Children with mental health issues numbers - www.icareguam.org

Did you know according to the Children's Defense Fund, (2010), 50% of children in the welfare system have mental health issues.

Click the link below for more information:
http://www.icareguam.org/statistics/

Traditions, rituals have their benefits - www.icareguam.org

PDN Article: December 14, 2013

This is the time of the year when family traditions and rituals are most celebrated and a great opportunity for young people to learn about them and to practice these traditions and rituals.

Tradition is the process of passing on culture or customs from one generation to another. Family traditions connect young people to their faith, culture, family, and their identity as to who they are. Many family traditions and rituals are fun things to do.

These things can be patterns of behavior of activities that families do together on a regular basis or a certain food that a family likes. They are purposeful activities repeated together as a family and when done right, family traditions create good feelings and special moments to remember. Enjoying this time together as a family will create positive experiences and memories that would last a lifetime for young people.

Tradition can serve as reminders of events that have shaped your family and your children of things you have done together. Each time you do that activity or event, it reminds you of all the experiences you've had on previous times of that event or activity.

• Personal identity: Family traditions and rituals have numerous benefits to young people, one of which, it provides a source of identity. Tradition tells a story about a family. It can teach children where their family came from or give them insights into their cultural or religious history.

Traditions, and the stories that they tell about one's family, play an important role in shaping a child's personal identity. Studies have found that children who have an intimate knowledge of their family's history are typically more well-adjusted and self-confident than children who don't.

Identity formation is most especially important for a teenager. It helps to know you "belong" when you are trying to figure out who you are, which is a major task of the adolescent. A family that encourages a teen to be a part of the family and its traditions provides a strong foundation for teens to stand on when they're searching and defining their sense of self.

• Sense of belonging: Family traditions give every member of the family a stronger sense of belonging. Being a part of a family is more that living in the same home or having the same last name. It is about relationships and family bonds. Since family traditions are something you do together, they strengthen the bonds you have between each other, creating a stronger sense of belonging to the family.

Studies have also found that families that engage in frequent traditions report stronger connection and unity than families that haven't established rituals together. Traditions help family members get to know and trust each other more intimately, and create a bond that comes from feeling that one is part of something unique and special.

• Sense of security: Family traditions offer young people a sense of security. Every day, young people face some difficult issues. Knowing that he or she is secure and has a family to turn to is a powerful tool to use against negative peer pressure, drug-use influences, going through losses, etc.

Family traditions and rituals can provide comfort and security to children, even if a main source of their stress comes from within the family itself. For example, a study found that "families of alcoholics are less likely to transmit alcoholism to the next generation if they maintain the family dinnertime ritual and do not allow a parent's alcoholism to interfere with their dinner time together."

• Family values: Another important purpose of traditions and rituals, is to teach and reinforce values, whether religious or secular. Through daily family prayer, the importance of faith is reinforced. Through nightly bedtime stories, the value of education, reading and lifelong learning is implanted; and through regular family dinners or activities, the importance of family unity is instilled.

Showing young people what having the ability to love is all about, happens naturally when you spend quality time together -- like doing a traditional family activity.

Guam has many rich family traditions and rituals. A few for example are: the novenas for Baby Jesus during Christmas, which many families celebrate together and special meals are prepared. Another is when loved ones passed away, their lives are celebrated by families and friends coming together for memorial service, such as attending Masses and the rosary.

Many family traditions have been passed down through multiple generations. They can be simple everyday traditions like family dinners, holiday get-togethers and bedtime stories. These positive childhood memories can help make your child a happier and more generous adult.

Continuing family traditions and rituals in your own family is a great way to teach children about your family's cultural and religious history, thus adding to their personal identity. Do not make the mistake of thinking that because your child is older now, you should no longer adhere to the rituals that help define your family. You still need them and so does your children.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Build spiritual values in our children - www.icareguam.org

PDN Article: Dec 6, 2013

Elisabeth Kubler-Ross, a Swiss-American psychiatrist who's well-known for her work on near-death studies and on death and dying, theorized that all human beings are composed of four quadrants. This four-quadrants model consists of the physical, emotional, intellectual and spiritual parts of the person.

The physical quadrant emphasizes one's physical body, health and the need for physical, loving touches for growth and development throughout one's life. The emotional quadrant includes one's emotions and feelings that allow one to experience life.

