Tag: Yoga

Keeping Them Together

My husband heard this story on NPR and knowing it would be of interest to me, told me about it. I grew up in a different kind of Texas than we usually think about the state in these modern times. I am grateful to have something good to say exists in that state today.

LINK>Casa Mia is a refuge for mothers with opioid use disorders and their infants in San Antonio Texas. Through a partnership between the School of Nursing at the University of Texas and Crosspoint Inc (a local nonprofit organization), mothers and their young children are offered housing while the mothers are enrolled in a recovery program and receive support services.

Casa Mia is located on a quiet street in a predominantly historic neighborhood near downtown San Antonio. It is a two-story house filled with laughter, baby bottles, diapers and toys. It includes a garden in the back. Gardening is proven to be therapeutic and helps with recovery, and nutrition is important to recovery as well. “A lot of our ladies have grown up with food insecurity,” says Dr. Cleveland. “People who are in recovery from a substance use disorder often have cravings, and it is important to discuss nutrition for mom and for baby.” There are clean beds for the women to sleep on at night. It is a far cry from the streets where these women formerly resided. Back in 2019, they were able to help 32 women and 26 children.

Dr Lisa Cleveland co-founded Casa Mia after witnessing the traumatic separations of mothers, who were diagnosed with opioid disorders, and their newborns shortly after birth. She partnered with Crosspoint Inc who had previously used the building as a women’s recovery support home. Crosspoint is a local nonprofit organization that provides transitional and behavioral health services to San Antonio’s most marginalized and vulnerable citizens.

“Casa Mia follows a social recovery-housing model. The focus is on teaching moms to live their lives without substances. We show them that they can have a great life without them,” Dr. Cleveland says. They provide a comprehensive wellness program for the mothers and also teach them life skills, while offering them a safe place to live with their children, while they recover.

While nationally there are numerous transitional or recovery homes for women, only 3 percent of that housing offers beds for their young children. As a neonatal nurse for 28 years and a mother, Dr Cleveland understands the mental and physical need for a child and mother to be together from birth. The maternal bond is important for each of them. “We need to help women become moms in a supportive environment before we put them out into the world,” she says.

Local and county statistics further solidified her resolve to take action. One-third of all Texas infants diagnosed with opioid withdrawal are born in Bexar County, the highest rate in the state. This equates to 300 to 400 babies each year; more than Dallas-Fort Worth and Houston combined. Casa Mia is a one-of-a-kind program designed to turn the tide.

“The statistics just really floored me,” says Dr Cleveland, “and I thought why is no one talking about this, especially since it has a really large impact on our community. With those numbers, it stands to reason that Bexar County really needs to set the standard for the state, and we are now. Bexar County truly is the leader in best practices and best care for these families.”

Traditionally, pregnant mothers who are diagnosed with substance use disorder have only two options after they give birth: either have a family member take care of their infant while they go to a treatment center or Child Protective Services places the infant in foster care. “Even if the infant is placed with a family member, the mother and baby are still separated. This separation is very traumatic for the mother and very traumatic for the baby. It is traumatic for the staff at the hospital as well. It just doesn’t make sense to me,” Dr Cleveland says. “Why are we taking these babies away from mothers who need help? Why are we not helping the mothers instead?”

Funded by the Texas Department of State Health Services, the Baptist Health Foundation and the Sisters of the Holy Spirit, Casa Mia is staffed 24 hours a day and can house up to 20 mothers and their young children at a time. Each woman must continue her recovery or treatment plan and follow the rules of the house. The first phase is fairly restrictive. Residents are not allowed to stay overnight elsewhere and must be in the house by a set curfew. They must let the staff know where they are going when they leave, even for treatment; they have to call when they get where they are going from the landline phone at their location, not a cell phone; and they have to call when they are on their way back to the house. As they progress through their recovery, the restrictions are relaxed until they eventually get ready to exit the program. There is no set timeframe for a resident to stay or exit the program.

