CRISIS INTERVENTION: INTEGRATING EMDR PROTOCOLS FOR PARAPROFESSIONAL USE WITH CISM INTERVENTIONS

Size: px
Start display at page:

Download "CRISIS INTERVENTION: INTEGRATING EMDR PROTOCOLS FOR PARAPROFESSIONAL USE WITH CISM INTERVENTIONS"

Transcription

1 CRISIS INTERVENTION: INTEGRATING EMDR PROTOCOLS FOR PARAPROFESSIONAL USE WITH CISM INTERVENTIONS Tony Culnane OAM BTh CertMin GradDipCommCouns Paul Scott DipCommOrgs(Mgt) BEd(AdEd) MCouns CIMA Conference, October 2013, Melbourne

2 Contextual Overview: Crisis Intervention / Emergency Mental Health Goals: 1) Stabilisation 2) Symptom reduction 3) Return to adaptive functioning, or 4) Facilitation of access to continued care

3 Contextual Overview: CRISIS INTERVENTION HISTORY Military Psychiatry Community Mental Health Suicide Intervention Initiatives

4 Contextual Overview: CRISIS INTERVENTION HISTORY WWI ( ) First empirical evidence C I reduces psychiatric morbidity Postes de chirurgie d urgence [Post Emergency Surgery]. (1916). Proximity & Immediacy. Salmon, T. (1917, 1919)

5 Contextual Overview: CRISIS INTERVENTION HISTORY Sargent, W. (1942) Immediate first aid tx of acute neurosis Marshall, S. L. A. (1944) Group Intervention via Historical Event Reconstruction

6 Contextual Overview: CRISIS INTERVENTION HISTORY WWII ( ) Immediacy, Proximity & Expectancy identified as effective active ingredients Lindemann s (1944) Observations of grief reactions (1950 s) Community Suicide Programs Kardiner (1959) recognised exhaustion & fear & don t allow entrenchment of symptoms

7 Contextual Overview: CRISIS INTERVENTION HISTORY Caplan s (1963/64) 3 tiers of preventative psychiatry (Primary, Secondary & Tertiary prevention (late 60 s / early 70 s) C I principles applied to chronic hospital populations (1980) DSM III legitimises PTSD & crisis & traumatic events as threats to long term mental health

8 Contextual Overview: CRISIS INTERVENTION HISTORY (1992) USA Red Cross training in Disaster Mental Health (1994) DSM IV recognises Acute Stress Disorder (2002) NIMH Guidelines on Mental Health & Mass Violence (Phasic, Integrated, Multi component) (2002) EAPA Guidelines on disaster mental health

9 Contextual Overview: EMDR (Eye Movement Desensitisation & Reprocessing) (1987) Dr Francine Shapiro (Behavioural paradigm to information processing theory) Integrative psychotherapy Dysfunctionally stored memories Integrates information that is sensory, cognitive, emotional & somatic

10 Contextual Overview: EMDR (Eye Movement Desensitisation & Reprocessing) AIP Adaptive Information Processing EMDR session Access a memory relevant to current difficulty Brief applications of bilateral stimulation (eye movement, tactile stimulation, or auditory stimulation)

11 Contextual Overview: CISM (Critical Incident Stress Management) Dr Jeffrey Mitchell & Dr George Everly, (1999) Comprehensive Integrative Systematic Multi component Initial component CISD(Mitchell & Everly, 1983)

12 Outline of Gaza Exercise: Conflict between Israel & Palestine Hamas (Ruled Gaza since 2007) November 2012 Incident (War lasted 7 days)

13 Outline of Gaza Exercise: World Vision: Community Development in Holy Land Geographic areas: Jerusalem, West Bank & Gaza Living & working in geo political circumstances

14 Outline of Gaza Exercise: Recognition by WV senior management of vulnerability to psychological trauma (Gaza based staff in particular) 33 staff and their families

15 Outline of Gaza Exercise: December 2012 decision to implement Staff Care Intervention Plan to transfer staff & families from Gaza to Sharm El Sheikh, Egypt January 2013 Peer Support Team + 2 Consultants conduct staff care intervention

16 What We Did: Staff Care Team Led by 2 Crisis Intervention Mental Health Consultants 5 Peer Support Staff (WV Middle East & Eastern European Region) 3 of whom were Palestinian (Culture & Language) 3 Male and 2 Female

17 What We Did: All Peer Support Staff trained in 6 CISM courses & WV Staff Care Courses Staff Care Team completed 2 day intensive EMDR Early Intervention Protocols for Paraprofessional Use conducted by Dr Ignacio Jarero in Cyprus

18 The Participants: 33 staff + some family members 6 day period of rest and relaxation Sharm El Sheikh Resort (Good facilities)

19 Outline of Intervention: CISM Crisis Management Briefings SAFER R Model for Assisting Individuals in Crisis

20 Outline of Intervention: EMDR Therapy Integrated Group Treatment Protocol (EMDR IGTP) EMDR Therapy Individual Protocol for Paraprofessional Use in Acute Trauma Situations (EMDR PROPARA) Cognitive Behavioural Therapy (CBT)

21 Program Outline: Day 1: Staff Care Team Planning Meeting Introductory Meeting with Gaza Staff & families

22 Program Outline: Days 2 4 (mornings) Large Group sessions Complete SPRINT Questionnaire Learn & Practice Self Soothing Techniques Drawing pictures and apply ratings (SUDS) EMDR IGTP

23 Program Outline: Days 2 4 (afternoons & evenings) Review of drawings and SUDS Review of SPRINT (Day 2 only) Staff Care Team available for individual sessions Use of CISM interventions, EMDR PROPARA, & CBT

24 Program Outline: Days 5 6 Staff Care Team available for individual sessions Use of CISM interventions, EMDR PROPARA, & CBT

25 Program Outline: Individual sessions also included: Clarification & Feedback SPRINT & Drawings & SUDS

26 CISM Crisis Management Briefing (CMB): Structured meeting Information / Education about basic stress management & coping strategies Resources identified Control rumours

