2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

Size: px
Start display at page:

Download "2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member"

Transcription

1 Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance use disorders and mental health disorders that meet criteria in the DSM. Prevalence Women (N = 9,367), Men (N = 7,970) Total (N = 17,337) Household Substance Abuse: Women 29.5% Men 23.8% Total =26.9% Household Mental Illness Women 23.9% Men 14.8% Total = 19.4% Adverse Childhood Experience (ACE) 1) Recurrent physical abuse 2) Recurrent emotional abuse 3) Contact sexual abuse 4) An alcohol and/or drug abuser in the household 5) An incarcerated household member 6) Someone who is chronically depressed, mentally ill, institutionalized, or suicidal 7) Mother is treated violently 8) One or no parents 9) Emotional or physical neglect Adverse Childhood Experiences Have a Strong Influence on: Adolescent health Teen pregnancy Smoking Substance abuse Sexual behavior Risk of revictimization Stability of relationships Performance in the workforce Mental health Prevalence Adults with any type of mental illness in the past year 45.1 million Adults with any mental illness and co-occurring substance use dependence 4 percent of all adults Adults with any mental illness who used cigarettes in past month 37 percent compared to 22 percent of adults with no mental illness who smoked cigarettes Adults with serious mental illness who smoked cigarettes 47 percent or compared to 22 percent of adults with no mental illness who smoked cigarettes Adults with any mental illness who reported binge alcohol use(5 or more drinks)- 30 percent compared to 24 percent of adults with no mental illness who reported binge drinking Adults with any mental illness who report heavy alcohol use 10 percent compared to 7 percent for adults without mental illness Adults with serious mental illness 11 million Adults with serious mental illness and substance use dependence 2.8 million (25.7 percent of all adults with serious mental illness) Adults with any mental illness and substance use dependence 9.8 million (19.7 percent of all adults with any mental illness) Among the 2.8 million adults with co-occurring SMI and substance use disorder, 62 percent received substance use or mental health treatment and 38 percent did not receive any treatment. Adults with substance use disorder 20.8 million Among adults with substance use disorder, 42.8 percent(8.9 million) had co-occurring mental illness Access to treatment Among the 8.9 million adults with any mental illness and a substance use disorder, 44 percent received substance use treatment or mental health treatment in the past year, 13.5 percent received both mental health treatment and substance use treatment, and 37.6 percent did not receive any treatment 1

2 Still Face Experiment: Dr. Edward Tronick The majority of people with substance use disorders have mental health symptoms. It is difficult to determine if the mental health symptoms are a result of the substance use or are pre-existing. Active substance use disorders and mental health issues of adult caregivers have a negative impact on children & frequently results in developmental trauma disorders Children exposed to alcoholic parents or domestic violence rarely have secure childhoods; their symptomatology tends to be pervasive and multifaceted, and is likely to include depression, various medical illnesses, as well as a variety of impulsive and self-destructive behaviors. Table 1 - Developmental Trauma Disorder A. Exposure 1. Multiple or chronic exposure to one or more forms of developmentally adverse interpersonal trauma (abandonment, betrayal, physical assaults, sexual assaults, threats to bodily integrity, coercive practices, emotional abuse, witnessing violence and death). 2. Subjective Experience (rage, betrayal, fear, resignation, defeat, shame). B. Triggered pattern of repeated dysregulation in response to trauma cues Dysregulation (high or low) in presence of cues. Changes persist and do not return to baseline; not reduced in intensity by conscious awareness. Affective Somatic (physiological, motoric, medical)behavioral (e.g. re-enactment, cutting) Cognitive (thinking that it is happening again, confusion, dissociation, depersonalization). Relational (clinging, oppositional, distrustful, compliant). Self-attribution (self-hate and blame). Table 1 (cont'd) Developmental Trauma Disorder C. Persistently Altered Attributions and Expectancies Negative self-attribution Distrust protective caretaker Loss of expectancy of protection by others Loss of trust in social agencies to protect Lack of recourse to social justice/retribution Inevitability of future victimization The Science of Early Childhood A growing body of scientific evidence shows that early influences whether positive or negative are critical to the development of children s brains and their lifelong health D. Functional Impairment Educational Familial Peer Legal Vocational 2

