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The National Child Traumatic Stress Network

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Helping Teens with Traumatic Grief: Tips for Caregivers

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Describes how teens may feel when struggling with the death of someone close and offers tips on what caregivers can do to help.

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The National Child Traumatic Stress Network

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Even in the closest of families, it is sometimes hard to remember that family members may have different reactions to the same traumatic event. Reactions will differ depending on each family member's age, developmental level, trauma history, as well as his or her relationship with the child, and personal exposure to the event. For example, one family member may have shared the child's experience, another may have witnessed it, and another may have heard about it after the fact. While all family members may be upset, only some will have traumatic stress reactions and each will take a different amount of time to recover from the experience.

"I was so focused on my own worries that I almost didn't notice how upset my son was. But once I did, finding activities to help calm him ended up calming me as well."

How does trauma affect families?

Trauma changes families as they work to survive and adapt to their circumstances and environment. Research demonstrates that trauma has a range of impacts on individual family members, their relationships with each other, and overall family functioning.

Individuals can experience a range of reactions to a traumatic event. Initial distress is likely. Subsequent responses range from resilience to thriving, or on the other end of the spectrum, short-term to chronic physical health concerns (e.g. headaches, sleep problems, digestion problems, high blood pressure) or mental health problems (e.g. acute stress, post-traumatic stress disorder, depression). In both children and adults, these symptoms can inhibit developmental growth and cascade into changing the course of one's life.

The adult intimate relationships in a family can be a source of strength in coping with a traumatic experience and its aftermath, but when coping resources are stretched too thin and the stress is too high, partners can have problems communicating, managing emotions, and remaining close, which increases the chances for separation or even interpersonal violence.

How does trauma affect family relationships?

The parent-child relationship is vital to the child's development and recovery. Parents' protection, nurturance, and guidance speeds recovery and supports their children's coping in the face of trauma. When parents are not available or are struggling with their own reactions or behavioral and/or physical health problems, they may have trouble staying attuned with their children's reactions and responses to the traumatic experience, leading to changes in parenting behaviors.

Sibling relationships are important sources of companionship, comfort, daily support, and family connection, especially when living under stressful conditions or impacted by trauma. When the stress and burden of such changes are too heavy, sibling relationships can become over-taxed and typical developmental rivalries can turn into more intense conflict or feelings of rejection.

Extended family and kinship relationships can offer the day-to-day assistance as well as the emotional support needed to recover from trauma. Families separated from their extended kin often develop a new "kinship" network close to where they are.

The family, as a whole, provides resources to meet the basic needs of each of its member (safety, love, food, shelter, health, education, etc.) and supports the family's well-being and day-to-day functioning. Traumatic circumstances often drain families of resources, such as time, money, and energy, interfering with growing, learning, and working. The burdens often associated with trauma (e.g. costly court proceedings, moving to a new home, changing schools, etc.) result in cascading effects such as loss of income, as well as the time to spend with family and friends. When trauma limits access to needed resources and social support, families have difficulty carrying out daily routines and sustaining important traditions that bind them together.

How can providers support families after trauma?

Growing awareness of trauma's impact on families-including the important roles families play in helping children recover-highlights the importance of putting families at the center of trauma services. When families carry out routines, rituals, and traditions, they strengthen their connections and grow stronger together. Talking, laughing, sharing memories and feelings, as well as working together to solve problems, manage stress, and plan for each day and the future are necessary for resilience and recovery from traumatic stress. If families experience numerous or ongoing traumas, resources diminish and the "wear-and-tear" effect on health and well-being may call for family-informed trauma services in addition to resources for recovery and ongoing healing. Providers who actively engage primary, biological, extended, kinship, birth, and foster families and work with professionals in other child- and family-serving systems are better partners in the delivery of family-centered, trauma-informed services.

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Even in the closest of families, it is sometimes hard to remember that family members may have different reactions to the same traumatic event. Reactions will differ depending on each family member's age, developmental level, trauma history, as well as his or her relationship with the child, and personal exposure to the event.