27 CISM SAFER R Model for Assisting Individuals in Crisis: Stabilisation, including introduction Acknowledgement (Event & Person s Reactions) Facilitation of Understanding (Normalisation) Encouraging Effective Coping (Mechanisms of Action) Recovery or Referral (Facilitate access to assessment & continued care)

28 Cognitive Behavioural Therapy (CBT): Identify unhelpful thoughts & behaviours Learn or relearn healthier skills & habits *Note one participant did not want to undertake EMDR protocols. CBT was used to address PTS, Anger and Stress Management issues

29 EMDR IGTP: Developed by Mexican Assoc for Mental Health Support in Crisis (AMAMECRISIS) Dr Ignacio Jarero & Dr Lucina Artigas Developed with encouragement & support by Dr Francine Shapiro Adaptable for numerous settings world wide

30 EMDR IGTP: Combines 8 standard EMDR treatment phases with; Group Therapy Model Art Therapy format Uses Butterfly Hug (Bilateral Stimulation) originated by Artigas

31 EMDR PROPARA: Project developed at initiative of Dr F. Shapiro by Dr I. Jarero, et al. An adaptation of EMDR PRECI (Protocol for Recent Critical Incidents which follows on from Shapiro s (2001) Recent Traumatic Events Protocol

32 EMDR PROPARA: To address 3 clinical presentations Traumatic stress Sx that impact life quality Functional & / or social impairment Sub clinical reactions of Acute Stress Disorder or Acute PTSD

33 Short PTSD Rating Interview (SPRINT): Developed by Dr Jonathon R. T. Davidson, MD (2000) 8 item interview or self rating questionnaire

34 Art Therapy: (Depicting personally distressing experiences in drawing) Think about aspects of recent distressing experience Angry, frightened, or sad Crayons on paper drawing Use SUDS (11 point Subjective Units of Distress Scale) Use Butterfly Hug after each rating (4 times)

35 Self Soothing Exercises: Abdominal Breathing Concentration Pleasant Memory

36 Butterfly Hug: Developed by Dr Lucina Artigas for her EMDR work with children Facilitates processing of traumatic memory Bilateral stimulation

37 Academic Research Support: EMDR state of the art psychotherapy Evidenced based therapy group 20 + randomised studies of treatment for trauma AIP provides theoretical basis Achieves therapeutic effects equivalent to and as long lasting as CBT

38 Academic Research Support: EMDR PROPARA (Conducted 2012 & published 2013) RCT with First Responders reducing Sx of PTS & maintaining continuous decrease despite ongoing exposure to similar stressful events. Immediately and 3 months post

39 Academic Research Support: EMDR IGTP [Documented effectiveness] Anecdotal reports (Gelbach & Davis, 2007; Luber, 2009) Pilot field studies (Artigas et al, 2000; Jarero et al,1999, 2006) Case reports (Birnbaum, 2007; Errebo et al, 2008; Fernandez et al, 2004; Gelbach & Davis, 2007; Korkmazlar Oral & Pamuk, 2002; Wilson et al, 2000;Zaghrout Hodali et al, 2008

40 Academic Research Support: CISM Effectiveness suggested through qualitative analysis (Everly, Flannery & Mitchell, 2000; Everly & Mitchell, 1999; Miller, 1999; Dyregrov, 1997, 1998, 1999; Mitchell & Everly, 1997)

41 Academic Research Support: CISM Empirical investigations & Meta Analyses (Flannery, 1998; Flannery, Penk & Corrigan, 1999; Flannery et al., 1995; Flannery et al., 1998; Flannery et al., 2000; Mitchell, Schiller, Everly & Eyler, 1999; Everly, Flannery & Eyler, 2008; Flannery, Everly & Eyler, 2000; Western Management Consultants, 1996)

42 Outcomes Achieved: SPRINT 18 rated severe PTSD Sx 13 rated moderate PTSD Sx 1 rated mild PTSD Sx Most commented on reduction of PTSD Sx

43 Outcomes Achieved: Self Soothing Techniques Initial shyness 31 participants derived benefit Observed using techniques outside of sessions In particular, many commented on pleasant memory technique

44 Outcomes Achieved: Art Therapy / Drawings / SUDS Initial shyness All participants readily expressed their trauma experiences & SUDS progressively decreased Very useful in individual sessions

45 Outcomes Achieved: EMDR IGTP / EMDR PROPARA / CISM Captured accumulated trauma experiences Enabled good expression (talk, drawing, rating) Structured protocols allowed a safe & manageable condition Tailored for trained appropriate paraprofessional use Workable despite culture, context & language difference

46 Outcomes Achieved: EMDR IGTP / EMDR PROPARA / CISM 28 / 33 reported relief from their PTSD Sx Post reports indicate that despite returning to an often hostile & traumatic environment, individuals continue to benefit: Reduction in PTSD Sx Increased comfort gained through application of selfsoothing techniques & Butterfly Hug technique

47 Follow Up: Staff retreats incorporating stress management education Identify & train Gaza peer support staff Follow up visitation to Gaza staff by WV JWG peers Leadership development for Gaza staff WV JWG senior staff to visit Gaza staff (address operational matters & HR inequality) Skype support Strengthen performance expectations (encouragement)

48 Caution: EMDR for Paraprofessionals is a work in progress

49 Thank You

Ignacio Jarero, Ph.D., Ed.D

Ignacio Jarero, Ph.D., Ed.D Ignacio (Nacho) Jarero, who specializes in Humanitarian Trauma Recovery and Research Programs on EMDR therapy, has conducted seminars and workshops around the world with participants of 65 different countries,

More information

The EMDR Protocol for Recent Critical Incidents (EMDR-PRECI)

The EMDR Protocol for Recent Critical Incidents (EMDR-PRECI) 13 The EMDR Protocol for Recent Critical Incidents (EMDR-PRECI) Ignacio Jarero and Lucina Artigas The EMDR Protocol for Recent Critical Incidents (EMDR-PRECI) is based on Dr. Shapiro s (2001) Recent Traumatic

More information

April 21, Boston, MA.

