Considering Spiritual Care for Religiously Involved LGBTQI Migrants and Refugees: A Tentative Map

This paper describes research relevant to spiritual care for LGBTQI refugees and migrants. The literature indicates some distinct challenges faced by religiously involved LGBTQI migrants and refugees. LGBTQI migrants and refugees may not be able to experience family and religion as supportive compared to migrants and refugees who do not identify as LGBTQI. Such migrants and refugees thus face elevated levels of mental health challenges compared to non-LGBTQI refugees and they also face additional mental health risks compared to non-refugee LGBTQI adults and youth. Such risks include suicidality, depression, substance abuse, social isolation, internalised religious homonegativity, shame and risks to sexual health and a breakdown in the ability to trust others and caregivers. The paper identifies five seminal areas for extending care in the light of the research. These include building trust and properly assessing risk, working towards relational health, helping clients move to new ways of constructing and conceiving of family, easing the influence of internalised homonegativity and shame, and finding written and human resources that will be helpful to clients. These areas of care only present a tentative map as this issue requires more research and reflection.

Australian Maltreated Infants and Young Children Can Achieve Positive Relational Health With Neurodevelopmentally- and Trauma-Informed Interventions Provided Within Relationally-Positive and Stable Environments

Background: Childhood maltreatment such as abuse, neglect and family violence has a profound impact on children's psychological and relational functioning and their lifelong trajectory, with associated adverse physical and mental health outcomes, higher mortality rates and reduced socioeconomic opportunities. The aim of the study was to explore the impact of neurodevelopmentally- and trauma-informed interventions on the relational health of children who have experienced maltreatment.Context: The study was conducted at Berry Street Take Two, an Australian therapeutic service. Take Two provides services to Victorian children aged 0-18 years, to address the impact of the trauma they have experienced from maltreatment. Take Two clinicians use relational and ecological frameworks, neurodevelopmental research and evidence-informed approaches to repair family relationships and develop networks of caring adults that focus on meeting the child's needs. Take Two uses the NMT approach as a framework for clinical intervention-planning and is site-certified in the use of the NMT Clinical Practice tools.Method: The mixed methods study had two components. A cross sectional study of baseline and repeat clinical measure data (HoNOSCA and SDQ) with a cohort of children aged 2–11 years (n = 91), who were clients of Berry Street Take Two between 2014 and 2019, was conducted utilizing SPSS. The quantitative data analysis was supplemented by three case studies of Berry Street Take Two clients, which explored the process of intervention, including intervention type, timing and dosage. The case studies drew on the full case record for each child to illustrate the impact of NMT-informed interventions on the relational health, psychological and behavioral functioning of children.Results: The study found that Take Two intervention was associated with improved relational health, measured by the NMT metric and supported by significant positive changes on the SDQ and HoNOSCA with medium effect sizes (cohen's d). The case study analysis highlighted the importance of intervention addressing individual, family and systems elements to bring about positive change.Conclusions: This study illustrates the value of neurodevelopmental trauma-informed interventions in positively impacting on the relational health and current functioning of maltreated children and the potential to reduce the lifelong impact of maltreatment.