Trauma & Mental Health
|
|
- Hannah Scott
- 5 years ago
- Views:
Transcription
1 Learning Objectives Utilizing Sensory Processing Theory and Strategies in Trauma Informed Care: A General Guide for the Occupational Therapy Practitioner Erika Kemp, OTD, OTR/L, BCP Lindy L. Weaver, PhD, MOT, OTR/L 1. Identify trauma experiences among children and youth and their impacts on mental health, occupational functioning, and sensory systems. 2. Describe the application of sensory processing theory and strategies in trauma informed care in schools or other pediatric settings. 3. Describe the potential roles of an occupational therapist within a trauma informed care setting. 2 Mental Health Development Trauma & Mental Health Is characterized by age-related changes in cognitive, emotional, and behavioral abilities 4 Mental Health Development Mental Health Development As children mature, successful completion of developmental tasks generally leads to a balanced development of strengths and weaknesses. Disruptions or difficulty transitioning through these processes can impact mental health development
2 Disruptions to Mental Health Review Introduction to Trauma Dictionary Definition (relates to the experience or event) Abuse Stress & Trauma Neglect Disability Health Conditions Genetics & Biological Factors Social & Environme ntal Factors A deeply distressing or disturbing experience A physical injury Introduction to Trauma American Psychological Association (relates to the response to experience or event) An emotional response to a terrible event like an accident, rape or natural disaster. Exposure to trauma places you at a higher risk of developing very concerning mental health issues or difficulty with occupational participation & performance, but it does not guarantee it. Examples of Trauma Violence Household food insecurity MVA Invasive medical procedures. Natural disasters Abuse (physical, sexual, War emotional) Peer victimization or Neglect bullying Rape and sexual assault Divorce Terrorism Extended separation or displacement from family DSM-V & Trauma Trauma- and stressor-related disorders include disorders in which exposure to a traumatic or stressful event is listed explicitly as a diagnostic criterion. Psychological distress following exposure to a traumatic or stressful event is variable. In some cases, symptoms can be well understood within an anxiety- or fear-based context. DSM-V & Trauma Many individuals who have been exposed to a traumatic or stressful event exhibit a phenotype in which, rather than anxiety- or fear-based symptoms, the most prominent clinical characteristics are: Anhedonia and dysphoric symptoms Externalizing angry and aggressive symptoms, or Dissociative symptoms. 2
3 DSM-V Trauma & Stressor Related Disorders Reactive attachment disorder Disinhibited Social engagement disorder Posttraumatic stress disorder (PTSD) Acute stress disorder Adjustment disorders 14 Typical Neurodevelopment Through neurodevelopmental experiences, pathways are made within the brain. When these pathways are formed, we no longer think about our responses and can focus on other new/novel input. Future experiences follow these developed pathways and allow for higher level development and function. Children depend on caregivers to help initiate these experiences. Children learn and develop through their bodies with physical experiences. Trauma & Early Childhood Experiences Trauma & Neurodevelopment For most children with histories of trauma, this process did not happen in a developmentally appropriate sequence. Potential Reasons: Pathways didn t fully develop (scattered, erratic) There wasn t enough myelin sheath support to maintain the pathway. Pathways were developed inappropriately and the path took a wrong turn. -Marti Smith, OTR/L Marti Smith, OTR/L Trauma can cause disruptions in: Cognitive Development Sensory Development & Processing Social, Emotional, and behavioral development Trauma & Neurodevelopment Impact of Trauma on Cognition Traumatic experiences often involves many of the senses & cognitive processes Sight, hearing, smell, physical pain Emotions, speech and thought Thus, it is stored in multiple regions throughout your brain. Hyper-arousal Hyper-vigilance Nightmares Pervasive thoughts Fears Distorted/catastrophic thinking Self-blame Shame Poor body image Decreased attention, memory, orientation (due to the above and also due to re-experiencing) Decreased emotional regulation Impaired executive function Difficulty envisioning future Poor problem solving & decreased frustration tolerance Decreased self-awareness 3
4 Behavioral and Emotional Responses When over stimulated, the most primitive protective part of the brain is tapped. Over time, this response becomes habit/behavior and learned. Behavioral and Emotional Responses Anxiety Fear Depression & withdrawal Isolation Decreased self-esteem & self-efficacy Substance use & abuse and other self-harm Irritability Anger Aggression Decreased emotional connections 19 Occupational Responses Individuals may start adjusting their routines around the dark memories and the emotions they evoke. Avoid socializing Difficulty completing daily tasks Diminished motivation for ADLs due to shame, low self-esteem, feeling of violation Difficulty being in public Disturbed sleep and fatigue Difficulty with trust and forming/maintaining relationships Find simple tasks frustrating or have difficulty problem solving through them to complete Work may be difficult Trauma Informed Approach According to SAMHSA s concept of a trauma-informed approach, A program, organization, or system that is trauma-informed: Realizes the widespread impact of trauma and understands potential paths for recovery; Recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; Responds by fully integrating knowledge about trauma into policies, procedures, and practices; and Seeks to actively resist re-traumatization." Trauma Specific Interventions Trauma-specific intervention programs generally recognize the following: Using Trauma Approaches in OT 6 Principles 1. Safety The survivor's need to be respected, informed, connected, and hopeful regarding their own recovery The interrelation between trauma and symptoms of trauma such as substance abuse, eating disorders, depression, and anxiety The need to work in a collaborative way with survivors, family and friends of the survivor, and other human services agencies in a manner that will empower survivors and consumers 2. Trustworthiness and Transparency 3. Peer support 4. Collaboration and mutuality 5. Empowerment, voice and choice 6. Cultural, Historical, and Gender Issues 4