April 21, Boston, MA. THE EMDR INTEGRATIVE GROUP TREATMENT PROTOCOL FOR EARLY INTERVENTION AND THE EMDR INTEGRATIVE GROUP TRATMENT PROTOCOL ADAPTED FOR ONGOING TRAUMATIC STRESS Ignacio (Nacho) Jarero & Lucina (Lucy) Artigas

More information

Domestic Violence Trauma 1. Running head: DOMESTIC VIOLENCE TRAUMA INTERVENTIONS

Domestic Violence Trauma 1. Running head: DOMESTIC VIOLENCE TRAUMA INTERVENTIONS Domestic Violence Trauma 1 Running head: DOMESTIC VIOLENCE TRAUMA INTERVENTIONS The Trauma of Domestic Violence: A Counsellor s Guide to Effective Interventions Master of Counselling Project Letter of

More information

DISASTERS INTERVENTION FOR THE XXI CENTURY. April 8, 2016 Conference. Seoul, South Korea. Presenter Dr. Ignacio Jarero

DISASTERS INTERVENTION FOR THE XXI CENTURY. April 8, 2016 Conference. Seoul, South Korea. Presenter Dr. Ignacio Jarero DISASTERS INTERVENTION FOR THE XXI CENTURY Korean Society for Traumatic Stress Studies April 8, 2016 Conference. Seoul, South Korea. Presenter Dr. Ignacio Jarero DISASTER Any situation that causes human

More information

The Impact of Floods on the Mental Health of Children, Adolescents and Their Families. Healthy Minds/Healthy Children Outreach Services 2013

The Impact of Floods on the Mental Health of Children, Adolescents and Their Families. Healthy Minds/Healthy Children Outreach Services 2013 The Impact of Floods on the Mental Health of Children, Adolescents and Their Families Healthy Minds/Healthy Children Outreach Services 2013 1 Disclaimer The information posted in this presentation is made

More information

9/3/2014. Which impairs the ability to integrate these experiences in an adaptive manner.

9/3/2014. Which impairs the ability to integrate these experiences in an adaptive manner. Presented by DaLene Forester Thacker, PhD Licensed Marriage and Family Therapist Licensed Professional Clinical Counselor Director and Trainer with AEI daleneforester@yahoo.com I was not able to use EMDR

More information

Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery

Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery Doncaster Improving Access to Psychological Therapies (IAPT) Nurse Target September 2018 Dennis Convery Aims of the session To introduce the role and function of Doncaster IAPT (improving access to psychological

More information

Derek Rutter Wake Forest University

Derek Rutter Wake Forest University Derek Rutter Wake Forest University According to a 2008 Department of Veterans Affairs (VA) study cited by Albright and Thyer (2009), from 2002 until January of 2008, the VA diagnosed 40% of OEF (Operation

More information

Treating Children and Adolescents with PTSD. William Yule Prague March 2014

Treating Children and Adolescents with PTSD. William Yule Prague March 2014 Treating Children and Adolescents with PTSD William Yule Prague March 2014 In the beginning. When DSM III first identified PTSD, it was thought that children would rarely show it Why did professionals

More information

EMDR : A therapy for the 21 st century. Polish Psychological Association Warsaw Division September, 2015

EMDR : A therapy for the 21 st century. Polish Psychological Association Warsaw Division September, 2015 EMDR : A therapy for the 21 st century Polish Psychological Association Warsaw Division September, 2015 Udi Oren, Ph.D. Past President, EMDR Europe Association 1 1 Memory Therapy Memory / Memory Network

More information

EMDR Therapy Protocols for Humanitarian Trauma Recovery Interventions in Latin America & the Caribbean. Ignacio Jarero. Susana Uribe.

EMDR Therapy Protocols for Humanitarian Trauma Recovery Interventions in Latin America & the Caribbean. Ignacio Jarero. Susana Uribe. EMDR Therapy Protocols for Humanitarian Trauma Recovery Interventions in Latin America & the Caribbean. Ignacio Jarero Susana Uribe Alaide Miranda Latin American and Caribbean Foundation for Psychological

More information

White Paper Eye Movement Desensitization and Reprocessing Early Intervention (EMDR EI)

White Paper Eye Movement Desensitization and Reprocessing Early Intervention (EMDR EI) 9 April 2018 White Paper Eye Movement Desensitization and Reprocessing Early Intervention (EMDR EI) Developed by members of the 2018 EMDR Early Intervention and Crisis Response Summit Conference Organizing

More information

APPLICATION FORM TO BE COMPLETED, PRINTED OUT, SIGNED WHERE APPROPRIATE, SCANNED, AND SENT AS ATTACHMENT TO:

APPLICATION FORM TO BE COMPLETED, PRINTED OUT, SIGNED WHERE APPROPRIATE, SCANNED, AND SENT AS  ATTACHMENT TO: EMDR EUROPE CONSULTANT COMPETENCY BASED FRAMEWORK RATIFIED VERSION WITH CHILD & ADOLESCENT ADDENDUM) APPLICATION FORM TO BE COMPLETED, PRINTED OUT, SIGNED WHERE APPROPRIATE, SCANNED, AND SENT AS EMAIL

More information

Information 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 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 information

Post-Traumatic Stress Disorder

Post-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 information

Traumatic Stress Service

Traumatic Stress Service South West London and St George s Mental Health NHS Trust Traumatic Stress Service Springfield University Hospital A Referrer s Guide 1 Traumatic Stress Service: who we are The Traumatic Stress Service

More information

Not sure if a talking therapy is for you?

Not sure if a talking therapy is for you? South Tyneside NHS Foundation Trust Primary Care Mental Health Service Not sure if a talking therapy is for you? Take a look at the different types of therapy we have available to find out more about them.

