Category Archives: Mental Health

Juvenile Justice Ministry: Reintegrating Juvenile Offenders


Youth incarcerated in juvenile detention centers are undergoing significant stress related to arrest, the uncertainties of their legal issues, and the potential loss of freedom, trust, respect of family and community, and future dreams. Effective ministry to these individuals should be based on the expected duration of the sentence (30 days vs. 1 year) but should also be focused more on the transition out of incarceration and reintegration back into the community. The better this transition is the greater the likelihood that the youth will not recidivate back into illegal behaviors.

SAMHSA Substance Abuse Treatment for Individuals in the Criminal Justice System identifies the following key factors to consider when helping an individual coming out of incarceration:

 Substance Use

  • Substance use history
  • Motivation for change
  • Treatment history

 Criminal Involvement

  • Criminal thinking tendencies
  • Current offenses
  • Prior charges/convictions
  • Age of first offense
  • Type of offenses (violent vs. non-violent, sexual, etc.)
  • Number of offenses
  • Prior successful completion of probation/parole
  • History of personality disorders (unlikely if under 18 years of age)

 Health

  • Infectious disease (TB, hepatitis, STD, HIV, etc.)
  • Pregnancy
  • General health
  • Acute conditions

 Mental Health

  • Suicidality/History of suicidal behavior
  • Any diagnosis of MH
  • Prior treatment/counseling and outcomes
  • Current/Past medication
  • Symptoms
  • Trauma

 Special Considerations

  • Education level
  • Reading level/Literacy
  • Language/Cultural barriers
  • Disabilities (physical, intellectual, learning, etc.)
  • Housing
  • Family issues
  • History of abuse (victim and/or perpetrator)
  • Other service providers (counselor, probation officer, social worker, etc.)

 This is a long list of issues that require attention. Remember, you are not alone in service this youth. Partner with others that are investing as well. Establish open communication between you and the others so you do not unintentionally work against each other. Have the other providers come do trainings for you and your staff so that you can better understand the complexities involved in serving juvenile offenders. The more you can work together with the community the greater the odds are that your youth will overcome the obstacles they are facing.

 What are ways you have partnered with individuals attempting to reintegrate after returning from incarceration?

 Are there special considerations for juvenile offenders vs. young adults?

 How have you been successful in engaging resistant families?

Top 10 Blog Posts of 2013


 

Top-10

So 2013 was an amazing year for our ministry.  Some of the highlights we increased speaking and writing opportunities, new partnerships and more importantly, new friends.  Below are the TOP 10 blog posts of 2013.  Thanks so much for support CotF.  We believe in the work we are called to do and hope to continue that work into the new year.

 1.   Engaging Resistant Students in Youth Ministry

 2.   The Importance if the Imago Dei in Youth Ministry

 3.   Sex: A Little Porn Never Hurt Anyone

 4.   Sex: Porn Zombies

 5.   Sex: There’s An App For That

 6.   Youth Ministry and the Glee Effect

 7.   Moral Disengagement: Bombers, School Shooters, and Bullies

 8.   Incarnational Ministry to LGBTQ Students

 9.   Credibility in Youth Ministry

 10. Trauma Stewardship in Youth Ministry

 Honorable Mention:   The Power of Permission in Youth Ministry

 I’ve also been given the honor of blogging on one of the most popular youth ministry blogs morethandodgeball.com on the topic of Soul Care.  This is a recent partnership with Group Publishing (SYMC and KidMin) and part of my new job is to coordinate their ministry to pastors/workers called The Shelter.  I’ll be blogging over there periodically and there are some other really great bloggers there so give it a look.

Sex (A little porn never hurt anyone, right…?)


porn-hook

As with any behavior we engage in there are payoffs and there are consequences.    This post explores the negative consequences of obsessive and compulsive consumption of pornography.

