ and Desserts by Donisha for the delicious food, and to sisters, Alex and Tiffany Tuttle, for ensuring that every youth went home with a gift.

CII’s ITSP supports transition aged (16-21) foster youth in preparing for a fulfilling adult life outside the foster system by providing mentorship, life skills classes, and educational supports that workĀ towards high school and college graduation.

WeĀ still need your helpĀ to ensure that youth have the resources they need to achieve educational success and emotional wellbeing, whichĀ build pathways to economic mobility. Please consider making a gift to Childrenā€™s Institute and make the future brighter for youth across our city.

 

Vaccines: What You Need To Know

As we ease back into the school year, we want to recognize that August is National Immunization Month. In addition to staying up to date on your childā€™s regular vaccines, we encourage you to consider the COVID-19 vaccine for you child. The U.S. Food and Drug Administration and pediatricians at Cedars-Sinai put together an article to answer a few common questions when considering if your toddler or preschooler should get vaccinated. Here are a few things you should know.

How old does my child need to be to get the COVID-19 vaccine?
The FDA has approved for children 6 months to 4 years old to receive the vaccine. In California, you can schedule vaccines through MyTurn.ca.gov.

Is it safe for my child to get the vaccine?
It is completely safe for your child to get the COVID-19 vaccine. Healthy children should especially follow local protocol for receiving vaccines and wearing masks to prevent the spread of COVID-19 to other, more vulnerable children. Cedars-Sinai writes, ā€œIt’s understandable that some people have reservations about the vaccine, but it’s important to remember that the COVID-19 vaccines currently available have been through rigorous safety testing and were required to meet the same standards as other vaccinesā€”such as chickenpox and polioā€”that have been given to children for many years and are known to be safe and effective.ā€

Which vaccine is ā€œbetterā€?
The safest vaccine to get is whichever is available to you first. Both the Moderna and Pfizer ā€œare safe and effective.ā€ However, Dr. Priya Soni, Assistant Professor of Pediatric Disease at Cedars-Sinai Guerin does ā€œurge parents to consider timing and availability as they make their decision.ā€ Moderna requires two stronger doses while Pfizer is given at lower doses across three injections.

Will this harm my child later in life?

There are no known long-lasting side effects from the COVID-19 vaccine. Dr. Soni reports that ā€œthere are no long-term health effects of these vaccines other than they will protect your child from contracting and developing potentially devastating complications from this virus.ā€ While you or your child may encounter mild symptoms from the vaccine, this is normal and not anything to be concerned about.

In the coming weeks, we will be partnering with Cedars-Sinai to host free vaccine clinics around Los Angeles county. We will be sure to share the dates and times of these clinics so that you and your family can prepare to go back to school safely. Check you email and our social media for updates and information.

July is National Minority Mental Health Month, but What Does That Really Mean?

The Department of Health and Human Services officially recognizes this month as a time to bring awareness to the stigma and barriers racial and ethnic minorities face in accessing and utilizing mental health services. The American Psychiatric Association (APA) states that while most minority groups have similar or fewer mental disorders than whites, “the consequences of mental illness in minorities may be long lasting.ā€ This is due to a lack of access to primary healthcare, insurance, and mental health education. Additionally, racial minority groups are often treated with cultural insensitivity by healthcare and mental health professionals. According to the APA, many patients in minority groups are underdiagnosed or misdiagnosed, and factors that contribute to this include ā€œlanguage differences between patient and provider, stigma of mental illness among minority groups, and cultural presentation of symptoms.ā€

Our mental health and wellness providers at CII are acutely aware of these issues, which is why a culturally sensitive, trauma-informed approach is the foundation of their work. We asked a few of our staff why specifically recognizing minority mental health is crucial. Hereā€™s what they shared:

ā€œMental health in our communities is still a hard thing to sell, especially in lower income communities. Our communities have a hard time trusting systems, and this has created a barrier. Breaking down this barrier has been an amazing process for me, specifically.ā€

Jessie E Gonzalez. Clinical Supervisor

ā€œIt is important to recognize minority mental health, because mental illness does not have a specific race/ethnicity, and it can affect anyone regardless of their race. However, not everyone is able to get the support needed due to mental health being stigmatized in many minority groups. It is very important that mental illness gets treated in all minority groups.ā€

Elizabeth Magana, Child and Family Specialist

ā€œI feel that it’s important because I am aware that racial and sexual minority groups experience higher levels of anxiety and other challenges.ā€

Anna Maria Guerra, Therapist

ā€œIn mental health particularly, it is important to provide the services necessary to restore trust and mend what has been broken by systems that have marginalized, exploited, and forgotten communities of color for centuries.ā€

-Karen Luna Gonzalez, Therapist

ā€œRecognizing minority mental health is very important as it helps our community become better in a sense that people can learn to be more understanding and help reach those that need assistance but may not have the resources.ā€

Ashley Ramirez, Intensive Care Coordinator

ā€œComing from a Latino family and community, mental health is considered a myth. Therapists and medication are for ā€˜crazy peopleā€™ or ā€˜the weak mindedā€™. It’s important to educate our communities and let them know that it is okay to speak about trauma. It is okay to seek help without having to fear what people will think of you or how they will perceive you. It took me a while to be able to seek help myself, because I did not want my family to see me as a ā€˜weakā€™ person. I’m thankful that I was able to connect with a therapist of my own and also educate my family on the importance of mental health to break the stigma.ā€

Sofia Manzo, Parent Partner

The Office of Minority Health has put together an abundance of resources for anyone looking to seek care or learn more about how to advocate for minority mental health equity. For an extensive list of information on coping with stress, trauma, violence, substance use, diagnoses, and treatment, head to: National Minority Mental Health Awareness Month ā€” Resources and Publications (hhs.gov)

If you or someone you know is experiencing thoughts of self-harm, harm to others, or any other mental health crisis, call or text 988 to get connected to a free crisis counselor.