Trauma: The Silent Storm that Impacts us All” Conference, Jackson Convention Complex Jackson, MS September 9 – 11, 2014 Wise Words • "The events which transpired five thousand years ago; five years ago or five minutes ago, have determined what will happen five minutes from now; five years from now or five thousand years from now. All history is a current event." • - Dr John Henrik Clarke ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com Psycho-Social Historical Trauma: Real or Myth? ©2004–13 Alfred “Coach” Powell oach Powell African Americans Mental Illness Stigma Mental Health in the African American Community ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com “CRAZY” • I remember when, I remember, I remember when I lost my mind There was something so pleasant about that place Even your emotions had an echo in so much space, yeah • When you're out there, Without care, yeah, I was out of touch But it wasn't because I didn't know enough, I just knew too much • Does that make me crazy? Does that make me crazy? Does that make me crazy? Probably • Now I hope that you are having the time of your life But think twice, yeah, that's my only advice...Yeah • Come on now, who do you, who do you, who do you Who do you think you are ? Ha ha ha, bless your soul You really think you're in control • My heros had the choiced to lose there lives out on a limb And all I remember is thinking....I want to be like them • Ever since I was little, ever since I was little well it looked like fun It was no coincidence we've come....And I can die when I'm done • But maybe we're crazy Does that make me crazy?....Does that make me crazy? Probably Access to Care According to the National Institute of Mental Health, African Americans and other diverse communities are underserved by the nation’s mental health system. For example, one out of three African Americans who need mental health care receives it. Compared to the general population, African Americans are more likely to stop treatment early and are less likely to receive follow-up care. Despite recent efforts to improve mental health services for African Americans and other culturally diverse groups, barriers remain in access to and quality of care from, insurance coverage to culturally competent services. For those with insurance, coverage for mental health services and substance use disorders is substantially lower than coverage for other medical illnesses such as hypertension and diabetes ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com Murder Rate for Black Americans Is Four Times the National Average ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com In 1985, former Surgeon General C. Everett Koop declared violence to be a public health issue. In 2000, former Surgeon General David Satcher released a report declaring youth violence a threat to public health and called for federal, state, local and private entities to invest in research to inform intervention programs. ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com “HOW ARE THE CHILDREN?” the Psychology and Culture of ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com Psychology and Culture of Violence may not be used in every situation. However, it is frequently an expected response so much so that aggression/violence is a pervasive way of life. ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com Psychology and Culture of Objectives • The prevailing global and American culture of aggression and violence • Consequences of a violent culture on youth • Indicators of violence: cognitive, psychological, social ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com Psychology and Culture of Outcomes • Defining your Children; and mulishly testing notions, definitions, and limits set by others • Recording and documenting real achievements and real challenges • Preventing and intervening in Violence: Planning and Organizing to benefit your child and the community Dynamics of Family abusive families tend to be socially isolated; lack an extended social network of family and friends for social, financial and emotional support Family situation is generally unstable, punctuated by stormy relationships between adults, an unwanted child, financial constraints, heavy alcohol or drug abuse. Dynamics of Family Male abusers or father abusers tend to be impulsive, immature, frustrated; believe it is their right as “man of the household” to dominate the female. Female abusers or mother abusers tend to be overstressed, dominated, depressed, and frustrated ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com COMMON QUALITIES of youth violence • Aggressive Fantasies • Attachment to Role Models • Attributional Bias • Depression • Emotional or Psychological Distress • Ethnic Identity • Fatalism • Future Aspirations • Hopelessness • Hostility • Moral Reasoning ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com • Perceptions of Self • Personal Safety • Responsibility and Citizenship • Self-Efficacy, Impulse Control • Desire of Control, and Coping • Self-Esteem • Sense of Caring and Support COMMON QUALITIES OF YOUTH VIOLENCE ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com • Social Consciousness • Perceived Likelihood of involvement in violence ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com The child who is not raised by its mother will be raised by the world. ~ African Proverb ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com *Fear AdultHOOD • Young black males who are denied *Reject ManHOOD learn to: *DespiseChildHOOD FatherHOOD • • • *Disrespect MotherHOOD • *Shun ParentHOOD • *Evades MarriageHOOD • *Sabotage SisterHOOD • *Discourage BrotherHOOD • *Avoid SaintHOOD • *Embraces FalseHOODS • *Dismiss StateHOOD • *Lives in VictimHOOD • will have the LikeliHOOD • to make crime a LiveliHOOD D.W.B. Dying While Black! Recognizing Link Between Emotional Trauma and Youth Violence... Living in the streets is a call of duty, Black Ops, pop-pop its always shooting [get down] Gangsters, cops and robots thinking, to myself is ever gone stop? It’s very few role models; kids live here like “grand theft auto” Eye for an eye will make you realize, hood stands for “Hustle obey or die” [or die]! Living here ain’t fun, man who gave us all these guns? Some nights got to sleep in the tub. ‘Cause you really never know where those bullets gonna come from. Powell Can’t have peace when you’re carry aoachpiece, ©2004–13 Alfred “Coach” Powell “There are children who wake up to living conditions that are less than desirable. Perhaps they live in a house where domestic turmoil is prevalent, or maybe their exposures to criminal and violent acts occur outside of the home. But the fact remains, if any of the aforementioned conditions are true, for any child, there is a very real possibility of the child, much like the soldier, developing various symptoms as a result of the trauma — PTSD.”…Up until now, our society has dealt with the issue of youth violence primarily by taking punitive actions, whether the punishment is handed out at home, school or by the criminal justice system. But I believe it’s time we abandon a solely reactionary response to this youth violence epidemic and start to deal with this proactively.Viewing youth violence from a public health perspective allows trained professionals to treat the root causes of the violence — traumas — rather than simply punishing the violent acts that stem from them. ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com “Black-on-black crime” has been part of the American lexicon for decades, but as a specific phenomenon, it’s no more real than “white-on-white crime.” Unlike the latter, however, the idea of “black-on-black crime” taps into specific fears around black masculinity and black criminality. There’s no such thing as ‘black-onblack’ crime. ©2004–13 Alfred “Coach” Powell oach Powell www.acoachpowell.com