  1.  Misusing sexuality or unhealthy sexual expression for the gratification of personal lusts and desires rather than the divine purpose if was gifted to use for (pro-creation and monogamous bonding/attachment) creates a host of attachments neuro-chemically and emotionally.  When we complete a sex act (climax) we have engaged a process that includes attaching (oxytocin/vasopressin) to the object of our sexual desire.  If these objects are images on a screen then we form a connection with those objects that was intended for your partner.  Repeated gratification to pornography can lead to difficulty bonding with a loved one in meaningful ways, emotionally and physically.
  2. Because of the impact of porn, our ability to connect with others emotionally is reduced.  The real problem is that our understanding of the true nature of sexual relationships gets polluted with porn consumption (creates fantasy).  Porn creates something less life-giving, commitment-solidifying, joy-producing for transient, sensual, immediate gratification.  As a result we learn that porn consumption, leading to masturbation and climax can be a powerful “mood altering experience” helping us deal with the stress of day-to-day life.
  3. Regular pornography viewing can also create a distorted perspective on reality.  It reinforces body types that are not natural, sexual positions that are only for a good camera angle not a natural position during sex, it creates expectations for our and our partners sexual behaviors and puts pressure on both to perform as what is seen on the screen.  Neural wiring changes occur due to regular porn viewing that reinforces our desires for what we see on the screen.   We begin to crave in real life what we see on screen.  This can also lead to a sense of emotional disconnect in which we are observes of our own sex acts rather than fully present with our partner.
  4. Emotional deregulation can occur when we become dependent on porn to relieve stress or make us feel pleasure.  When we are frustrated with our partner being sexually unavailable we turn to porn out of frustration or to extract secret revenge for their scorn after a fight.
  5. In order to consume porn regularly we must disengage morally.  This is dangerous because if done frequently or repetitively we lose our ability to empathize with others.  Moral disengagement allows us to do that which is socially unacceptable by blaming others, justifying our behavior as deserved or just, or by displacement of responsibility of our choices.
  6. Porn will likely reinforce negative gender stereotypes.  Cultural messages still support traditional gender roles and elevate the notion that women exist for men’s pleasure in a male dominated world.
  7. The shame and guilt that often accompanies pornography related problems is intense.  One the episode is over these feelings rush in and drives the behaviors underground to keep them hidden from others.  This leads to isolation and disconnect from important relationships.  This can lead to depression or hopelessness and helplessness.  The feeling that one is trapped in a shame cycle is often reported.

This list is not exhaustive but is a good gauge of what can happen to an individual that compulsively and/or obsessively consumes pornography.  In the next post we will look at ways to walk alongside someone stuck in the labyrinth of pornography.

Sex (There’s An App For That)


3xgalleryiphonepicIf you’re a youth worker then you already know about the abundance of pornography due to modern technology. If you don’t, you should pay attention. Due to new technology porn has never been more accessible, affordable, or anonymous than it is today. At the same time, sale of Smart phones to adolescents is driving the mobile phone industry. Add these two factors together and you have a new way to engage in an old struggle.

Young people are historically impulsive and vulnerable to addictive behaviors. This is not a revelation to anyone but the temptations and opportunities to act on those impulses have increased significantly in recent years. Viewing pornography almost seems like a rite of passage and current research tells us that first exposure to pornography is occurring at an average age of 11-years-old. The natural but curious nature of sex often makes it hard for even the most convicted teenager to resist the compulsion to revisit these sites again and again.

Accessible – Youth have unlimited means of accessing outlets to pornographic material today; smart phones, apps, tablets, gaming systems, the internet, television, pay-per-view, and peer-to-peer sexting. There are a myriad of ways that kids can intentionally or unintentionally view material that captivate their bodies and brains in a powerful way.

Affordable – Access to porn has typically come with a price tag that served as a barrier for most young people accessing such material. Today, much like a drug dealer that fronts you a sample to “hook” you, porn website offer free samples in short increments with the same intention.

Anonymous – Because much of this is done of personal i-Devices the stigma typically associated with these behaviors is diminished. One can privately browse content for hours and easily delete any browsing record of such indiscretions. Instead of going to the seedy gas station to buy a magazine, or to the backroom of the video store to find the adult movie selection, technology allows those outlets to come directly to the consumer.

I do not want to demonize the adolescent’s desire for sexual expression. God gave us a sexual desire and it is good. It is important to distinguish between normal sexual curiosity and unhealthy/unsafe sexual practices. Nevertheless, we know that when anyone engages in a behaviors repeatedly neurological changes can occur, rewiring our brains to a “new” norm. Compulsive pornography consumption will fundamentally change the way we, especially our youth, will experience sex. Everything from expectations about sex to the physical experience of sex to our ability to attach to others in an intimate fashion will be impacted.