The intellectual quadrant is about cognition, ability to reason and the drive for knowledge. The spiritual quadrant is the sense of self, set of values and beliefs, quest for meaning in one's life and the capacity to reflect and connect with the world.

All four quadrants are important and the task is to maintain a balance between all four. If one or more quadrants are neglected over a period of time, problems may start surfacing for the individual.

A particular quadrant that is often neglected and needs to be nurtured, especially nowadays, is the spiritual quadrant. This quadrant is very important in the young person's life. It is about making sense of one's life, having a deep sense of worth and understanding one's unique role and how one fits with others and the environment.

Spiritual values

Spiritual values were a key motivator for pioneer work with children and youths in the 19th and 20th centuries. Organizations such as the YMCA and the Boy Scouts and Girls Scouts were founded on spiritual values and their leaders were motivated to bring these understandings into young people's lives.

With attention to spirituality, children and young people are able to develop an integrated sense of self, self-respect and a healthy identity. Without this opportunity, children and youths are more likely to be easily swayed by peers and persuasive ideological approaches because they have no core beliefs and value systems to act as a compass or provide direction.

Providing opportunities for children and young people to express themselves through art, poetry, music, sports, education and community events help inspire them to focus on the higher or deeper aspects of themselves and to explore and develop their spiritual qualities.

Powerful experiences

The sense of achievement in conquering fear on a high-rope course or paddling a canoe through difficult waters can be powerful experiences and, with skilled instruction, can help children and young people gain a sense of worth and self-esteem.

Children and young people can learn to have a sense of calm within themselves by providing them with opportunities to meditate, to pray, to reflect and experience quiet moments. They can learn to experience these moments as opportunities to retreat and recharge so that they can engage in life in a more creative way.

This is especially important for young people who may be distracted, distressed or displaced, who need to find a substantial anchor within themselves.

We need to teach the "butterfly effect" -- that a small action somewhere can have massive results elsewhere and that people should never underestimate the effect they have on each other. A person can transmit something through a phrase, an action or a word, which can either help young people or turn them away.

Spirituality is about being fully human. It is allowing children and young people the opportunity to learn about themselves at the deepest level, to acquire skills to have calm and energy within themselves, and to discover their unique contribution to those around them and to wider society.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Holiday season can trigger depression - www.icareguam.org

PDN Article: Nov. 30, 2013

As the holiday season approaches each year, more and more people suffer from holiday depression. Holidays are usually joyful occasions, filled with celebrations, parties and social gatherings with family and friends, but for many people, it is a time filled with sadness, loneliness and anxiety. The causes for holiday depression are as varied as the individuals experiencing it.

For many, the holiday season disrupts the normal routine of life and can result in a sense of chaos and a feeling of being unsettled. The kids are on school break, there is more shopping than usual that needs to be done, presents to buy, work parties to attend, family obligations and financial stress can contribute to feelings of being overwhelmed and increased tensions.

Although the holidays are about spending time with family and friends, this in itself can be stressful and cause depression. For those who have no family around or have a family system that is tumultuous and negative, the holiday season makes it much harder and unpleasant.

Family problems are often amplified during the holidays. This time can be especially difficult for those that have lost loved ones or are going through the anniversary of a loss or traumatic event, which can make unpleasant memories come back and dampen the spirits.

The elderly who have lost spouses and friends may find themselves struggling with depression as they remember life as it once was and trying to come to grips with how it is now. They may also be experiencing depression during this time as a result if being neglected or lonely.

Depression and suicides generally occur at a higher ratio during the holidays than at any other time of the year.

If you have had depression in the past, you need to be especially careful when coping with holiday stress. People who do not view themselves as depressed may develop stress responses such as: headaches, excessive drinking, overeating and difficulty sleeping.

Here are some ideas to find joy and balance during the holidays and reduce your stress.

• If you suffer from loneliness or holiday depression, do not be alone for the holidays. Reach out and volunteer your time to help the needy, feed the homeless and be around people.

• Attend a holiday celebration such as a church service or attend a musical activity to warm the heart.

• Acknowledge your feelings of loss of a loved one and realize it is OK to feel sad and take time to cry and express your feelings, and then work your way to finding some joy in the memories of your loved one.

• Be realistic and forget the unimportant stuff. Don't get hung up on what the holidays are supposed to be like or how you are supposed to feel. Take things as they come. It is OK.