“I think recovery is very individual,” Dr Cleveland says. “One of the things that makes our program unique is that if someone relapses, they do not get thrown out of the house. We know that recovery is a process and sometimes people relapse and that is part of the learning process. I have heard of women who have relapsed after leaving the program and then get right back on track. To me, that is a huge success.”

At Casa Mia, women may arrive expecting a child, having just given birth, or hoping to be reunited with their child. One case study is Becky who arrived at Casa Mia one January, six-months pregnant with her seventh child. After using drugs for six years, now at the age of 33, is thankful the judge sent her to Casa Mia. As a result of her drug use, she had lost custody of three of her children to their father and has joint custody of three others with a different father. She has been in recovery for more than a year and is finally excited about her future. While living at Casa Mia, Becky continues her recovery program, works a steady job (which she has had for almost two years) and takes classes to complete her GED. She plans to become a real estate agent.

“Now that my baby is born, I haven’t left her side, not even once. I am very happy because I think the Lord gave me another chance. He showed me these young women and how they take care of their children and that planted seeds in my head. Now that I have my little girl, he has given me another chance to be a mom again, and I’m very thankful for that.” She adds, “I love the staff at Casa Mia. They want what’s best for us, and they really try to help you. Having your children with you is the best thing, and I just see how everything works together.”

Crosspoint brings its expertise in recovery housing and support, the School of Nursing provides its expertise in women and children’s health as well as nutrition and childhood development. Classes for the mothers range from child nutrition and parenting to yoga and infant care.

A Huge Disappointment

The author of this book has completed Day 1 of a 2 Day conference on trauma. His book had previously been recommended in my all things adoption (which includes foster care) group. It is impossible to accurately convey how disappointed those who view the first day’s live event are with this man’s perspectives. I just signed up for free as there is still Day 2 to go this day and then, there are supposed to be recordings, if one misses the live event. Here is the link – The Body Keeps Score.

From the registration site –

Dr Bessel van der Kolk presents his signature presentation on treating the imprints of trauma on the body, mind, and soul.

He claims – “I’m presenting this training to serve as both a guide and an invitation—an invitation to dedicate ourselves to facing the reality of trauma, to explore how best to treat it, and to commit ourselves, as a society, to using every means we have to prevent it.”

Dr van der Kolk shows you how to apply proven methods and approaches like neurofeedback, EMDR, meditation, yoga, mindfulness, and sensory integration in your clinical practice — so you can experience the satisfaction of helping even your toughest client heal from deep-rooted trauma.

Some comments from my all things adoption group after watching Day 1 –

There were some horrific comments about foster children being dangerous and difficult and burning houses down. Not as specific cases. Foster children in general.

Of the 8 or so hours, I can probably boil the helpful info down to about 3 sentences and none of them are new.

Assumptions that all adopters are very nice and that any problems with adoption trauma must be due to the first mom drinking during pregnancy. I’m exaggerating. But not by much.

He also said that combat veterans with PTSD don’t benefit from Prozac because they’re too invested in blaming PTSD for all their problems. He also claimed that Prozac always works for everyone who isn’t a combat veteran.

Therapists are victims and powerless, that DSM is “a piece of sh*t”.

He also thinks everyone should take tango lessons and that it would solve their trauma better than therapy.

I hope people only ever access his works thru pirating and only to laugh at him and that his empire crumbles under his feet.

Let me guess he said adoption trauma isn’t real lol Most people think that children when adopted are clean slates, and our minds and bodies can just start over but that’s not even true, even for babies.

He spent AGES showing a video and talking about how traumatic it was for a non adopted child to be away from his mom for a day or two while younger sibling was being born. But oh gosh if it’s adoption, then adopters are very nice people and are absolute saints for putting up with difficult adopted children.

A lot of people are just uneducated and adoption trauma doesn’t exist to a lot of the world.

He also made a comment that assumed all foster children are correctly and justly taken from their families because they’ve all been abused by their first families.

A questioner asked should I skip reading the book ? The answer was – the book itself is great. Just not the adoption aspect, but overall.. worth a read!

His bigotry made me unwilling to financially support his business.

