Understanding Trauma from a Trauma Systems Therapy perspective. B. Heidi Ellis, Ph.D. Children s Hospital Boston
|
|
- Benedict O’Brien’
- 6 years ago
- Views:
Transcription
1 Understanding Trauma from a Trauma Systems Therapy perspective B. Heidi Ellis, Ph.D. Children s Hospital Boston
2 The Basics
3 Denise
4 What do you do?
5 Bottom line
6 The Trauma System 1. A traumatized child who is unable to regulate emotional states, 2. A social-environment/system-of-care that cannot help contain this dysregulation.
7 Social-Ecological Model Culture Neighborhood Peer Group School Family Individual
8 Denise Why does she act and feel the way she does? What is at stake if we ignore her? What can we do to help?
9 Denise Why does she act and feel the way she does?
10 Traumatic Stress Survival in the moment
11 The Trauma System The amygdala leads a hostile takeover of consciousness by emotion (Joseph LeDoux)
12 Survival Circuits are adaptive
13 Survival Circuits are adaptive unless they are triggered in nonthreatening situations
14 Phases of Dysregulation Regulating Reving Reexperiencing Reconstituting Affect Awareness Action
15 The 3 A s of Emotional Regulation Affect Awareness Action
16 The 4 R s of Regulation Phases Regulating Reving Reexperiencing Reconstituting
17 Survival Circuits Amygdala Broca s area Rauch, S., Van der Kolk, B., Fisler, R., Alpert, N. (1996). A symptom provocation study of Posttraumatic Stress Disorder using positron emission tomography and script-driven imagery. Archives of General Psychiatry, 53(5) pp
18 Situations That Can Be Traumatic Physical or sexual abuse Abandonment, neglect, or betrayal of trust The death, loss or life-threatening illness of a loved one Witnessing domestic violence Automobile or other serious accidents Bullying Life-threatening health situations or medical procedures Witnessing or experiencing community violence (e.g., drive-by shooting, fight at school, robbery) Witnessing police activity or having a relative incarcerated Life-threatening natural disasters Acts or threats of terrorism
19 Denise What is at stake if we ignore her?
20 Understanding Child Trauma One out of every four children attending school has been exposed to a traumatic event that can affect learning and/or behavior. 1 Some of the most common types of trauma are physical abuse, sexual abuse, domestic violence, and community and school violence. By the age of % to 85% of youth have witnessed community violence 66% of youth have been victims of community violence 25% to 43% of youth have been exposed to sexual abuse Trauma can have long-term effects on school performance by 1 : Adversely affecting a child s attention, memory and cognition Reducing a child s ability to focus, organize and solve problems Decreasing reading ability and GPA Increasing rate of school absences Increasing suspensions, expulsions and drop-outs 1. National Child Traumatic Stress Network Schools Committee. (October 2008). Child Trauma Toolkit for Educators. From 2. American Psychological Association (2008). Child and Trauma Update for Mental Health Professionals. From
21 Adverse Childhood Experiences (ACE) Study Death Early Death Whole Life Perspective Disease, Disability, and Social Problems Adoption of Health-risk Behaviors Social, Emotional, & Cognitive Impairment Adverse Childhood Experiences Conception Felitti, V.J., Anda, R.F., Nordenberg, D., Williamson, D.F., Spitz, A.M., Edwards, V., Koss, M.P., and Marks, J.S. (1998, May). Adverse Childhood Experiences (ACE) Study. (1998). Retrieved from
22 Consequences of Traumatic Stress Social Drug abuse Anti-social behavior Isolation/withdrawal Psychological Posttraumatic Stress Disorder Reexperiencing, Avoidance, Hyperarousal Depression Conduct disorder Emotion Regulation Academic
23 What You Might Observe in Students Who Have Experienced Trauma Anxiety or fear about safety of self and others (more clingy with teachers or parents) Worry about recurrence of violence Increased distress (unusually whiny, irritable, moody) Changes in behavior: Increase in activity level Decreased attention and/or concentration Withdrawal from others or activities Angry outbursts and/or aggression Absenteeism Distrust of others, affecting how children interact with both adults and peers
24 What You Might Observe in Students Who Have Experienced Trauma (Cont.) A change in ability to interpret and respond to social cues Increased somatic complaints (e.g., headaches, stomachaches, overreaction to minor bumps and bruises) Changes in school performance Recreating the event (e.g., repeatedly talking about, playing out, or drawing the event) Over- or under-reaction to physical contact, doors slamming, sirens, lightning or sudden movements Statements and questions about death and dying Difficulty with authority, redirection, or criticism
