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childhood trauma | Upbring


The Effects of Childhood Trauma

Children who come into our care here at Upbring have often experienced significant trauma due to abuse and neglect. While there is no universal way trauma affects a child or presents its symptoms, it’s not to be discredited or ignored. As we continue to recognize April as National Child Abuse Prevention Month, we’ve asked Upbring Family Services Clinical Director, Frank Lopez to share his expertise on how to spot signs of trauma in children and how to provide the best support and care needed. Follow along below to a Q&A session with Frank Lopez.


Is there a standard system or method to assess the effects of traumatic experiences during childhood?

Children coming into care have a Child and Adolescent Needs and Strengths (CANS) assessment completed within 30 days of placement. This comprehensive behavioral health assessment is completed by a qualified assessor or clinician and provides recommended treatment based on the responses given. This assessment serves as the standard system for children in foster care. Additionally, each child who receives behavioral health services may have more specific assessments completed by a mental health clinician, psychologist or physician. A comprehensive list of several additional instruments that assess for trauma can be found here.


Is it common for a child to experience more than one type of traumatic experience? And if yes, how are these experiences measured by trauma experts?

Yes, and multiple traumatic events are known as Complex Trauma. Complex Trauma can impact an individual in various ways that interfere with forming attachments, physical ailments and emotional responses to common situations. There are several assessments used by mental health clinicians to measure the effects of trauma. This provides the foundation for treatment modalities to be effectively utilized. Our standard of care at Upbring is for our youth to receive behavioral health services that work to identify and treat those traumatic experiences.  Additionally, trauma experiences can extend into adulthood. The ACE Study, developed by the CDC & Kaiser Permanente, includes the use of an adverse childhood experience questionnaire (ACE), which is used to survey adults. An ACE score is a point value score used to measure Adverse Childhood Experiences that include abuse, neglect and family challenges. The higher the score, the higher the probability of health and social-related problems as an adult. Modified versions of the ACE Questionnaire such as those developed by the Center for Youth Wellness have been developed in order to assess early on the impact of trauma.


What are the types of trauma measured in the ACE study?

The ACE study measures physical abuse, verbal abuse, sexual abuse, physical and emotional neglect of the individual. It also measures dynamics within the family in regard to violence, substance abuse and incarceration. These experiences are collectively viewed by many as traumatic. It should be noted that this questionnaire does not take place of formal screening for trauma. This questionnaire is the foundation for additional screening and assessment of trauma. Information about the ACE study can be found here.


What is considered a high ACE score?

The study indicates that those with a score of 4 or higher are at a higher risk of health-related problems as an adult such as obesity, smoking, physical inactivity, mental health concerns and engaging in high-risk behaviors such as using illicit drugs.


What are some of the effects a high ACE score can have on children?

The effects impact social, emotional and cognitive impairment as a child, which can result in engaging in high-risk behaviors and possibly an early death as an adult.  While this does not mean that every child with a high ACE score will engage in damaging behaviors or experience health issues later in life, success rates are higher when intervention occurs.


What resources are available for foster parents who care for children who have a high ACE score?

There are many trainings available to help caregivers understand how a high ACE score impacts all areas of one’s life. Upbring foster parents receive eight hours of Trauma-Informed Care (TIC) training before caring for children. Additionally, foster parents are required to attend two hours of annual training in TIC. There are many treatment models for specific concerns such as substance abuse, health-related concerns, mental health diagnosis, etc. Children receiving behavioral health services can seek support/resources from a licensed mental health clinician to help manage symptoms of trauma. A list of additional resources can be found on our website.


What factors in a child’s life increase resilience?

Protective factors such as safety, supportive and nurturing caregivers, meeting basic needs and access to health care all increase resilience in children. These protective factors allow the child to form secure attachments that help meet developmental milestones, socialization skills, good decision-making and overall improve the quality of life. With training, foster parents can provide these protective factors to children under their care.


While trauma can have a significant impact on a child’s well-being, it doesn’t have to dictate the rest of his or her life. Intervention and trauma-informed care provide a chance for a child to heal from the wounds of his or her past and move toward a brighter future. For resources and information on child abuse awareness and prevention, visit



Frank Lopez currently serves as the Family Services Clinical Director for Upbring. He has held several positions within the organization over the last several years. In his current role, he is responsible for the clinical, training and adoption programs of the foster care and adoption division of the organization. Frank is involved in identifying research-based interventions essential for children and families, leading family-team meetings, support groups and staff development. Additionally, he serves as a member of the child’s service plan team.


He is a social work practitioner in the areas of child welfare, mental health and higher education who graduated with a Master of Social Work degree from the Worden School of Social Service at Our Lady of the Lake University in San Antonio, Texas. He holds licensure as a Licensed Clinical Social Worker, Licensed Child-Placing Agency Administrator and Certified Anger Resolution Therapist.


The Color of Healing

If you’re a parent, grandparent, aunt or uncle to a young child, you’ve probably done your share of arts and crafts. Activities like drawing, coloring, finger knitting and making homemade slime are just a few fun, educational ways to spend quality time with children.

For the girls we serve at Upbring children’s centers, art is also a powerful tool for coping with childhood trauma. They are girls like Angel, who combined her passion for art and writing to tell a beautiful story of hope and healing.

“They love me because I matter”

My Name is Angel, and I am 16 years old. My art piece, “Metamorphosis,” is a tree that is full of anguish and distrust, pain and suffering represented by the black and gray roots.

The trunk of the tree is when I was not only brought to Krause but started seeing the potential in myself and the hope that my life is not defined by my gray and black roots, my past.

The purple branches are all of the souls at Krause who have been there for me, helping me through my past. My therapist, resident counselors, teachers, all the Krause staff who love me and believe in me, who have given me hope in myself and have taught me that I did not deserve my past.

The red branches are for the love that I have found for myself and others, for life.  The love that I feel from others that don’t owe me a thing. They just love me because I matter.

The green and yellow branches represent light, life, my inner beauty that I never knew I had. This hope and knowledge of who I am helps keep me on the right path.

Turquoise and blue shades represent my future, my skill and God-given talent as an artist, my desire to work toward self-reliance with a vocation of helping others.

White throughout the piece in the gray areas, as well as the colorful areas, is goodness, God working within my soul and placing people in my life who lifted me out of the grey. Now that I am free and colorful, they help highlight the good things, the hope that I and they have for my future.

Next stop: Japan!

Angel recently completed her treatment, and she’s living with a relative while she finishes her senior year.

When she’s not painting, Angel enjoys exploring Japanese culture. She’s happiest when she’s reading comic books about her favorite teenage ninja and watching Anime with her best friend.

After graduation, Angel wants to pursue a double major in teaching and Japanese, and then teach English in Japan.


Using Art to Cope with Childhood Trauma

“To be an artist is to believe in life.” – Henry Moore

While childhood is typically a time of innocence, growth and exploration, traumatic experiences such as the death of a family member, financial hardships, or domestic violence often cause significant periods of stress and anxiety for young children. It’s important to allow your child to feel these emotions, while also implementing best practices to help your child heal. One way that children cope with anxiety is through art. Art allows a child to step out of their emotional distress and focus on something new. It serves as a creative outlet for emotions your child may not know how to express verbally.

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