As an adoptee my response to him is: how f***ing dare you assume all adoptees are difficult and dangerous and all adopters are saintly and amazing for putting up with us ? How dare you, you overprivileged white man, one who feels entitled to say that colonizing wasn’t that bad and China is a miserable place to be ?

He is drunk on his own power and has no capacity for critically thinking through his bigoted views.

I have read the book. The book is not all about adoption, in fact, if I was describing the book I wouldn’t even discuss that part. It is about the bodies physiological, neurological and biological response is trauma. It is a very important way of understanding regarding why people respond they way they do. It’s been a while since I read it but I’m sure there are some generalized and probably offensive statements for adoptees but overall it’s extremely helpful in understanding how trauma effects all the multiple systems of the body.

I was told flat out by a Guardian ad Litem that my children needing glasses was due to my drug use during pregnancy. Never mind the fact that I’ve never had a drug problem, never failed a drug test and was drug tested during, before and after my pregnancy… Couldn’t be that every member of mine and my husband’s family needs glasses and sometimes children just have vision problems. It must be drug use (meant sarcastically).

Keep in mind that over 50% of psychological research cannot be replicated. (Over 50% actually according to a top scientific journal – Nature magazine.) While therapists can be beneficial, there are a lot of quacks who present as authorities in the field. Some of the most well-known people in the field can be the most problematic such that their work cannot be replicated, but they ride the coat tails of their notoriety and most people don’t know how to keep them accountable.

Just a note, that 50% number is not quite accurate and most of the psychology quacks aren’t the ones actually doing research. There have been a lot of critiques of that article since, including the kinds of studies they chose to try to replicate and the conditions under which they claimed replication failed. I’m not saying it isn’t a problem, but that article almost certainly overstated it.

I’m a PhD in psychology. We have a giant problem with public communication of our science.

Someone suggested the book – The Deepest Well: Healing the Long-Term Effects of Childhood Adversity by Nadine Burke Harris MD. From a review at NIH website – Hans Selye, a Hungarian-born physician, developed the concept of the General Adaptation Syndrome as the first neurohormonal model of physiologic stress implicating pituitary and adrenal function in the etiology of many chronic diseases, and the associated sickly appearance of those suffering. claimed the physiologic life is fundamentally a process of adaptation to the totality of one’s experience, with real health and happiness being the successful adjustment or adaptation to those ever-changing conditions. Failure to adapt to the stress burden resulted in disease and unhappiness. In 1985, Vincent Felitti, MD, Chief of Preventive Medicine at Southern California Permanente Medical Group, San Diego, added mightily to Selye’s work with his findings of the profound, destructive, multi-organ system consequences of adverse childhood experiences. Nadine Burke Harris, MD, discovered Felitti’s pioneering work later, yet immediately understood the potential power of its lessons if implemented in her pediatric practice. She describes well her newfound understanding of the pathogenesis of ACEs (adverse childhood experiences) and the excitement of potential, effective therapeutic interventions. The Deepest Well is the story of how Burke Harris transformed herself into a champion persuader of truths difficult for others to hear, and a better clinician.

Bessel van der Kolk was booted by The Trauma Center (which he helped establish) because of his issues. The Boston Globe from March 7 2018 – Allegations of employee mistreatment roil renowned Brookline trauma center.

This doesn’t surprise me in the slightest (I’ve met Bessel before and my old boss worked under him at the Boston Trauma Center when he was in charge… he went down with Me Too NOT because he’s a sexual predator, but because he’s such an a**hole that he got more or less ousted from the PTSD community). It’s really a shame because his work is SO important and good and foundational in the complex PTSD world but he’s such a horrible person it overshadows it a lot of the time. I didn’t realize his what views were re: adoption etc, but I did know his insane levels of narcissism and his general tendency to bully.

Another one says, I met him at an International Society for Traumatic Stress Studies conference as well, in 2012 or 2013, I remember him being rude, though I had no idea he had any specific views about adoption in particular.

I’m so very disappointed to hear this. I read his book and it was so very eye opening for me. His work seems so foundational to the study of the affect of trauma on people. It is so very disappointing and even more frustrating.