5 Using Trauma Approaches in OT Take a non-pathological view: Respect the person as a human being who is and has experienced pain Occupational Profile Build trust Collaborate & Empower Identify personal, relevant issues Many OT approaches fit well into TIC Professional identity; holistic Intentional Relationships Sensory MOHO Trauma Care & Occupational Therapy OT use meaningful activities to promote physical and mental health and well-being. OT focus on participation in education, play and leisure, social activities, ADL, IADL, sleep and rest, and work. Task analysis is used to identify factors (e.g., motor, social emotional, cognitive, sensory) that may limit successful participation across various settings, such as school, home, and community. Trauma Care & Occupational Therapy OT may target: Promoting social participation ADL completion Building self-esteem & self-efficacy in occupations Return to work or employment assistance School management Time management Community involvement Creating habits & routines Sleep hygiene Provide trauma-informed sensorimotor arousal regulation interventions in collaboration with mental health professionals Teach children mindfulness strategies to reduce stress and to cope with overwhelming emotions. Sensory Theories Where Sensory Integrates with Trauma Use of sensory theories & strategies can help facilitate improved sensory processing or arousal management Sensory strategies & improved sensory awareness may help with stress and anxiety This will Facilitate trust and connection with caregivers Promote ability to engage in occupation Allow child to progress through next developmental milestones Sensory Processing & Integration Review
6 31 Our Senses Sensations are pieces of information that must be organized and interpreted by our minds in order for us to act on them. They are how we experience the world around us right now. Sensations are also how we remember events, places and people. Remember: trauma is often a multisensory experience and stored throughout the brain Sensory deprivation can be debilitating, sensory input is necessary for brain growth. (Cermak & Groza, 1998) 32 Sensory Processing The brain is innately organized to seek out sensory experiences that are meaningful. Sensory Processing/Sensory Integration Sensory integration is the ability of the central nervous system to organize and process input from different sensory channels in order to make an adaptive response - (Ayres, 1979; Parham & Mailloux, 2001) Sensory Processing To be effective, the child must actively organize and USE the sensory input to act on the environment, or to play and learn. Problem behaviors may be a sign that processing is impaired. - (Parham & Mailloux, 2001) The Whole Process Five Sequential steps of Sensory Integration (J. Ayres) Sensory registration, Orientation and attention, Interpretation, Organization of a response, Execution of a response Dysfunction may occur in any of the five steps Sensory Integration Interventions Sensory Based Interventions Vestibular Sense & Trauma Sensory Integration Treatment Ayres SI Ayres SI Fidelity OT Using and SI Approach (OT-SI) Uses principles from SI theory Not specifically following all fidelity; & focuses on engagement in childdirected, sensory rich experiences for adaptive sensory processing and integration for daily activities Sensory Diets Single Modality Use enhanced sensation to improve behavior -Focus on modulation Weighted vests, brushing, alternative seating, squeezes, jumping Combined Cognitive Behavioral & Sensory Processing Approaches Uses cognitive and sensorimotor strategies to support development of self-regulation skills Cognitive Strategies, Sensory-based tools for managing arousal & emotion management A major regulator. Effects can last up to six hours Vestibular nerve sends information to movement and sensory areas Proximity to auditory (sound) nerves Three planes to the semicircular canals will register input differently Front to back and rhythmic movement is calming. Erratic and spinning movement is alerting. 36 6
7 Proprioceptive Sense Often used with other types of input such as vestibular or tactile. The BIG calming input Effects can last up to four hours Postures of Flexion are calming Postures of Extension are alerting Often called Heavy Work This is the Go To type of sensory input! Tactile Sense & Trauma Tactile sense is first to develop in utero. Skin is largest receptive organ. Easiest to provide regulating therapeutic input. Much of babies first sensory input is via the tactile system. Thus, early childhood trauma with tactile input are especially powerful Visual Sense & Trauma In the first 18 months, there is an 8x synaptic density increase while neurons seek their appropriate connections. Mirror neurons and social reciprocity get first input via the visual system. Kids with trauma background are often scanning for danger. Difficulty with focal vision and precise saccades. Difficulty looking up without moving head. Sometimes easier to fix on a target while head moves around eyes vs. asking child to track an object while head is still. 40 Visual Sense & Trauma Some kids with trauma don t have good eye movement If the eyes do not work together appropriately, the child will experience a lot of vestibular input simply trying to scan a room. Difficulty with visual scanning can cause a high alert level. Do the child s eyes track together? Can he move his eyes independent of his head? Gustatory Sense & Trauma Neglect (starvation, excessive bottle feeding) may lead to nutritional deficits, oral motor dysfunction, or difficulty swallowing. Poor oral motor control can also cause feeding issues. If a child fears choking, they will limit food intake. Olfactory Sense & Trauma Smell has direct path to the amygdala - long term memory Therefore, certain smells may be triggers Delayed speech can indicate poor oral motor function. If the mouth doesn t move well, a child may resist nutrient dense foods. This can impact behavior. Food as a Social Connection
8 Responses to Sensory Input Sensory Modulation Typical: Individual reacts to a sensory experience as expected, i.e. heard the fire alarm and left the building. Hypo-responsive: Under-reacts to a sensory input, i.e. fails to respond to a fire alarm. Hyper-responsive: Over-reacts to sensory input, i.e. becomes upset, covers ears in response to a fire alarm Sensory Modulation & Self Regulation The ability of the brain to modulate (adjust) the input coming in. Nervous system organizes sensations and makes an adaptive response Turns the volume up or down on the world around us Sensory event registration modulation regulation Self Regulation is the ability to modulate your level of arousal Modulation of each individual sensation may affect our level of arousal Modulation/Regulation Problems Threshold for Response Small band of yellow Sensory overload or shut down may be lower than normal Modulation/Regulation Problems Child has difficulty maintaining arousal level Low arousal Difficulty waking up in the morning, constantly needs to be moving to stay awake, easily loses attention High arousal Constantly on the go Hyper-verbal Easily distracted Self Regulation Programs The Alert Program (Williams & Shellenberger, 1994) Engine analogy: high gear (hyper), low gear (lethargic) or just right gear (attentive and focused) Develop strategies for changing level of alertness Put something in mouth (cold fruit smoothie) Move (stretch) Touch (squeeze a stress ball) Look (watch the sunset) Listen (music)
