What may help
CPVA
Neuro-disability/Neurodivergence
Living with a neuro-disability does not mean that there will be violence in the family. However, research is indicating that there are higher prevalence rates amongst this cohort. If a neuro-disability is suspected, a referral and diagnosis are ideal. Realistically, due to lack of capacity in our health system, this is often not possible, with the only option for many being via the private sector which might be too expensive for most families. This does not mean that interventions cannot still be tailored to meet your family’s needs. Most parents will know if something will work or not, so professionals should be guided by you and your knowledge as you are the experts on their child.
Sleep hygiene
Poor sleep quality has been linked to increased aggression, as it impacts cognitive functioning and the ability to regulate emotions. The Ministry of Health provides information on healthy sleeping at Effects of sleep on health
Sensory profile
Some children have sensory processing issues which impacts upon their brain’s ability to receive, organise and respond to sensory input. This can sometimes lead to extreme behaviours occurring when the child becomes overwhelmed by their environment. Referrals to an occupational therapist are recommended to understand the child’s individualised needs. Changes to their environment can help reduce distress and anxiety which may reduce behaviours of concern.
Speech and Language Disorders
It is not always identifiable if a child has a speech and language disorder though it often coexists with some disabilities such as FASD. Having a speech and language disorder can impact how the child engages with the world. They may be unable to process what is being said, follow the television or radio, follow instructions at school, and be unable communicate effectively, leading to higher levels of frustration. A diagnosis may therefore help the child and those around them (including school) to put into place appropriate communication support for your child.
Medication
Talk to your GP about the appropriateness of medication to reduce high levels of stress and anxiety. A medication algorithm resource has been developed for children with FASD to avoid the use of psychotropic medication where it may not be needed. This may be helpful to share with your prescribing doctor. FASD-CAN reports that it is one of the most popular downloadable resources, with members reporting successful outcomes in reducing aggression.
Medication Algorithm - CanFASD
Neurosequential Model
The Neurosequential Model aims to understand how early experiences of trauma affect the brain, in particular, the part of the brain that is responsible for our survival response. There is a growing movement of schools in New Zealand using this approach to support children in the education setting.