• Try to accept family members and friends as they are even if they don't live up to your expectations, they may be feeling the effects of holiday stress and depression, too.

• Stick to a budget, consider doing something different such as giving homemade gifts.

• Learn to say "No". Agreeing to do things you really do not want to can leave you feeling resentful and overwhelmed.

• Plan ahead. Schedule days for shopping, baking and other activities.

• Lean on your friends and family members that are positive, encouraging and supportive.

• Do not abandon healthy habits such as healthy meals, snacks and exercise.

• Make time to pray, relax, meditate, listen to soothing music, sip a cup of tea or take a nice walk.

• Seek professional help if you find yourself feeling persistently sad or anxious, unable to sleep, irritable and unable to face routine chores.

• Call the local crisis hotline at 647-8833 if you need to talk to someone or make an appointment with a counselor.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Anxiety disorders require treatment - www.icareguam.org

PDN Article: Nov. 22, 2013

Anxiety is a normal human emotion that everyone experiences at times when faced with a problem, such as worrying about money, family relationships, a problem at work or school, taking an exam, or making an important decision. Anxiety disorders, however, can cause such distress that it interferes with the person's ability to function with everyday tasks.

For persons with anxiety disorders, worry and fear are constant, excessive, overwhelming and can be debilitating.

Anxiety disorders include the following types of anxiety:

• generalized anxiety disorder;

• panic disorder;

• post-traumatic stress disorder;

• obsessive-compulsive disorder; and

• social phobias.

Generalized anxiety disorder involves extreme and unrealistic worry about things, even when there is little or no reason to worry about.

Panic disorder involves sudden attacks of fear without warning that lasts for several minutes. It occurs repeatedly. Panic attacks occur at unpredictable times and some of the symptoms resemble that of the person having a heart attack.

Post-traumatic stress disorder is a condition that can develop following a traumatic and terrifying event such as a physical or sexual assault, a tragic loss of a loved one, serving in combat or as a result of a disaster. People with PTSD often have lasting and frightening thoughts and memories of the event that affects their ability to function.

Obsessive-compulsive disorder is a condition involving constant disturbing thoughts or fears that cause the person to perform certain rituals or routines. The disturbing thoughts are called obsessions and the rituals are called compulsions. An example is a person with an unreasonable fear of germs constantly washes his or her hands.

Social anxiety disorder, also known as social phobia, involves overwhelming worry and strong feelings of being judged by others and of being embarrassed. This fear often gets in the way of going to school or work or doing other everyday things.

Specific phobias are intense fear of a specific object or situation, such as snakes, heights or flying. The fear is usually inappropriate to the situation and may cause the person to avoid common everyday situations.

General symptoms

General symptoms of anxiety disorders include the following:

• muscle tension and inability to be calm and relax;

• unexplained bodily pains and feeling tired all the time;

• problems sleeping and nightmares;

• difficulty concentrating;

• feelings of panic, fear and uneasiness;

• uncontrollable, obsessive thoughts;

• ritualistic behaviors, such as repeated hand washing, checking if the door is locked;

• cold or sweaty hands and/or feet;

• shortness of breath and palpitations;

• numbness or tingling in the hands or feet;

• trouble controlling their constant worries;

• dry mouth and trouble swallowing; and

• using the bathroom a lot.

The exact cause of anxiety disorders is unknown, but like some forms of mental illness, personal weakness or poor upbringing are not the causes. Researchers have found that several parts of the brain are involved in fear and anxiety.

Combination of factors

As research continues on mental illness, it is becoming clear that many of these disorders are caused by a combination of factors including changes in the brain and environmental stress. Trauma or significant events may trigger an anxiety disorder in people who have an inherited susceptibility to developing the disorder.

By learning more about fear and anxiety in the brain, scientists may be able to create better treatments.

If you, or someone you know, is experiencing any of these anxiety symptoms, talk to your doctor or a mental health professional about it. A thorough exam is necessary to make sure another physical problem isn't causing the symptoms.

Anxiety disorders are generally treated with psychotherapy, medication or both, and early identification and treatment is essential.

In helping children cope early on with fear and anxiety, encourage them to ask questions and to talk about fears they may have. Listen to what they say. Communicate with your children in simple ways that they can understand.

