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Change and Recovery: Culturally Appropriate Early Childhood Programmes with Refugee Families and Communities

Published online by Cambridge University Press:  12 August 2015

R. G. Signorelli*
Affiliation:
STARTTS, Clinical Services - Senior Early Childhood Counsellor / Project Officer, PO Box 203, Fairfield, New South Wales, 2165, Australia
M. Coello
Affiliation:
STARTTS, Clinical Services and Research Coordinator, Fairfield, New South Wales, 2165, Australia
S. Momartin
Affiliation:
STARTTS, Clinical Services Team - Research Officer, Fairfield, New South Wales, 2165, Australia
*
address for correspondence: R. Signorelli, STARTTS, Clinical Services - Early Childhood, PO Box 203, Fairfield, New South Wales, 2165, Australia. Phone: 02 9794 1900; Fax: 02 9794 1910. E-mail: Rosemary.Signorelli@sswahs.nsw.gov.au

Abstract

The STARTTerS Early Childhood Programme at the NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS) has been developed in response to the complex refugee experiences of very young children, their families and communities. This biopsychosocial and systemic model is informed by neuroscience, attachment theory and current knowledge of the nature and impact of refugee-specific trauma on very young children and their families. It addresses the complex interactions between, social, cultural and political factors within the trauma and recovery environments, as they influence the clients’ presentations and the choice of interventions with families in cultural transition (FICT).

This paper provides a background to the STARTTerS programme, and reports on the results of a Community Based Participatory Research (CBPR) project with the Karen and Mandaean refugee communities. It explores perceptions and cultural views of signs and symptoms related to early childhood trauma. It also explores help seeking preferences in relation to the recovery, settlement and health needs of families with young children. This research has led to ongoing collaborative and consultative processes with those communities, resulting in the development of services and referral systems, which will build a comprehensive and culturally appropriate early childhood programme.

Type
Conference Proceedings
Copyright
Copyright © STARTTS 2015 

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References

Abdi, R., Ahari, S. S., Amani, F., Habibzadeh, S., & Yousefi, M. (2012). Community based needs assessment in an urban area: A participatory action research project. BMC Public Health, 12, 161 Mar 7. doi: 10.1186/1471-2458-12-161.Google Scholar
Adamson, J., Warfa, N., & Bhui, K. (2011). A case study of organisational cultural competence in mental healthcare. BMC Health Services Research, 11, 218. doi: 10.1186/1472-6963-11-218.CrossRefGoogle ScholarPubMed
Arden, J. B., & Linford, L. (2009). Brain-based therapy with children and adolescents: Evidence-based treatment for everyday practice. New Jersey: John Wiley & Sons Inc.Google Scholar
Armin, J., & Shaw, S. J. (2011). The ethical self-fashioning of physicians and health care systems in culturally appropriate health care. Culture, Medicine and Psychiatry, 35 (2), 236261. doi:10.1007/s11013-011-9215-1.Google Scholar
Arnault, D. S. (2009). Cultural determinants of help seeking: A model for research and practice in research and theory for nursing practice. An International Journal, 23 (4), 259279.Google Scholar
Aroche, J., & Coello, M. (1994). Towards a systematic approach for the treatment and rehabilitation of torture and trauma survivors in exile- the experience of STARTTS in Australia. Presented at 4th International conference of centres, institutions and individuals concerned with victims of organised violence. “Caring for and empowering victims of human rights violations”. DAP, Tagaytay City. Philippines. December 5–6 1994.Google Scholar
