One of the most active areas of mental health studies these days is the effect of adverse childhood experiences (ACEs) on long-term health. The term stems from a groundbreaking study from 1995-1997 by the Centers for Disease Control and the Kaiser Permanente Foundation. That study found that children who experience ACEs have increased risk of…

The next, and for many lawyers the most frightening, issue in deposing children is how to ask questions of children. Like many tasks, it is more frightening than difficult. Fortunately, many other people have faced this same problem, and many of them have written some very instructive manuals. Guidelines and Protocols My first recommendation always…

In my last post, I discussed the 20+ years of research on the possible effects of adverse childhood experiences (ACEs) on children. Fortunately, we are seeing more research into how we can help counter the ACEs that the children in our care have suffered. None of these studies is definitive — even the original ACEs…

The first of the year, after the end of the holiday rush and before spring holidays kick in, is a natural time to regroup and plan ahead. It is a good time to be sure that your organization has good policies, particularly employee handbooks and child protection policies. It’s also an important time to be…

One new fashion in public policy is to screen all children for Adverse Childhood Experiences (ACEs). California is leading the way with an expensive and ambitious initiative to screen all adults and children covered by the state health plan. The idea is that screening will allow adults to better care for children and avoid negative…

I have been seeing a lot of advice like this suggesting that mandated reporters should report directly to child protection rather than going through the chain of command. I understand the impulse, as every system of reporting has its weaknesses, but on balance, I believe that involving an institution’s chain of command is the best…

One of the better trends in the last decade of caring for children is the recognition that children need to develop resilience. In spite of our best efforts, all children will face setbacks and conflicts. They will be much better off if we spend our resources not on preventing all life difficulties but helping them…

A pattern that shows up very often in studies of resilience is a high correlation between resilience and self-esteem. It would be very easy to conclude that, if we help children develop self-esteem, we can also increase their resilience. These studies, however, only measure correlation, not causation. Furthermore, other studies of self-esteem indicate that it…

Numerous mental health studies suggest that one of the best ways to help children develop resilience and recover from adverse childhood experiences is for them to have a trusted confidante outside the family. Yet we also are told that to protect children from sexual abuse, we need to stay alert to signs that a sexual…

One of the unfortunate side effects of increased awareness of child sexual abuse is increased stereotyping of men who work in early childhood education. I have lost count of the many times that clients have told me, “I never hire men to work with children because the risk is too high.” That attitude is understandable,…