In addressing death, be honest and tell them the person has died rather than has "gone to sleep," or children may become afraid of going to sleep. Provide comfort and assurance that address their specific fears.

It is OK to admit you can't answer all their questions and then find someone who can help.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Watch for signs of depression in kids - www.icareguam.org

PDN Article: Nov. 8, 2013

In today's world, toughness and glamour rule, especially if you are a teenager. Teens who buy into the myth that image is everything risk losing it all when they experience a letdown, a rejection or a broken heart.

Teenage girls are more vulnerable to this serious form of the blues than are teen boys. The majority of depressed adolescents are teenagers, girls between the ages of 12 to 19. Girls are more open emotionally and tend to talk about it more. Boys, for the most part, have more physical outlets for stress and emotions than do girls.

Depression in contemporary teenage girls are fourfold:

• the zooming divorce rate;

• the message our culture sends about sex;

• the increase of violence and abuse against children and women; and

• increasing teen addiction to drugs and alcohol.

A big factor in depression in young people is the breakdown of the family or divorce. It's hard on teenagers when their primary support system, the family, is gone.

For a female, she gets a lot of identity from her father and he isn't there to guide her or talk to her or tell her how pretty she is. Missing a mother figure can be just as terribly damaging to young people.

Attitudes about sex are a toxic societal factor driving teen girls into depression. The culture sends a mixed message to girls. Sex is something sacred, but on TV, sex is what's selling and there's too much pressure to be attractive to the opposite sex.

Over-emphasizing female sexuality causes girls to focus on their bodies, rather than on their intelligence, ability or spirituality. This lends to girls finding fault with themselves and each other if their appearance doesn't measure up.

Body image

The gold standard for an adolescent girl is to be slim and sexy. Girls have become more likely today than ever before to internalize society's message and "scapegoat" peers who don't meet that standard.

Failure to be thin and beautiful can lead to depression in teen girls who place exaggerated value on appearance. Teen girls' concern with appearance may occur in part because looks seem to be all society recognizes them for. This also can lead to eating disorders and self-mutilation in girls who are trying to regain the control over themselves that they feel they have lost.

Girls already brainwashed to believe that their bodies are their most valuable commodity are likely to become involved in casual sex, which in turn can trigger depression.

One cause of depression in girls is peer pressure to fit in. Their friends are having sex, so they get involved in sex out of loneliness and wanting to be accepted. They give sex to get love, and if the relationship ends, they're thrown into depression.

Depression treatable

Depression is widespread among our teens, especially girls, who are most vulnerable to peer pressure. The assuring news about depression is that it's treatable.

Watch for signs, such as:

• a marked downturn in mood;

• negativity;

• sleeplessness or sleeping too much;

• a drastic change in eating habits; and

• self-isolation.

These symptoms usually last for more than two weeks. A lot of parents don't realize what's going on and they think it's normal moodiness.

A network of educators and professionals in our community can serve as a safety net for young people in the brink of an emotional breakdown, but the primary responsibility for our young people rests with the parents.

Parents, be aware, get to know your children and talk with them. And when you sense something isn't right, make the decision for your child to seek professional help.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Depression serious; needs treatment - www.icareguam.org

PDN Article: Nov. 1, 2013

Are you sad most of the time and take no pleasure in things you used to enjoy? Do you feel very tired, helpless and hopeless? Having trouble sleeping, trouble working and not wanting to eat? Have you felt this way for a long time?

Everyone feels sad sometimes, but these feelings usually go away after a few days. When you have depression, you have trouble functioning with daily life for weeks at a time. Depression affects different people in different ways.

Children with depression may: express feeling sick, refuse to go to school, cling to a parent or worry that a parent may die. Older children may be irritable and get into trouble at school.

It may be difficult to accurately diagnose a young person with depression, because these signs can also be part of normal mood swings associated with certain childhood stages.

Women experience depression more often than men and their symptoms are typically feelings of sadness, worthlessness and guilt. Men with depression are more likely to be very tired, irritable and even angry. Older adults may have less obvious symptoms, and more likely have medical conditions such as heart disease or strokes, which may contribute to the depression.

Signs to watch out for

These are signs of depression to look out for:

• not being able to concentrate or remember details;

• feeling sad and "empty";

• feeling very tired;

• feeling hopeless, irritable, anxious and guilty;

• not able to sleep, or sleeping too much;

• Oovereating, or not wanting to eat at all;

• aches or pains, headaches, cramps or digestive problems;

• loss of interest in favorite activities; and

• thoughts of suicide and suicide attempts.

