In his latest book, Touch - The Science of Hand, Heart and Mind, respected neuroscientist David Linden (2015) elegantly dives into the complexity of the circuitry that connects the body and the brain in integrative processes of experience. Detailing different types of fibres which conduct information from the sensors in our skin to the brain, he describes how the speed of information flow is critical to the way we can discern various forms of touch.

Although childhood trauma and family adversity can increase vulnerability to serious mental health problems, uncertainty exists about the nature and prevalence in a clinical population. This embedded research aims to establish the prevalence of trauma and adversity in young people seeking help from Child and Adolescent Mental Health Services (CAMHS). All children, adolescents, and their parents/guardian attending their initial assessment at a CAMHS service were invited to participate in the ‘Stressful Life and Family Difficulties study’ and a clinical interview. 162 families participated in the study. It was more common for young people to experience multiple adversities (three or more) in the last 12 months than single events. Mothers self-reported a greater number of family adversities than fathers. According to clinicians, the most frequent adversities experienced by young people were having a parent with a mental illness (66%), being bullied (63%) and parental divorce or separation (43%). Overall, clinicians reported that 69% of CAMHS clients had experienced a potentially traumatic experience (any physical, emotional or sexual abuse, child neglect or traumatic event). Moreover, young people with trauma histories were significantly more likely to have a parent with a history of trauma.

The importance of social networks for young people who have experienced abuse and neglect remains an underdeveloped area of research and practice. The aim of the study was to investigate the relationship between abuse experienced by children and adolescents and subsequent outcomes on their social support networks. The study sample consisted of 85 clients (aged 8–15) of a service specifically for children reported to child protection due to child abuse and neglect. Abuse was measured using the Harm Consequences Assessment (HCA), which recorded the level of abuse experienced in five domains: Abandonment/No Appropriate Carer, Developmental and Medical Harm, Emotional and Psychological Harm, Physical Harm and Injury, and Sexual Harm. This also ranked abuse experienced in terms of severity: concerning, serious or extreme. Social network was measured using the Social Network Map. Analyses revealed a very high level of abuse for most young people across multiple domains. Social support was most evident in the “other family” category, and a relatively high level of perceived support was reported. There were few significant associations between levels of abuse and social support networks. However, one significant effect evident was for those young people who had not experienced developmental abuse who reported a significantly better network quality in work/school area of life than those who had experienced concerning or serious developmental abuse. This study contributes to an important body of emerging evidence on social support networks for children who have experienced maltreatment.

Post-traumatic stress affects both the mental and physical health of individuals, giving rise to various psychological disturbances. The neurological effects of these disturbances are similar across age groups, irrespective of race or culture. However, the perception of psychological disturbances differs from culture to culture depending on issues such as the stigma that attaches to mental illness and the ability or willingness to seek assistance. While much research has been undertaken on the impact of trauma on both adults and children, research to explore the effect of trauma on people in the context of their various cultures, especially people of refugee background, remains at an early stage. Mental health professionals working with refugees encounter various challenges. They range from dealing with resistance by individuals to the notion of counselling itself, to barriers such as the perceived stigma that prevents some individuals from acknowledging mental health problems. Other challenges in providing mental health services in such cases are contributed to by government policies and the limited resources available. All this exacerbates the mental health of traumatised parents and caregivers, and has a ripple effect on their children, who exhibit the effects of trauma in their own ways. This paper aims to highlight and discuss these issues through the presentation of two case studies, suggest a workable recovery model, possible ways to deal with the challenges, and to propose recommendations for working with non-Western children and their families.

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.

At the Victorian Child Trauma service, we are using a sensorimotor framework to help children recover from their experiences of trauma. Informed by the work of Pat Odgen, this approach helps children to feel safe, aware and connected to their bodies and minds. In this article, we will describe the development of a group program incorporating sensorimotor principles, with the aim of helping children to regulate and engage in healing relationships. Group outcomes suggest that the use of sensory elements and principles in guiding our group program helps dysregulated children to establish safety and connection in meaningful ways with those around them.