25 Denise What can we do to help?
26 Trauma and the Social Environment
27 Playing Rats In Panksepp JP (1998): Affective Neuroscience: The Foundation of Human and Animal Emotions, Oxford, New York
28 Where is the cat hair? Amount of Play over 10 days A lot Amount of Play Some A little Cat hair introduced Cat hair removed None Day In Panksepp JP (1998): Affective Neuroscience: The Foundation of Human and Animal Emotions, Oxford, New York
29 Social-Ecological Model Culture Neighborhood Peer Group School Family Individual
30 Where is the cat? How much do you know about the location of the cat hair and the cat in the children you treat? How important is this knowledge for understanding the child s main emotional & behavioral problems? What tools do you use for locating the cat hair and the cat; and doing something about it?
31 What Regulates the Survival Circuit? Kirsch, P., Esslinger, C., Chen, O., Mier, D., Lis, S., Siddhanti, S., et al. (2005). Oxytocin modulates neural circuitry for social cognition and fear in humans. Journal of Neuroscience, 25,
32 A girl, a jump rope, and a ball
33 Why? He bumped me because [I was in his way, he wasn t looking, by accident] He bumped me because he hates me He bumped me because he hates me and he could really hurt me next time
34 Why is that the Why? Signals of Care Subtle interpersonal signals that people send each other, all the time, wittingly or unwittingly These signals can be signals of care or carelessness; signals of safety or danger; signals of love or hate We all have a balance of positive and negative signals in our lives. We base our expectations of the world largely on this balance
35 Lucy s Signals Father frequently drunk, enraged, and violent Mother scared and vulnerable, frequently blames Lucy for triggering father s violence by her cheekiness Teachers see Lucy as trouble-maker Lucy has learned that people generally are hostile, unhelpful to her, and more likely to hurt than help. Her world is saturated with Cat hair
36 Signals of Care: Changing the balance The remedy for Signals-of-Danger are Signals-of-Care These Signals-of-Care usually communicate warmth, empathy, and positive regard Our job is to help build a critical mass of signals-of-care across the system of care. We must help create a social environment filled with Signals-of-Care
37 Moment-by-Moment Assessment Regulating Reving Reexperiencing Reconstituting Description: Child is in calm, continuous emotional state and well engaged with his or her environment Description: Child has been triggered by a provocative stimuli and is engaging coping skills to manage emotion: Description: Child s coping skills have been overwhelmed. He or she has entered into a state of extreme emotion. Description: Child s state of emotion has diminished. Child is using existing coping skills to manage emotion and to reengage with the environment. Clinical Priority: How to minimize triggers to prevent Escalation. Clinical Priority: How to help child to regulate emotion once triggered. Clinical Priority: How to minimize containment interventions from being retraumatizing Clinical Priority: How to help the child continue to manage emotion and to reengage with the environment. Affect Awareness Action
38 Survival in the moment in action Part 1 Video Clip
39 Survival in the moment in action What just happened? What happened with Esmeralda? Was she being deliberately disobedient and disrespectful? What happened with Manuel?
40 Survival in the moment in action What just happened? What state is Esmeralda in now? How might she respond to consequences right now? How might she respond to efforts to reconnect? Did you see any signals of care?
41 Survival in the moment in action How did Esmeralda s history make her vulnerable to dysregulation when Manuel spoke with her? What was the cat hair for Esmeralda?
42 What Can Be Done at School to Help a Traumatized Child? 1. Maintain usual routines to send the message that the child is safe 2. Give children choices to provide a feeling of control 3. Increase support and encouragement for the traumatized child 4. Set clear limits and logical consequences for inappropriate behavior 5. Provide a safe place for the child to talk about what happened 6. Be sensitive to environmental cues that may cause a reaction in the traumatized child (e.g.,the anniversary of a traumatic event) 7. Warn children before doing something out of the ordinary, such as turning off lights or making a sudden loud noise
43 When Should a Referral Be Made for Additional Help for a Traumatized Child? Give referrals for additional help when reactions: Are severe (such as intense hopelessness or fear), or Go on for a long time (more than one month), and Interfere with a child s functioning Severity can be difficult to determine some children may become avoidant or appear to be fine (e.g., a child who performs well academically no matter what) You don t have to be certain before making a referral let a mental health professional evaluate the likelihood that the child could benefit from some type of intervention
44 NCTSN: Resources for School Personnel From NCTSN Resources for School Personnel website:
Children 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 informationPresented by: Glenn Saxe,MD. Chair, Department of Child and Adolescent Psychiatry at the NYU School of Medicine and Director, NYU Child Study Center.