3 Chemicals Experimentation Sex Gambling Social Use Food-Sugar Person Internet Abuse TV-Video-Techno $-Power Tobacco Addiction Early Relief usage Increase in Tolerance Preoccupation Loss of Control Continued Use Despite Serious Negative Consequences Process of Addiction Middle Family Problems Social Problems Emotional Problems Financial Problems Legal Problems Occupational or Academic Problems Late Physical Deterioration Serious Physical Withdrawal Syndrome Obsession Loss of Social Supports Collapse of the Alibi System Using to function or "feel normal" Hopelessness and Despair Death In our culture, we are not trained to identify the addiction process until the late stage Biology/Genes BEHAVIORS Addiction Psycho-Social DRUGS ADDICTIVE DISEASE PROGRESSION Early Stage growing tolerance and dependency Middle Stage progressive loss of control Chronic stage deterioration of bio psychosocial health Most Common Mental Health Issues Depression Change in appetite/weight Hygiene Sad affect Sleep disturbances Daily activities basic housekeeping, child care Bipolar Can be hard to identify in a single visit Significantly depressed or very hyperactive and hyper talkative Sleep disturbances Shifting mood from visit to visit Post Traumatic Stress Disorder Sleep disturbances (frequent nightmares, trouble getting to sleep, sleeping too much, waking frequently) Acute startle responses Anger issues Hypervigilance Hypersuspicion/paranoia Substance abuse is frequent 3

4 Why Disorders Co Occur There is no quick fix for any disorder. Each are difficult to treat individually. It is normal for cooccurrence to increase the the degree of difficulty in the treatment of each. If someone has a mental health issue, their risk in developing a substance use disorder is significantly increased People use substances because it feels good People don t enjoy having a mental health issue The substance creates comfort numbing, high, dissociation When Should I Intervene? Symptomologies between mental health issues and substance use disorders are very similar More information is critical to identify It is important to know what is causing the symptoms Always UA caregivers if you have the authority Look for post partum depression Are the basic needs being met? Is there access to food and water? Is the parent attuned to child s needs? Is the parent attached to the child? Are they having appropriate interactions? Observe interactions; correcting behavior Children in these environments are typically treated for ADD/ADHD Inability to focus is in actuality the result of anxiety and lack of security and attachment Children focused on safety & survival Treatment Important to know community resources for referral Obtain appropriate diagnostic intervention High degree of difficulty limited community resources (12 step is a huge resource, NAMI) Treatment starts with the basics diet, exercise, sleep, managing stress (same for kids) Know your role you can t make people do something (e.g. go to treatment) but you can have consequences (e.g. don t get to take child) and monitor if they are following through 4

5 Contact information Gale Gardner Sparkman Clay Walters 5

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking

More information

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining

More information

Adversity, Toxic Stress & Resiliency. Baystate Medical Center:Family Advocacy Center Jessica Wozniak, Psy.D., Clinical Grants Coordinator

Adversity, Toxic Stress & Resiliency. Baystate Medical Center:Family Advocacy Center Jessica Wozniak, Psy.D., Clinical Grants Coordinator Adversity, Toxic Stress & Resiliency Baystate Medical Center:Family Advocacy Center Jessica Wozniak, Psy.D., Clinical Grants Coordinator Adverse Childhood Experiences ACE Study (www.acestudy.org) 18,000

More information

Traumatic Stress. and Substance Use Problems

Traumatic Stress. and Substance Use Problems Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

Impact of Trauma. Anne G. Studzinski Illinois Childhood Trama Coalition

Impact of Trauma. Anne G. Studzinski Illinois Childhood Trama Coalition Impact of Trauma Anne G. Studzinski Illinois Childhood Trama Coalition Learning Objectives 1. Be able to give one example of a one-time traumatic event and a chronic or repeated event. 2. Be able to describe

More information

Trauma, PTSD, Complex Trauma, and the ARC Framework

Trauma, PTSD, Complex Trauma, and the ARC Framework Trauma, PTSD, Complex Trauma, and the ARC Framework Learning Objectives What do we mean when we use the term trauma? What do different types of traumatic events have in common? Why do people respond differently

More information

Traumatic Stress and Substance Abuse Problems

Traumatic Stress and Substance Abuse Problems Traumatic Stress and Substance Abuse Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm

POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm E-Resource March, 2014 POST-TRAUMATIC STRESS DISORDER PTSD Diagnostic Criteria PTSD Detection and Diagnosis PC-PTSD Screen PCL-C Screen PTSD Treatment Treatment Algorithm Post-traumatic Stress Disorder

More information

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton

Psychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton Psychiatric Issues and Defense Base Act Claims Dr. Michael Hilton Criteria for DSM-IVRPosttraumatic Stress Disorder with changes now in effect with DSM5 a. The person has been exposed to a traumatic event

More information

What is a personality disorder?