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Understanding child traumatic stress: a guide for parents

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Understanding child traumatic stress: a guide for parents

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The National Child Traumatic Stress Network

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The National Child Traumatic Stress Network

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Understanding Child Traumatic Stress: A Guide for Parents

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Offers parents information about child traumatic stress (CTS), the best way to treat CTS, what parents can do at home for their children, and how parents can make sure their children receive support at school.

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For the grieving family

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When someone you love dies, it creates a gap. A chasm. Something missing where their memory lives.
We've been there and that's why we're here.
Bo's Place exists to help those grieving, and those assisting the bereaved, find the support they need.

No grief journey is the same, yet each person grieving needs one powerful thing: Support.

Our Heart

Whether it's through group support, phone consultations with our clinicians, or grief-related resources, we are here to help you find the support you need after the death of a loved one.

Bo's Place is a safe place to express your thoughts and feelings with others on a similar journey.

Bo's Place operates on the belief that sharing your story, your thoughts, your memories and your feelings with others can be a powerful tool for healing.

We're Here

Grieving is both solitary and communal-we grieve alone and we grieve with others. While you may walk your own path, you do so in the company of many others who have experienced the death of a loved one, too.

We offer information and grief resources via phone, online and through in-person grief support groups for bereaved children, families and adults in both English & Spanish
Contact Us

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bo’s place is a houston based non-profit bereavement center offering free grief support services for children

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families and adults in their grief journey.

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Bo's Place | Bereavement Center Offering Free Grief Support Services

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When someone you love dies, it creates a gap. A chasm. Something missing where their memory lives. We've been there and that's why we're here. Bo's Place exists to help those grieving, and those assisting the bereaved, find the support they need. No grief journey is the same, yet each person grieving needs one powerful thing: Support.

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https://lucinecenter.com/

Behavioral health support for students experiencing trauma

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You are not alone. A traumatic event or loss can make a child, teen, or young adult feel like they're surrounded by darkness. Let us help light the way toward hope and healing. Our Services Assessment We spend time continuously learning about the individual youth, their circumstances, and their progress throughout treatment.

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Fast Facts

At least 1 in 7 children have experienced child abuse and/or neglect in the past year, and this is likely an underestimate. In 2019, 1,840 children died of abuse and neglect in the United States.

Each day, more than 1,000 youth are treated in emergency departments for physical assault-related injuries.

In 2019, about 1 in 5 high school students reported being bullied on school property in the last year.

8% of high school students had been in a physical fight on school property one or more times during the 12 months before the survey.

Each day, about 14 youth die from homicide, and more than 1,300 are treated in emergency departments for violence-related injuries.
It's important to recognize the signs of traumatic stress and its short- and long-term impact.
The signs of traumatic stress may be different in each child. Young children may react differently than older children.

Preschool Children

Fear being separated from their parent/caregiver

Cry or scream a lot

Eat poorly or lose weight

Have nightmares

Elementary School Children

Become anxious or fearful

Feel guilt or shame

Have a hard time concentrating

Have difficulty sleeping

Middle and High School Children

Feel depressed or alone

Develop eating disorders or self-harming behaviors

Begin abusing alcohol or drugs

Become involved in risky sexual behavior

The Body's Alarm System

Everyone has an alarm system in their body that is designed to keep them safe from harm. When activated, this tool prepares the body to fight or run away. The alarm can be activated at any perceived sign of trouble and leave kids feeling scared, angry, irritable, or even withdrawn.

Healthy Steps Kids Can Take to Respond to the Alarm

Recognize what activates the alarm and how their body reacts

Decide whether there is real trouble and seek help from a trusted adult

Practice deep breathing and other relaxation methods

Impact of Trauma

The impact of child traumatic stress can last well beyond childhood. In fact, research has shown that child trauma survivors may experience:

Learning problems, including lower grades and more suspensions and expulsions

Increased use of health and mental health services

Increase involvement with the child welfare and juvenile justice systems

Long-term health problems (e.g., diabetes and heart disease)

Trauma is a risk factor for nearly all behavioral health and substance use disorders.
There is hope. Children can and do recover from traumatic events, and you can play an important role in their recovery.
A critical part of children's recovery is having a supportive caregiving system, access to effective treatments, and service systems that are trauma informed.

