Greetings!
My name is Nilmarie Mayol. I am the first in my family to attend college and continue to further my education. I obtained my high school diploma in 2007. I went on to attend Millersville University of Pennsylvania where I obtained my bachelor’s degree in Sociology and Criminology with a minor in Latino Studies. I completed an internship in Child Protective Services and went on to obtain employment investigating reports of child abuse and neglect for three and a half years. After being exposed to vicarious trauma and experiencing a high rate of burnout, I made the decision to leave social services.
I obtained employment in the Juvenile Justice System supervising juvenile offenders in the community and in residential placement facilities. I service juveniles ages twelve until they age out of our system at the age of twenty-one years old. In my current profession, I have experience maintaining community safety and protection, ensuring the juvenile offender makes reparation to his victim and the community, and assisting offenders in developing the necessary skills to rehabilitate them. The goal is for juvenile offenders to develop their competencies to reduce their likelihood to reoffending. In my process of rehabilitating juvenile offenders, I maintain contact with community providers, such as mental health professionals, family therapists, trauma groups, etc. to build a support system for juvenile offenders to remain successful in the community. As I have shifted positions in my office, I now process incoming juvenile offenders and gather the necessary background information to determine how their criminal charges will be disposed of.
Though I worked in two different fields of work, both fields overlap in populations serviced. Some of the responsivity factors that overlap are mental health concerns and exposure to traumatic situations. I currently administer the Massachusetts Youth Screening Instrument-Version 2 (MAYSI-2) Screening Tool and Child Trauma Screening, assessing all youth who are entering the Juvenile Justice System. This allows me to determine if I will need to refer them to mental health services or refer them to trauma-informed services. Combined with community supervision and risk assessments, the MAYSI-2 and Child Trauma Screening aid in identifying responsivity factors that can affect criminogenic needs. When these needs and responsivity factors are identified, it aids professionals in this field to make the necessary referrals to address mental health concerns and manage moments of crises.
In addition to working with youth and families suffering from mental health crises, I have also been personally touched by mental health in my immediate and extended family. My mother is a survivor of trauma and continues to battle with depression. My brother, who has had many instances of suicidal ideation and has created plans to take his own life, has been hospitalized on several occasions for his own safety. My extended family includes loved ones who suffer from intellectual disabilities, schizophrenia, depression, and anxiety.
As a working professional who assesses youth for crises and trauma, I have observed the stigma that comes with addressing mental health concerns. I have observed the long waiting lists that prevent youth in crises from being serviced in a reasonable amount of time. Not to mention, there is an extensive waiting list for youth who require a higher level of care in the form of a residential treatment facility and are unable to receive treatment. There are very few female programs as well as very little to no programs to aid in addressing addiction treatment. I have observed parents who have been unable to manage or navigate the mental health system to ensure their children’s mental health needs are met. Knowing there is a crisis in the mental health profession where access to qualified mental health professionals for youth and families in need frightens and intimidates me. Lack of mental health services can have a detrimental effect on our community in various ways.
Untreated mental health can lead to an increase in drug or alcohol use. Those who may not have access to a qualified professional who is able to provide a formal diagnosis or prescription for the necessary psychotropic medication can resort to drug use to self-medicate their mental health system. The use of drugs, such as marijuana, can lead to the use and abuse of more serious drugs, such as narcotics. This can have a negative effect or worsen mental health symptoms. It can also impair decision-making skills creating additional barriers towards seeking mental health services. Unfortunately, more and more youth are relying on substance abuse to self-medicate some of the mental health symptoms they are experiencing. With fewer programs available to treat addiction in youth, it has created a large gap in services, especially for females.
Untreated mental health conditions can strain family relationships. Some family dynamics that are affected are communication, trust, and overall shame and frustration. There can also be some financial strain and conflict due to lack of treatment, addiction, and theft. This has the potential to increase the homeless population in the community. Unfortunately, women and youth who suffer from untreated mental health, and homelessness are more vulnerable to targeting for human trafficking.
Untreated mental health conditions can cause an increase in criminal activity within the community and poor relations between the community and law enforcement. Law enforcement departments as a whole are poorly trained in dealing with and de-escalating individuals suffering from a mental health crisis. This may result in the criminalizing of mental health by individuals with untreated mental health being processed through the criminal justice system instead of receiving the proper mental health services they require.
In addition to affecting our community's safety and increasing the number of individuals who enter the criminal justice system, untreated mental health and a lack of mental health professionals can increase the percentage of individuals who are having suicidal ideation and overall rates of successful suicides.
As I previously mentioned, I am a juvenile justice professional who works with at-risk youth to deter them from continuing to commit criminal offenses. In the risk-needs-responsivity model, treating a responsivity factor, such as mental health, can alleviate areas of high risk and/or needs to promote rehabilitation of the offender and lower the rates of recidivism. A youth who struggles to control his anger, when provided with access to mental health services can help target any underlying mental health concerns that trigger his anger. This will aid in making the youth more amenable to treatment services such as cognitive behavioral therapy or anger management classes. Once the youth buy into the anger management treatment, he or she will develop the necessary skills to resolve his moments of anger in a less aggressive manner which will decrease the likelihood that the youth will commit a new offense. Another example that I have observed is that of a young woman who is a survivor of human trafficking. She will have a lot of traumas to unpack through trauma-informed mental health services before we can tackle other areas of concern, such as decision-making skills and antisocial thinking.
I have encountered youth and families in moments. These moments include dealing with grief, loss, conflict, trauma, and moments of mental health crises. Although I try my best to help de-escalate and process these situations with as much empathy and understanding, I sometimes am at a loss for words on how to manage these moments. At times, it feels like a disservice to the population I service if I am unable to adequately assist them through some of these situations.
In reflecting on some of the youth I have encountered in the course of my profession, I asked myself: how can I, as a juvenile justice professional, help aid in bridging the need for mental health services? After reviewing my close connection to mental health, my professional connection to mental health, and feeling the need to fill an empty void, I ultimately decided it would be best to expand my knowledge and skillset to better service my community. My hope is to aid in bridging the gap, as a Spanish-speaking therapist, by increasing access to mental health services for youth and families.
I will be pursuing a doctorate in education in Community Counseling and Care, specializing in Traumatology. Investing in this doctoral program allows me to develop a special skillset I can apply to make a lasting impact on the community I service. In my current profession, it will increase my ability to work with troubled youth with a more empathetic mindset. I have the potential to aid in developing and implementing a crisis response team meant to service law enforcement professionals within my department after experiencing trauma in their personal lives and while conducting fieldwork. Furthermore, it allows me the opportunity to explore a career in mental health and trauma services outside of the juvenile justice system.
While this degree opens up various avenues and allows me to service different populations in need, my overall hope is to make a lasting impact in the mental health community. This could include the lives of law enforcement professionals, at-risk youth, and families. Enhancing quality of life by improving mental health would provide me with a fulfilling career. If I can break through a handful of clients out of a large number, I would consider my career to be a success.