9 Self Regulation Programs The Zones of Regulation (Kuypers, 2011) Cognitive Behavior approach 4 zones (red, yellow, green, blue) categorize different emotional states and levels of alertness Develop greater awareness and control of emotions, manage sensory needs, improve conflict resolution skills Application to Your Students 49 Sensory Processing Problems Have Been Linked to Self stimulation behaviors (flapping or spinning) Stereotypic behaviors, being rigid, repeating a pattern of behavior Aggressive or disruptive behaviors Picky eating or restricted eating Difficulty in motor planning or clumsiness Low or negative affect It does NOT appear to be related to IQ Sensory Processing and Anxiety Relationship between oversensitivity and anxiety Hypervigilance may lead to increased awareness and reaction to sensory stimuli. Anxiety Avoidance of feared sensory stimuli Increased difficulty making adaptive response Oversensitivity may increase anxiety through conditioning Over reaction to sensory stimuli that is frequent and unpredictable Avoidance and hypervigilance generalized anxiety (Green & Ben-Sasson, 2010) Sensory Processing and Anxiety Possible indicators of oversensitivity and anxiety A child may be overstimulated and overwhelmed in social situations. A child may crave quiet environments and be fearful of unpredictable environments. Transitioning to new or unfamiliar environments may cause excessive anxiety or fear. This child may resist or avoid social environments, such as a party, or transitions to new activities. Sensory Processing and ADHD Sensory modulation problems have been linked to ADHD. Increased sensitivity to tactile, visual, auditory, and gustatory stimuli. Sensory over-responsivity linked to increased anxiety. Deficits in balance, tactile discrimination, motor coordination and planning
10 55 Sensory Processing and ADHD Certain hyperkinetic children appear to be: Overstimulated, hyper-responsive Under stimulated, sensory seeking Sensory seeking children tend to be under aroused and are on the go to increase their arousal level. You can identify this child because when he is not very active, he is asleep or drowsy and inattentive. 56 Sensory Processing and Autism The DSM V has identified sensory processing disorders as part of the autism diagnosis. Estimates are that between 67% to 95% of children with ASD have sensory processing disorders. Types of problems in ASD are categorized as: Hyposensitivity (under-responsiveness), e.g., auditory. Hypersensitivity (over-responsiveness), e.g., tactile, auditory. Sensory seeking, e.g., seeks movement or pressure. 57 How to Help Children with Sensory Modulation Problems 1) Insight: Understand what the child is experiencing and how it affects behavior. 2) Specific strategies: Identify and use tools or activities to support the child s sensory processing. Build a sensory diet into the child s daily routine. 58 Insight Identify which behaviors might relate to a sensory processing problem: Restricted eating Problems sleeping Fearful on the playground Difficulty with transitions Distractible in classroom or during academic activities Clumsiness, and particular difficulty learning new motor tasks Melt downs in the mall, grocery store, or at parties Insight Helps parents and others view the child in a more positive way with an improved understanding of their behaviors. Helps parents and others develop and adopt preventive interventions so that the child is better able to self regulate within the environment. We are not built to be healthy/functional under sensorydeprived conditions. Children and youth are supposed to be active and it is known to help with regulation of mood, self-regulation, attention, and learning. With an Understanding of Sensory Problems or Needs We can: Avoid certain situations or activities Prepare the child for an activity or new environment Explain the child s behavior to others Recognize when a behavioral approach is NOT appropriate Use sensory tools to support the child s participation
11 With an Understanding of Sensory Problems or Needs Children & Youth Can: Begin to understand how to meet their own sensory needs Learn words to explain how they are feeling Begin to learn new, more appropriate behaviors for managing sensory modulation issues A developmental approach is needed to help children understand their sensory needs and ways to accommodate Needs for Sensory Regulation Nutrition Met Sleep needs met Available emotional support Postural Support, Felt Safety of Current Environment Medical Diagnosis (understand if it impacts regulation) Sensory Systems, intact It is important to understand where the child was supposed to be developing at the time of trauma. Often, if we do not have that history, we can look to symptoms within behaviors for clues The Role of the OT Do a comprehensive sensory assessment Identify hypo- and hyper-sensitivities Educate on effects of trauma on cognitive, social, emotional, sensory, behavioral development Create sensory diet and strategies to facilitate level of arousal Educate child and caregivers on sensory preferences The Role of the OT Implement Zones of Regulation or The Alert Program Implement OT-SI or Ayres SI Recommend sensory equipment and TRAIN family/caregivers on how to use them. Monitor child s responses and progress to the suggestions Key Points to Remember Sensory strategies work best as an antecedent/adjacent event to an expected behavior They are not a reward or something to be earned. Everyone is different What works in one situation may not work in the next. Personal needs change What worked an hour ago may not work now. The Role of OT Many Occupational Therapists have training in sensory integration and all have training in mental health Present the child with a just right challenge Help the child produce an adaptive response in a sensory rich environment Relate the challenges to every day activities Help the child recognize their own sensory needs Help parents and teachers meet sensory needs at home in the community
