More than 2,300 children have been forcibly separated from their parents as the result of a "zero-tolerance" policy enacted by the US Department of Homeland Security and Department of Justice over the past weeks.
Announced by Attorney General Jeff Sessions, the policy calls for the prosecution of anyone who attempts to cross the border illegally. Since children aren't being prosecuted but their parents are, families have been separated, with adult cases handled by Immigration and Customs Enforcement (ICE) and children handled by the Office of Refugee Resettlement (ORR).
Facing widespread public backlash, President Trump signed an executive order on Wednesday that called for detaining families together.
But it's unclear what will happen to the families that have already been broken up. After news reports that there was no plan in place to reunite children and parents, Trump said on Thursday that he'd directed agencies to reunite families. Yet attorneys have said that in many cases, no one is sure where children were sent, making a reunion difficult and complicated.
In the separation cases that have already happened, children as young as 8 months old have been sent to foster care systems. Reporters have described some shelters at the border as prison-like. Parents have said their children were torn away from them while breastfeeding or taken away for a bath then never returned.
Groups of pediatricians and mental-health experts have said that the trauma of these separations could cause irreversible lifelong damage. Researchers have identified many of the ways that family separation and detention can affect children. We've listed the primary findings of that research below, drawing from previous reporting on the topic and a Twitter thread from Dr. Aaron Carroll, a researcher, author, and pediatrician.
Detaining children and separating families can lead people to develop post-traumatic stress disorder (PTSD).
The experience of being detained increases risks for PTSD for anyone.
In a systematic review of research on detained asylum seekers — including children, adolescents, and adults — researchers found that detention was linked to high rates of PTSD. These rates varied, but grew more severe the longer individuals were detained.
The detainees in these studies were not generally forcibly separated from families. But the trauma of family separation further increases PTSD risk, according to the American Academy of Pediatric, since kids become more vulnerable to stress and trauma without their caregiver.
Plus, by the time many of the kids who reach the border end up in the hands of the Border Patrol or the Office of Refugee Resettlement, many have already experienced trauma.
Jodi Berger Cardoso, an assistant professor of social work at the University of Houston, has researched the mental health of unaccompanied child migrants (who had not been forcibly separated from parents). She found that those kids had experienced an average of eight traumatic life events — a clinical category that includes experiences like kidnapping, sexual assault, and witnessing violent crimes. About 60% of those kids met the criteria for PTSD and 30% for depressive disorder.
Detention and family separation also raise the risk of anxiety and depression.
Dr. Lisa Fortuna, medical director for child and adolescent psychiatry at Boston Medical Center, told Business Insider that the removal of a caregiver can create acute distress that harms a child's ability to cope and self-soothe, which can lead to depression and anxiety.
Detainment can also have this effect. In the aforementioned review of studies on detained asylum seekers, one study found that rates of depression and anxiety both exceeded 75%. Another study of asylum seekers of all ages in the US found that the longer someone remained in detention, the higher their rates of depression and anxiety.
That risk can be exacerbated when the experience of detention is especially traumatic. The nonprofit investigative journalism organization Reveal recently reported that in facilities where kids from the border have been held, children have been sexually assaulted, forcibly administered psychotropic drugs, had medical issues left untreated, and more. Most mental health conditions have their roots in childhood, meaning that these traumas could have life-long impacts.
Adult members of detained family units also report high levels of depression, anxiety, PTSD, and self-harm, since "[d]etention itself undermines parental authority and capacity to respond to their children’s needs," according to an extensive analysis of research by the American Academy of Pediatrics.
Keeping kids away from their parents can harm their developing brains.
Fortuna said the depression, anxiety, and PTSD that children experience when they are separated from caretakers can be especially harmful to vulnerable developing brains.
"What we find from a neurobiological sense is that the circuitry in the brain that is a fear response can be actually harmed," Fortuna said. In other words, the parts of the brain that manage fear responses — the amygdala and hippocampus —develop differently in traumatized children.
That can alter their emotional experiences for the rest of their lives, Fortuna explained, which raises risks for a variety of mental health problems as they get older.
Experts say that even a temporary separation can permanently transform these parts of the brain.
For that reason, Fortuna wrote in an amicus brief for an ACLU case that family separation can cause "irreversible harm" for children.
See the rest of the story at Business Insider