TRAUMA INFORMED PRACTICES AND EFFECTIVE TREATMENTS IN SCHOOL AND COMMUNITY SETTINGS
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1 TRAUMA INFORMED PRACTICES AND EFFECTIVE TREATMENTS IN SCHOOL AND COMMUNITY SETTINGS Matt Buckman, Ph D Egyptian Public and Mental Health
2 What will be covered Overview of Child Trauma Effects of Trauma on the Brain Adverse Childhood Experiences (ACEs) Resiliency and Healing Overview of effective treatment
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4 What is Traumatic Stress Overwhelm a child s capacity to cope and elicit feelings of terror, powerlessness, and out-ofcontrol body response. May affect: Ability to trust others Sense of personal safety View of the world and self Ability to navigate stressful events and changes in life
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7 What is Toxic Stress The excessive or prolonged activation of the physiological system in the absence of the buffering protection afforded by stable, responsive relationships. - American Academy of Pediatrics
8 Trauma Impacts School Performance Lower GPA Higher school absences Higher drop-out rate More suspensions and expulsions Decreased reading ability Lower cognitive functioning Effects attention, memory, and cognition
9 Behavioral Manifestation Impulsive and reactive High frustration, anxiety, and anger Poor control of emotions Physical symptoms (e.g. headaches) Poor problem solving and choices Overreacting when told what to do Misperceived situations or triggers
10 Brain Development
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20 The Cerebral Cortex (AKA CEO )
21 Early Stress & Adversity May not have memory of stressful events May have never known the student without their emotional and behavioral reactions Significant stressful events in utero or as a baby change neurological structure
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24 Exposure to Stress Vulnerable (sensitivity) Unpredictable High intensity Prolonged exposure Resilient (tolerance) Predictable Moderate or low intensity Controlled exposure
25 Adverse Childhood Experiences Study (ACES) Robert F. Anda, MD, MS Epidemiologist, Centers for Disease Control, Atlanta Vincent J. Felitti, MD, Internist Kaiser Permanente, San Diego
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35 Increased Lifetime Risk Alcoholism Alcohol abuse, tobacco use, illicit drug use COPD Chronic Obstructive Pulmonary Disease Heart disease Liver disease Death Poor health related quality of life Sexually Transmitted Infections (STIs) Obesity
36 Increased Lifetime Risk Depression Risk for intimate partner violence Risk for unintended pregnancy Increase teenage sexual activity Suicide attempts Post-Traumatic Stress Disorder
37 Resiliency & Healing
38 Resiliency Those who manage to continue to be successful despite severe adversity are called resilient It is an innate ability to adapt Sometimes coping skills are unhealthy but necessary.
39 Unhealthy Coping Alcohol, tobacco, illicit drug use (selfmedication; arousal) Teenage sexual activity (arousal) Suicide attempts (communication; way out) Depression (Isolation; avoidance) Chronic stress (on guard; protection) Unhealthy eating and obesity (arousal) Intimate partner violence (power; control)
40 The Power of a Relationship Relationships & lack of relationships can hurt Relationships can heal Social Reinforcement is Expected Social Reinforcement is the glue that holds us all together
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44 Counterconditioning
45 Goldilocks Rule/ Therapeutic Window
46 The Cerebral Cortex (AKA CEO )
47 What can we do to keep the CEO working Calm self first slow deep breaths Calm tone Slow pace Physical position and size Location of door/cornering
48 Exposure to Stress Vulnerable (sensitivity) Unpredictable High intensity Prolonged exposure Resilient (tolerance) Predictable Moderate or low intensity Controlled exposure
49 NCTSN s Core Components of Treatment
50 Core Components: Cultivation High risk screening Triage to different levels and types of intervention Systematic assessment, case conceptualization, and treatment planning Engagement/addressing barriers to service-seeking Motivational interviewing Psychoeducation about trauma reminders and loss reminders Psychoeducation about posttraumatic stress reactions and grief reactions
51 Core Components: Connect Teaching emotional regulation skills Maintaining adaptive routines Parenting skills and behavior management Constructing a trauma narrative Teaching safety skills Advocacy on behalf of the client
52 Core Components: Consolidate Teaching relapse prevention skills Monitor client progress/response during treatment Evaluate treatment effectiveness
53 Review Adverse Childhood Experiences impact the entire life of the individual Six or more Trauma & toxic stress changes the structure and functioning of the brain Effective strategies and treatments are available Healing can occur Naturally or with professional intervention
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55 Thank you! Thank you, Gracias, Hahoo, Dank u wel, Dua netjer en etj, Vinaka, Kiitoksia, Merci, Aayya, Danke, Efcharisto, Toda, Takk, Go raibh maith agat, Arigato, Gratia, Webale, Grazzi, Laengz zingh, Nihedebil, Bayarlalaa, Tusen takk, Dzieki, Obrigado, Da-wah-eh, Spasibo, Multumesc, Tapadh leibh, Hvala, Sha ja non, Gracies, Inwali, Tack, Khawp khun, Diolch
TRAUMA/ACES 101. Matt Buckman, Ph D Egyptian Public and Mental Health
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1.) EXPERIENCES BUILD BRAIN ARCHITECTURE Experiences Build Brain Architecture Clip
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