Presented by: Glenn Saxe,MD Chair, Department of Child and Adolescent Psychiatry at the NYU School of Medicine and Director, NYU Child Study Center. What is Traumatic Stress? Denise Denise is a 13 year
More informationUnderstanding Trauma and the Social Environment in Responding to Child Traumatic Stress Across the Migration Process
Understanding Trauma and the Social Environment in Responding to Child Traumatic Stress Across the Migration Process Alisa B. Miller, Ph.D. October 1 st, 2018 1 Learning Objectives 1. Review the spectrum
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 informationTrauma Informed Care. The Impact of Trauma
Trauma Informed Care The Impact of Trauma Goals of Today s Presentation What will I accomplish today? Today, I will: Gain an expanded understanding of child traumatic stress Learn to recognize it in the
More informationCreating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute
Creating A Trauma Informed System Al Killen-Harvey,LCSW The Harvey Institute Al@theharveyinstitute.com 619-977-8569 Goals and Objectives 1.Describe the attributes of the various forms of trauma 2.Delineate
More informationTrauma Sensitive Practices for School Psychologists Michelle Schnack, LCSW.
Trauma Sensitive Practices for School Psychologists Michelle Schnack, LCSW Email: michelle23lcsw@gmail.com Objectives Discuss symptoms of trauma and how trauma affects behaviors and learning Provide tips
More informationCHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD.!! Andrea DuBose, LMSW
CHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD!! Andrea DuBose, LMSW "There are words that Never Show on the body that are deeper and more harmful than anything that bleeds" Laurel K. Hamilton, Mistral's
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 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 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 informationRaising Awareness: Trauma Informed Practices. Intentions: Trauma Defined 5/9/2016. CKnight/ICAAP Define Trauma
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 Define
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 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 informationEAST END PSYCHOLOGICAL SERVICES, P.C. 565 ROUTE 25A, SUITE 201 MILLER PLACE, NY TEL. (631) FAX. (631)
EAST END PSYCHOLOGICAL SERVICES, P.C. 565 ROUTE 25A, SUITE 201 MILLER PLACE, NY 11764 TEL. (631) 821-7214 FAX. (631) 821-7263 Effects of Domestic Violence on Children and Adolescents: An Overview JOSEPH
More informationTrauma They MUST have it?? Foster Care Conference Hobart 2010 Bryan Jeffrey MOAT: Mental Health
Trauma They MUST have it?? Foster Care Conference Hobart 2010 Bryan Jeffrey MOAT: Mental Health Trauma Traumatic incidents plunge people into themselves; they become disbonded from each other They can
More informationThe ABCs of Trauma-Informed Care
The ABCs of Trauma-Informed Care 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?
More informationUCLA PTSD REACTION INDEX FOR CHLDREN AND ADOLESCENTS DSM-5 Version Page 1 of 9 TRAUMA HISTORY PROFILE
UCLA PTSD REACTION INDEX FOR CHLDREN AND ADOLESCENTS DSM-5 Version Page 1 of 9 Child/Adolescent Name: ID # Age: Sex: Girl Boy Grade in School School: Teacher: City/State Interviewer Name/I.D. Date (month,
More informationWarning Signs of Mental Illness in Children/Adolescents. Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center
Warning Signs of Mental Illness in Children/Adolescents Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center Identify At least 5 warning signs of mental illness in children
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 informationPaper Tigers. IEA/NEA Kathi Ritchie. (home) (work)
Paper Tigers IEA/NEA www.mynea360.org Kathi Ritchie Certified Trauma Practitioner Certification Advanced Certified Practitioner Certification Certified Trainer kathi5980@charter.net (home) kritchie@cusd.kahoks.org
More informationTRAUMA INFORMED MILIEU TREATMENT FOR YOUTH
TRAUMA INFORMED MILIEU TREATMENT FOR YOUTH WITH ADVERSE EXPERIENCES Association of Children s Residential Centers Annual Conference April 26, 2017 Dr. Adam Brown Psy.D Kari Smith, LCSW Laura Manley, LCSW
More informationModule 4: Trauma and the Brain
Module 4: Trauma and the Brain It is important for professionals and caregivers to understand the motives behind a child s actions. The following questions are common when dealing with children who struggle
More informationTrauma Informed Home Visiting
Trauma Informed Home Visiting Presented by C. Lynne Edwards, LCSW Home Visiting Consortium October 28, 2014 Presented by C. Lynne Edwards, LCSW 1 THE IMPACT OF TRAUMA ON CHILDREN AND PARENTS Presented
More informationTrauma Informed Care for Youth & The VCC Trauma Recovery Program for Youth
Trauma Informed Care for Youth & The VCC Trauma Recovery Program for Youth 1 A response that involves intense fear, horror and helplessness; extreme stress that overwhelms the person s capacity to cope
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 information2017 National Association of Social Workers. All Rights Reserved.