More information

Coping with Threats of Terrorism A Protocol for Group Intervention by Richard J. Ottenstein, Ph.D., CEAP, CTS

Coping with Threats of Terrorism A Protocol for Group Intervention by Richard J. Ottenstein, Ph.D., CEAP, CTS Journal Submission: International Journal of Emergency Mental Health Published: Volume 5, Number 1, Winter 2003 Submitted by: Richard J. Ottenstein, Ph.D., CEAP, CTS Address: The Workplace Trauma Center

More information

POSTTRAUMATIC STRESS DISORDER ACUTE AND LONG TERM RESPONSES TO TRAUMA AND DISASTER

POSTTRAUMATIC STRESS DISORDER ACUTE AND LONG TERM RESPONSES TO TRAUMA AND DISASTER POSTTRAUMATIC STRESS DISORDER ACUTE AND LONG TERM RESPONSES TO TRAUMA AND DISASTER page 1 / 5 page 2 / 5 posttraumatic stress disorder acute pdf Posttraumatic stress disorder (PTSD) is a mental disorder

More information

EMDR Therapy Humanitarian Trauma Recovery Interventions in Latin America and the Caribbean

EMDR Therapy Humanitarian Trauma Recovery Interventions in Latin America and the Caribbean EMDR Therapy Humanitarian Trauma Recovery Interventions in Latin America and the Caribbean Ignacio Jarero Lucina Artigas Susana Uribe Alaide Miranda Latin American and Caribbean Foundation for Psychological

More information

AN INTEGRATED PROBLEM-SOLVING MODEL OF CRISIS INTERVENSION IN AFRICA FOR INTIMATE PARTNER VIOLENCE

AN INTEGRATED PROBLEM-SOLVING MODEL OF CRISIS INTERVENSION IN AFRICA FOR INTIMATE PARTNER VIOLENCE AN INTEGRATED PROBLEM-SOLVING MODEL OF CRISIS INTERVENSION IN AFRICA FOR INTIMATE PARTNER VIOLENCE Abstract Andrew Ibegbulem Department of Counselling and Clinical Health Studies, Villanova University,

More information

Larissa Meysner Webinar for the EMDRAA March 2016

Larissa Meysner Webinar for the EMDRAA March 2016 Larissa Meysner Webinar for the EMDRAA March 2016 Grief Theoretical considerations Evidence-base Key tasks in grief Practical implications Phases of EMDR Questions Grief Responses, both internal and external,

More information

Principles Of Trauma Therapy A Guide To Symptoms Evaluation And Treatment Dsm 5 Update

Principles Of Trauma Therapy A Guide To Symptoms Evaluation And Treatment Dsm 5 Update Principles Of Trauma Therapy A Guide To Symptoms Evaluation And Treatment Dsm 5 Update We have made it easy for you to find a PDF Ebooks without any digging. And by having access to our ebooks online or

More information

A Family s Guide to Posttraumatic Stress Disorder

A Family s Guide to Posttraumatic Stress Disorder A Family s Guide to Posttraumatic Stress Disorder Department of Veterans Affairs and Department of Defense (DoD) employees who use this information are responsible for considering all applicable regulations

More information

Buffalo EMDR Training Institute. Basic Training

Buffalo EMDR Training Institute. Basic Training Buffalo EMDR Training Institute Basic Training EMDR Therapy Basic Training Marcy Brimo, LCSW-R Seaghan Coleman, LCSW-R September 9,10, & 30, October 1, 28 & 29, December 9 8:00 a.m. 5:00 p.m. each day

More information

Buffalo EMDR Training Institute. Basic Training

Buffalo EMDR Training Institute. Basic Training Buffalo EMDR Training Institute Basic Training EMDR Therapy Basic Training Seaghan Coleman, LCSW With guest presenter Marcy Brimo, LCSW-R February 26 & 27, March 11 &12, April 1, 2, and 29, 2016 8:00 a.m.

More information

Trauma & Therapies.

Trauma & 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 information

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:

They are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see: bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published. To view the latest

More information

Rethinking trauma as a global

Rethinking trauma as a global as a global challenge Duncan Pedersen Douglas Mental Health University Institute McGill University Autumn 2011 Outline Violence as a public health problem Traumatic injuries Global fatalities and fatal

More information

Buffalo EMDR Training Institute

Buffalo EMDR Training Institute Buffalo EMDR Training Institute EMDR Therapy Basic Training Flexible Payment Plans Marcy Brimo, LCSW-R Seaghan Coleman, LCSW-R September 13, 14, 15, October 18, 19, 20, November 16, 2018 8:00 a.m. 5:00

More information

Posttraumatic Stress Disorder

Posttraumatic Stress Disorder Posttraumatic Stress Disorder Amanda Smith, Ph.D., & Gretchen H. Wilber, Psy.D. Staff Psychologists, PTSD Program Albany Stratton VAMC Roadmap/Outline for Today s Talk PTSD incidence, symptoms, etiology

More information

About brief Affect Regulation Therapy (A.R.T.) 1

About brief Affect Regulation Therapy (A.R.T.) 1 About brief Affect Regulation Therapy Applied as a brief psychotherapy (1-12 sessions) A.R.T. has the following features: A.R.T. assists with regulation of fight, flight and freeze defensive arousal states.

More information

ACEs in forensic populations in Scotland: The importance of CPTSD and directions for future research

ACEs in forensic populations in Scotland: The importance of CPTSD and directions for future research ACEs in forensic populations in Scotland: The importance of CPTSD and directions for future research Thanos Karatzias School of Health & Social Care Professor of Mental Health Director of Research Overview

More information

Pilot Research Study on the Provision of the EMDR Integrative Group Treatment Protocol with Female Cancer Patients. Ignacio Jarero.