12 Trauma Care & Occupational Therapy /media/corporate/files/practice/children/schoolmhto olkit/childhood-trauma.pdf References American Occupational Therapy Association. (2014). AOTA. Retrieved July 24, 2016, from Ayres, A.J. (1979). Sensory integration and the child. Los Angeles: Western Psychological Services. Case-Smith, J., Weaver, L. L., & Fristad, M. A. (2015). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism: the International Journal of Research and Practice, 19, 2, Cermak, S., & Groza, V. (1998). Sensory processing problems in post-institutionalized children: Implications for social work. Child and Adolescent Social Work Journal 15 (1): Ghanizadeh, A. (2011). Sensory processing problems in children with ADHD, a systematic review. Psychiatry Investigation, 8, 2, Green, S. A., & Ben-Sasson, A. (2010). Anxiety disorders and sensory over-responsivity in children with autism spectrum disorders: Is there a causal relationship?. Journal of Autism and Developmental Disorders, 40, 12, Kuypers, L. (2011). Zones of Regulation. Minneapolis, MN: Social Thinking. 68 References Parham & Mallioux (2001). Sensory integration. In Case-Smith, J. (Ed.). Occupational therapy for children (pp ). St. Louis: Mosby. Quirk, N. & DiMatties, M. (1993). The relationship of learning problems and classroom performance to sensory integration. Framingham, MA: Therapro, Inc. USC/WPS comprehensive program in sensory integration. (2008). Course 4: Sensory integration intervention. Los Angeles, CA: University of Southern California and Western Psychological Services. Watling, R., & Hauer, S. (2015). Effectiveness of Ayres Sensory Integration and sensory-based interventions for people with autism spectrum disorder: A systematic review. American Journal of Occupational Therapy 69(5), doi: /ajot Williams, M. S., & Shellenberger, S. (1994). How does your engine run? A leader s guide to the Alert Program for Self-Regulation. Albuquerque, NM: TherapyWorks. Yochman, A., Parush, S., & Ornoy, A. (2004). Responses of preschool children with and without ADHD to sensory events in daily life. The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association, 58, 3. Thank You!
6/8/2018. What do you think of when you hear the word trauma? What type of events are traumatic?
Tyler Sliker, LMFT & Lori DiCaprio-Lee Vera House, Inc. What is trauma & how it affects individuals What is trauma informed care Impacts on practice What do you think of when you hear the word trauma?
More informationTrauma and Development: An Integrated Best Practice Approach
Trauma and Development: An Integrated Best Practice Approach ATTACH Conference- September 27, 2015 Kathy Ryan, Ph.D., LCSW Clinical Coordinator, Circle Preschool Program, GRSCAN, Richmond, VA Denise Powers,
More information3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose
A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual
More information5/12/2014. Trauma definitions & stats Trauma and impact on development Interventions Trauma-Informed Care Consortium of Central Texas Questions
Austin Child Guidance Center Trauma definitions & stats Trauma and impact on development Interventions Trauma-Informed Care Consortium of Central Texas Questions 1 Community Impact of Trauma Child Abuse
More informationTrauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings. Darby Penney Advocates for Human Potential July 8, 2015
Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings Darby Penney Advocates for Human Potential July 8, 2015 2 Goals of the Presentation: Define trauma and discuss its impact
More informationChallenging Behavior: Is it Sensory, Behavior or Both? Priscila Yu, OTR/L Teresa Haney, MS Tracy Infant Center, California
Challenging Behavior: Is it Sensory, Behavior or Both? Priscila Yu, OTR/L Teresa Haney, MS Tracy Infant Center, California Outline Review Sensory Processing & Strategies (10) Define Behavior & Functions
More informationTrauma: From Surviving to Thriving The survivors experiences and service providers roles
Trauma: From Surviving to Thriving The survivors experiences and service providers roles Building Awareness, Skills & Knowledge: A Community Response to the Torture Survivor Experience Objectives 1. To
More informationA Quiet Storm: Addressing Trauma & Addiction through a Trauma Informed Lens
A Quiet Storm: Addressing Trauma & Addiction through a Trauma Informed Lens P R E S E N T E D B Y : B R E N D E N A. H A R G E T T, P H. D., L P C, L C A S, N C C, M A C A L G R E E N E A D D I C T I O
More informationEffects of Traumatic Experiences
Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D When people find themselves suddenly in danger, sometimes they are overcome with feelings
More informationNo more tears at tea time: An occupational therapy approach to feeding difficulties
Child Early Intervention Medical Centre Occupational Therapy Department Presents No more tears at tea time: An occupational therapy approach to feeding difficulties Presented by: Jennifer Logan Occupational
More informationSafety Individual Choice - Empowerment
Safety Individual Choice - Empowerment Diane M. Gruen-Kidd, LCSW Department for Behavioral Health, Developmental and Intellectual Disabilities Diane.Gruen-Kidd@ky.gov Please Be Aware There are parts of
More informationAssessing and Treating the Sensory Needs of Adults with Autistic Spectrum Disorder
Assessing and Treating the Sensory Needs of Adults with Autistic Spectrum Disorder Heather Clarke-Lewis Lead Occupational Therapist Sensory Integration Practitioner 2 nd November 2017 Contents What is
More informationSensory Processing & Sensory Strategies. Sara Androyna,COTAL Emily Wolanin, OTRL
Sensory Processing & Sensory Strategies Sara Androyna,COTAL Emily Wolanin, OTRL Sensory Processing Means by which the brain receives, detects and integrates incoming sensory information Organization of
More informationBoth Sides of the Desk: Trauma-Informed Services in the Child Support Program
Both Sides of the Desk: Trauma-Informed Services in the Child Support Program Rebecca Sharp, MPA, LMSW Katie Morgan, SC IV-D Director Both Sides of the Desk: Trauma-Informed Services in the Child Support
More informationTrauma & Trauma Informed Service Approach
Trauma & Trauma Informed Service Approach I. Introductions II. Understanding trauma and the impact of trauma III. Concepts of trauma-informed care IV. Being and creating a trauma- informed provider and
More informationTrauma and Children s Ability to Learn and Develop. Dr. Katrina A. Korb. Department of Educational Foundations, University of Jos
Trauma and Children s Ability to Learn and Develop Dr. Katrina A. Korb Department of Educational Foundations, University of Jos katrina.korb@gmail.com Paper presented at the Capacity Building Workshop
More informationThe Impact of the Opioid Crisis on Children
The Impact of the Opioid Crisis on Children Guided Notes for Online Learning Name: Date: 1 Table of Contents Section 1: The Opioid Crisis Page 3 Section 2: Addiction Page 4 Section 3: Trauma Informed Care
More information100 FACTS ABOUT SENSORY PROCESSING
General sensory processing facts: 1 Sensory processing refers to the way the body receives, analyzes, and responds to the signals it receives from the environment. 2 Everyone has unique sensory needs and
More informationUnderstanding Complex Trauma
Understanding Complex Trauma Frightening events can have lasting effects Trauma and Homelessness Team Carswell House Dennistoun Glasgow G31 2HX Tel: 0141 232 0114 Fax: 0141 232 0131 General enquiries email:
More informationYOUTH OPPORTUNITIES UPHELD, INC.