2017 National Association of Social Workers. All Rights Reserved. 1 Trauma-Informed Practice with Older Adults Sandra A. López, LCSW, ACSW Diplomate in Clinical Social Work 5311 Kirby Drive, Suite 112
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 informationHELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE
HELPING TEENS COPE WITH GRIEF AND LOSS RESPONDING TO SUICIDE HOW TEENS COPE WITH LOSS & GRIEVE Grief is personal There is no right or wrong way to grieve Influenced by developmental level, cultural traditions,
More informationReducing the Risk of Secondary Traumatic Stress: Caring for Yourself
Reducing the Risk of Secondary Traumatic Stress: Caring for Yourself Leslie Anne Ross, Psy.D. Vice President, Leadership Center Co-Chair NCTSN STS Collaborative Group Trauma Informed Care Organizational
More informationPRISM SECTION 15 - STRESSFUL EVENTS
START TIME : PRISM SECTION 15 - STRESSFUL EVENTS Statement I.1: These next questions are about difficult or stressful things that can happen to people. It may be hard to remember everything about these
More informationJust use the link above to register. Then start with the next slide.
To the Trainer: Thank you for using this presentation. Please let us know who you are, where you are presenting, and the number of people in the audience. By having this presentation registered, we can
More informationUnderstanding Students With Adverse Childhood Experiences. Jan Reiniger. University of Lethbridge
1 Understanding Students With Adverse Childhood Experiences Jan Reiniger University of Lethbridge 2 Each day we, as teachers, are given an amazing opportunity to reach and teach every student in our classroom.
More informationNational Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters
National Institute of Mental Health Helping Children and Adolescents Cope with Violence and Disasters For Parents of Children Exposed to Violence or Disaster What Parents Can Do Each year, children experience
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 informationWhat Is Child Traumatic Stress? 5/27/2016. Nebraska Resource Project for Vulnerable Young Children at the Center for Children, Families, and the Law
Jennie Cole-Mossman LIMHP Nebraska Resource Project for Vulnerable Young Children at the Center for Children, Families, and the Law Co-Directors: Jennie Cole-Mossman LIMHP Kelli Hauptman JD What Is Child
More informationWELCOME 2011 MIDDLE BASIC TRAINING. History, despite its wrenching pain, cannot be unlived. need not be lived again.
WELCOME 2011 MIDDLE TENNESSEE TF CBT BASIC TRAINING This project is funded by the State of Tennessee, Bureau of TennCare History, despite its wrenching pain, cannot be unlived. But, if faced with courage,
More informationClick to edit Master title style
Jeanne Block, RN, MS Coordinator, Community Addictions Recovery Specialist (CARS) Program Project ECHO UNM Health Sciences Center Learning Objectives To understand defining characteristics of trauma To
More informationCHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT
CHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT The Role of Trauma in Child Development The role of development in vulnerability to and responses to traumatic events is important to child welfare because
More informationResiliency and Recovery Post-Trauma
Resiliency and Recovery Post-Trauma Texas Children s Health Plan CME November 18, 2017 Megan Mooney, Ph.D. Assistant Professor, Baylor College of Medicine Training Coordinator, Trauma and Grief Center
More informationReducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Neurobiological & Psychological Effects of Trauma
Reducing Risk and Preventing Violence, Trauma, and the Use of Seclusion and Restraint Neurobiological & Psychological Effects of Trauma Module created by Glenn Saxe, MD: 2002 revised 2009, 2011, 2013,
More information2/19/2015. The Adverse Childhood Experiences (ACE) Study. Learning Objectives. The Adverse Childhood Experiences (ACE) Study.