What is a personality disorder? What is a personality disorder? What is a personality disorder? Everyone has personality traits that characterise them. These are the usual ways that a person thinks and behaves, which make each of us

More information

The Link Between Trauma and Substance Misuse: Thinking about the Unthinkable

The Link Between Trauma and Substance Misuse: Thinking about the Unthinkable The Link Between Trauma and Substance Misuse: Thinking about the Unthinkable Dr Lisa Reynolds Greater Glasgow and Clyde NHS Trauma Service: The Trauma and Homelessness Team Aims of Discussion Definition

More information

Dr. Elizabeth Gruber Dr. Dawn Moeller. California University of PA. ACCA Conference 2012

Dr. Elizabeth Gruber Dr. Dawn Moeller. California University of PA. ACCA Conference 2012 Dr. Elizabeth Gruber Dr. Dawn Moeller California University of PA ACCA Conference 2012 http://www.youtube.com/watch?v=9rpisdwsotu Dissociative Identity Disorder- case presentation Diagnostic criteria Recognize

More information

Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1

Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1 Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1 Pervasive pattern of instability of interpersonal relationships, selfimage, and affects, and marked impulsivity that begins by early adulthood

More information

11/26/2013. PTSD in the DSM-5. Summary of Changes in DSM 5

11/26/2013. PTSD in the DSM-5. Summary of Changes in DSM 5 PTSD in the DSM-5 Christine A. Courtois, PhD, ABPP Independent Practice Washington, DC National Clinical Trauma Consultant Elements Behavioral Health, Promises, Malibu/LA CACourtoisPhD@aol.com www.drchriscourtois.com

More information

Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls

Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls Supporting Children s Mental Health Needs in the Aftermath of a Disaster: Pediatric Pearls Satellite Conference and Live Webcast Thursday, August 25, 2011 5:30 7:00 p.m. Central Time Faculty David J. Schonfeld,

More information

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS Exposure to a traumatic event is normally accompanied by distress. For most individuals such distress resolves spontaneously

More information

Workforce Development Online Workshop Descriptions

Workforce Development Online Workshop Descriptions Workforce Development Online Workshop Descriptions Behavioral Health Service Delivery Workshops: The Effects of Violence Exposure on Children (1.5 hours) Regretfully, violence against children and youth

More information

PTSD: Updated. Karen Kattar, Psy.D. Psychologist and PTSD Clinic Director Phoenix VA Healthcare System

PTSD: Updated. Karen Kattar, Psy.D. Psychologist and PTSD Clinic Director Phoenix VA Healthcare System PTSD: Updated Karen Kattar, Psy.D. Psychologist and PTSD Clinic Director Phoenix VA Healthcare System Overview New Diagnostic Criteria Resources/Apps Timely Topic: Anger, aggressiveness and PTSD Citation:

More information

TRAUMA INFORMED CARE A UNIVERSAL PRECAUTION. Ohio County Board Association

TRAUMA INFORMED CARE A UNIVERSAL PRECAUTION. Ohio County Board Association 1 TRAUMA INFORMED CARE A UNIVERSAL PRECAUTION Ohio County Board Association 12-3-14 Presented by 2 Tricia Burke, LISW-S President & CEO, Envision Mary Vicario, LPCC-S Founder, Finding Hope Consulting Rhonda

More information

Domestic Violence, Mental Health and Substance Abuse

Domestic Violence, Mental Health and Substance Abuse Domestic Violence, Mental Health and Substance Abuse Sue Parry, PhD NYS Office for the Prevention of Domestic Violence Why does domestic violence (DV) have so many mental health effects? Put yourself in

More information

Essential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C.