According to the National Institute of Mental Health, several factors or a combination of factors may contribute to depression. Individuals with a family history of depression may be more likely to develop depression that those who do not have the illness. Individuals with depression have different brain chemistry than those without the illness. Any stressful situation such as loss of a loved one or a difficult relationship may trigger depression.

Illness needs treatment

Depression is a serious illness and needs treatment. Treatment for depression starts by visiting a doctor or a mental health professional for an exam or lab test to rule out other conditions that may have the same symptoms as depression. A complete personal history and history of the symptoms need to be obtained to determine factors contributing to the depression as well as for treatment purposes.

Medications such as antidepressants can work well to treat depression, but it takes several weeks for the medication to start working. Antidepressants can have the following side effects:

• headache;

• nausea; and

• difficulty sleeping, among others.

But most side effects lessen over time. Anyone, but especially young people, taking antidepressants should be under a doctor's careful supervision.

Psychotherapy can also help treat depression by teaching new ways of thinking and behaving, and changing habits that may be contributing to depression. Therapy can help the person understand and work through difficult situations or relationships that may be causing the depression or making it worse.

If you know someone who has depression, help him or her see a doctor or mental health professional. Talk to the person, listen patiently, and carefully. Offer support and encouragement, and let the person know that with treatment and time, the depression will lift.

Never ignore comments about suicide without letting the person's doctor, therapist or someone who could help know.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Critical for parents to invest in children - www.icareguam.org

PDN Article: Oct 19, 2013

How our young people cope with stress and traumatic life experiences must be a concern, especially to parents, but also to all of us in this community. Many of our young people aren't coping well with life and many do not have positive coping skills to even deal with the normal growing-up challenges.

In addition to the growing-up challenges, many unfortunately go through a range of traumatic experiences early in life -- from being bullied at school or elsewhere, even bullied by family members to being abused; from being separated or abandoned from either or both parents or significant other, to losing a loved one.

Not knowing how to handle the strong and conflicting emotions resulting from these events, the young person either withdraws, isolates self, loses interest in normal activities, refuses to go to school, experiences various other symptoms, such as depression or anxiety, and engages in self-harm behaviors.

Self-harm behavior

What appears to be a growing trend and a serious concern of self-harm behaviors that we are seeing with young people is they are cutting themselves on their arms and other parts of their bodies.

Parents often learn about their child's self-harm behavior after teachers or other adults bring it to their attention. Some of the young people have been silently cutting themselves periodically over a period of time as their way of dealing with their emotions and pain.

They are cutting because they do not feel good about themselves, they are unhappy, they do not know how to deal with whatever that they are going through in life. They are cutting because they are in pain and "cutting eases their pain," as several young people have reported.

Other self-harm behaviors are having thoughts of suicide and making attempts to end their lives by taking pills and other harmful substances. Some are self-medicating their pain with alcohol and substance misuse.

Fortunately, many of these suicide attempts have failed, and it is at this point usually when parents actively seek help for their child.

We all must be very concerned and be proactive because the suicide rate on Guam is quite high among young people. We know that there are those who do kill themselves, with little or no warning signs, or we simply just missed it because they appeared OK, happy and never talked openly about killing themselves.

Nowadays, as reported by parents and others, it is known that young persons, as young as 6, are talking about "wanting to die" or wanting "to commit suicide," and some have even attempted self-harm behaviors because they are angry that they didn't get what they wanted, or perhaps there are other underlying issues.

We must pay attention

As parents and caring adults, we need to pay attention to our young people. Spend time to guide them, listen to them, get to know what they are doing, how they are feeling, what's going on in their lives, and observe their behaviors.

We need to intervene early on when they are showing signs they need help. Are they wearing clothing to cover their cuts? Are they refusing to go to school? Are they exhibiting unusual behaviors from how they used to be? Unusual changes in personality can be warning signs -- "red flags" -- that things aren't OK and must be taken seriously.

Minimizing a young person's emotions and problems can send the message that his or her emotions and problems are invalid or insignificant and, therefore, he or she isn't as important as other things parents and adults are concerned about.