/9/5 Learning Objectives The Adverse Childhood Experiences (ACE) Study Participants of this training will: Recognize and identify adverse childhood events Describe three results of the ACE Study Explain
More informationI Was Wired This Way
I Was Wired This Way The Effects of Negative Life Events on Brain Development Negative life experiences in childhood can be a significant source of stress. Children and youth are especially sensitive to
More informationMembers Can Do. What Community. From the National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters
Helping Children and Adolescents Cope with Violence and Disasters For Teachers, Clergy, and Other Adults in the Community What Community Members Can Do From the National Institute of Mental Health Violence
More informationOther 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 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 informationWhat s Trauma All About
What s Trauma All About Because early abuse impacts on the developing brain of these infants, it has enduring effects. There is extensive evidence that trauma in early life impairs the development of the
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 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 informationPresented by KVC 9/9/2016. Our Goals. Trauma Informed Hands-On Tools: Building Youth s Core Competencies for a Healthy Future
Trauma Informed Hands-On Tools: Building Youth s Core Competencies for a Healthy Future Presented by KVC KVC Health Systems, headquartered in the greater Kansas City area, is a private, nonprofit 501(c)3
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 informationThings to Remember. Healing happens. Underlying question = Symptoms = What happened to you? Adaptations to traumatic events. In relationships.
Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS) or the Center for
More informationStacey Cox Consulting. speaker researcher writer - coach
Stacey Cox Consulting speaker researcher writer - coach 575-640-0149 staceycoxconsulting@gmail.com Why working with adult caregivers with a high ACE Score changes the lives of children Topics today Why
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 informationHelping Children Cope After A Disaster
Helping Children Cope After A Disaster Penn State Milton S. Hershey Medical Center 2001 This booklet may be reproduced for educational purposes. Penn State Children s Hospital Pediatric Trauma Program
More informationSuicide Prevention Carroll County Public Schools
Suicide Prevention Carroll County Public Schools 2012-13 The Facts Statistics 3 rd leading cause of death for adolescents (15-24 yrs. old) 6 th leading cause of death for children (5-14 yrs. old) 11 th
More informationENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER
ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER MPC 00620 ICD-9 309.81 ICD-10 43.1 DEFINITION Posttraumatic Stress Disorder (PTSD) is a condition in the Diagnostic and Statistical Manual
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 informationOpportunities for Enhanced Practice: Childhood Response and Resiliency to Family Violence. September 21, 2017
Opportunities for Enhanced Practice: Childhood Response and Resiliency to Family Violence September 21, 2017 The Intersection of Community Violence and Family Violence CHDI Carol O Connor, LCSW TF-CBT
More informationWounded Journeys: Trauma s Impact on Youth in Juvenile Justice. Rebecca Marquez, M.Ed. BSW Texas Juvenile Justice Department
Wounded Journeys: Trauma s Impact on Youth in Juvenile Justice Rebecca Marquez, M.Ed. BSW Texas Juvenile Justice Department TRAUMA 2 Going from What is wrong with this child? to What happened to this child?
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 informationAnxiety and PTSD in Latino Children of Immigrants: The INS Raid Connection to the Development of These Disorders
Anxiety and PTSD in Latino Children of Immigrants: The INS Raid Connection to the Development of These Disorders by Maria Elisa Cuadra, LCSW-R, ACSW, CASAC, CPP, CPS INTRODUCTION: For many years, social
More informationOvercoming Avoidance in Trauma-Focused Cognitive Behavioral Therapy
Overcoming Avoidance in Trauma-Focused Cognitive Behavioral Therapy Alison Hendricks, LCSW Hendricks Consulting Learning Objectives Participants will: 1. Cite strategies for identifying and understanding
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 informationHEADS UP ON MENTAL HEALTH CONCERNS IN CHILDREN WITH DEVELOPMENTAL DISABILITIES. CORNELIO G. BANAAG, JR. M.D. Psychiatrist
HEADS UP ON MENTAL HEALTH CONCERNS IN CHILDREN WITH DEVELOPMENTAL DISABILITIES CORNELIO G. BANAAG, JR. M.D. Psychiatrist MENTAL HEALTH WHO: Health is more than the absence of illness Emotional well being
More informationRecognizing & Responding to Individuals with Previous Trauma
Recognizing & Responding to Individuals with Previous Trauma Richard N. Costa, PsyD LSU Health Sciences Center, School of Medicine Louisiana Rural Trauma Services Center Dept. of Psychiatry, New Orleans,
More informationTrauma Sensitive Schools: Building a Culture of Hope & Resilience Starts with Adults. How Trauma Impacts The Brain & Strategies to Support Students
Trauma Sensitive Schools: Building a Culture of Hope & Resilience Starts with Adults How Trauma Impacts The Brain & Strategies to Support Students Be kinder than necessary because everyone you meet is
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 informationPsychological First Aid
Psychological Symptoms and Psychological Preschool through Second Grade 2) Generalized fear 1) Helplessness and passivity 3) Cognitive confusion (e.g. do not understand that the danger is over) 4) Difficulty
More informationThe Aboriginal Mental Health & Wellbeing Workforce Forum 2017 HOW CAN WE REDUCE THE RATES OF SUICIDE IN THE ABORIGINAL COMMUMITIES?