Essential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Essential Trauma Informed Practices in Schools Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Objectives: Participants attending this session will be able to: Define trauma Explain how trauma may impact child/teen

More information

Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com

Overview of the Adverse Childhood Experiences (ACE) Study. Robert F. Anda, MD, MS Co-Principal Investigator. www.robertandamd.com Overview of the Adverse Childhood Experiences (ACE) Study Robert F. Anda, MD, MS Co-Principal Investigator www.robertandamd.com Death Early Death Disease, Disability and Social Problems Adoption of Health-risk

More information

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use

More information

Assessing families and treating trauma in substance abusing families

Assessing families and treating trauma in substance abusing families Children, Trauma and the impact of Substance abuse Day One Outpatient (874-1045) Amy Stevenson LCPC CCS (amys@day-one.org) Don Burke LCPC CCS (donb@day-one.org) Assessing families and treating trauma in

More information

CRITERIA CHECKLIST. Serious Mental Illness (SMI)

CRITERIA CHECKLIST. Serious Mental Illness (SMI) Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:

More information

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a

More information

For Mental Health and Human Services Workers in Major Disasters

For Mental Health and Human Services Workers in Major Disasters Page 1 of 5 Home Programs Mental Health Topics Newsroom Publications Resources This Site Search For Mental Health and Human Services Workers in Major Disasters POTENTIAL RISK GROUPS Online Publications

More information

Client Information. Client Name: Application Date: Last First MI DOB: Age: Sex : Male Female SSN:

Client Information. Client Name: Application Date: Last First MI DOB: Age: Sex : Male Female SSN: Universal Referral Form for Intensive Mental Health Services for Children Single Point of Access/Accountability Clinton County NY Application for: Child and Family Planned Respite Program Intensive Case

More information

Child Welfare Trauma Referral Tool

Child Welfare Trauma Referral Tool Module 4, Activity 4F; Module 4, Activity 4G Child Welfare Trauma Referral Tool This measure is designed to help child welfare workers make more trauma-informed decisions about the need for referral to

More information

Childhood Trauma: A Trauma Informed Systems Approach

Childhood Trauma: A Trauma Informed Systems Approach Childhood Trauma: A Trauma Informed Systems Approach Charles Wilson, MSSW Executive Director The Sam and Rose Stein Endowed Chair in Child Protection Chadwick Center for Children and Families, Rady Children

More information

Trauma and Stress Related Disorders & Dissociative Disorders

Trauma and Stress Related Disorders & Dissociative Disorders Trauma and Stress Related Disorders & Dissociative Disorders Sarah Reed, MD & Jason Roof, MD University of California Davis Department of Psychiatry and Behavioral Science Disclosures Disclaimers & Accolades

More information

KAP Keys. For Clinicians. Based on TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues

KAP Keys. For Clinicians. Based on TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues CSAT s Knowledge Application Program KAP Keys For Clinicians Based on TIP 36 Substance Abuse Treatment for Persons With Child Abuse

More information

Substance Abuse and Sexual Violence:

Substance Abuse and Sexual Violence: Substance Abuse and Sexual Violence: The Need for Integration When Treating Survivors Kelli Hood, M.A. Objective To understand the necessity for therapeutic strategies in clients with cooccurring Substance

More information

Co-Occurring Disorders

Co-Occurring Disorders Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the

More information

Part IV Overview: Domestic Violence and Child Trauma

Part IV Overview: Domestic Violence and Child Trauma GOVERNOR S CONFERENCE FOR THE PREVENTION OF CHILD ABUSE & NEGLECT LEGAL INSTITUTE The Impact of Child Trauma on System-Involved Children and Youth in Kansas Part IV Domestic Violence and Child Trauma Part

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN. Where Does It Hurt?

THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN. Where Does It Hurt? THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN Where Does It Hurt? Child Abuse Hurts Us All Every child has the right to be nurtured and to be safe. According to: Family Violence in Canada: A Statistical Profile

More information

GUIDANCE FOR CAREGIVERS: CHILDREN OR TEENS WHO HAD A LOVED ONE DIE IN THE EARTHQUAKE

GUIDANCE FOR CAREGIVERS: CHILDREN OR TEENS WHO HAD A LOVED ONE DIE IN THE EARTHQUAKE GUIDANCE FOR CAREGIVERS: CHILDREN OR TEENS WHO HAD A LOVED ONE DIE IN THE EARTHQUAKE Introduction to trauma The earthquake was a terrifying disaster for adults, children, families, and communities. The

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 [KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A

More information

An Unwanted Legacy: Long-term effects of chronic childhood trauma. Matthew Kerr, Ph.D. C.Psych. June 13, 2013