Developmental trauma is a term that describes the impact of adverse childhood experiences that results in the loss of capacity to integrate sensory, emotional, cognitive and relational information into cohesive, trusting and safe lived experiences. Infants’ and children's brain, nervous systems and neural development are vulnerable to these traumas. Trauma is stored in the implicit memory and is manifest through body gestures, breath, body behaviours, sensory perceptions, emotions and thoughts. Play therapy, sand tray therapy and creative arts therapy are all offered as interventions for childhood trauma. Work at the Clay Field®, is a sensorimotor art therapy and differs from play, sand and visual arts therapy as it focuses on haptic perception, the use of the hands and touch as a tool of perception. Touch is one of the most fundamental human experiences and is the basis of secure attachment, linked to our earliest body memories. Work at the Clay Field® is grounded in theories of developmental psychology, object relations, sensorimotor therapy and haptic perception. Haptic object relations as skin sense, vestibular sense of balance and depth sense are presented as the underpinning principles of Work at the Clay Field®. Children from the age of 2 years old onwards are enabled through work at the Clay Field to satiate developmental needs, in particular those from the preverbal age of early infancy. They also can complete trauma-related fragmented or incomplete action cycles through safe touch and restore their developmental path.

Quality of carer-child attunement is recognised as a significant factor in child development, yet few parenting programmes appear to provide opportunities for whole families to engage in activities exploring sound attunement. Clever Connections was developed by a psychologist–clinician in private practice as an attunement-focused pilot programme to explore a collaborative approach for families with primary-school-aged children. Concepts from critical theories, applied linguistics, sensorimotor therapies, mindfulness, narrative practice and communal practice informed the theoretical positioning which guided the programme's development. The programme, run over four sessions, was trialled with a group of four families. The first session was a three-hour block for the adults only, during which the participants’ positionings and preferences were used to structure the programme. The following whole-family sessions involved a series of cooperative games, creative activities and linguistic tasks focusing on enhancing attunement. Feedback was gathered immediately following the programme regarding content and structure of the programme. Follow-up at six months indicated that sensorimotor and self-regulatory strategies explored in the programme continued to be of benefit to some of the families who participated. The outcomes suggest that further experimentation with this style of family programme is worthy of consideration.

Over the past three decades, an accepted “given” of adolescent sexually abusive behaviour assessment and treatment has been that the more serious the sexual acts committed, the more entrenched that adolescent's behaviours are likely to be, with a likely progression from minor assaults through to more serious, intrusive acts. We assume youth engaging in the sexually abusive behaviour may have become both desensitised to the harm they are causing, whilst needing to engage in more severe offences to gain the level of arousal originally achieved through lesser acts. This conceptualisation suggests a somewhat causal relationship between the duration of the sexually abusive behaviour; the severity of the behaviour and the length of treatment required to manage and treat the issue.

Has pornography consumption potentially impacted the assessment and treatment of youth who sexually harm? Does a relationship exist between the severity and the entrenchment of the sexually assaultive acts committed, or has viewing pornography and re-enacting what has been viewed altered this relationship? This article explores a number of these themes and questions.

The research aim was to discover the circumstances, if any, in which contact with the parent who had abused them, could help survivors of intrafamilial child sexual abuse (ICSA) to recover from the inherent relational trauma. Thirty-five (31 female and 4 male) participants were recruited from across Australia and New Zealand to speak about their experience of post-abuse contact. The research methodology was primarily qualitative, and analysed in a contextual framework. In the Pre-Contact stage, themes such as the need for empowerment versus the fear of the response, linked to motivations for and against contact. Emotional reactions, and issues of acknowledgment and apology were core themes in the Contact stage. Post-contact themes related to evaluation of the overall experience. The majority of participants believed that their contact experience had helped more than hindered their recovery. Participants articulated the need for more public education about the complexity of ICSA, more options for dealing with the crime, and access to non-judgmental professional help for all the family at disclosure. The emergent themes provide a valuable guide for future research, policy and practice and perhaps most importantly, insight into the needs of victims and their recovery processes.

The Royal Commission into Institutional Responses to Child Sexual Abuse has uncovered evidence that organisations sometimes provide opportunity for the sexual abuse of children. How do organisations go about preventing this? The authors of this paper consider the case of an out-of-home care (OOHC) agency which failed to protect children. By identifying gaps in practice and culture in this case, the authors suggest that protecting children in OOHC requires a “weave” of organisational structures, staff development and cultural competence. In this case, the Chief Executive Officer (CEO) of the organisation was able to create an opportunity for access to vulnerable young people by using strategies we can now identify as grooming behaviours. He did this by using his positional power. He ignored standards, isolated protective adults and therefore children and young people, rewarded compliance, discouraged reflective practice, used his culture to avoid scrutiny from funding and oversighting agencies, and created an organisational culture of fear and secrecy. In effect, he used culture to trump safety. Even in the stressful conditions of managing an OOHC service, good practice is important, not only because it meets the standards and legislation, but because this is how services maintain the safety of children and young people in care.