The Aboriginal Mental Health & Wellbeing Workforce Forum 2017 HOW CAN WE REDUCE THE RATES OF SUICIDE IN THE ABORIGINAL COMMUMITIES? The rate of suicide among young Indigenous men is the highest in the
More informationSAMPLE OF LITERATURE REVIEW FOR PSYCHOLOGY CAPSTONE PROJECT
Abstract In the past one decade, there has been an increased concern about children being exposed to various traumatic events and violence. Most of them end up developing the post-traumatic stress disorder
More informationToward a better understanding of new Canadian students experiences of traumatic stress: Creating a welcoming and supportive school environment
Toward a better understanding of new Canadian students experiences of traumatic stress: Creating a welcoming and supportive school environment Dr. Lindsey Jaber, C.Psych. Psychological Services, Special
More informationSUICIDE PREVENTION. Cassandra Ward, LCPC. Erikson Institute Center for Children and Families
SUICIDE PREVENTION Cassandra Ward, LCPC Erikson Institute Center for Children and Families Overview of Today s Presentation Introduction CCF s School Mental Health Project What is Suicide What is Mental
More informationThe Impact of Changes to the DSM and ICD Criteria for PTSD
The Impact of Changes to the DSM and ICD Criteria for PTSD Jonathan I Bisson Institute of Psychological Medicine and Clinical Neursociences Cardiff University What is PTSD? Question Diagnosing PTSD DSM-IV
More information5/12/2016. Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 50,000
Adverse Childhood Experiences and the Impact of Toxic Stress/Trauma 1875 50,000 1 358 FTE Top Referral Sources COMMUNITY WELL-BEING CHILD WELL-BEING FINANCIAL STABILITY RECOVERY Reduces Need for Services
More informationComplex Trauma. Quick Facts: An Information Booklet for Parents/Guardians and Child Serving Professionals in Chittenden County, Vermont
An Information Booklet for Parents/Guardians and Child Serving Professionals in Chittenden County, Vermont Quick Facts: Complex Trauma HowardCenter CYFS 1138 Pine Street Burlington, VT 05401 Anne Paradiso
More informationACES 101 Intro to the Health Impact of Trauma on the Child. M. Reddam, LMFT, Trauma Transformed, & SFDPH
ACES 101 Intro to the Health Impact of Trauma on the Child M. Reddam, LMFT, Trauma Transformed, & SFDPH Stress and Trauma Are Public Health Issues Stress linked to 6 leading causes of death Heart disease,
More informationCompanion Guide to Faces: Unmasking Mental Illness
Companion Guide to Faces: Unmasking Mental Illness Written and performed by Jennifer Bobbe and The Voice Spring Lake Park High School, Spring Lake Park, MN Sponsored by Riverwind Crisis Services and Mental
More informationUnderstanding the Biopsychosocial Impact of Trauma
Understanding the Biopsychosocial Impact of Trauma Brian R. Sims, M.D., Senior Medical Advisor National Association of State Mental Health Program Directors Module created by Saxe, 2002 2 1 PTSD-RI Score
More informationHow Being Trauma Informed Improves Criminal Justice System Responses
How Being Trauma Informed Improves Criminal Justice System Responses Rachel Halleck, MA, LMHC, LAC Treatment Counselor Healing Families Volunteers of America, Indiana rhalleck@voain.org What is Volunteers
More informationSafeguarding Our Youth Parent Information Night
Safeguarding Our Youth Parent Information Night SEPTEMBER 14, 2016 PRESENTED BY DCC MIDDLE SCHOOL COUNSELORS JESS HALL, KRISTIN JARAMILLO, AND JENNIFER SCOTT Tonight s Agenda Welcome and introductions
More informationScreening and Assessments for Trauma Adrian James, MS, NCC, LPC-S
Screening and Assessments for Trauma Adrian James, MS, NCC, LPC-S What is a Traumatic Event? An experience that is emotionally painful, distressing, and shocking, which can result in lasting physical and/or
More informationTrauma-Informed Florida
Trauma-Informed Florida Individuals and families being provided the opportunity to live with more hope than fear. Rick Scott, Governor Trauma The experience of violence and victimization including sexual
More informationAttachment: The Antidote to Trauma
Liberty University DigitalCommons@Liberty University Faculty Publications and Presentations Center for Counseling and Family Studies 9-24-2009 Attachment: The Antidote to Trauma Joshua Straub Liberty University,
More informationEarly Identification of Triggers in Childhood Trauma. Cheri Meadowlark, BCPC Board Certified PTSD Clinician
Early Identification of Triggers in Childhood Trauma Cheri Meadowlark, BCPC Board Certified PTSD Clinician OBJECTIVES Define trauma, trauma reminders, and traumatic stress reactions. Identify minimum of
More informationWORD WALL. Write 3-5 sentences using as many words as you can from the list below.