YOUTH OPPORTUNITIES UPHELD, INC. MISSION: To provide youth and families with opportunities to fulfill their potential and build a brighter future COMPONENTS: Outpatient, Community-Based and In- Home, Education
More informationSelf-Regulation: Strategies for Home and School. ASD Nest Parent Workshop Series January 12, 2010
Self-Regulation: Strategies for Home and School ASD Nest Parent Workshop Series January 12, 2010 Kristie P. Koenig, PhD, OTR/L New York University Steinhardt School Dept of Occupational Therapy These kids
More informationParenting a Child with Mental Health Concerns
Parenting a Child with Mental Health Concerns Community Education Services Blaine Munro, MSW, RMFT Sharon Halladay, MSW, RSW (Clinical) Typical Development Within the individual/child exists: Social &
More informationLearning Objectives 6/25/2018. E mo tion reg u la tion (noun)
Calming Down: The Role of the Nervous System and Emotion Regulation in Successful Intervention for Individuals with Autism Spectrum Disorders 2018 Texas Autism Research Conference Amanda Tami, MA, BCBA,
More informationDYSFUNCTION IN REGULATION
SENSORY PROCESSING & REGULATION IN THE YOUNG CHILD COOL TOOLS TO USE Objectives Define and understand arousal regulation in young children Identify and explain the three subtypes of Sensory Processing
More informationDr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017
Dr Lisa Bunting (Lecturer in Social Work, QUB) Mairead Lavery (title, SEHSCT) Nov 2017 STRUCTURE Defining Trauma and Adversity The Prevalence and Impact of Multiple Adversities How adversity causes poor
More informationResponding to Traumatic Reactions in Children and Adolescents. Steve Minick Vice President of Programs
Responding to Traumatic Reactions in Children and Adolescents Steve Minick Vice President of Programs stevem@fsnwpa.org 814 866-4500 TF-CBT at Family Services Trauma Types Served 760 Documented Physical
More informationEveryone deserves a suitable, affordable home!
Case Management Series: A Trauma-Informed Approach Amanda Rosado Technical Advisor Florida Housing Coalition rosado@flhousing.org Sponsored by the Department of Economic Opportunity Everyone deserves a
More informationDifficulty judging body positioning in relation to objects in the environment
ASPERGER SYNDROME & SENSORY ISSUES Accident Prone Is clumsy/accident prone; bumps into things and breaks things often Difficulty judging body positioning in relation to objects in the environment Seems
More informationUnderstanding and addressing trauma in the lives of those we serve..
Understanding and addressing trauma in the lives of those we serve.. Presented By: Joan Gillece, Ph.D. SAMHSA Promoting Alternatives to Seclusion and Restraint through Trauma-Informed Practices Important
More informationSurviving and Thriving: Trauma and Resilience
Guiding our community s children through life s critical moments with trauma-informed mental health and child development services. Surviving and Thriving: Trauma and Resilience John Richardson-Lauve,
More informationSensory Processing Toolkit
Sensory Processing Toolkit Liz Koss, MOT, OTR/L Grace Reifenberg, [BA??], S/OT Laura Simon, BA Kelly Tanner, PhD, OTR/L PURPOSE To provide teachers and parents with information on evidence-based strategies
More informationAn Overview of Sensory Processing Disorder. Heather Lonkar Lee Honors College Thesis
An Overview of Sensory Processing Disorder Heather Lonkar Lee Honors College Thesis Overview Our Senses Causes Definition Treatment Diagnosis Goals Subtypes Conclusion Co-Morbid References Conditions Our
More informationDifferential Diagnosis. Differential Diagnosis 10/29/14. ASDs. Mental Health Disorders. What Else Could it Be? and
Differential Diagnosis ASDs and Mental Health Disorders - Matt Reese, PhD Differential Diagnosis What Else Could it Be? Differential Diagnosis: The process of distinguishing one disorder from others which
More informationIndividualization. Understanding the sensory needs of young children. By: Tracy Becerra, OTR/L, MPH, PhDc
Individualization Understanding the sensory needs of young children By: Tracy Becerra, OTR/L, MPH, PhDc Individualizing Performance Standards require that learning experiences in Head Start be individualized.