An Unwanted Legacy: Long-term effects of chronic childhood trauma. Matthew Kerr, Ph.D. C.Psych. June 13, 2013 An Unwanted Legacy: Long-term effects of chronic childhood trauma Matthew Kerr, Ph.D. C.Psych. June 13, 2013 Where we are headed What is trauma? How common is childhood trauma? Why is chronic childhood

More information

Alcohol and Health. Alcohol and Mental Illness

Alcohol and Health. Alcohol and Mental Illness Alcohol and Mental Illness Adapted from Éduc alcool s series, 2014. Used under license. This material may not be copied, published, distributed or reproduced in any way in whole or in part without the

More information

Minnesota Co-occurring Mental Health & Substance Disorders Competencies:

Minnesota Co-occurring Mental Health & Substance Disorders Competencies: Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held

More information

Depression Assessment & Treatment

Depression Assessment & Treatment Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting

More information

Information about Bullying and Suicide

Information about Bullying and Suicide Information about Bullying and Suicide Definition of Bullying Although definitions vary, most agree that bullying involves: Attack or intimidation with the intention to cause fear, distress, or harm that

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

Underage Drinking. Underage Drinking Statistics

Underage Drinking. Underage Drinking Statistics Underage Drinking Underage drinking is a serious public health problem in the United States. Alcohol is the most widely used substance of abuse among America s youth, and drinking by young people poses

More information

National Association for Children of Alcoholics. Social Work Initiative

National Association for Children of Alcoholics. Social Work Initiative National Association for Children of Alcoholics Social Work Initiative Introduction To Working With Children Of Parents With Substance Use Disorders Shelly A. Wiechelt, Ph.D. University of Maryland, Baltimore

More information

PATIENT AND FAMILY INFORMATION FORM FOR AGES 0-5

PATIENT AND FAMILY INFORMATION FORM FOR AGES 0-5 SEATTLE CHILDREN S HOSPITAL DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL MEDICINE Please return to: SCH Psychiatry Clinic, PO Box 5371, W3636 Seattle, WA 98105-0371 PATIENT AND FAMILY INFORMATION FORM FOR AGES

More information

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT?

Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Taking Care: Child and Youth Mental Health ANXIETY WHAT IS IT? Open Learning Agency 2004 WHAT IS IT? Anxiety is a normal human feeling characterized by worry, nervousness and fear. Not only does anxiety

More information

Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011

Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011 Adolescent Substance Use: America s #1 Public Health Problem June 29, 2011 A Report by The National Center on Addiction and Substance Abuse at Columbia University 9 in 10 People Who Are Addicted* Begin

More information

Chapter 7. Screening and Assessment

Chapter 7. Screening and Assessment Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions

More information

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House

The Effects of Domestic Violence on Children: Picking Up The Pieces. Kristy Nelson & Andrea Link Legacy House The Effects of Domestic Violence on Children: Picking Up The Pieces Kristy Nelson & Andrea Link Legacy House Overview of the Adverse Childhood Experiences (ACE) Study PowerPoint & Research Adapted from

More information

I. Each evaluator will have experience in diagnosing and treating the disease of chemical dependence.

I. Each evaluator will have experience in diagnosing and treating the disease of chemical dependence. PREVENTION/INTERVENTION CENTER COBB COUNTY PUBLIC SCHOOL SAFE AND DRUG FREE PROGRAM www.cobbk12.org/~preventionintervention CONTRACT FOR SERVICE PROVIDERS As a member of the Cobb County Schools Coalition

More information

Child Abuse Services. Through the Eyes of a Child AGENDA. Domestic Violence and Children. Effects on Children. Lori Watson-Roe MSW RSW

Child Abuse Services. Through the Eyes of a Child AGENDA. Domestic Violence and Children. Effects on Children. Lori Watson-Roe MSW RSW Through the Eyes of a Child Child Development Centre Did I do something wrong, to make you lose control? Anger so strong, or do you even know? That when you come home, I want to run and hide The pain is

More information

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements

Provider Training. Behavioral Health Screening, Referral, and Coding Requirements Provider Training Behavioral Health Screening, Referral, and Coding Requirements Training Outline I. Behavioral Health Screening Requirements and Referrals II. Healthy Behaviors Substance and Alcohol Abuse

More information

Attachment Theory: Understanding and Applying Attachment Style in Addiction Counseling. Denise Kagan, PhD Pavillon Psychologist

Attachment Theory: Understanding and Applying Attachment Style in Addiction Counseling. Denise Kagan, PhD Pavillon Psychologist Attachment Theory: Understanding and Applying Attachment Style in Addiction Counseling Denise Kagan, PhD Pavillon Psychologist Attachment Theory Mentalization and Attachment Studies Neurobiology of Attachment

More information

Insecure Attachment and Reactive Attachment Disorder

Insecure Attachment and Reactive Attachment Disorder Attachment Disorders Insecure Attachment and Reactive Attachment Disorder When infants and young children have a loving caregiver consistently responding to their needs, they build a secure attachment.