Raising children isn't an easy job, but a very essential one, and children deserve nothing less than a nurturing and loving care.

Invest in your children by teaching and modeling proper coping skills, self-discipline and positive character early on in your children's lives. Teach and model how to deal with anger, frustration and pain. Teach and model proper social skills, such as how to communicate what they want in a way in which they would get their request known, as well as to learn to tolerate not always having their way or getting what they want.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Trauma has strong impact on children - www.icareguam.org

PDN Article: Oct 11, 2013

We live in a time where our children and adolescents are exposed to various forms of traumatic life events. A traumatic event is one that threatens injury, death or the physical integrity of self or others, and also causes horror, terror or helplessness at the time it occurs.

Traumatic events include sexual abuse, physical abuse, domestic violence, community and school violence, medical trauma, motor vehicle accidents, acts of terrorism, natural and human-made disasters, war experiences, suicide and other traumatic losses.

There are two types of trauma -- physical and mental. Physical trauma includes the body's response to serious injury and threat. Mental trauma includes frightening thoughts and painful feelings. These are the mind's response to serious injury. Mental trauma can produce strong feelings. It can also produce extreme behavior, such as symptoms of intense fear or helplessness.

We all remember well several major acts of violence in our nation, such as the Oklahoma City bombing in the '90s, the Sept. 11, 2001, terrorist attack, the Columbine High School shooting in Colorado and, most recently, the Sandy Hook, Conn., shooting. These acts claimed many lives and they also threaten our sense of security.

Here at home, we have our own share of violence such as the recent tragic killings in Tumon. The incidences of home invasions, break-ins, burglary assaults and other acts of violence are reminders that we live in a precarious time, and we must be vigilant and caring of each other.

Beyond these events, children and adolescents face many other traumas. They are injured and abused intentionally by others, such as by bullies and sexual perpetrators. They also experience unintentional injuries, such as falls, accidents, dog bites, near-drownings, etc. They also see loved ones harmed by violence or they witness other tragic events.

Children and adolescents are very sensitive, they may hurt deeply, and they struggle to make sense of the trauma. They vary in the nature of their responses to traumatic experiences. Their reaction may be influenced by their developmental level, ethnic and cultural factors, previous trauma exposure, the resources and support available to them, as well as existing child and family problems.

Nearly all children and adolescents express some kind of distress or behavioral change in the acute phase of recovery from a traumatic event. These symptoms may include: separation anxiety, especially in young children; sleep disturbance, nightmares, sadness, the development of new fears, loss of interest in normal activities, reduced concentration, decline in schoolwork, anger, irritability and somatic complaints.

The young person's functioning in the family, peer group or school may be impaired as a result of such symptoms and it becomes very important that caretakers and professionals working with young people make a careful assessment of possible exposure to trauma.

Most young people manifest resilience in the aftermath of traumatic experiences. This is especially true of single-incident exposure. However, those who have been exposed to multiple traumas, have a past history of anxiety problems, or have experienced family adversity are likely to be at higher risk of showing symptoms of post-traumatic stress.

Parents and caring adults can help children and adolescents by assuring them that they are loved, that the event was not their fault, that it is okay for them to feel upset. Allow them to cry, be sad and talk about their feelings, write or draw pictures of their feelings. Do not expect them to be brave or tough. Don't force them to discuss the event before they are ready. Don't get upset if they show strong emotions or show regressive behaviors such as bed-wetting or acting out. Spend more positive time together, such as eating meals or playing games together. Try to keep normal routines or make new ones together. Lastly, help children feel in control and let them make some decisions for themselves when possible.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Faith is key to putting end to violence - www.icareguam.org

We live in a small community and we pride ourselves as a closely knit, safe, family-oriented and culturally respectful people. Yet, when you really think about it and examine how our community is doing, we have to admit that we are not quite the community we used to be, or want to be, for we have a big problem of violence and it is increasing.

We have different categories of violence, from interpersonal violence, such as family or domestic violence, to community violence, between individuals who are not related and who may or may not know each other that generally takes place outside the home. Interpersonal violence includes child abuse, intimate partner violence and abuse of the elderly. Community violence includes random acts of violence, rape, sexual assault and violence in institutional settings such as in school, the workplace, etc.

