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Trauma

Healing Trauma in Marginalized Youth

Why compassion is a critical aspect of trauma-informed care.

Key points

  • Trauma is pervasive and affects individuals of all backgrounds, but youth of color and those living in poverty are particularly vulnerable.
  • Compassion and trauma-informed care are critical in promoting healing and recovery for individuals who have experienced trauma.
  • A healing-focused approach to mental health can promote mental health and well-being.
  • Mental health professionals can help individuals build resilience, engage in mindfulness practices, and receive trauma-informed care.

Trauma is a pervasive issue affecting individuals of all ages, backgrounds, and socioeconomic statuses, but youth of color and those living in poverty are particularly vulnerable to experiencing trauma due to systemic inequalities and oppressive societal structures. This can include exposure to violence, racism, and poverty-related stressors, which can have lasting effects on mental health and well-being.

Compassion is a critical aspect of trauma-informed care, which emphasizes understanding the impact of trauma and promoting healing instead of solely focusing on diagnosis and treatment. Compassion involves creating a safe and supportive environment for individuals to share their experiences, fostering a sense of empowerment and autonomy, and promoting resilience and well-being.

Research has shown that compassion can have a positive impact on mental health outcomes, particularly for individuals who have experienced trauma. A study by Zerach et al. (2019) found that compassion-focused therapy was effective in reducing symptoms of post-traumatic stress disorder (PTSD) in individuals who had experienced childhood trauma. Similarly, a meta-analysis by Kirby et al. (2017) found that compassion interventions were effective in reducing symptoms of anxiety and depression in individuals with PTSD.

The harsh reality is that despite the potential benefits of compassion-focused interventions, many individuals from marginalized communities may not have access to trauma-informed care or may face barriers to seeking help. This is particularly true for youth of color and those living in poverty, who may face systemic barriers to accessing mental health services and may experience stigma related to mental health.

By prioritizing compassion and trauma-informed care and addressing the root causes of trauma and poverty, mental health professionals can promote healing, recovery, and a greater sense of purpose in individuals' lives. Through a combination of policy and practice changes, we can create a more equitable and just society that promotes healing and well-being for all individuals.

The Cycle of Vulnerability

Trauma and poverty can create a cycle of vulnerability, where those who experience trauma may be more likely to live in poverty, and those living in poverty may be more likely to experience trauma. Brewster et al.'s (2019) study found that exposure to community violence was associated with an increased likelihood of experiencing poverty, while living in poverty was associated with an increased likelihood of exposure to community violence.

To address these issues, a holistic approach that considers systemic factors is needed. This can include policies that tackle the root causes of poverty, such as income inequality and limited access to education and employment opportunities, and providing trauma-informed care that empowers and promotes healing.

In recent years, a healing-focused approach to mental health has gained popularity over traditional diagnosis and treatment approaches. Building resilience, promoting well-being, and restoring a sense of meaning and purpose to individuals' lives are emphasized in this approach. Research supports the effectiveness of resilience-building activities, mindfulness-based interventions, trauma-informed care, and positive psychology interventions in promoting mental health and well-being.

What Mental Health Professionals Can Do to Help

Mental health professionals can help individuals by employing a healing-focused approach, which will promote recovery and a greater sense of meaning and purpose in their lives. For youth of color and those living in poverty, a compassionate and trauma-informed approach is critical. However, it is also crucial to recognize and address the systemic factors contributing to trauma and poverty. By combining policy and practice changes, a more equitable and just society that promotes healing and well-being for all individuals can be created.

To promote mental health and well-being, mental health professionals can employ a healing-focused approach that emphasizes resilience-building, mindfulness practices, trauma-informed care, and positive psychology interventions. Research and academic sources have shown that these approaches can be more effective than traditional treatment approaches. Here are some examples:

  • Resilience: Resilience refers to an individual's ability to adapt to adversity and recover from difficult experiences. A study by Bonanno and colleagues (2011) found that individuals who engaged in positive coping strategies, such as seeking social support or engaging in leisure activities, showed better mental health outcomes than those who relied on avoidance or emotion-focused coping strategies.
  • Mindfulness-based interventions: Mindfulness practices, such as meditation and mindful breathing, have been shown to improve emotional regulation, decrease stress and anxiety, and enhance well-being. The Mindfulness-Based Stress Reduction (MBSR) program led to significant reductions in symptoms of anxiety and depression (Carmody & Baer, 2008). Similarly, the Mindful Self-Compassion program led to significant reductions in depression and anxiety symptoms (Neff & Germer, 2013).
  • Trauma-informed care: Trauma-informed care emphasizes the importance of understanding and responding to the effects of trauma on individuals' lives. Research has shown that trauma-informed care can be effective in improving mental health outcomes for individuals who have experienced trauma (Harris & Fallot, 2001).
  • Positive psychology: Positive psychology is an approach that focuses on promoting positive emotions, behaviors, and relationships. Research has shown that positive psychology interventions, such as gratitude exercises or acts of kindness, can lead to significant improvements in well-being and reduce symptoms of depression and anxiety (Sin & Lyubomirsky, 2009).

These examples of research and academic sources support the idea that a healing-focused approach can be effective in promoting mental health and well-being. Mental health professionals can help individuals build resilience, engage in mindfulness practices, receive trauma-informed care, and engage in positive psychology interventions. By doing so, they can promote healing, recovery, and a greater sense of meaning and purpose in individuals' lives.

To promote mental health and well-being for youth of color and those living in poverty, it is critical to recognize the systemic factors that contribute to trauma and poverty and work to address these issues from a holistic perspective. Compassion and trauma-informed care are critical components of creating a more supportive and empowering environment for individuals who have experienced trauma. Through a combination of policy and practice changes, we can create a more equitable and just society that promotes healing and well-being for all individuals.

References

Bonanno, G. A., Brewin, C. R., Kaniasty, K., & Greca, A. M. L. (2010). Weighing the costs of disaster: consequences, risks, and resilience in individuals, families, and communities. Psychological Science in the Public Interest, 11(1), 1-49. doi: 10.1177/1529100610387086

Brewster, M. E., Johnson, D. K., Zarate, M. A., & Rich, K. M. (2019). The bidirectional relationship between community violence and poverty: exploring heterogeneity by types of violence, gender and race/ethnicity. Journal of Interpersonal Violence, 36(3-4), 1199-1226. doi: 10.1177/0886260517696840

Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33.

Harris, M., & Fallot, R. D. (2001). Using trauma theory to design service systems. San Francisco, CA: Jossey-Bass.

Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). A meta-analysis of compassion-based interventions: Current state of knowledge and future directions. Behavior Therapy, 48(6), 778-792. https://doi.org/10.1016/j.beth.2017.06.003

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28-44. doi: 10.1002/jclp.21923.

Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467-487. https://doi.org/10.1002/jclp.20593

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More from Felipe Mercado Ed.D, MSW, PPSC, ACSW
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