All is not hopeless. In this blog series we will continue to unpack to the problems associated with sex, as experienced as the norm today, and how we might have better conversations with our youth, their parents, and ourselves about sex and sexual behaviors.

Overview of Stress (Soul Care Series)


stress-cartoonUnderstanding Stress 

Stress is our response to thinking or judging that the demand of an event or situation goes beyond our being able to cope with the situation.  Coping is the key word.  Stress is based on our automatic thoughts about inside or outside events.  Our ability to manage stress well depends on many factors, factors such as; Personality Traits, Health Habits, Coping Skills, Social Support, Material Resources, Genetics and Early Family Experiences, Demographic Variables, and Pre-existing Stressors.  We will focus on the four following underlying causes of stress in this post:

  • Expectations: You expect (worry about) something bad will happen to you because of the outside events.
  • Appraisals:  You judge that the demands of the event go beyond your abilities or resources to meet those demands.
  • Attribution: You blame the causes of your stress on the outside events or to on upsetting memories of past events.
  • Decisions:  You decide you cannot handle the demands of the outside world.

The Roots and Sources of Stress

Your inside world:  We call these “internal stressors”: the memory of past experiences/events that are negative of difficult, such as divorce, loss of a loved one, or childhood trauma.  These are now “internal” but are “triggered” by on-going life experiences.

  • The stressor event may be inside you if you cannot tie the mental, physical or emotional responses to something outside.
  • Such “internal events” could be a memory of a past trauma or losses, high need to be successful, having failed at something you deemed important.
  • Internal stressors will be based on outside events that have happened sometime in the past.

Your outside world:  There are three major outside root causes of stress.

  • Major negative events such as death of a loved one, divorce, loss of job or major illness.
  • Daily negative or difficult life events such as demands of family and work.  Theses are “external”.
  • Major and minor positive happenings such as a new job, getting married, having a baby or a salary raise.

Stages and Effects of Stress on the Body

Long periods of exposure to stress can hurt the body.  It can cause us to become physically ill.  Research has shown that we go through three steps when faced with stress:

  • Alarm:  The body steps up its inside resources to fight the stressor or cause of stress.
  • Revolt:  The body resists and fights the stressors.  Body chemicals are released to help us cope.  For awhile, these chemicals help keep the body in balance.
  • Exhaustion:  The body gets tired.  We might collapse.  We are more likely to get sick or emotionally upset.  Now, because of ongoing stress, the chemicals that once helped us now make us weaker.

Signs of Stress and Efforts to Cope

Stress can throw us out of balance.  We call this homeostasis.  The body and mind work at keeping balance through coping responses.  These are the efforts to control or cope with the stress reactions inside of you.  But they are also signs of stress.

  • Mental:  Mental worry is a major cause of stress.  Worries are thoughts and views of what might happen.  Your thoughts are the key.  When we manage stress this comes first.  If our thoughts fail to give us self-control we lose control over the body, emotions, and behaviors.
  • Physical:  Our body becomes upset.  Our hearts beat fast, we get sweaty, feel weak.  We breathe hard and lose control of our breathing.  We hunger for air or oxygen.  Being in control of breathing helps us to be in control of our stress response.
  • Emotional:  These are your efforts to cope with stress.  They are signs of stress.
    • Anxiety:  We feel uneasy, anxious.  We can’t pin down why.
    • Panic:  A sudden intense fear or anxiety with body symptoms – hard to breathe, tight chest, heart beats fast.
    • Emotional stress syndrome:  Guilty, angry, or depressed.  Managing anger, guilt, and depression helps us manage our stress.
  • Behavioral:  You may drink, go running, distract with a movie, gamble, view pornography, masturbate, smoke, talk with a friend, etc.