Pilot Research Study on the Provision of the EMDR Integrative Group Treatment Protocol with Female Cancer Patients. Ignacio Jarero. Pilot Research Study on the Provision of the EMDR Integrative Group Treatment Protocol with Female Cancer Patients Ignacio Jarero Lucina Artigas Susana Uribe Laura Evelyn García María Alicia Cavazos Martha

More information

Mental Health Treatments

Mental Health Treatments Evidence-Based Mental Health Treatments for Child Abuse Victims Quick Reference Guide for Multidisciplinary Teams & Brokers Introduction Brokers and their multidisciplinary teams are professionals who

More information

Vital Service at Soroka Medical Center: Pediatric Trauma Recovery Center

Vital Service at Soroka Medical Center: Pediatric Trauma Recovery Center Vital Service at Soroka Medical Center: Pediatric Trauma Recovery Center Many children and youth in the Negev region are exposed to severe trauma. The Trauma Recovery Center for Children and Adolescents

More information

Session Objectives. NASP Practice Model. Why Are We Here Today? 10/3/2016. Disclosure & Encouragement

Session Objectives. NASP Practice Model. Why Are We Here Today? 10/3/2016. Disclosure & Encouragement Session Objectives The PREPaRE School Prevention, Preparedness, and Response Curriculum: Essential Information and Updates Todd A. Savage, Ph.D., NCSP Immediate Past President, National Association of

More information

Buffalo EMDR Training Institute. Basic Training

Buffalo EMDR Training Institute. Basic Training Buffalo EMDR Training Institute Basic Training EMDR Therapy Basic Training Seaghan Coleman, LCSW-R Marcy Brimo, LCSW-R September 8, 9, 29, & 30, October 27 & 28, December 8, 2017 8:00 a.m. 5:00 p.m. each

More information

Trauma informed care for young people with psychosis

Trauma informed care for young people with psychosis Trauma informed care for young people with psychosis David Keane and Joanna Ward-Brown Aims for today Overview of links between trauma and psychosis NICE guidelines Gaps in services Secondment at the trauma

More information

Post-traumatic stress disorder A brief overview

Post-traumatic stress disorder A brief overview THEME: Trauma and loss Post-traumatic stress disorder A brief overview Simon Howard, Malcolm Hopwood BACKGROUND Post-traumatic stress disorder (PTSD) is an anxiety disorder which occurs following exposure

More information

P O S I T I V E R E S O U R C E I N S T A L L A T I O N N I G E L M I L L S A N N E T T E L E P O N I S

P O S I T I V E R E S O U R C E I N S T A L L A T I O N N I G E L M I L L S A N N E T T E L E P O N I S P O S I T I V E R E S O U R C E I N S T A L L A T I O N N I G E L M I L L S A N N E T T E L E P O N I S RESOURCE TAPPING (PARNELL, 2008) The importance of tapping in resources Neurobiological rationale

More information

Lynn Murphy Michalopoulos, PhD Associate Professor Director of the Global Health and Mental Health Unit

Lynn Murphy Michalopoulos, PhD Associate Professor Director of the Global Health and Mental Health Unit Lynn Murphy Michalopoulos, PhD Associate Professor Director of the Global Health and Mental Health Unit Johns Hopkins University Applied Mental Health Research Group Victims of Torture Fund at the United

More information

Stress Relief Benefits from Reprocessing Bad Memories

Stress Relief Benefits from Reprocessing Bad Memories Stress Relief Benefits from Reprocessing Bad Memories John J. Parrino, Ph.D Jane discovered her fiancé in another woman's bed. The night of this confrontation - and the tumultuous end of their engagement

More information

Priory Hospital Ticehurst House

Priory Hospital Ticehurst House www.priorygroup.com TICEHURST HOUSE Priory Hospital Ticehurst House Expert mental health treatment Priory is the UK s leading provider of therapy and consultant-led mental health treatment. Every year,

More information

Chapter 3 Research Methods and the Practice of Emergency Management

Chapter 3 Research Methods and the Practice of Emergency Management CRIM 2130 Emergency Management Fall 2016 Chapter 3 Research Methods and the Practice of Emergency Management School of Criminology and Justice Studies University of Massachusetts Lowell Discuss the relevance

More information

Do you help people recover from trauma? training programs

Do you help people recover from trauma? training programs Do you help people recover from trauma? 2018 training programs Do you or your staff help people who have experienced trauma? Many Australians have been exposed to traumas such as a disaster, workplace

More information

Welcome To Beacon House!

Welcome To Beacon House! Adult Assessment and Therapy Services Welcome To Beacon House! This information booklet will tell you everything you need to know about Beacon House. If you do have any questions, please do not hesitate

More information

Other significant mental health complaints

Other significant mental health complaints Other significant mental health complaints 2 Session outline Introduction to other significant mental health complaints Assessment of other significant mental health complaints Management of other significant

More information

Working with Individuals with Mental Health Issues

Working with Individuals with Mental Health Issues Working with Individuals with Mental Health Issues HPOG Grantee Meeting Washington D.C. August 1, 2018 Kath Schilling M.Ed., CAS, LADC I Institute for Health and Recovery www.healthrecovery.org 2 What

More information

EMS CIRT NYC A division of The Regional EMS Council of NYC. Critical Incident Response Team

EMS CIRT NYC A division of The Regional EMS Council of NYC. Critical Incident Response Team EMS CIRT NYC A division of The Regional EMS Council of NYC Critical Incident Response Team Critical Incident Stress Management (C.I.S.M.) A Basic Introduction Marie Diglio Operations Coordinator 3/26/2008

More information

Objectives Identify the current status of EMDR as an evidencedbased

Objectives Identify the current status of EMDR as an evidencedbased Linda J. Mabey, DNP, APRN, BC Assistant Teaching Professor Brigham Young University Objectives Identify the current status of EMDR as an evidencedbased treatment model for PTSD Discuss the EMDR protocol

More information

REBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS

REBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS REBOOT: A PTSD TREATMENT FACILITY FOR VETERANS OUR PROGRAM MODELS A LIFE-RESTORING PTSD RECOVERY PROGRAM Our USA Re-Boot Resort is a weeklong, intensive treatment program that uses proven and evidence-based

