One program director described a 7- or 8-year-old boy separated from his father as being “under the delusion that his father had been killed and believed that he would also be killed.” The boy required emergency psychiatric care
Inconsolable children who could not stop crying. A chronic shortage of qualified staff. Trauma so severe that clinicians worried about their own mental health.
The trauma described in the 48-page report is brutal. . “The gang held the child in a compound, where another individual was shot in the head,” the clinician said. “Later, a woman who helped the child escape from the compound was shot by the gang.” “The most challenging thing is the lack of time due to the caseloads,” one lead mental health clinician told the OIG. “Some [children] have behavioral issues or are going through difficult times and you need to see them more during a given period. It becomes a strain on us.”
“It is a temporary shelter, not a treatment facility,” a program director echoed. “There is also an issue where residential treatment facilities won't take minors who are aggressive, even when those minors are aggressive because they have untreated mental trauma.”
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