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A28    SCIENCE
                     Saturday 30 June 2018

            Science Says: How family separation may affect kids’ brains





            By LINDSEY TANNER                                                                                                   to their minds and bodies.”
             AP Medical Writer                                                                                                  “This  is  what  science  has
            CHICAGO  (AP)  —  Doctors                                                                                           taught  us  about  separa-
            have long known that sep-                                                                                           tion,” he said Wednesday.
            arating  families  and  other                                                                                       WHAT DOCTORS SAY
            traumatic events can dam-                                                                                           In 2017, a year before the
            age  children’s  well-being.                                                                                        separation  policy  was  an-
            More  recent  research  has                                                                                         nounced,  the  American
            shed  some  light  on  how                                                                                          Academy  of  Pediatrics
            that  may  happen:  Severe                                                                                          advised  against  holding
            early  adversity  may  cause                                                                                        migrant  children  in  deten-
            brain  changes  and  “toxic                                                                                         tion centers and said they
            stress,”  resulting  in  lasting                                                                                    should receive health care
            psychological and physical                                                                                          and treatment to “support
            health problems.                                                                                                    their well-being.”
            A  “zero-tolerance”  immi-                                                                                          The  academy  and  sev-
            gration  policy  announced                                                                                          eral  mental  health  groups
            this  spring  by  the  Trump                                                                                        recently  denounced  the
            Administration  has  sepa-                                                                                          separation   policy   and
            rated  2,300  children  from                                                                                        cautiously  supported  last
            the adults they were travel-                                                                                        week’s  executive  order  to
            ing  with  and  sent  them  to                                                                                      overturn it.
            shelters  and  foster  homes                                                                                        Tuesday’s order from a fed-
            across the country, accord-                                                                                         eral judge mandating that
            ing to the government.                                                                                              thousands of families be re-
            The  administration  has  30                                                                                        united within 30 days is an
            days to reunite families, but                                                                                       important  step,  the  acad-
            it remains unclear whether   In this Sunday, June 17, 2018 photo provided by U.S. Customs and Border Protection, people who   emy  said  in  a  joint  state-
                                         have been taken into custody related to cases of illegal entry into the United States, rest in one of
            it can meet that deadline.   the cages at a facility in McAllen, Texas.                                             ment with UNICEF USA, but
            Here’s   what    evidence                                                                          Associated Press  it  won’t  undo  the  trauma
            shows  this  kind  of  separa-  symptoms.                 er health problems.          arriving  with  their  families   separated  children  have
            tion can do and how some     Experts  believe  that  con-  The  science  is  not  settled,  at  the  southern  U.S.  bor-  already faced, said Acad-
            experts   think   immigrant   tact  with  a  loving,  nurtur-  but some studies also have  der have already endured   emy  President  Dr.  Colleen
            children may be at risk.     ing  parent  or  caregiver  shown that persistent stress  the trauma of leaving their   Kraft.
            THE STRESS RESPONSE          can help children weather  may alter brain structure in  homes, some after violence    Even if they are eventually
            Stress is a normal response   stress and reduce chances  regions  affecting  emotions  or other threats, and faced   reunited, these families will
            to  challenging  or  threat-  for lasting ill effects.    and  regulating  behavior.  the  additional  trauma  of   need  “trauma-informed”
            ening  circumstances  that   A recent U.S. study of tod-  Imaging studies have found  an  arduous  journey  north,   care  to  help  them  cope,
            cause  the  brain  to  trigger   dlers  from  families  living  these  regions  are  smaller  Nelson  said  Wednesday.   Kraft said.
            the  body’s  “fight  or  flight”   in  poverty  is  an  example.  than usual in severely trau-  “That  may  increase  their   In their statement Wednes-
            mode. Stress hormones and    Youngsters  who  had  a  matized children.                susceptibility to the hazards   day,  the  academy  and
            chemicals  are  released     strong  parent  relationship  Harvard University neurosci-  of  separation  at  the  bor-  UNICEF  USA  said  their  or-
            that  increase  heart  rate,   had  lower  stress-hormone  entist  Charles  Nelson  says  der,” he said.            ganizations  “stand  ready
            blood  pressure,  alertness   levels when they arrived at  children  younger  than  3,  Nelson  said  the  images   to assist in reunifying fami-
            and energy levels.           a clinic to get vaccinations  with  rapidly  developing  he’s seen of U.S. detention   lies  and  supporting  their
            Levels  typically  return  to   than  those  without  that  brains,  are  most  at  risk  for  centers  housing  children   needs. Pediatricians across
            normal  when  the  threat    parent buffer.               the toxic effects of ongoing  remind him of his research   the  country  are  prepared
            passes.                      WHAT’S TOXIC STRESS?         stress.                      with Romanian children. In   to  provide  care  for  immi-
            When  the  threat  is  ongo-  Scientists  increasingly  be-  In  his  imaging  studies,  a  recent  research  news-  grant  children  as  they  en-
            ing — a result of things like   lieve  that  persistent  stress,  school-aged   Romanian  letter,  Nelson  wrote,  “The   ter our communities.”
            war, famine, poverty, natu-  particularly  when  there’s  orphans  sent  to  live  with  lessons  we  learned  then   Kraft attempted to enter a
            ral  disasters,  family  discord   no nurturing parent to help  foster  families  had  brains  taught us that housing chil-  children’s  shelter  in  McAl-
            or  neighborhood  violence   kids cope, can cause stress  with  less  gray  matter  than  dren  in  institution-like  set-  len,  Texas  on  Wednesday
            —  the  stress  system  may   hormones  and  internal  in-  orphans  sent  to  nurturing  tings,  with  rotating  shifts  of   to see what attempts were
            remain on high alert, some-  flammatory    markers    to  foster homes before age 2.   caregivers  and  unfavor-    being  made  to  reunite
            times triggering anxiety, be-  smolder at elevated levels,  WHAT   ABOUT   MIGRANT  able ratios of caregivers to    children  and  parents  but
            havior  problems,  stomach   raising  risks  for  later  heart  CHILDREN?              children, may cause severe   said  authorities  turned  her
            aches, sleep problems and    disease, diabetes and oth-   Central  American  children  and  permanent  damage       away.
            other  mental  and  physical                                                                                        During  an  April  visit  to  the
                                                                                                                                same  shelter,  Kraft  saw
                                                                                                                                children  who  were  “eerily
                                                                                                                                quiet”  and  one  who  was
                                                                                                                                crying  inconsolably  while
                                                                                                                                attendants watched.
                                                                                                                                “Staff  in  the  room  were
                                                                                                                                not allowed to pick her up
                                                                                                                                and  hold  her,”  Kraft  said.
                                                                                                                                It’s that kind of absence of
                                                                                                                                nurturing  contact  that  ex-
                                                                                                                                perts think worsens the ef-
                                                                                                                                fects of traumatic stress.q
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