Self-Care Checklist


Just a quick reminder to take care of yourself.  Those you minister to need the you to be well over the long haul.  Self-care is important to prevent future stress to the body.  The following ideas have been found to be helpful in coping with stress:

  •  A regular daily routine: Have set times for getting up, meals, and going to bed.
  • A balanced diet: Include breads & cereals, meat, fish & dairy products, fruits & vegetables.
  • Avoid too much coffee and tea to help you sleep at night.
  • Outdoor activities, such as going for a walk or gardening, take you away from the stress, and refresh you mentally.
  • Exercise (i.e. such as swimming, walking, & team games) will produce chemicals called endorphins in the body which help to counteract depression and make you feel energized. The exercise does not need to be strenuous.  If you have doubts about your fitness, consult your doctor.
  • Relaxation: meditation, massage, music.
  • A relaxing pre-sleep routine: winding down before bed and not watching television right before going to sleep.
  • Avoid seeking relief through alcohol, smoking, medication, and other drugs.
  • Consult a doctor about physical symptoms, for a blood pressure check, for practical help, and for help with the the stress of life.

Honor God and those He calls you to serve by taking care of yourself.

Jesus vs. Schemas (pt. 1 of 2)


Schemas — What They Are

A schema is an extremely stable, enduring negative pattern that develops during childhood or adolescence and is elaborated throughout an individual’s life. We view the world through our schemas.  When one does not learn a healthy theology and understanding of who they are in Christ, these schemas take root where theology should live.

Schemas are important beliefs and feelings about oneself and the environment which the individual accepts without question. They are self-perpetuating, and are very resistant to change. For instance, children who develop a schema that they are incompetent rarely challenge this belief, even as adults. The schema usually does not go away without therapy. Overwhelming success in people’s lives is often still not enough to change the schema. The schema fights for its own survival, and, usually, quite successfully.

It’s also important to mention the importance of needs in schema formation and perpetuation. Schemas are formed when needs are not met during childhood and then the schema prevents similar needs from being fulfilled in adulthood. For instance a child whose need for secure attachments is not fulfilled by his parents may go for many years in later life without secure relationships while seeking maladaptive ways (often sinful but functional) to satisfy his or her longings.

Even though schemas persist once they are formed, they are not always in our awareness. Usually they operate in subtle ways, out of our awareness. However, when a schema erupts or is triggered by events, our thoughts and feelings are dominated by these schemas. It is at these moments that people tend to experience extreme negative emotions and have dysfunctional thoughts.

There are eighteen specific schemas. Most individuals have at least two or three of these schemas, and often more. A brief description of each of these schemas is provided below.

Emotional Deprivation

This schema refers to the belief that one’s primary emotional needs will never be met by others. These needs can be described in three categories: Nurturance—needs for affection, closeness and love; Empathy—needs to be listened to and understood; Protection—needs for advice, guidance and direction. Generally parents are cold or removed and don’t adequately care for the child in ways that would adequately meet the above needs.

Abandonment/Instability

This schema refers to the expectation that one will soon lose anyone with whom an emotional attachment is formed. The person believes that, one way or another, close relationships will end eminently. As children, these individuals may have experienced the divorce or death of parents. This schema can also arise when parents have been inconsistent in attending to the child’s needs; for instance, there may have been frequent occasions on which the child was left alone or unattended to for extended periods.

Mistrust/Abuse

This schema refers to the expectation that others will intentionally take advantage in some way. People with this schema expect others to hurt, cheat, or put them down. They often think in terms of attacking first or getting revenge afterwards. In childhood, these individuals were often abused or treated unfairly by parents, siblings, or peers.

Social Isolation/Alienation

This schema refers to the belief that one is isolated from the world, different from other people, and/or not part of any community. This belief is usually caused by early experiences in which children see that either they, or their families, are different from other people.

Defectiveness/Shame

This schema refers to the belief that one is internally flawed, and that, if others get close, they will realize this and withdraw from the relationship. This feeling of being flawed and inadequate often leads to a strong sense of shame. Generally parents were very critical of their children and made them feel as if they were not worthy of being loved.

Failure

This schema refers to the belief that one is incapable of performing as well as one’s peers in areas such as career, school or sports. These individuals may feel stupid, inept or untalented. People with this schema often do not try to achieve because they believe that they will fail. This schema may develop if children are put down and treated as if they are a failure in school and other spheres of accomplishment. Usually the parents did not give enough support, discipline, and encouragement for the child to persist and succeed in areas of achievement, such as schoolwork or sport.