Get Help Now
SAMHSA Behavioral Health Treatment Services Locator The National Child Traumatic Stress Network: Get Help Now Healthcare Toolbox: Basics of Trauma-Informed Care
Not all children experience child traumatic stress after experiencing a traumatic event. With support, many children are able to recover and thrive.

As a caring adult and/or family member, you play an important role.

Remember To:

Assure the child that he or she is safe.

Explain that he or she is not responsible. Children often blame themselves for events that are completely out of their control.

Be patient. Some children will recover quickly while others recover more slowly. Reassure them that they do not need to feel guilty or bad about any feelings or thoughts.

Seek the help of a trained professional. When needed, a mental health professional trained in evidence-based trauma treatment can help children and families cope and move toward recovery. Ask your pediatrician, family physician, school counselor, or clergy member for a referral.

Visit the following websites for more information:

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Recognize the signs of child traumatic stress and the impact that trauma may have on children. The infographic developed by SAMHSA's National Child Traumatic Stress Initiative (NCSTI) provides information on the prevalence and impact of traumatic events on children, and what actions can be taken to support children who experience traumatic events.

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For children, teens, and adults

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depelchin childrens center depelchin children's center

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DePelchin Children's Center | DePelchin Childrens Center

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DePelchin Childrens Center DePelchin is an accredited foster care and adoption agency serving the most vulnerable children and families in Texas and working to break the cycles of abuse and neglect.

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https://www.gracewood.org/Site/Services/Counseling-Program.aspx

Free counseling services

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Hope for Families partners with church groups, community groups, schools and social service agencies to provide parent education, family support, and professional counseling. Trusted materials and resources are tailored to meet the growth needs of each unique group and individual.

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The Adolescent Center for Mental Health Services

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The Adolescent Center for Mental Health Services

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For children, teens and adults

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The Adolescent Center - The Adolescent Center and Mental Health Services is a multidisciplinary intervention and treatment center that specializes in adolescent behavioral health services but is not limited to that population. Our treatment team has years of experience working with various mental health conditions and training in effective empirical modalities. The services offered by the Center include individual, family, and couples therapy; psychological testing, psychosocial assessments, diagnostic assessments, support groups, case management, medication consultation, and long-term mental health treatment plans.

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Client Portal Staff Portal Call Us: 832.484.2635 Email Us: admin@theadolescentcenter.com "Change your thoughts, and you change your world."

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https://cachouston.org/

For children, teens, and families that have experienced sexual abuse

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The Children's Assessment Center (The CAC) provides a safe haven to sexually abused children and their families - a place where they can receive the kind of care and treatment they so richly deserve.

We employ an extraordinarily effective multidisciplinary team approach in the prevention, assessment, investigation, referral for prosecution, and treatment of child sexual abuse. Our goal is to promote the complete healing of child victims of sexual abuse and their families.

The CAC is an accredited member of the National Children's Alliance, part of a national movement to create child-friendly intervention systems for sexually abused children, and a member of the Children's Advocacy Centers of Texas. The CAC is also one of the largest child abuse advocacy centers of its kind in the nation.

The CAC is honored to have Charity Navigator's 4-star rating for the 12th year in a row, a distinction only 1% of the charities evaluated receive. The Charity Navigator rating indicates that The CAC adheres to sector best practices and executes its mission in a financially efficient way.

The CAC was awarded the Platinum Seal of Transparency, based on our extensive transparency of financial data, service metrics, and progress to achieve our mission. This is the highest level of recognition by GuideStar, the world's largest source of information on nonprofit organizations.

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Children's Assessment Center - The Advocacy Center for Houston and Harris County

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The Children's Assessment Center (The CAC) provides a safe haven to sexually abused children and their families - a place where they can receive the kind of care and treatment they so richly deserve. We employ an extraordinarily effective multidisciplinary team approach in the prevention, assessment, investigation, referral for prosecution, and treatment of child sexual abuse.