Azarian, A. G., Lipsitt, L. P., Miller, T. W., & Skriptchenko-Gregorian, V. G. (1999). Toddlers remember quake trauma. Chapter 23. In Williams, L. M. & Banyard, V. L. (Eds.), Trauma & Memory (pp. 299310). Thousand Oaks: Sage Publications.Google Scholar
Bemak, F., Chung, R. C.-Y., & Bornemann, T. H. (1996). Counseling and psychotherapy with refugees. In Pedersen, P. B., Draguns, J. G., Lonner, W. J. & Trimble, J. E. (Eds.), Counseling Across Cultures 4th edition. Chapter 10. London: SAGE Publications.Google Scholar
Berthelsen, D., & Nicholson, J. (2006). Observation of interactions scale. Brisbane: QUTGoogle Scholar
Blaustein, M. E., & Kinniburgh, K. M. (2010). Treating traumatic stress in children and adolescents - how to foster resilience through attachment, self-regulation, and competency. New York: The Guildford Press.Google Scholar
Brenner, B., Butz, A., Coates, L., Coronado, G., Halstead, S., & Israel, B. A. (2005). Community-based participatory research: Lessons learned from the centres for children's environmental health and disease prevention research. Environmental Health Perspectives, 113 (10), 14631471.Google Scholar
Brisch, K. H. (2012). Treating attachment disorders – 2nd ed. From theory to practice. New York: The Guildford Press.Google Scholar
CDCHU. (2007). Center on the developing child at harvard university. A science-based framework for early childhood policy – using evidence to improve outcomes in learning, behavior, and health for vulnerable children. Retrieved from http://www.developingchild.Harvard.edu.Google Scholar
CDCHU. (2010). Center on the developing child at harvard university. The foundations of lifelong health are built in early childhood. Retrieved from http://www.developingchild.Harvard.edu.Google Scholar
CDCHU. (2011). Center on the developing child at harvard university. Building the brain's “air traffic control” system: how early experiences shape the development of executive function: Working paper no. 11. Retrieved from http://www.developingchild.harvard.edu.Google Scholar
Coello, M. (2014). Details for this reference have been deleted for the purpose of preserving the blind review process.Google Scholar
Cohen, J. A., & Mannarino, A. P. (2010). Psychotherapeutic options for traumatized children. Current Opinion in Paediatrics, Oct. 22 (5), 605609. doi: 10.1097/MOP.0b013e32833e14a2CrossRefGoogle ScholarPubMed
Collman, G. W., & Srinivasan, S. (2005). Evolving partnerships in community. Environmental Health Perspectives, 113 (12), 1814.Google Scholar
Commanda, L. E., Freeman, W. L., Gibson, N., Macaulay, A. C., McCabe, L., & Robbins, C. M. (1999). Participatory research maximises community and lay involvement. British Medical Journal, 319 (7212), 774.Google Scholar
Cooper, R. (2009). Play focused therapy: Different settings, different approaches. In Stagnitti, K. & Cooper, R. (Eds.), Play as therapy – assessment and therapeutic interventions. London: Jessica Kingsley Publishers.Google Scholar
Cozolino, L. (2006). The neuroscience of human relationships – attachment and the developing social brain. New York: W.W. Norton & Company.Google Scholar
Creighton, A. (2011). Mother-infant musical interaction and emotional communication: A literature review. Australian Journal of Music Therapy, July 22, 37–56.Google Scholar
De Anstiss, H., Ziain, T., Procter, N., Warland, J., & Baghurst, P. (2009). Help-seeking for mental health problems in young refugees: A review of the literature with implications for policy, practice, and research. Transcultural Psychiatry, 46 (4), 584607.CrossRefGoogle ScholarPubMed
De Gangi, G. (2000). Pediatric disorders of regulation in affect and behavior – a therapist's guide to assessment and treatment. San Diego: Academic Press.Google Scholar
De Gangi, G., & Balzer-Martin, L. A. (2000). Sensorimotor history questionnaire for preschoolers. In DeGangi, G. (Ed.), Pediatric disorders of regulation in affect and behavior – a therapist's guide to assessment and treatment. San Diego: Academic Press.Google Scholar