More information

Psychosocial Capacity Building in Response to Disasters: A culturally informed approach Joshua Miller, Ph.D., Smith College

Psychosocial Capacity Building in Response to Disasters: A culturally informed approach Joshua Miller, Ph.D., Smith College Psychosocial Capacity Building in Response to Disasters: A culturally informed approach Joshua Miller, Ph.D., Smith College Agenda Introductory exercise about resilience The Social Ecology of Disaster

More information

THE IMPACT OF MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT PROGRAMMES FOR POPULATIONS AFFECTED BY HUMANITARIAN EMERGENCIES

THE IMPACT OF MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT PROGRAMMES FOR POPULATIONS AFFECTED BY HUMANITARIAN EMERGENCIES systematic review Humanitarian Evidence Programme MARCH 2017 EXECUTIVE SUMMARY THE IMPACT OF MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT PROGRAMMES FOR POPULATIONS AFFECTED BY HUMANITARIAN EMERGENCIES About

More information

BEST in MH clinical question-answering service

BEST in MH clinical question-answering service 1 BEST.awp.nhs.uk Best Evidence Summaries of Topics in Mental Healthcare BEST in MH clinical question-answering service Question In adults who have suffered an injury/accident, which group interventions

More information

25/06/ ,200 Asylum-seeking Children arrived in UK with Family in 2015 (Refugee Council briefing 2016)

25/06/ ,200 Asylum-seeking Children arrived in UK with Family in 2015 (Refugee Council briefing 2016) Therapeutic Interventions for Refugee Children: Recommendations and Challenges Dr Kim Ehntholt Clinical Psychologist Traumatic Stress Clinic, Camden and Islington NHS Foundation Trust, London Asylum Seekers

More information

Workshop I. Dialectical Behaviour Therapy Workshop Saturday March 12 th, About Dialectical Behaviour Therapy

Workshop I. Dialectical Behaviour Therapy Workshop Saturday March 12 th, About Dialectical Behaviour Therapy Workshop I Dialectical Behaviour Therapy Workshop Saturday March 12 th, 2014 About Dialectical Behaviour Therapy Dialectical Behaviour Therapy, or DBT, is an innovative and comprehensive psycho-educational

More information

SUMMARY OF RESULTS FROM INDIGENOUS SUICIDE PREVENTION PROGRAMS DELIVERED BY INDIGENOUS PSYCHOLOGICAL SERVICES Westerman, 2007

SUMMARY OF RESULTS FROM INDIGENOUS SUICIDE PREVENTION PROGRAMS DELIVERED BY INDIGENOUS PSYCHOLOGICAL SERVICES Westerman, 2007 SUMMARY OF RESULTS FROM INDIGENOUS SUICIDE PREVENTION PROGRAMS DELIVERED BY INDIGENOUS PSYCHOLOGICAL SERVICES Westerman, 2007 Studies continue to point to the escalating number of suicides amongst Aboriginal

More information

Dr. Kathleen P. Decker, M.D. 1,2

Dr. Kathleen P. Decker, M.D. 1,2 Dr. Kathleen P. Decker, M.D. 1,2 Kathleen.Decker@va.gov Melissa Campbell, M.S., Vanessa Pierce, M.S., Christa Turpin, M.S. & Sarah P. Deaver, Ph.D. 1, 1 Eastern Virginia Medical School 2 Hampton VA Medical

More information

EMDR Boot Camp: an EMDR Skills Refresher Course

EMDR Boot Camp: an EMDR Skills Refresher Course EMDR Boot Camp: an EMDR Skills Refresher Course Session 2 Jordan Shafer, MS Licensed Professional Counselor Trainer with CompassionWorks & AEI Housekeeping Issues Handouts are on:! www.compassionworks.com/compassionworks-blog!

More information

RANDOMIZED CONTROLLED TRIALS EVALUATING EMDR THERAPY FOR TRAUMA/PTSD IN ADULTS

RANDOMIZED CONTROLLED TRIALS EVALUATING EMDR THERAPY FOR TRAUMA/PTSD IN ADULTS Randomized Controlled Trials Evaluating EMDR Therapy for Trauma/PTSD in Adults page 1 of 7 RANDOMIZED CONTROLLED TRIALS EVALUATING EMDR THERAPY FOR TRAUMA/PTSD IN ADULTS Abbasnejad, M., Mahani, K. N.,

More information

Cessation of Deliberate Self Harm following Eye Movement Desensitisation and Reprocessing: a case report

Cessation of Deliberate Self Harm following Eye Movement Desensitisation and Reprocessing: a case report Cessation of Deliberate Self Harm following Eye Movement Desensitisation and Reprocessing: a case report Derek F. McLaughlin 1, Iain W. McGowan 2*, Michael C. Paterson 3, Paul W. Miller 3 Address: 1 University

More information

Common mental health disorders

Common mental health disorders Common mental health disorders Identification and pathways to care Issued: May 2011 NICE clinical guideline 123 guidance.nice.org.uk/cg123 NICE has accredited the process used by the Centre for Clinical

More information

Eye Movement Desensitization and Reprocessing (EMDR)

Eye Movement Desensitization and Reprocessing (EMDR) Eye Movement Desensitization and Reprocessing (EMDR) EMDR with families A case study Karl Speirs (LMFT) David Eliscu (LCSW) March 1, 2012 Clifford W. Beers Guidance Clinic, Inc. Outline History of this

More information

Treatments for PTSD: A brief overview

Treatments for PTSD: A brief overview Treatments for PTSD: A brief overview Dr Jasmine Pang DPsych(Clin) Snr Clinical Psychologist Psychotraumatology Service Department of Psychological Medicine Changi General Hospital, Singapore Outline Brief

More information

Post-traumatic Stress Disorder following deployment

Post-traumatic Stress Disorder following deployment Post-traumatic Stress Disorder following deployment Fact Sheet Introduction A substantial majority of the Dutch population (approximately 80%) will at some point experience one or more potentially traumatic