More information

Handout 1 DSM 5 Diagnoses that May be Associated with One or More of the Five ED Characteristics*

Handout 1 DSM 5 Diagnoses that May be Associated with One or More of the Five ED Characteristics* Handout 1 DSM 5 Diagnoses that May be Associated with One or More of the Five ED Characteristics* 1. An inability to learn that cannot be explained by intellectual, sensory, or health factors. a) Selective

More information

Needs of Children in Foster Care

Needs of Children in Foster Care Needs of Children in Foster Care Meeting the Complex Needs of Children in Foster Care Karen Rogers PhD, Suzanne Roberts MD, Jennifer Rafeedie PsyD, Cristina Dawes LMFT Karen Rogers PhD, Suzanne Roberts

More information

Jim Boehnlein, M.D. Associate Director for Education, VA Northwest Network Mental Illness Research, Education, and Clinical Center (MIRECC)

Jim Boehnlein, M.D. Associate Director for Education, VA Northwest Network Mental Illness Research, Education, and Clinical Center (MIRECC) Jim Boehnlein, M.D. Associate Director for Education, VA Northwest Network Mental Illness Research, Education, and Clinical Center (MIRECC) Professor of Psychiatry, Oregon Health and Science University

More information

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv

More information

Obsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care

Obsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care Obsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care CLINICAL ASSESSMENT AND DIAGNOSIS (ADULTS) Obsessive-Compulsive Disorder (OCD) is categorized by recurrent obsessions,

More information

POST-TRAUMATIC STRESS DISORDER (PTSD)

POST-TRAUMATIC STRESS DISORDER (PTSD) POST-TRAUMATIC STRESS DISORDER (PTSD) Post-Traumatic Stress Disorder (PTSD) arises as an immediate, delayed and/or protracted response to a traumatic or stressful event of an exceptionally threatening

More information

PCIT and Child Trauma

PCIT and Child Trauma Anthony Urquiza, Ph.D. PCIT Training Center University of California, Davis CAARE Center Sacramento, CA 916-734-7833 www.pcittraining.tv Copyright 2007. UC Regents. All Rights Reserved What is Child Trauma?

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

Supporting children in the aftermath of a crisis

Supporting children in the aftermath of a crisis Supporting children in the aftermath of a crisis David J. Schonfeld, MD Thelma and Jack Rubinstein Professor of Pediatrics Director, National Center for School Crisis and Bereavement Division of Developmental

More information

Post traumatic Stress Associated with Cancer

Post traumatic Stress Associated with Cancer Post traumatic Stress Associated with Cancer BCCA Survivorship Forum June 8, 2016 Alan Bates, MD, PhD, FRCPC Provincial Practice Leader for Psychiatry BC Cancer Agency None Disclosures Acknowledgments

More information

Social and Emotional Wellbeing

Social and Emotional Wellbeing Social and Emotional Wellbeing A Guide for Children s Services Educators Social and emotional wellbeing may also be called mental health, which is different from mental illness. Mental health is our capacity

More information

Age-Appropriate Reactions & Specific Interventions for Children & Adolescents Experiencing A Traumatic Incident

Age-Appropriate Reactions & Specific Interventions for Children & Adolescents Experiencing A Traumatic Incident The Florida Crisis Consortium is supported by the Florida Dep:ntment ofhealth. Age-Appropriate Reactions & Specific Interventions for Children & Adolescents Experiencing A Traumatic Incident The following

More information

Preventing & Treating Substance Abuse Based Trauma in Families. National Council on Alcoholism and Drug Dependence, Sacramento

Preventing & Treating Substance Abuse Based Trauma in Families. National Council on Alcoholism and Drug Dependence, Sacramento Preventing & Treating Substance Abuse Based Trauma in Families WHY FACING THE TIGER EMPOWERS INDIVIDUALS, FAMILIES AND THE COMMUNITIES THEY LIVE IN The Nature of Trauma Traumatic experience defined Points

