Ep. 16: Mental Heath Treatment for Clients with Developmental Differences
Release Date: 04/05/2022
Justice In Action
Sexual assault, bullying and harassment are traumatic for all survivors of any age. Transgender and non-binary youth are at high risk for encountering these experiences, which can lead to the development of complex trauma that may include a lack of trust in other people and even estrangement from their own bodies. About half of all transgender or non-binary youth have experienced sexual assault. As a result, many experience anxiety and depression, including suicidal thoughts, and are more likely than their cis-gender peers to live with a sense of...
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Mental health clinicians are often reluctant to treat people who have intellectual and developmental differences (IDDs) for fear of doing something that could worsen rather than improve the client’s condition. In this episode of Justice in Action, two JRI clinicians, Dr. Jacquelyn Kraps, Metrowest Area Director and Clinical Director of Outpatient Services, and Bailey McCombs, Licensed Metal Health Counselor and Expressive Arts Therapist, talk about the rewards and challenges of working with children with a range of differences, from autism spectrum disorder to chromosomal differences,...
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Few social service agencies are as committed as JRI to improving treatment through research and data. In today’s episode of Justice in Action, we talk to Hilary Hodgdon, Research Director at Justice Resource Institute, and Lia Martin, Senior Associate Director of Quality Management. Together, they are part of a data and research division that is unusual among social service agencies for its size and scope. JRI clients suffer from complex trauma. On average, a child or adolescent seeing a JRI therapist has experienced three different types of trauma, such as neglect, physical abuse or...
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More than 8,400 Massachusetts children are in foster care, and the need is growing as the financial and emotional strain of the Covid-19 pandemic and the state’s opioid crisis continue to take a toll on children and families.
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CAC mental health clinicians Brittannie Moroz and Jillian Allen shared CDC data stating one in four girls and one in 13 boys under age 18 suffer trauma as a result of child sexual abuse. Those children are some of the approximately 75,000 Bristol County children age 16 and younger be-lieved to have suffered trauma from abuse, violence, addiction in their homes or other causes of childhood trauma.
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info_outlineIn this episode of Justice in Action, two JRI clinicians, Dr. Jacquelyn Kraps, Metrowest Area Director and Clinical Director of Outpatient Services, and Bailey McCombs, Licensed Metal Health Counselor and Expressive Arts Therapist, talk about the rewards and challenges of working with children with a range of differences, from autism spectrum disorder to chromosomal differences, cognitive challenges, and traumatic brain injury.
Dr. Kraps and McCombs have helped establish the Developmental Differences Specialty Team to assist other JRI therapists to work effectively with clients with both IDDs and mental health needs, including complex trauma.
Services for those individuals have long been siloed because they have been seen as separate and distinct. JRI is breaking new ground by having a single provider address the entirety of the client’s service needs.
Treating clients with both complex trauma and IDDs draw heavily on a therapist’s creativity, flexibility, and powers of observation, Dr. Kraps and McComb say. Sometimes it requires teasing out which problems are caused by trauma and which are part of the individual’s developmental difference.
They advise other clinicians to be curious, open, and willing to say the wrong thing. If an approach doesn’t work, they can always shift course. Sometimes a client — especially a non-verbal client — can communicate most successfully by writing, drawing, or moving their body.
Individuals with IDDs deserve effective treatment for mental health needs, which they are at least as likely to experience as the rest of the community, and they can enjoy positive, healthier outcomes with the right therapeutic approach. For more information, visit jri.org.
A note about language: IDD often stands for intellectual and development disabilities. JRI choses to use the word differences instead of disabilities to be as inclusive as possible, and honors that each individual and family get to decide how they identify.