More information

The Drug Use in Street Sex Workers (DUSSK) Study

The Drug Use in Street Sex Workers (DUSSK) Study The Drug Use in Street Sex Workers (DUSSK) Study Dr Nikki Jeal, NIHR Clinical Trials Fellow/ Consultant in Sexual & Reproductive Health Study supported by - University of Bristol/NIHR - NIHR CLAHRC West

More information

EMDRIA Position Paper on EMDR Therapy and Standards

EMDRIA Position Paper on EMDR Therapy and Standards EMDRIA Position Paper on EMDR Therapy and Standards Introduction Professional associations are created to foster the legitimate growth of what they represent, maintain integrity, and offer protection to

More information

Principles Of Trauma Therapy A Guide To Symptoms Evaluation And Treatment Dsm 5 Update

Principles Of Trauma Therapy A Guide To Symptoms Evaluation And Treatment Dsm 5 Update Principles Of Trauma Therapy A Guide To Symptoms Evaluation And Treatment Dsm 5 Update We have made it easy for you to find a PDF Ebooks without any digging. And by having access to our ebooks online or

More information

Grief and Bereavement

Grief and Bereavement In the United States, violence accounts for approximately 51,000 deaths annually. Violent deaths are those that result from the intentional use of physical force or power against oneself, another person,

More information

Recognizing the Signs and Defining Best Practice for Patient Care

Recognizing the Signs and Defining Best Practice for Patient Care TRAUMA-INFORMED CARE Recognizing the Signs and Defining Best Practice for Patient Care A nonprofit independent licensee of the Blue Cross Blue Shield Association TRAUMA-INFORMED CARE Learning Objectives:

More information

THERAPEUTIC INTERVENTIONS WITH CLIENTS ON THE HIGH-FUNCTIONING SIDE OF THE SPECTRUM WENDY MOYER, LMFT, EMDR CERTIFIED

THERAPEUTIC INTERVENTIONS WITH CLIENTS ON THE HIGH-FUNCTIONING SIDE OF THE SPECTRUM WENDY MOYER, LMFT, EMDR CERTIFIED THERAPEUTIC INTERVENTIONS WITH CLIENTS ON THE HIGH-FUNCTIONING SIDE OF THE SPECTRUM WENDY MOYER, LMFT, EMDR CERTIFIED Leadership Development Institute Series January 17, 2017 Who am I? Wendy Wood Moyer,

More information

Psychological preparation for natural disasters

Psychological preparation for natural disasters Disaster Preparedness Psychological preparation for natural disasters Being psychologically prepared when a disaster is threatening can help people feel more confident, more in control and better able

More information

High Suicide among Inuits of Canada- Who is caring for Whom?

High Suicide among Inuits of Canada- Who is caring for Whom? High Suicide among Inuits of Canada- Who is caring for Whom? Femi Duyilemi RPN,RN,Legal Nurse Consultant(USA) Mental Health Consultant/Community Psychiatric Nurse Government of Nunavut, Canada. Presented

More information

Caroline M. Angel, R.N., PhD Lawrence Sherman, Heather Strang, Sarah Bennet, Nova Inkpen Anne Keane & Terry Richmond, University of Pennsylvania

Caroline M. Angel, R.N., PhD Lawrence Sherman, Heather Strang, Sarah Bennet, Nova Inkpen Anne Keane & Terry Richmond, University of Pennsylvania Effects of restorative justice conferences on post-traumatic traumatic stress symptoms among robbery and burglary victims: a randomised controlled trial Caroline M. Angel, R.N., PhD Lawrence Sherman, Heather

More information

CBT+ Measures Cheat Sheet

CBT+ Measures Cheat Sheet CBT+ Measures Cheat Sheet Child and Adolescent Trauma Screen (CATS). The CATS has 2 sections: (1) Trauma Screen and (2) DSM5 sx. There are also impairment items. There is a self-report version for ages

More information

Depression: selective serotonin reuptake inhibitors

Depression: selective serotonin reuptake inhibitors Depression: selective serotonin reuptake inhibitors Selective serotonin reuptake inhibitors (SSRIs) are considered first-line treatment for the majority of patients with depression. citalopram and fluoxetine

More information

Critical Incident Response An Overview. Steven S Garnham, M.Ed. LEAP, LAP-C, MAC, CECR, CTR

Critical Incident Response An Overview. Steven S Garnham, M.Ed. LEAP, LAP-C, MAC, CECR, CTR Critical Incident Response An Overview Steven S Garnham, M.Ed. LEAP, LAP-C, MAC, CECR, CTR 1 Crisis happens more than we imagine. They are not always easy to see unless they affect our own lives. 2 3 What

More information

Siblings & Diabetes They Count Too! Making It Work for everyone!

Siblings & Diabetes They Count Too! Making It Work for everyone! Siblings & Diabetes They Count Too! Making It Work for everyone! Joe Solowiejczyk, RN MSW CDE Manager, Diabetes Counseling & Training jsolowie@its.jnj.com Background: Psychosocial Impact of Type 1 diabetes

More information

Computerised cognitive behavioural therapy for prevention and early intervention in anxiety and depression. September 2009

Computerised cognitive behavioural therapy for prevention and early intervention in anxiety and depression. September 2009 Computerised cognitive behavioural therapy for prevention and early intervention in anxiety and depression September 2009 1 Who we are Amy McKeown 1. Honorary Research Assistant at University College,

More information

Do you help people recover from trauma? training programs

Do you help people recover from trauma? training programs Do you help people recover from trauma? 2019 training programs Do you or your staff help people who have experienced trauma? Many Australians have been exposed to traumas such as a disaster, workplace

More information

Multiple traumas. How do they affect children and what do the children need

Multiple traumas. How do they affect children and what do the children need Multiple traumas How do they affect children and what do the children need While growing up, children encounter various amounts and different kinds of potentially traumatic experiences Previous research

More information

TITLE: Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder.

