Tu Nidito
Tu Nidito, meaning “your little nest” in Spanish, is a non-profit agency in Tucson, Arizona that provides support for children affected by serious medical conditions and death. The programs they offer include grief support for children and young adults that have experienced the death of a loved one, support for children with serious medical conditions, and support for children and teenagers that have a parent diagnosed with a serious medical condition, such as cancer.
History of Tu Nidito
Tu Nidito Children and Family Services was initially established in 1994 as a 5013 non-profit in Tucson, Arizona under the name Tu Nidito Children's Hospice with Melanie Siani as the first board chairperson. The organization was conceived through a community focus group of medical professionals, bereaved parents, and other citizens of Tucson, Arizona.Tu Nidito Children's Hospice
Originally, the organization was a hospice care agency for dying children, licensed by the state of Arizona in 1996 and accepting its first client that same year. It surrendered its hospice license in February 2000 after failing to meet a number of state regulations for hospice agencies, including not having a nurse on staff, failing to update physicians orders for patients on a monthly basis, and failing to be available 24 hours a day, seven days a week to patients. and accepting its first client that same year. In total, Arizona [Department of Health Services] found Tu Nidito Children's Hospice out of compliance with state regulations in nine instances after an inspection in the fall of 1999. and accepting its first client that same year. Tu Nidito took “hospice” out its name late in 2000 and accepting its first client that same year. and focused on expanding the non-medical support they had begun offering in 1997 to terminally ill children and their families.During this period in 1999, Tu Nidito's executive director Liz McCusker, hired a nurse who subsequently leveled accusations about the general disarray of the agency and failures in oversight by McCusker, echoing the Arizona Department of Health Service's report. Two weeks after Tu Nidito lost its license to operate its hospice services, Liz McCusker filed a defamation suit for $1 million in damages along with a restraining order to prevent this nurse from saying anything about McCusker's work as director at Tu Nidito. After the suit was dropped and a settlement was reached, Liz McCusker filed a second suit saying the woman had breached the agreement. Despite these difficulties, many community members voiced support for Liz McCusker and her work at the organization. She has continued in her position of executive director since April 1997, overseeing a successful and wide-reaching expansion of its services.
History of the name
The name “Tu Nidito” means “your little nest” in Spanish. The organization selected this name in memory of Jimmy Busey, who died of cancer at age 6. He and his mother Teri Busey, who worked with Candlelighters of Tucson after her son's death in 1993, referred to a small, safe space they created on the couch with pillows, blankets and toys as his “little nest."Mission and importance
Tu Nidito's mission is to provide emotional, social, spiritual, and educational support to children and families coping with serious illness and death.Today children are increasingly exposed to death and loss. It is important that children are not overlooked during this difficult time. This is why Tu Nidito feels it necessary to establish child-centered care. This form of bereavement intervention has helped the Tucson community deal with grief. The process of grief can cause trauma and disrupt a child's life. There are many different types of grief, not just grief and loss from death of loved ones. It is important to understand individual needs and offer a diverse range of programs that can adapt to each situation. There are a number of programs that are used as forms of bereavement interventions within Tu Nidito.
Programs and services
All of Tu Nidito's services are centered around the needs of children and young adults and have expanded over time to include hundreds of children and different dimensions of support.Focus on age groups
Children at different developmental stages have varied understanding about death and grief. The way they communicate and feel about death varies from age group to age group. This is why it is important to have separate groups for children of different ages. A study done by a University of Arizona student at Tu Nidito showed that children from ages 4–7 used story telling more than the other age groups as a way of communicating about grief. Most avoidance was shown among the children from ages 4–12. Children in the 8-12 age group communicated the most sadness out of all three groups. The teenager group communicated more guilt, anger and uncertainty.The developmental stage of the child affects their understanding of death and grief, making it essential for support programs to focus on the needs of the specific age groups. Young children from ages 2–7 generally do not understand the finality of death. They may believe in magical thinking and the reversibility of death. This may make them wish the deceased to come back to life and not show signs of grieving. They may feel guilty and believe that they caused the disease. For children ages 7–11, this is the latency age. They may be in denial and pretend the death did not occur. Their inability to deal with death may cause an increased fear of death. For children in the pre-pubertal stage, feelings of helplessness, guilt and anger may be experienced. Support groups specific for these different ages can address these different concerns. Tu Nidito separates their support groups based on ages around the ages where these differences in understanding occur.
Children with a parent diagnosed with a serious illness
For these children, support groups help them understand and cope with the stress of having a seriously ill parent.Three common worries that these children may ask include:
- They caused the illness in the parent.
- The illness is contagious.
- They want to know who will fill in for the sick parent while they are ill.