There鈥檚 never been a clearer scientific picture of the ways damaging experiences and intense, chronic stress can hurt a child鈥檚 ability to learn in school. But for many schools, the picture of what trauma-sensitive schooling looks like in practice is still developing.
鈥淲e鈥檙e in an all-fired hurry because there鈥檚 this 鈥榯rauma鈥� thing and we have to help our kids,鈥� said Melissa Sadin, the director of the Creating Trauma-Sensitive Schools Initiative, a national group that trains school and district staff. 鈥淵es, but you have to do it correctly, and nobody learns it in a day.鈥�
Cognitive and neuroscience studies show traumatic stress interferes with memory and attention, good health, and emotional stability. , and their teachers reported worse behavior in the classroom, according to a 2016 meta-analysis.
And that鈥檚 a lot of students. Nearly half of all U.S. children have been exposed to at least one traumatic event, according to the latest federal data, and more than 1 in 5 have been exposed to several.
In the last decade, trauma-sensitive schooling has spread, driven by the emerging research, devastating natural and manmade disasters, and school discipline debates. Federal laws on special education and poverty now encourage schools to use trauma-informed practices, and more than a dozen states have passed laws or created grants designed to encourage schools to explore the approach.
Most states are still feeling their way in these initiatives, though, focusing on pilot studies or individual programs, according to analyses this year by the National Center for Mental Health in Schools, at the University of California, Los Angeles.
Howard Adelman, a psychology professor and co-director of the Center for Mental Health in Schools, said he鈥檚 skeptical that schools can provide enough training and resources to create effective supports for students with a history of trauma. For example, in a special issue devoted to trauma, the journal School Mental Health concludes that few models of trauma-sensitive schooling have been evaluated rigorously enough to prove they are effective.
鈥淧eople tend to, when they think about barriers to learning, immediately look at problems with kids, like trauma,鈥� Adelman said. But focusing on a student鈥檚 internal issues may divert attention from more practical problems that a school could help solve.
For example, in a poor, violent neighborhood, children tend to miss more school. They may have anxiety or stress-related illness, Adelman said鈥攐r they may lack safe, reliable transportation.
鈥淲e say, 鈥極h, these kids were traumatized.鈥� Well, they couldn鈥檛 even get to school!鈥� Adelman said. 鈥淵ou can鈥檛 say it鈥檚 just one problem; it鈥檚 always the cluster of problems. How does the school play its role in solving them?鈥�
In the absence of clear direction, schools are doing what they can to respond in ways that are both visible and not so easy to spot. 鈥淚n some schools you might see a 鈥榗alm corner鈥� in the classroom, or time in the day for brain breaks, or mindfulness,鈥� said Lisa Dolan, who leads the district trauma-sensitive schooling initiative in Spotsylvania County, Va., public schools. 鈥淏ut the really big stuff you don鈥檛 see. It鈥檚 a mindset, a cultural shift away from reacting to students in a punitive ways to asking questions about what has happened, to understanding and nurturing.鈥�
鈥楢 Process, Not a Program鈥�
Nothing big and immediate hits you as you walk into Bethlehem Elementary, but little signs of that cultural shift permeate this small rural school just outside the White Mountain National Forest in northern New Hampshire.
鈥淚t鈥檚 a process, not a program,鈥� said Shelli Roberts, Bethlehem鈥檚 former principal. She launched trauma-sensitive schooling there two years ago.
Bethlehem is entering its third year of becoming a trauma-sensitive school. It was one of the first six districts to join New Hampshire鈥檚 Project GROW, for 鈥淕enerating Resilience, Outcomes, and Wellness,鈥� a statewide pilot to develop a network of trauma-sensitive schools.
Nearly 1 in 3 students in the school has experienced three or more traumatic experiences, known as adverse childhood experiences, or ACEs, according to Roberts, who now directs student services for the regional School Administrative Unit 36, which supports Bethlehem. And she believes both the number and severity of the problems have gotten worse in the last five years, in part due to rising rates of opioid abuse and domestic violence among adults in the community.
鈥淥ne of the things that has struck me about Bethlehem is the amount of communication with children,鈥� said Brenda Fortier-Dube, a social worker who serves Bethlehem Elementary and four other area schools. 鈥淓very other adult they see greets the children, and they greet them back. At other schools, the principal is at the door, but that鈥檚 it. You just don鈥檛 get that same sense of community. In a school like this it鈥檚 automatic; everyone is checking in all day.鈥�
At the start of every class, teachers give a quick check-in with how students are feeling, based on a color code: blue for sad or tired; yellow for anxious or excited; red for angry or frustrated; or green for happy and ready to learn. These 鈥渮ones鈥� are a common tool for trauma-sensitive schools, but each teacher puts their own twist on it. Third-grade teacher Matt Kristoff meets each student as they arrive with a special greeting鈥攆rom a handshake to a hug to a complicated hand-dance鈥攖hat the student created at the start of the year. On the way into music class, students ring a different xylophone tone for each zone.
In physical education class one day near the end of the school year, students were running laps around the gym. As each one passed teacher Kristin Bruno, they jumped up to slap the blue, green, yellow, or red square on a poster on the wall. The exercise serves a dual purpose, Bruno said: to clue her in on students鈥� state of mind and to get their first rush of energy out.
Bruno also put up posters on mindfulness and yoga positions. When students get disruptive in class, they take a break to do the stretches.
鈥淧.E. can bring out a lot of energy and aggression,鈥� she said. 鈥淲hen I used to put a person into timeout, a lot of them weren鈥檛 able to sit. This gives them a way to refocus.鈥�
Teachers also visit every student鈥檚 home at least once in spring and fall. Pairs of teachers鈥攗sually the current and former or future teacher of the student鈥攎eet with parents for about a half-hour 鈥渏ust to see this other side of the child鈥檚 life,鈥� said kindergarten teacher Annalisa Blake.