De Gangi, G., & Poisson, S. (2000). Infant-toddler symptom checklist: Long version. In DeGangi, G. (Ed.), Pediatric disorders of regulation in affect and behavior – a therapist's guide to assessment and treatment. San Diego: Academic Press.Google Scholar
De l’Etoile, S. (2011). Mother-infant musical interaction and emotional communication: A literature review – a commentary on Creighton's article. Australian Journal of Music Therapy, July 22, 56–58.Google Scholar
Edwards, J. (2011). Music therapy and parent-infant bonding. In Edwards, J. (Ed.), Music therapy and parent-infant bonding (pp. 521). Oxford: Oxford University Press.CrossRefGoogle Scholar
Edwards, N. (2012). Personal communication, brighter futures group facilitator. Sydney: Brighter Futures, Cumberland, Wesley Mission.Google Scholar
Eines, J., & Mantovani, A. (1980). Teoria del Juego Dramatico. Madrid: Servicio de Publicaciones del Ministeria de Educacion.Google Scholar
Ellis, B. H., Lincoln, A. K., Charney, M. E., Ford-Paz, R., Benson, M., & Strunin, L. (2010). Mental health service utilization of somali adolescents: Religion, community, and school as gateways to healing. Transcultural Psychiatry, Nov. 47, 789811. doi: 10.1177/1363461510379933.CrossRefGoogle ScholarPubMed
Fitzgerald, M. H., Yang, T., Hay, S. H., Mitchell, P., Ing, V., Ya, T. H., . . . McNamara, J. (1997). Collaborative research; the bridge that can carry you over. In Ferguson, B. & Barnes, D. (Eds.), Perspectives on transcultural mental health. Culture and mental health – current issues in transcultural mental health. Parramatta: Transcultural Mental Health Centre.Google Scholar
Greenspan, S. I. (2004). Greenspan social-emotional growth chart – a screening questionnaire for infants and young children. Bloomington: Pearson.Google Scholar
Greenspan, S. I. (2011). Overview and recommendations. Interdisciplinary council on development and learning disorders (ICDL) (2000). Clinical practice guidelines-refining the standards of care for infants, children, and families with special needs (pp. 1354). Bethesda: ICDL.Google Scholar
Guzder, J., & Rousseau, C. (2010). Child and community mental health in cultural perspective. Transcultural Psychiatry November, 47 (5), 683685.CrossRefGoogle ScholarPubMed
Harkness, S., & Super, C. M. (2009). Parenting across cultures. SGI quarterly a buddhist forum for peace, culture and education. Retrieved from http://www.sgiquarterly.org/feature2009Jan-2.html.Google Scholar
Herman, J. (1997). Trauma and recovery – the aftermath of violence – from domestic abuse to political terror. New York: Basic Books.Google Scholar
Hinton, D. E., & Lewis-Fernandez, R. (2010). Idioms of distress among trauma survivors: subtypes and clinical utility. Culture Medicine, and Psychiatry, vol. 34, Issue 2, June (pp. 209–218). doi 10.1007/s11013-010-9175-x.CrossRefGoogle ScholarPubMed
Hsu, E., Davies, C. A., & Hansen, D. J. (2004). Understanding mental health needs of southeast asian refugees: historical, cultural, and contextual challenges. Faculty publications, department of psychology. Paper 86. Retrieved from http://digitalcommons.unl.edu/spcychfacpub/86.Google Scholar
Idemudia, E. S. (2004). Mental health and psychotherapy “Through” the eyes of culture: Lessons for African psychotherapy. TRANS Internet-Zeitschrift für Kulturwissenschaften. no. 15/2003. Retrieved from www.inst.at/trans/15Nr/02_7/idemudis15.htm.Google Scholar
Interdisciplinary Council on Developmental and Learning Disorders. (2000). Clinical practice guidelines-refining the standards of care for infants, children, and families with special needs. Bethesda: ICDL.Google Scholar
Israel, B. A., Coombe, C. M., & McGranaghan, R. J. (2009). Community based participatory research: A partnership approach for public health. Michigan: University of Michigan School of Public Health.Google Scholar
Karen Buddhist Dhamma Dhutta Foundation. (2011). The karen people, culture, faith and history. Retrieved from www.Karen.org.au/docs/Karen_people_booklet.Google Scholar
Keller, H., Voelker, S., & Yovsi, R. D. (2005). Conceptions of parenting in different cultural communities: The case of West African Nso and Northern German women. Social Development, 14, 1, 2005.Google Scholar
Kim, J. (2011). Korean immigrant mothers’ perspectives: The meanings of a Korean heritage language school for their children's American early schooling experiences in Early Childhood Education Journal 39.2 (June 2011): pp. 133141. doi 10.1007/s11013-010-9170-2, Springer Science+Business Media, LLC 2010.Google Scholar
Knatterud-Hubinger, N., Mendenhall, T., Narr, D., Solheim, C., & Velasquez, J. (2011). Mano a mano: Improving health in impoverished bolivian communities through community-based participatory research. Families, Systems & Health, 29 (4), 303.Google Scholar
Kramer, E. J., Kwong, K., Lee, E., & Chung, H. (2002). Cultural factors influencing the mental health of Asian Americans. Western Journal of Medicine, Sep. 176 (4), 227231.Google ScholarPubMed
Lewis-Fernandez, R., Gorritz, M., Raggio, G. A., Pelaez, C., Chen, H., & Guarnaccia, P. J. (2010). Association of trauma-related disorders and dissociation with four idioms of distress among latino psychiatric outpatients. Culture Medicine and Psychiatry, June 34 (2), 219243. doi 10.1007/s11013-010-9177-8.CrossRefGoogle ScholarPubMed
Ludy-Dobson, C. R., & Perry, B. D. (2010). The role of healthy relational interactions in buffering the impact of childhood trauma. In Gil, E. (Ed.), Working with children to heal interpersonal trauma: The power of play, chapter 3. New York: The Guildford Press.Google Scholar
McArdle, F., & Spina, N. (2007). Children of refugee families as artists: Bridging the past, present and future. Australian Journal of Early Childhood, 32 (4), 50.CrossRefGoogle Scholar
McCubbin, H. I., Thompson, E. A., Thompson, A. I., McCubbin, M. A., & Kaston, A. J. (1993). Culture, ethnicity, and the family: Critical factors in childhood chronic illnesses and disabilities. Pediatrics, 91 (5), 10631070.Google ScholarPubMed
Mehraby, N. (2012). Lost in translation: Idioms of distress. Psychotherapy in Australia, 18 (3), 5556.Google Scholar
Mehraby, N., Signorelli, R., & Coello, M. (2014). Details for this reference have been deleted for the purpose of preserving the blind review process.Google Scholar
Moffic, H. S. (2005). Thirteen ways to achieve cultural incompetence. Behavioral Health Management, 25 (6), 20.Google Scholar
National Scientific Council on the Developing Child (NSCDC). (2004). Children's emotional development is built into the architecture of their brains: Working paper no. 2. Retrieved from http://www.developingchild.net. Boston: Harvard University.Google Scholar
Naw, W. W. (2012). Personal communication. Karen bilingual counsellor. Sydney: STARTTS.Google Scholar
Nichter, M. (2010). Idioms of distress revisited. Culture Medicine and Psychiatry, June 34 (2), 401416. doi 10.1007/s11013-010-9179-6.CrossRefGoogle ScholarPubMed
NSCDC. (2005). National scientific council on the developing child. Excessive stress disrupts the architecture of the developing brain: Working paper no. 3. Retrieved from http://www.developingchild.net. Boston: Harvard University.Google Scholar
NSCDC. (2007a). The science of early childhood development. Boston: Harvard University. Retrieved from http://www.developingchild.net.Google Scholar
NSCDC. (2007b). The timing and quality of early experiences combine to shape brain architecture: Working paper 5. Boston: Harvard University. Retrieved from http://www.developingchild.net.Google Scholar
NSCDC (2008). Mental health problems in early childhood can impair learning and behavior for life: Working paper 6. Boston: Harvard University. Retrieved from http://www.developingchild.net.Google Scholar
NSCDC. (2010). Early experiences can alter gene expression and affect long-term development: Working paper no. 10. Boston: Harvard University. Retrieved from http://www.developingchild.net.Google Scholar