Dependence/Incompetence

This schema refers to the belief that one is not capable of handling day-to-day responsibilities competently and independently. People with this schema often rely on others excessively for help in areas such as decision-making and initiating new tasks. Generally, parents did not encourage these children to act independently and develop confidence in their ability to take care of themselves.

Vulnerability to Harm and Illness

This schema refers to the belief that one is always on the verge of experiencing a major catastrophe (financial, natural, medical, criminal, etc.). It may lead to taking excessive precautions to protect oneself. Usually there was an extremely fearful parent who passed on the idea that the world is a dangerous place.

Enmeshment/Undeveloped Self

This schema refers to a pattern in which you experience too much emotional involvement with others – usually parents or romantic partners. It may also include the sense that one has too little individual identity or inner direction, causing a feeling of emptiness or of floundering. This schema is often brought on by parents who are so controlling, abusive, or so overprotective that the child is discouraged from developing a separate sense of self.

Subjugation

This schema refers to the belief that one must submit to the control of others in order to avoid negative consequences. Often these individuals fear that, unless they submit, others will get angry or reject them. Individuals who subjugate ignore their own desires and feelings. In childhood there was generally a very controlling parent.

Self-Sacrifice

This schema refers to the excessive sacrifice of one’s own needs in order to help others. When these individuals pay attention to their own needs, they often feel guilty. To avoid this guilt, they put others’ needs ahead of their own. Often individuals who self-sacrifice gain a feeling of increased self-esteem or a sense of meaning from helping others. In childhood the person may have been made to feel overly responsible for the well being of one or both parents.

Emotional Inhibition

This schema refers to the belief that you must suppress spontaneous emotions and impulses, especially anger, because any expression of feelings would harm others or lead to loss of self-esteem, embarrassment, retaliation or abandonment. You may lack spontaneity, or be viewed as uptight. This schema is often brought on by parents who discourage the expression of feelings.

Unrelenting Standards/Hypercriticalness

This schema refers to the belief that whatever you do is not good enough, that you must always strive harder. The motivation for this belief is the desire to meet extremely high internal demands for competence, usually to avoid internal criticism. People with this schema show impairments in important life areas, such as health, pleasure or self-esteem. Usually these individuals’ parents were never satisfied and gave their children love that was conditional on outstanding achievement.

Entitlement/Grandiosity

This schema refers to the belief that you should be able to do, say, or have whatever you want immediately regardless of whether that hurts others or seems reasonable to them. You are not interested in what other people need, nor are you aware of the long-term costs to you of alienating others. Parents who overindulge their children and who do not set limits about what is socially appropriate may foster the development of this schema. Alternatively, some children develop this schema to compensate for feelings of emotional deprivation or defectiveness.

Insufficient Self-Control/Self-Discipline

This schema refers to the inability to tolerate any frustration in reaching one’s goals, as well as an inability to restrain expression of one’s impulses or feelings. When lack of self-control is extreme, criminal or addictive behavior rule your life. Parents who did not model self-control, or who did not adequately discipline their children, may predispose them to have this schema as adults.

Approval-Seeking/Recognition-Seeking

This schema refers to the placing of too much emphasis on gaining the approval and recognition of others at the expense of one’s genuine needs and sense of self. It can also include excessive emphasis on status and appearance as a means of gaining recognition and approval. individuals with this schema are generally extremely sensitive to rejections by others and try hard to fit in. Usually they did not have their needs for unconditional love and acceptance met by their parents in their early years.

Negativity/Pessimism

This schema refers to a pervasive pattern of focusing on the negative aspects of life while minimizing the positive aspects. Individuals with this schema are unable to enjoy things that are going well in their lives because they are so concerned with negative details or potential future problems. They worry about possible failures no matter how well things are going for them. Usually these individuals had a parent who worried excessively.

Punitiveness

This schema refers to the belief that people deserve to be harshly punished for making mistakes. People with this schema are critical and unforgiving of both themselves and others. They tend to be angry about imperfect behaviors much of the time. In childhood these individuals usually had at least one parent who put too much emphasis on performance and had a punitive style of controlling behavior.

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There are two primary schema operations: Schema healing and schema perpetuation. All thoughts, behaviors and feelings may be seen as being part of one of these operations. Either they perpetuate the schema or they heal the schema. We will explore both in part 2.