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https://bbbstx.org/

A free mentorship program for struggling youth

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POTENTIAL IS

BIGGER IN LONE STAR

Big Brothers Big Sisters Lone Star provides volunteer opportunities for youth mentoring in one of the largest combined need areas. Working together, we are lowering costs to serve more local children in each community. Changing the life of youth in Houston, Dallas, Arlington, Fort Worth, Abilene, Collin County, Wichita Falls, Denton County and Stephenville is shockingly simple. Whether you choose to become a volunteer youth mentor for a local child or donate to support mentorship of local children, your contribution will change a life trajectory. Stand with us.

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lt;meta name="description" content="Big Brothers Big Sisters is the premier nonprofit youth mentoring organization in Dallas, Houston, Tarrant County, Abilene, Stephenville and Wichita Falls. " />

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Adolescent Health Related Sites and Resources

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Adolescent Health Related Sites and Resources

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https://www.dshs.texas.gov/maternal-child-health/adolescent-health/adolescent-health-related-sites

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Adolescent Health Related Sites and Resources

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Explore Adolescent Health resources and informative sites to reference to protect and promote the health of adolescents in the state of Texas.

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https://mhahouston.org/wp-content/uploads/2020/09/Youth-Behavioral-Health-Resource-Guide.pdf

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https://store.samhsa.gov/sites/default/files/sma15-4923sp.pdf

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Understanding Child Trauma (Spanish Version)

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Entendamos el trauma infantilThis infographic is a Spanish language version of information for the general public on the prevalence and impact of traumatic events on children, and what actions can be taken to support children who experience traumatic events.

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Entendimiento del Estrés Traumático Infantil: Una Guia para Padres

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Entendimiento del Estrés Traumático Infantil: Una Guia para Padres

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https://www.nctsn.org/resources/entendimiento-del-estres-traumatico-infantil-una-guia-para-padres

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The National Child Traumatic Stress Network

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Offers parents information about child traumatic stress (CTS), the best way to treat CTS, what parents can do at home for their children, and how parents can make sure their children receive support at school.

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Entendimiento del Estrés Traumático Infantil: Una Guia para Padres

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Offers parents information about child traumatic stress (CTS), the best way to treat CTS, what parents can do at home for their children, and how parents can make sure their children receive support at school.

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Ayuda para los adolescentes con duelo traumático

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Ayuda para los adolescentes con duelo traumático

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https://www.nctsn.org/resources/helping-teens-traumatic-grief-tips-caregivers-sp

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The National Child Traumatic Stress Network

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Describe cómo pueden sentirse los adolescentes cuando bregan con la muerte de un ser cercano y ofrece consejos sobre lo que pueden hacer los cuidadores para ayudarlos. Traducido en 2022.

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Ayuda para los adolescentes con duelo traumático: consejos para los cuidadores

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Describe cómo pueden sentirse los adolescentes cuando bregan con la muerte de un ser cercano y ofrece consejos sobre lo que pueden hacer los cuidadores para ayudarlos. Traducido en 2022.

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https://www.healthychildren.org/Spanish/healthy-living/emotional-wellness/Building-Resilience/Paginas/default.aspx

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​En esta sección le brindamos información para que le ayude a sus niños a fomentar resiliencia, una destreza que los hará más fuertes, felices y más optimistas para enfrentar las dificultades de la vida.​

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​​​

​​​​​​Resilience is the capacity to rise above difficult circumstances, the trait that allows us to exist in this less-than-perfect world while moving forward with optimism and confidence.

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ken ginsburg~ 3rd edition~ resilient~ resiliency~ building resilience~ stress~ deviorce~ military children~ deployment~ death in the family~ depression~ confident kids~ nd roots and wings~ independence~ independent children

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building-resilience~The American Academy of Pediatrics (AAP) provides bonus content from Dr. Ken Ginsburg's new 3rd edition of Building Resilience in Children and Teens: Giving Kids Roots and Wings .

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The National Child Traumatic Stress Network

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Le saludamos de parte de La Red Nacional para el Estrés Traumático Infantil.

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Childhood Trauma and the Brain | UK Trauma Council

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How childhood trauma affects lifetime health

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How childhood trauma affects lifetime health

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How childhood trauma affects health across a lifetime | Nadine Burke Harris | TED