TITLE: Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Brief Summary TITLE: Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. SOURCE(S): Practice parameters for the assessment and treatment

More information

New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality

New 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 information

What the heck is PTSD? And what do I do if I have it?

What the heck is PTSD? And what do I do if I have it? What the heck is PTSD? And what do I do if I have it? Dr. Dion Goodland, Psychologist Goodland Psychology November 2015 Outline for today What is Posttraumatic Stress Disorder (PTSD)? How do I get it?

More information

Accepted Manuscript. What does the data say about the importance of eye movement in EMDR? Christopher William Lee, Pim Cuijpers

Accepted Manuscript. What does the data say about the importance of eye movement in EMDR? Christopher William Lee, Pim Cuijpers Accepted Manuscript What does the data say about the importance of eye movement in EMDR? Christopher William Lee, Pim Cuijpers PII: S0005-7916(13)00076-1 DOI: 10.1016/j.jbtep.2013.10.002 Reference: BTEP

More information

Stress & Burnout for Frontline Staff Critical Incident Stress Management (CISM)

Stress & Burnout for Frontline Staff Critical Incident Stress Management (CISM) Critical Incident Stress Management (CISM) By: Jason Carey, Ph.D. CISM Specialist Counselling Manager at Kids Help Phone & Good2Talk Post-Secondary Student Helpline Wednesday, September 28 th, 2017 Agenda

More information

International Critical Incident Stress Foundation. Course Description

International Critical Incident Stress Foundation. Course Description Individual Crisis Intervention and Peer Support (Assisting Individuals in Crisis) Crisis intervention is NOT psychotherapy, rather it is a specialized acute emergency mental health intervention which requires

More information

Compassion Fatigue. A gift from the Presbytery of Southern Kansas' Disaster Assistance Team

Compassion Fatigue. A gift from the Presbytery of Southern Kansas' Disaster Assistance Team Compassion Fatigue A notebook presentation for pastors, elders, deacons and others who are called by God to give of themselves to those who have experienced disasters in their lives. A gift from the Presbytery

More information

Demystifying the Neuropsychological Evaluation Report. Clinical Neuropsychologist 17 March 2017 Program Director, Neurobehavioral Program

Demystifying the Neuropsychological Evaluation Report. Clinical Neuropsychologist 17 March 2017 Program Director, Neurobehavioral Program Demystifying the Neuropsychological Evaluation Report Jennifer R. Cromer, PhD BIAC Annual Conference Clinical Neuropsychologist 17 March 2017 Program Director, Neurobehavioral Program 84% of neuropsychologists

More information

PTSD and Other Invisible Wounds affecting our Service Members and Veterans. Alan Peterson, PhD, ABPP

PTSD and Other Invisible Wounds affecting our Service Members and Veterans. Alan Peterson, PhD, ABPP PTSD and Other Invisible Wounds affecting our Service Members and Veterans Alan Peterson, PhD, ABPP 1 Alan Peterson, PhD, ABPP Retired USAF Lt Col Clinical Health Psychologist Former Chair, Department

More information

The influence of terrorist threats on Israeli children and adolescents

The influence of terrorist threats on Israeli children and adolescents The influence of terrorist threats on Israeli children and adolescents Elin Martine Doeland Abstract This article offers a review of some studies on the influence of the constant threat of terrorism on

More information

depression in England: CLAHRC findings on current performance &

depression in England: CLAHRC findings on current performance & Management of severe and chronic depression in England: CLAHRC findings on current performance & NICE service models for the future Richard Morriss Professor of Psychiatry and Community Mental Health,

More information

Clinical guideline Published: 25 May 2011 nice.org.uk/guidance/cg123

Clinical guideline Published: 25 May 2011 nice.org.uk/guidance/cg123 Common mental health problems: identification and pathways to care Clinical guideline Published: 25 May 2011 nice.org.uk/guidance/cg123 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

DOWNLOAD OR READ : UNDERSTANDING TRAUMATIC STRESS PDF EBOOK EPUB MOBI

DOWNLOAD OR READ : UNDERSTANDING TRAUMATIC STRESS PDF EBOOK EPUB MOBI DOWNLOAD OR READ : UNDERSTANDING TRAUMATIC STRESS PDF EBOOK EPUB MOBI Page 1 Page 2 understanding traumatic stress understanding traumatic stress pdf understanding traumatic stress Like what you read?

More information

What does it look like???

What does it look like??? Critical Incident Stress Management Managing the Stress Response Erica Diethorn RN RN, Psychiatric Emergency Nurse, UPMC Mercy Critical Incident Stress Management Team Member 1 What is a Critical incident?

More information

Responding to School Crises: Psychological Crisis Response

Responding to School Crises: Psychological Crisis Response Responding to School Crises: Psychological Crisis Response August 16, 2006 Presented by Stephen E. Brock, Ph.D., NCSP California State University, Sacramento 1 Preface The need for a school crisis intervention

More information

P1: SFN/XYZ P2: ABC JWST150-c01 JWST150-Farrell January 19, :15 Printer Name: Yet to Come. Introduction. J. M. Farrell and I. A.

P1: SFN/XYZ P2: ABC JWST150-c01 JWST150-Farrell January 19, :15 Printer Name: Yet to Come. Introduction. J. M. Farrell and I. A. 1 Introduction J. M. Farrell and I. A. Shaw This manual presents a step-by-step guide for Group Schema Therapy (GST) with patients who have Borderline Personality Disorder (BPD) along with a collection

More information

Webinar Agenda. Terminology. What Is It? How this fits for depression. Social Innovation Fund. Relapse Prevention Planning. Relapse Prevention

Webinar Agenda. Terminology. What Is It? How this fits for depression. Social Innovation Fund. Relapse Prevention Planning. Relapse Prevention SIF Webinar: Relapse Prevention 3/11/15 Webinar Agenda Relapse Prevention Social Innovation Fund Relapse Prevention Planning Rita Haverkamp Lori Higa What it is Why it s important Common and best practices

More information