WORD WALL Write 3-5 sentences using as many words as you can from the list below. Suicide Phobia Bipolar Obsessive compulsive disorder(ocd) Anxiety Depression Mood Post traumatic stress disorder (PTSD)
More informationMODULE IX. The Emotional Impact of Disasters on Children and their Families
MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty
More informationUnique Experience of the World
Unique Experience of the World Preparing for Anticipated World Dangerous BIOLOGY OF STRESS CHARACTERISTICS Brawn over Brains Focused: Fight, Flight or Freeze OUTCOME Individual & species survive the worst
More informationBest Practice: Anger Management. Buck Black. Indiana University
Anger Management 1 Running head: Anger Management Best Practice: Anger Management Buck Black Indiana University Anger Management 2 Best Practice: Anger Management Anger is a normal and healthy emotion
More informationTypical or Troubled? Teen Mental Health
Typical or Troubled? Teen Mental Health Adolescence is a difficult time for many teens, but how does one know the difference between typical teen issues and behavior that might signal a more serious problem?
More informationWorking with trauma in forensic therapeutic communities: Implications for clinical practice.
Working with trauma in forensic therapeutic communities: Implications for clinical practice. SHUKER, Richard and NEWBERRY, Michelle Available from Sheffield Hallam
More informationUnderstanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education
Understanding Adverse Childhood Experiences(ACEs) The Impact on Health, Wellness & Education Summer Initiated in 1995-1997 ACES: THE ORIGINAL STUDY ACEs: the Original Study Facts Collaboration between
More informationTeens who consistently learn about the risks of drugs from their parents are up to 50% less likely to use drugs than those who don t.
Substance Abuse Teens who consistently learn about the risks of drugs from their parents are up to 50% less likely to use drugs than those who don t. More teens die from prescription drugs than heroin
More informationComplex Trauma in Children and Adolescents
Complex Trauma in Children and Adolescents Sara Coffey, D.O. Assistant Professor Department of Psychiatry and Behavioral Sciences Oklahoma State University Center for Health Sciences Overview of trauma
More informationBeyond Trauma: A Healing Journey for Women
Beyond Trauma: A Healing Journey for Women Stephanie S. Covington, Ph.D., LCSW Institute for Relational Development Center for Gender & Justice La Jolla, CA September 22-24, 2006 Internationales Symposium
More informationComplex Trauma and Children
Being traumatised means continuing to organise your life as if the trauma were still going on unchanged and immutable as every new encounter or event is contaminated by the past. van der Kolk, 2014:53
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder "I was raped when I was 25 years old. For a long time, I spoke about the rape as though it was something that happened to someone else. I was very aware that it had happened
More informationTrauma-informed Care: A Call to Arms
Trauma-informed Care: A Call to Arms During every incarceration, every institutionalization, every court-ordered drug treatment program, it was always the same: I was always treated like a hopeless case.
More informationChildren, Young People & Trauma
Children, Young People & Trauma 28 th May 2010 Belinda Cooley Lily Lee Workshop Outline Expectations of Workshop Definition of Trauma Attachment and Neurobiology Impact of Trauma Framework for Intervention
More information