More information

UNDERSTANDING DUAL DIAGNOSIS AND ITS ROLE IN EFFECTIVE ADDICTION TREATMENT

UNDERSTANDING DUAL DIAGNOSIS AND ITS ROLE IN EFFECTIVE ADDICTION TREATMENT UNDERSTANDING DUAL DIAGNOSIS AND ITS ROLE IN EFFECTIVE ADDICTION TREATMENT TABLE OF CONTENTS Co-Occurring Disorders 3 What are Co-Occurring Disorders? 4 How do Co-Occurring Disorders Happen? 7 How Common

More information

Alcohol Addiction. Introduction. Overview and Facts. Symptoms

Alcohol Addiction. Introduction. Overview and Facts. Symptoms Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed

More information

Effects on children of violence in the family

Effects on children of violence in the family Effects on children of violence in the family Per Isdal Alternative to Violence Stavanger per@atv-stiftelsen.no Per Isdal - Alternative to violence 1 Per Isdal - Alternative to violence 2 Per Isdal - Alternative

More information

DOMESTIC VIOLENCE AND CHILDREN. A Children s Health Fund Report. January, 2001

DOMESTIC VIOLENCE AND CHILDREN. A Children s Health Fund Report. January, 2001 DOMESTIC VIOLENCE AND CHILDREN A Children s Health Fund Report January, 2001 Peter A. Sherman, MD Division of Community Pediatrics The Children s Hospital at Montefiore -1- Introduction Domestic violence

More information

2/9/2015. F lourish. Trauma-Informed Care. Overview. Dr Annabel Mead MBBS FAChAM dipabam

2/9/2015. F lourish. Trauma-Informed Care. Overview. Dr Annabel Mead MBBS FAChAM dipabam Trauma-Informed Care Dr Annabel Mead MBBS FAChAM dipabam Overview Defining trauma and its effects Providing Trauma Informed Care Trauma in the Workplace Developing Trauma Informed Services F lourish...

More information

The centre will comply with any reporting requirements laid out in provincial and federal legislation.

The centre will comply with any reporting requirements laid out in provincial and federal legislation. Resource Library Banque de ressources SAMPLE POLICY: CHILD ABUSE Sample Community Health Centre Keywords: child abuse, high risk Policy The centre recognizes that abuse may take many forms such as economical,

More information

DSM-5 to ICD-9 Crosswalk for Psychiatric Disorders

DSM-5 to ICD-9 Crosswalk for Psychiatric Disorders DSM-5 to ICD-9 Crosswalk for Psychiatric s The crosswalk found on the pages below contains codes or descriptions that have changed in the DSM-5 from the DSM-IV TR. DSM-5 to ICD-9 crosswalk is available

More information

4/25/2015. Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC)

4/25/2015. Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC) Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC) Ryan Edlind MS, MSW, LISW-S April 29, 2015 Traumatized People, Service Delivery Systems, and Learning from 9/11 (NYC) Ryan Edlind

More information

Anti-Social Personality Disorder

Anti-Social Personality Disorder Anti-Social Personality Disorder Definition Anti-Social Personality Disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are

More information

TELEMEDICINE SERVICES Brant Haldimand Norfolk INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. REASON FOR REFERRAL:

TELEMEDICINE SERVICES Brant Haldimand Norfolk INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. REASON FOR REFERRAL: TELEMEDICINE SERVICES Brant Haldimand Norfolk TMS INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. (OPTINAL) ADDRESS: CITY: P.C. HOME PHONE: ALTERNATE PHONE: G.P: MARITAL STATUS: AGE: ASSSESSMENT DATE:

More information

Appendix 5. Victim Impact

Appendix 5. Victim Impact Appendix 5 Victim Impact ACQUAINTANCE RAPE: THE VICTIM Gail Abarbanel Director Rape Treatment Center Santa Monica-UCLA Medical Center Issues in Acquaintance Rapes Not common perception of rape Not real

More information

Eating Disorder Policy

Eating Disorder Policy Eating Disorder Policy Safeguarding and Child Protection Information Date of publication: April 2015 Date of review: April 2016 Principal: Gillian May Senior Designated Safeguarding Person: (SDSP) Anne

More information

BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS

BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS BRIEF NOTES ON THE MENTAL HEALTH OF CHILDREN AND ADOLESCENTS The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems

More information

Post Traumatic Stress Disorder. Christy Hutton, PhD April 3, 2007

Post Traumatic Stress Disorder. Christy Hutton, PhD April 3, 2007 Post Traumatic Stress Disorder Christy Hutton, PhD April 3, 2007 Trauma statistics 25-80% of women and 20+% of men have a history of sexual victimization. Girls in high income families are at greatest

More information

4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships

4/13/2011. 5 Actions to Overcome Addiction. John Fitzgerald, PhD, LPC, CAS. relationships 5 Actions to Overcome Addiction John Fitzgerald, PhD, LPC, CAS relationships 1 What is addiction? 2 Socially-constructed 3 Risk Factors 80% 15 years-old Addiction Protective Factors Risk Factors Domain

More information

Substance Use Disorder Screening and Testing 35-45-3

Substance Use Disorder Screening and Testing 35-45-3 Policy The Department of Children and Families shall screen all adult and adolescent clients for indicators of substance use disorders and refer those in need of further assessment or treatment to an appropriate

More information

Depression and Bipolar Disorder

Depression and Bipolar Disorder The Canadian Mental Health Association (CMHA) is a nation-wide, charitable organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness.

More information

PhD. IN (Psychological and Educational Counseling)

PhD. IN (Psychological and Educational Counseling) PhD. IN (Psychological and Educational Counseling) I. GENERAL RULES CONDITIONS: Plan Number 2012 1. This plan conforms to the regulations of the general frame of the programs of graduate studies. 2. Areas

More information

Trauma FAQs. Content. 1. What is trauma? 2. What events are traumatic?

Trauma FAQs. Content. 1. What is trauma? 2. What events are traumatic? Trauma FAQs Content 1. What is trauma? 2. What events are traumatic? 3. Who experiences trauma? 4. What are symptoms of trauma? 5. How can I help someone who may be experiencing trauma? 6. Where can people

More information

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally

More information

GOING BEYOND FOSTER CARE

GOING BEYOND FOSTER CARE GOING BEYOND FOSTER CARE Sharon W. Cooper, MD Developmental & Forensic Pediatrics, P.A. University of North Carolina Chapel Hill School of Medicine Sharon_Cooper@med.unc.edu OBJECTIVES Adverse childhood

More information

Health Education Core ESSENTIAL QUESTIONS. It is health that is real wealth, and not pieces of gold and silver. Gandhi.

Health Education Core ESSENTIAL QUESTIONS. It is health that is real wealth, and not pieces of gold and silver. Gandhi. Health Education Core ESSENTIAL QUESTIONS It is health that is real wealth, and not pieces of gold and silver. Gandhi Increased Focus Classroom Real Life Connection Student Reflection Student Assessment

More information

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH

Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH CBT for Youth with Co-Occurring Post Traumatic Stress Disorder and Substance Disorders Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis,

More information

Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S.

Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Director, National Initiatives, Council of State Governments Justice Center Today s Presentation The Behavioral Health System

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS c c FREQUENTLY ASKED QUESTIONS CHILD MENTAL HEALTH ISSUES NATIONAL COMMISSION FOR PROTECTION OF CHILD RIGHTS, 5 th FLOOR, CHANDERLOK BUILDING, 36 JANPATH, NEW DELHI-llOOOl What is Mental Health? The World

More information

Family Violence. Understanding the Issue. Equay-wuk (Women s Group) 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4

Family Violence. Understanding the Issue. Equay-wuk (Women s Group) 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4 Equay-wuk (Women s Group) Family Violence Understanding the Issue 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4 Phone: (807) 737-2214 Toll Free: 1-800-261-8294 Fax: (807) 737-2699 E-Mail: equaywuk@bellnet.ca

More information

ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR

ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR Alcoholism By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/alcoholism/ds00340 Definition Alcoholism is a chronic and often progressive

More information

Relationship Intervention with Traumatized Infants, Young Children, and their Caregivers

Relationship Intervention with Traumatized Infants, Young Children, and their Caregivers Relationship Intervention with Traumatized Infants, Young Children, and their Caregivers Julie A. Larrieu, Ph.D. Institute of Infant and Early Childhood Mental Health Tulane University School of Medicine

More information

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING

More information

North Bay Regional Health Centre

North Bay Regional Health Centre Addictions and Mental Health Division Programs Central Intake Referral Form The Central Intake Referral Form is used in the District of Nipissing by the North Bay Regional Health Centre s Addictions and

More information