O’Fallon, L. R., & Dearry, A. (2002). Community-based participatory research as a tool to advance environmental health sciences. Environmental Health Perspectives, 110 (2), 155159.CrossRefGoogle ScholarPubMed
Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body – a sensorimotor approach to psychotherapy. New York: WW Norton & Company.Google Scholar
Pedersen, D., Kienzler, H., & Gamarra, J. (2010). Llaki and nakary: Idioms of distress and suffering among the highland quechua in the peruvian andes. Culture, Medicine and Psychiatry, 34 (2), 279300. doi 10.1007/s11013-010-9173-z.CrossRefGoogle ScholarPubMed
Perry, B. (2006). Applying principles of neurodevelopment to clinical work with maltreated and traumatized children: The neurosequential model of therapeutics. In Webb, N. B. (ed.), Working with traumatized youth in child welfare, (Chapter 3). New York: The Guilford Press.Google Scholar
Perry, B., Pollard, R. A., Blakley, T. L., Baker, W. L., & Vigilante, D. (1995). Childhood trauma, the neurobiology of adaptation, and “use-dependent” development of the brain: How “states” become “traits”. Infant Mental Health Journal, 16 (4), 271291.3.0.CO;2-B>CrossRefGoogle Scholar
Porges, S. W. (2011). The polyvagal theory – neurophysiological foundations of emotions, attachment, communication, self-regulation. W.W. Norton & Company.Google Scholar
Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2014). The circle of security interventions – enhancing attachment in early parent-child relationships. New York: The Guildford Press.Google Scholar
Queensland University of Technology. (2009). Murdoch Children's Research Institute, & Playgroup Queensland Sing and Grow Programme. Parent Survey – Commencement.Google Scholar
Reebye, P. N., Ross, S. E., Jamieson, K., & Clark, J. M. (2013). A literature review of child-parent/caregiver attachment theory and cross-cultural practices influencing attachment. Research report Retrieved from http://www.attachmentacrosscultures.org/research.Google Scholar
Satar, J. (2012). Personal communication. Director. Sydney: Sabian-Mandaean Association.Google Scholar
Schaffer, E. (2011). Personal communication, Sydney: Families in Cultural Transition (FICT) team, STARTTS.Google Scholar
Schore, A. N. (2001). The effects of early relational trauma on right brain development, affect regulation, & infant mental health. Infant Mental Health Journal, 22 (1–2), 201269.3.0.CO;2-9>CrossRefGoogle Scholar
Schore, A. N. (2003a). Affect dysregulation and disorders of the self. New York: W.W. Norton & Company.Google Scholar
Schore, A. N. (2003b). Affect regulation and the repair of the self. New York: W.W. Norton & Company.Google Scholar
Siegel, D. (2009). Healing trauma: The central role of integration in working with the mind, brain and human relationships. One day workshop. Sydney: STARTTS.Google Scholar
Siegel, D. J., & Bryson, T. P. (2011). The whole-brain child – 12 revolutionary strategies to nurture your child's developing mind. New York: Delacorte Press.Google Scholar
Signorelli, R. (2011a). The music of healing: Part I: Safety, stress management, containment and self-regulation. Sydney: STARTTS. Retrieved from http://mandaladesign.com.au/startts/autumn2011/story4.htm.Google Scholar
Signorelli, R. (2011b). The music of healing: Part II: The place of music in recovery and developmental models. Sydney: STARTTS. Retrieved from http://mandaladesign.com.au/startts/winter2011/story2.htm.Google Scholar
Signorelli, R. (2011C). Personal observation of clients. Sydney: STARTTS.Google Scholar
Signorelli, R. (2012). The dance of lullabies - integrative sensori-motor music therapy with refugee infants and their parents. Presentation at STARTTS Clinical Evening Masterclass, Sydney: Psychevisual. Retrieved from http://www.psychevisual.com/Video_by_Rosemary_Signorelli_on_the_dance_of_lullabies_integrating_music_therapy_sensori_motor_and_play_activities_in_working_with_refugee_and_asylum_seeker_infants_and_their_parents.html.Google Scholar