More informationFrozen The impact of ACES on early brain development.
Frozen The impact of ACES on early brain development. Thursday 6 th April, 2017 Kinmel Manor Hotel, Abergele Chris Dunne Children s Service Manager, Powys 12 April, 2017 Recognising the symptoms of trauma
More informationPervasive Developmental Disorder Not Otherwise Specified (PDD- NOS)
Pervasive Developmental Disorder Not Otherwise Specified (PDD- NOS) What is Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS)? (*Please note that the criteria according to the DSM-V changed
More informationSection three: answers for part one
Section three: answers for part one Sound 1. How did you try to concentrate? As above. 2. How did you react to the noise? 3. How would noises at school cause difficulties when trying to concentrate on
More informationInformation about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP
Information about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP what is emotional trauma People experience many challenging and painful emotions including fear,
More informationPost Traumatic Stress Disorder (PTSD) (PTSD)
Post Traumatic Stress Disorder (PTSD) (PTSD) Reference: http://www.psychiatry.org/military Prevalence of PTSD One in five veterans of the Iraq and Afghanistan wars is diagnosed with PTSD. (http://www.psychiatry.org/military
More informationAddressing Behavioral Issues: Starting with Self-regulation
Addressing Behavioral Issues: Starting with Self-regulation Jenna Gordon, MS, OTR/L Occupational Therapist Children s Developmental Health Services Albertina Kerr Disclosure Nothing to disclose 1 Overview
More informationSensory Regulation of Children with Barriers to Learning
Sensory Regulation of Children with Barriers to Learning What is Sensory Dysregulation? When we talk about sensory processing difficulties or sensory integration dysfunction, we are talking about some
More informationACEs and Homelessness. Trauma-Informed Care awareness training Erica Smith, MA, MPH October 2018
ACEs and Homelessness Trauma-Informed Care awareness training Erica Smith, MA, MPH October 2018 What is trauma? Trauma is an event (or a series of events) that are experienced by an individual. The event
More informationCOUNSELING ASSESSMENT REFERRAL AND BACKGROUND INFORMATION (Adult Form) cell telephones/fax #s/ addresses: (Spouse): (Emergency Contact):
Joanna C. Ioannides, LCSW *Lowry Counseling, LLC *7581 E. Academy Blvd. Ste 209 * Denver, CO 80230*Ph. (720)319-7319 Fax (303)379-4607* counseldenver@aol.com* COUNSELING ASSESSMENT REFERRAL AND BACKGROUND
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationA Missing Link. Where are the speech & language pathologists in attachment trauma therapy?
A Missing Link Where are the speech & language pathologists in attachment trauma therapy? Presented by Susan Ward, LPC Carole Soucaze, SLP Who s here? Parents? Psychotherapists? Respite providers? Occupational
More informationAutism Spectrum Disorder Through the Lifespan
Autism Spectrum Disorder Through the Lifespan DIANE HINVES PHD REGISTERED PSYCHOLOGIST Neurodiversity Neurologically Different There are infinite ways of neurocognitive functioning within our species.
More informationADHD Tests and Diagnosis
ADHD Tests and Diagnosis Diagnosing Attention Deficit Disorder in Children and Adults On their own, none of the symptoms of attention deficit disorder are abnormal. Most people feel scattered, unfocused,
More informationAutism: Practical Tips for Family Physicians
Autism: Practical Tips for Family Physicians Keyvan Hadad, MD, MHSc, FRCPC Alberta College of Family Physicians 61st Annual Scientific Assembly March 5, 2016 No conflict of interest Diagnosis and Misdiagnosis
More informationA Healthy Brain. An Injured Brain
A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as
More informationChildren Exposed to Trauma
Shock Waves: Children Exposed to Trauma N. Ann Lowrance, M.S., C.D.S.V.R.P. Department Head of Social Services Oklahoma State University, Oklahoma City One out of every 4 children attending school has
More informationTrauma Informed Care for Educators
Trauma Informed Care for Educators A look at the impact of trauma on students and strategies to address the behaviors and students impacted by trauma. Why Childhood Trauma Matters? https://www.ted.com/talks/nadine_burke_harris_
More informationWhat Is Childhood Trauma?
What Is Childhood Trauma? Childhood trauma refers to traumatic experiences that happen between the ages of 0 17. These traumas can be the result of intentional violence such as physical or sexual abuse
More informationAn Introduction to Trauma Informed Care in IDT
An Introduction to Trauma Informed Care in IDT KATARINA HALLONBLAD, MS, OTR/L CARMARTHEN SWIFT, MSW, LICSW MERCYLIFE PACE WEST SPRINGFIELD, MA Trauma: Definition An event or situation that overwhelms the
More informationTrauma and Stress- Related Disorders. Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder
Trauma and Stress- Related Disorders Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder What is psychological trauma? Psychological trauma is an emotional response to a terrible
More informationAttention Deficit-Hyperactivity Disorders (ADHD) definition
Attention Deficit-Hyperactivity Disorders (ADHD) definition: a pervasive pattern of inattention, impulsivity, and/or hyperactivity-impulsivity that is more frequent and severe than is typically observed
More informationSensory Needs & Interventions. Understanding Sensory Processing for students with Autism Spectrum Disorder (ASD)
Sensory Needs & Interventions Understanding Sensory Processing for students with Autism Spectrum Disorder (ASD) What is Self-Regulation? The ability to attain, maintain, or change how alert we feel, which
More informationInclude Autism Presents: The Volunteer Handbook
Include Autism Presents: The Volunteer Handbook 1 The Volunteer Handbook: Working With People Who Have An Autism Spectrum Disorder Brought to you by: Include Autism 2 Include Autism, Inc. 2014 Table of
More informationAUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D.
AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA Lisa Joseph, Ph.D. Autism Spectrum Disorder Neurodevelopmental disorder Reflects understanding of the etiology of disorder as related to alterations
More informationQ: What can you tell us about the work you do and your involvement with children with autism?
If you know one person with autism, you know one person with autism April is Autism Awareness & Acceptance month and in an attempt to further educate the public about autism, Catriona Monthy, a registered
More informationTrauma & Therapies.
Trauma & Therapies #GetBackToLife @henmorehealth Trauma The impact of trauma occurs on various levels and can interfere with a person s ability to function in daily life, affecting relationships, work,
More informationDefinitions of primary terms and acronyms of trauma and shame disorders. [Draft ]
Definitions of primary terms and acronyms of trauma and shame disorders. [Draft 7-23-2014] I welcome suggestions. Please email wteague@verizon.net Acronym Definition DSM- ACE Adverse Childhood Experiences
More informationStress Disorders. Stress and coping. Stress and coping. Stress and coping. Parachute for sale: Only used once, never opened.
Stress Disorders Parachute for sale: Only used once, never opened. Stress and coping The state of stress has two components: Stressor: event creating demands Stress response: reactions to the demands Stress
More informationSpring Fever: Attendance & Behavior
Spring Fever: Attendance & Behavior Ways to interact & support (Especially with students you don't know) Don't engage in a power struggle Fly-by Empower students to make a choice Give options Hey guys
More informationVideoconference Event ID:
Sensory Processing and Developmental Disability: Behaviours can speak volumes. What are people trying to tell us? Chris Galvin, O.T. Reg. (Ont.) North Community Network of Specialized Care cgalvin@handstfhn.ca
More informationTHIS IS WHAT SENSORY PROCESSING DISORDER FEELS LIKE TO PEOPLE WITH AUTISM
THIS IS WHAT SENSORY PROCESSING DISORDER FEELS LIKE TO PEOPLE WITH AUTISM April 17, 2018 Casey Nighbor April is National Autism Awareness Month, the best time to highlight the benefits of bodywork for
More informationSensory Processing Disorder
Disorder 101 Ingrid M. Kanics Kanics Inclusive Design Services, LLC imkanics@mindspring.com Sensory Integration Sensory Regulation Disorder Background: A. Jean Ayres, Occupational Therapist Neuroscience
More informationNew Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality
New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality Paul A. Arbisi, Ph.D. ABAP, ABPP. Staff Psychologist Minneapolis VA Medical Center Professor Departments of Psychiatry
More informationTRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE
TRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE Justin Watts PhD. NCC, CRC Assistant Professor, Rehabilitation Health Services The University of North Texas Objectives Upon completion of this
More informationThe ABC s of Trauma- Informed Care
The ABC s of Trauma- Informed Care AGENDA What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma? Why is understanding
More informationTrauma Informed Parents
Trauma Informed Parents Cheri J. Kahn Consultant Behavior/Discipline 210-370-5702 cheri.kahn@esc20.net 1 Why Is This Important? Trauma Facts for Educators 1 out of 4 individuals attending school has been
More informationRaising Awareness: Trauma-Informed Practices
Raising Awareness: Trauma-Informed Practices Presented by Michele A. Carmichael Director IL-AWARE Principal Consultant for Behavioral Health Supports in Schools Illinois State Board of Education Intentions:
More informationNeurobiology of Sexual Assault Trauma: Supportive Conversations with Victims
Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Jim Hopper, Ph.D. November 2017 Handout 1: Using Neurobiology of Trauma Concepts to Validate, Reassure, and Support Note: In
More informationUnderstanding Sensory Processing
Understanding Sensory Processing Doreen Thom BSc.O.T., OT (C) Mary McMahon MA, OT (C) October 16, 2007 What is Occupational Therapy? O.T. s provide skills for the job of living Occupational Therapists
More informationSocial Communication in young adults with autism spectrum disorders (ASD) Eniola Lahanmi
Social Communication in young adults with autism spectrum disorders (ASD) Eniola Lahanmi We ll cover Autism Spectrum Disorders (ASD) ASD in young adults Social Communication (definition, components, importance,
More information10/15/2018. Taking Autism to the Library. Definition: What causes autism. The exact cause of autism is not known.
Before we begin: Please sign in Fill out the first 3 questions in the evaluation Presented by Kathleen Dolbee, ASNC Autism Resource Specialist kdolbee@autismsociety-nc.org (828 506-6788 Taking Autism to
More informationTrauma Informed Care. Rick Edwards, LPC
Trauma Informed Care Rick Edwards, LPC FUNDAMENTALS OF TRAUMA 1. What are the types of Trauma? 2. What is a Traumatic Response? 3. What causes a Traumatic Response? Post-Traumatic Stress Disorder The Diagnostic
More information6/20/18. M Anzalone, Intake. Developmental Neuroplasticity Neurophysiology Top-Down vs Bottom Up
Marie Anzalone 2018 Introduce the process of sensory integration that occurs in all individuals; Understand the contributions of sensory integration and sensory processing disorder to social emotional
More informationWhat You Need to Know. Self-Regulation: 5 Domains of Self-Reg
What You Need to Know. Self-Regulation: 5 Domains of Self-Reg The Shanker Self-Reg Framework Self-regulation refers to the manner in which an individual deals with stress, in all its many forms, and then
More informationUnderstanding the Child s Individual Profile: Sensory Processing
Profectum s Introductory Course Lecture Series: A Comprehensive Overview of the DIR Approach Understanding the Child s Individual Profile: Sensory Processing Presented by: Rosemary White, OTR/L Tal Baz,
More informationSensory processing. Studies show that between 69% and 95% of individuals with an autism diagnosis experience sensory 1, 2, 3
Sensory processing Atypical sensory processing is now considered to be a core feature of autism. For many people on the autism spectrum, living with atypical sensory processing can make it difficult to
More informationDefining Mental Disorders. Judy Bass, MPH, PhD Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationDevelopmental Disabilities: Diagnosis and Treatment. Sara Sanders, Psy.D. 03/05/15
Developmental Disabilities: Diagnosis and Treatment Sara Sanders, Psy.D. 03/05/15 1 Developmental Disability A severe and chronic disability that is attributable to a mental or physical impairment that
More informationSensory Diet. What is a sensory diet?