Our once upon a time, closely knit, fairly stable family and safe community is now gradually disintegrating, with increasing crime rates, parental separation rates and high rates of child maltreatment. Trauma caused by these social ills has a serious impact on our young people, and many suffer multiple traumas over the years.

Why is this so, and how can we stop the violence and family disintegration that cause so much pain and turmoil to our young people?

We know that violence and family disintegration cannot be attributed to single or simple factors. The causes are complex.

Faith, hope and trust

As I ponder on this, however, the word that keeps coming to mind is faith -- faith in God and faith in one self. Is violence and family disintegration due to lack of faith or is the lack of faith the contributing factor?

The word "faith" often is used as a synonym for hope, trust or belief.

Faith, hope, trust and belief are acquired through personal choices and experiences. Having faith in oneself is essential in decision making, for it guides the judgment of the individual. Having faith helps an individual be respectful to others, for he or she in return expects to be treated the way he or she treats others. Faith is what gives the person hope during desperate and trying times.

Without faith, an individual becomes distrustful, disrespectful, and loses his or her sense of value, belief and hope. Without faith, life becomes meaningless and empty, which leads to a search for something to fill the void. That something often comes in the form of alcohol and substance misuse, and engagement in high-risk and violent behaviors.

Life then becomes full of negativity, which also gets projected onto others, instigating a cycle of out-of-control violence.

Young people can learn to have faith from nurturing adults who treat them with reverence. Young people learn to have faith in themselves when they are not being abused and traumatized. By having faith in themselves, the young person has the ability to develop a positive character, self-confidence and self-trust. These are important characteristics that would help the person manage many of life's challenges without resorting to violence.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.

Response after crises is important - www.icareguam.org

PDN Article: Sept 28, 2013

The inclement weather last week seems to make one wonder if a major storm is heading our way. It has been over 10 years since we had typhoon and for many of us that have experienced several typhoons or supertyphoons, vivid memories resonate on how difficult life could be without running water, electricity and other conveniences for weeks. We count our many blessings each time we are spared from a storm heading to our area.

We empathize with people in the Philippines, Japan, Palau and other countries that suffered recently due to major flooding and storming weathers.

When a supertyphoon hits our island, employees at Guam Behavioral Health and Wellness Center know quite well what they are expected to do, aside from their personal and familial responsibilities. As first responders to the agency's clientele and vulnerable others out in the community, the staff conducts outreach after the storm to locate where their clients are and ensure their safety, as well as their psychiatric and related needs, are taken care of.

Once the severity of the destruction has been assessed to require a major recovery effort beyond the island's capability, we become a presidentially declared disaster area. The center then is expected by FEMA and SAMHSA to submit a grant application for the Individual Service Program within 14 days after the presidential declaration.

The Individual Service Program provides federal funding for Guam to hire or contract crisis counselors, professionals and paraprofessionals to conduct outreach in the community to individuals who are most affected by the disaster -- those with special needs, underserved special populations, the homeless and at-risk populations, as well as to those who are temporarily living at various shelters throughout the island.

Prior to the grant award, the first wave of mental health crisis responders are the social workers and other employees of the center. This work may take up to a month or more before the grant is awarded and contractual arrangements are set up with community partners. Crisis counselors are then recruited and trained ready to canvas the island in search of children, families and individuals in need of immediate assistance.

Purpose and goal

The purpose of the outreach crisis counseling is to help individuals and communities manage stress and recover from the challenging effects of natural and human caused disasters.

This is accomplished through partnerships with community providers in service delivery through a public health and education approach, assessing individual emotional needs, other tangible needs, providing them stress management skills, and referring and connecting people to services.

The primary goal of a crisis counseling program is to reach out to people in need, conduct immediate assessment and provide supportive intervention to empower the individuals and regain some normalcy in their lives.

Outreach crisis counselors are often paraprofessionals who get trained in various intervention skills, such as relation and engagement skills, stress management, active listening, assessment and data collection. Outreach crisis counselors are paid out of the Individual Service Program grant funds throughout the duration of the grant period.

It is important to establish ahead of time a pool of individuals -- trained, or not trained but interested in doing this type of outreach work -- who are ready to respond once the need arises. If you think this is something for you, come in to the I Famagu'on-ta office and register yourself to be on the list to be trained to assist others in need.

Annie F.B. Unpingco, LCSW, is administrator of I Famagu'on-ta at the Guam Behavioral Health and Wellness Center.