Signorelli, R. (2013a). Challenges in cross-cultural early childhood work with refugees. Interface: Considerations of Difference, Psychotherapy in Australia, 20 (1), 5657.Google Scholar
Signorelli, R. (2013b). A pilot research project: To explore the perceptions of the Sydney karen and mandaean refugee communities of the impact of refugee and resettlement trauma on their 0–5 year olds, and to explore those communities’ help-seeking preferences, for the children and caregivers. Thesis for Masters of Counselling and Applied Psychotherapy course. Unpublished. Sydney: Jansen Newman Institute.Google Scholar
Signorelli, R. (2014). Personal observation. Sydney: STARTTS.Google Scholar
Signorelli, R., & Coello, M. (2011). STARTTerS collaborative early childhood services for refugee families – drumming, dancing and the wobbly wall. Paper presented at the Early Childhood Intervention Australia (ECIA) - NSW Chapter) Conference Proceedings 2011. Retrieved from http://www.startts.org.au/media/STARTTerS-ECIA-Drumming-Dancing-and-the-Wobbly-Wall-Signorelli-Coello.pdf.Google Scholar
Signorelli, R., & Coello, M. (2014a). STARTTerS screening tool. Trial version 4, unpublished. Sydney: STARTTS.Google Scholar
Signorelli, R., & Coello, M. (2014b). Review of STARTTerS programme – in progress. Sydney: STARTTS.Google Scholar
Signorelli, R., & Coello, M. (2015). Incidence and importance of post-traumatic signs in 0–5 year olds from refugee backgrounds, as seen through western and non-western cultural lenses. Paper presented at The Forum of Australian Services for Survivors of Torture and Trauma (FASST) conference. Hunter Valley. Uploading of video to Psychevisual website pending.Google Scholar
STARTTS. (2011). Working effectively with refugee children – workshop training notes. Sydney: STARTTS.Google Scholar
Tronick, E. (2007). The neurobehavioral and social-emotional development of infants and children. New York: WW Norton & Company.Google Scholar
Tunnecliffe, L. (1996). Children affected by trauma – a guide for parents, teachers, ambulance, rescue and emergency medical personnel. Western Australia: Lesley Tunneciffe with Bayside Books.Google Scholar
Ussher, J., Rae, M., Rhyder-Obid, M., Perz, J., Newman, P., & Wong, W. K. T. (2011). Reproductive and sexual health needs of culturally and linguistically diverse (CALD) communities in Western Sydney. Sydney, Australia: School of Psychology, University of Western Sydney.Google Scholar
Van Der Kolk, B. (2005). Editorial introduction: Child abuse & victimization in Psychiatric Annals 2005, pp. 374–378. Retrieved from www.traumacentral.net/TC_Bessel_van_der_Kolk.htm.Google Scholar
Van Der Kolk, B. (2010). Developmental trauma disorder – towards a rational diagnosis for children with complex trauma histories. Retrieved from www.traumacentral.net/TC_Bessel_van_der_Kolk.htm .Google Scholar
Van Der Kolk, B., & Saporta, J. (1991). The biological response to psychic trauma: Mechanisms and treatment of intrusion and numbing. Anxiety Research (UK), 4 (3), 199212. doi: 10.1080/08917779108248774CrossRefGoogle Scholar
Viswanathan, M., Ammerman, A., Eng, E., Garlehner, G., Lohr, K. N., Griffith, D., . . . Rhodes, S. (2004). Community-based participatory research: Assessing the evidence: Summary. In AHRQ Evidence Report Summaries. Rockville (MD) Agency for Healthcare Research and Quality (US): 1998–2005. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK11852/.Google Scholar
Warner, E., Cook, A., Westcott, A., & Koomar, J. (2011). SMART – sensory motor arousal regulation treatment – a manual for therapists working with children and adolescents: A “bottom up” approach to treatment of complex trauma. Boston: The Trauma Center at Justice Resource Institute (JRI).Google Scholar
Yahya, Y. (2013). Personal communication. Bicultural staff member and community member Sydney: STARTTS.Google Scholar
Zu, D. (2012). Personal communication. Karen bilingual counsellor and community leader. Sydney. STARTTS.Google Scholar