Sensory Diet What is a sensory diet? A sensory diet is a treatment strategy used to manage sensory processing dysfunction (also known as sensory motor integration dysfunction). In essence, it is a list
More informationVirginia s Autism Competencies for Direct Support Professionals and Supervisors who support individuals with Developmental Disabilities
Autism Competencies Checklist (rev. 9.1.17) DMAS#P201 Virginia s Autism Competencies for Direct Support Professionals and Supervisors who support individuals with Developmental Disabilities The Autism
More informationMr. Stanley Kuna High School
Mr. Stanley Kuna High School Stress What is Stress? Stress is - The mental, emotional, and physiological response of the body to any situation that is new, threatening, frightening, or exciting. Stress
More informationWhat nurses need to know about Trauma-Informed Care
What nurses need to know about Trauma-Informed Care Define trauma-informed care Identify how to assess for trauma Tap in to resources for these patients and their families Kaiser Permanente,1995-1997
More informationMinnesota DC:0-3R Crosswalk to ICD codes
DC 0-3R 0 Post-Traumatic Stress (this diagnosis must be considered first according to the DC:0-3R decision tree) 150 Deprivation/Maltreatment 200 of Affect 2 Prolonged Bereavement/Grief Reaction 220 Anxiety
More informationThe Effects of Trauma. And How to Facilitate Recovery!
The Effects of Trauma And How to Facilitate Recovery! Adverse Childhood Experiences (ACEs). 17,000 Surveyed 63% experienced at least 1 of the following categories: 11% experienced emotional abuse. 28%
More informationSensory Diets. Sensory Diets: Origins OTAC /11/2017. Wilbarger, Hunt, Peterson & White 1. Conception, Misconception and Real World Application
Sensory Diets: Conception, Misconception and Real World Application Julia Wilbarger, Ph.D., OTR/L Allison Hunt, B.S., OTS Morganne Peterson, B.S., OTS Emily White, B.S., OTS Sensory Diets All people need
More informationTrauma Informed Practices
Trauma Informed Practices Jane Williams & Elizabeth Dorado Social Worker & Academic Counselor Gordon Bernell Charter Rising Up! Taking Charters to New Heights 2017 Annual Conference What is Trauma? Traumatic
More informationWhat is Autism? ASD 101 & Positive Behavior Supports. Autism Spectrum Disorders. Lucas Scott Education Specialist
ASD 101 & Positive Behavior Supports Lucas Scott Education Specialist What is Autism? Autism Spectrum Disorders Developmental, neurological condition that affects social interaction, communication of ideas
More informationThe Person: Dementia Basics
The Person: Dementia Basics Objectives 1. Discuss how expected age related changes in the brain might affect an individual's cognition and functioning 2. Discuss how changes in the brain due to Alzheimer
More informationCLASSROOM & PLAYGROUND
The information contained in this booklet was most generously provided to Autism South Africa by the UK National Autistic Society The production and printing of this and 12 other brochures was made possible
More informationDeveloping A Trauma Informed Community Jean West LCSW CTC-S CT What is trauma? 6/28/13. Experiences which can cause trauma
Developing A Trauma Informed Community Jean West LCSW CTC-S CT jean.west@sjsd.k12.mo.us What is trauma? A traumatic event is an overwhelming experience that is often sudden and unexpected. The experience
More informationFloortime - Affectively rich play to match child s individual differences and stimulate developmental growth
What is DIR /Floortime? Developmental - children progress through stages toward ability to think and communicate flexibly in the world Individual Difference - each child has an unique set of biologically
More information4/3/2017. Myles, THE NEUROLOGY OF ASD. Anna. Brenda Smith Myles, Ph.D. NOT ALL SLIDES ARE IN YOUR HANDOUTS.
THE NEUROLOGY OF ASD Brenda Smith Myles, Ph.D. www.texasautism.org NOT ALL SLIDES ARE IN YOUR HANDOUTS Anna Facebook, 2016 Myles, 2016 1 Austin wrote: I wish that they knew that I am autistic. I wish that
More informationCompassionate Culture
Compassionate Culture Orientation to the Neurobiology of Trauma Presented by: Molly Ticknor, MA, ATR, LPC Resilience Incubator 1 Why are We Here? Define trauma and describe its systemic impact Identify
More informationCHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT. Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital
CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital What is a Trauma? Traumatic event: Witnessing or experiencing a frightening,
More information2/17/2016 TRAUMA INFORMED CARE WHAT IS TRAUMA? WHAT IS TRAUMA? (CONT D)
TRAUMA INFORMED CARE RESPECTING THE IMPACT OF TRAUMA ON THE BEHAVIORAL HEALTH CONSUMER WHAT IS TRAUMA? Result of an event or set of circumstances. Physically or emotionally harmful or threatening. Lasting
More information