Blake and two other teachers who have worked at the local homeless shelter meet with families there, too.
鈥淲e get to learn about parents鈥� hopes and dreams for their child, as well as their needs,鈥� Blake said.
After talking to parents and community members, administrators found many families had difficulty paying for or getting transportation to counseling services. The school partnered with the county mental health agency to bring private therapists in three times a week. They also created break rooms on the upper and lower floors, for students who need to step out of class to refocus.
During break time one day, a small but steady number of students trickled into the second-floor room manned by trauma specialists Evangeline Gaubin and Jonathan Sartorelli. There鈥檚 no formal counseling or sensory therapy, but Gaubin and Sartorelli quietly provided small snacks for those who were hungry, and a small cubby area for one student who never seems to get enough sleep.
Many students headed straight for curtained-off chairs or sensory tables scattered around the room. The teachers chatted with those who wanted to talk, or quietly touched base with those who had withdrawn.
One tow-headed boy inched over and, after a few minutes, began to chat with Gaubin. He drops by a few times a week and he said having the room available helps him cope with anxious episodes in class.
鈥淚 come here when I feel sad,鈥� he said. Last year, before the room opened, 鈥淚 just held it in a lot,鈥� he said.
Teachers can walk students over to the break room, but students mostly bring themselves. In the year since the room opened, referrals to the principal鈥檚 office dropped 75 percent.
鈥淚t鈥檚 a reset,鈥� Gaubin said. 鈥淚f they are in here, they鈥檙e never in trouble; we don鈥檛 do in-school suspensions or anything like that. ... A lot of them just come in and vent, and feel better and go back to class.鈥�
Building Foundations
Often, district policies need a 鈥渃omplete overhaul鈥� to support trauma-sensitive schooling, said Timothy Purnell, a former superintendent in Somerville, N.J., who was named his state鈥檚 superintendent of the year in 2016 for launching trauma-sensitive practices in his district.
It took nearly three years to review and rethink 鈥渆very single policy, be it a school handbook or even a teacher鈥檚 classroom rules,鈥� Purnell said, 鈥渢hrough the lens of, 鈥楧oes this disconnect students? [or] ... Does this give us the opportunity to treat a child uniquely and with respect?鈥� said Purnell, who has since become the chief executive officer of the American Montessori Society.
Sadin and Yackley agreed that school and district leaders should focus on trying to improve professional development for teachers to use a trauma-informed approach with all students, rather than trying to 鈥渇ind the high-ACEs kids.鈥�
That can be a heavy lift.
In a nationally representative survey by the 91制片厂视频 Week Research Center earlier this summer, more than 1 in 5 teachers said their most challenging task was 鈥渇inding ways to help students who appear to be experiencing emotional or psychological distress,鈥� and more than twice as many reported difficulty supporting students who struggled with problems outside of school.
Even school psychologists, who often bear the brunt of guiding schools鈥� trauma-sensitive practices, can be at a loss. There are no nationally representative surveys, but in a published in the Journal of Applied School Psychology in November, more than three-quarters report having had little or no training in trauma-informed practices.
In Bethlehem Elementary, too, teachers have expressed confusion and concern about how to teach in trauma-informed ways, said Carol Haywood, Bethlehem鈥檚 lead special education teacher. 鈥淚t鈥檚 taken at least a year before people were starting to come around. There were quite a few people that really were not ready for it because they鈥檙e still struggling with, does this mean [students] don鈥檛 have consequences [for acting out in class]?鈥�
Bethlehem Elementary鈥檚 incoming Principal Sue Greenlaw, a 30-year veteran teacher and counselor at the school, has heard the concern too. She argued: 鈥淭hat鈥檚 not the case at all; Kids need accountability, but how you do that can be trauma-sensitive.鈥�
She noted that in her own years as a teacher, she sometimes struggled not to take bad behavior in the classroom personally. 鈥淵ou have to be willing to look at the big picture, not just a list of behaviors and punishments. ... We鈥檝e struggled with that,鈥� she said.
Cassie Yackley, a trauma specialist at Antioch University New England Center for Behavioral Health Innovation, who trains schools for Project GROW, said Bethlehem Elementary has made significant progress among the districts in the New Hampshire pilot, but added that it takes time to shift teacher and community perspectives on how to maintain order while being sensitive to students鈥� needs. 鈥淲e have this sense that only certain people can talk about students鈥� bad experiences, but everyone can talk about bad behavior,鈥� Yackley said. 鈥淚f you focus on just behavior, you do not address the fear or help heal the brain. It sets up this idea that people who experience trauma can鈥檛 heal and do beautiful things in this world.鈥�
The school has seen some hopeful signs. Disadvantaged students there outperform the state average in math and reading, and absenteeism and suspensions have declined.
This is the first installment in a series of articles exploring how schools are learning to recognize and respond to students experiencing stress, whether their trauma stems from a sudden disaster or a long-term hardship like poverty or abuse. Read More.
鈥淎t this school, they鈥檙e always figuring out what鈥檚 driving the behavior,鈥� said Fortier-Dube, the clinical social worker for Bethlehem and four other schools. For example, she pointed to the end-of-year class trip to a local escape room; teachers explained in advance exactly how the game worked: 鈥淲e鈥檒l go into a room and they鈥檝e got a lock; they鈥檙e going to lock you in for a certain amount of time. Is that OK?鈥� she said. 鈥淚t鈥檚 just, that鈥檚 how everyone thinks here. It鈥檚 not how people think at other schools.鈥�
