Trauma Treatment with Clients Who Have Dual Diagnoses: Developmental Disabilities and Mental Illness
|
|
- Harry Franklin
- 8 years ago
- Views:
Transcription
1 : Developmental Disabilities and Mental Illness Margaret Charlton, Ph.D. Brian Tallant, M.S. Intercept Center, Aurora Mental Health Center, Aurora, Colorado Presented at the All Network Meeting December 11 13, 2003
2 Abstract Clients with developmental disabilities are particularly susceptible to a variety of traumatic events. However, few efforts have been made to develop specific trauma treatments to address their needs. We will review the literature regarding the incidence of trauma and trauma sequelae for clients who have developmental disabilities. We will then examine how modifications can be made to trauma treatment strategies developed for other non-disabled populations, in order to make the treatment more effective and accessible for clients with developmental disabilities. 2
3 Trauma Treatment With Clients Who Have Dual Diagnoses: Developmental Disabilities and Mental Illness People with developmental disabilities represent a relatively large portion of the population. The Federal Administration on Developmental Disabilities estimates that the national prevalence rate for developmental disabilities in the United States is 1.8%. The United States Census Bureau s 2001 population estimate is 285 million people, which would lead to an estimate of over 5 million people living in the United States who have developmental disabilities. A number of statistics are available regarding the incidence of trauma in people with developmental disabilities. However, reports consistently indicate that the available statistics are likely to under report the prevalence of trauma for this population. There are a number of reasons why this under reporting may be occurring, including difficulty in communicating that abuse has occurred, lack of ability to make a report, and problems with the justice system accepting the credibility of people with developmental disabilities attempting to report. James, in a 1988 study, found that while one in five cases of sexual abuse or assault are reported for the non-disabled population, only one of 30 cases are reported for people with developmental disabilities. In Goldson s 2002 statistics, he found that children with disabilities were between 1.2 and 2 times as likely to suffer from maltreatment as children without disabilities. Sobsey (1996) reports that individuals with disabilities are over four times as likely to be victims of crime when compared with the non-disabled population. In general, the literature shows that the incidence of maltreatment for children with disabilities is 1.5 to 10 times higher than the incidence for children without disabilities (Baladerian, 1991; Sobsey & Doe 1991; Sobsey & Vamhagen, 1989; Sullivan & Knutson, 2000; Westat, 1991). In addition, far more people with developmental disabilities receive care in institutional settings and the incidence of sexual abuse in such settings is four times higher than in the community (Blatt & Brown, 1986). People with developmental disabilities have a number of special characteristics, which may result in their being more likely to experience traumatic events. They are likely to be: trained to be 3
4 compliant to authority figures; dependent on caregivers for longer periods of time, for more types of assistance, and on a larger number of caretakers; less able to meet parental expectations; and isolated from resources to whom abuse reports could be made. They may also experience impairment in their ability to communicate or have impaired mobility so it is harder to get to a location to make a report. The developmental disability may result in the person experiencing cognitive and processing delays that make it difficult for the individual to understand what is happening in an abusive situation. People with developmental disabilities may also be more credulous and less prone to critical thinking than people without such disabilities, which may result in it being easier for the perpetrators of abuse to manipulate them. These problems are compounded by the fact that people with developmental disabilities are often not provided with general sex education, so they may not recognize what is happening to them in a sexually abusive situation. As well as being more prone to experience maltreatment, people with developmental disabilities are also more likely to experience negative mental health sequelae from the traumatic event, such as posttraumatic stress disorder. Even without exposure to trauma, people with developmental disabilities experience a predisposition toward emotional problems due to impaired resiliency (Burrows & Kochurka, 1995). They are less likely to have the protective factors that would lessen the effects of sexual abuse or other types of maltreatment (Mansell, et al., 1998). The more limited a person s resources are, the more difficult it is to cope with normal life stressors, let alone the increased stress associated with abuse or trauma. Vasterling, et al. (2001) found that in Vietnam veterans, a higher IQ appeared to act as a buffer to help prevent the veterans from developing posttraumatic stress disorder. Finally, people with developmental disabilities are less likely than others in the general population to receive appropriate treatment when they do experience a traumatic incident. This difference is in part due to a long-standing believe that people with developmental disabilities cannot benefit from traditional verbally oriented therapies (Mansell et al., 1998). In addition, there is a serious lack of trained professionals who are comfortable in working with people who have 4
5 developmental disabilities in order to help them process traumatic incidents. For this reason, the authors are working to present more training in this area. Method There are many specific methods for treating different types of trauma, including trauma related to natural disasters, accidents, invasive medical procedures, physical, emotional, or sexual abuse. Addressing all of these different types of specific protocols would be beyond the scope of the present paper. However, most of the protocols follow a similar methodology in which the client is helped to move through a series of phases. In most of these treatments the initial phase involves acknowledgment. That is, treatment begins with the survivor of the trauma, their family and other close people in their support network acknowledging and understanding the seriousness of the event that has taken place. Treatment then moves into a second phase, which focuses on establishing safety and building a sense of competency. The person who has experienced the trauma must feel that the environment is safe and that she/he is able to control emotions with regard to what was experienced. During the third phase, the trauma is processed to develop a thorough understanding of exactly what happened, how it affected the person, what aspects were worst at the time, and what aspects have been most problematic following event. Finally, the fourth phase involves transition beyond the trauma back to normal life. Our work has involved looking at these phases and developing ways of modifying the phases to meet the needs of people with developmental disabilities. In order to do this, it is important to understand some of the special characteristics of this population, as well as to understand normal trauma response. A normal response to trauma generally follows a pattern. It is important that these normal responses not be attributed to the person s developmental disability or other pre-existing mental illness. During the event, people typically experience a feeling of loss of control. It is very common to respond to the feeling of loss of control with dissociation. After the event, common symptoms include intrusion of material from the event, numbing; emotional constriction; intense efforts to control 5
6 experiences that might elicited emotions associated with the trauma; dissociative splitting off of aspects of the experience; hypervigilance, with an enhanced startle response and disruption in sleep pattern; shattered sense of safety; and disruption of self-identity. All of these normal responses to trauma represent a change from the developmentally disabled person s typical level of functioning and none of them are in any way due to the developmental disability. Results: Suggested Modifications to Phase Treatment To begin, there are some basic modifications that the therapist should keep in mind when working with a client who has developmental disabilities (Avrin, Charlton, & Tallant, 2002; Charlton, 2002; Mansell & Sobsey, 2001; Bűtz, Bowling, & Blitz, 2000). The therapist should slow down his or her speech and concentrate on using language that will be comprehensible to the client being served. It is helpful to use visuals whenever possible to reinforce verbal messages, which can include drawing pictures or writing down suggestions for change in brief outline form. Information should be presented one item at a time and the therapist should ask for feedback after each item to ensure clear comprehension. The therapist should be specific in making suggestions for change and should take the time to practice different ways of handling the type of tough situations the client is likely to encounter. The therapy session should be formatted so that key information is repeated. The focus of therapy should be on building coping skills and a feeling of competence. It is important for the therapist to be aware of any biases she/he may hold about working with this population. The therapist needs to be aware that people with developmental disabilities are as capable of making change as anyone who engages in psychotherapy, although the changes will occur more slowly. Phase One: Acknowledgment Be aware that the client with developmental disabilities may need special help in coming to a complete understanding regarding the traumatic event. Because of compromised language and cognitive processing skills, the therapist may need to spend extra time helping to explain the true nature of the event. Be sure to assess for misunderstandings that may contribute to increased 6
7 stress, such as feeling that because a tornado occurred when the clouds were dark, another tornado is likely whenever the clouds look dark. The therapist should help all of the people involved in the client s support system to understand that the trauma experience was real and threatening and that the client s response to that trauma is normal. Be sure people in the support system do not attribute normal trauma responses to the client s developmental disability. In this phase, validation of the seriousness of the experience is important. Be aware that because of developmental delays, even older people with developmental disabilities may respond as children often do, by blaming themselves. Be prepared to counteract this tendency in therapy. Also be prepared to acknowledge the secondary suffering that may occur because of society's response to the trauma or lack of response to the trauma. Throughout this process, be sure to show respect for the client s experience and feelings about the trauma. Phase Two: Safety and Competency The therapist needs to work with the traumatized client and the people who support the client in order to make sure that all aspects of the client s environment are safe environment, including home, school, and the community. Achieving this goal may mean addressing unsafe conditions, which existed prior to the trauma, because until all aspects of the environment are safe, the client will not be able to work on processing the trauma. In order to make the environment safe, the treatment team may have to deal with teasing and bullying at school or in the community. Family issues, such as anger management, may need to be addressed if family issues are making the home feel unsafe. Since many clients with developmental disabilities are involved with multiple agencies, it is important to be sure that representatives of all agencies are involved in a multidisciplinary team for treatment of the trauma. In this way, all team members will use similar language in their interventions as they try to establish safety for the client. It is very important to help the client to feel safe in returning to normal activities and it is important to help the client achieve a normal sleep pattern. 7
8 During this phase, the therapist also helps the client to move from a place of helplessness to a sense of being in control of the environment again. This movement may involve building memories of a time when the client felt in control and was successful in countering feelings of powerlessness. If the client has had many experiences of feeling out of control due to the developmental disability, the process may need to go back and address a variety of disempowering situations. During this process, the therapist focuses on teaching assertiveness and self-advocacy skills that may run counter to the typical compliance training that people with developmental disabilities receive. Phase Three: Processing the Trauma In this stage, the therapist helps the client to rework the trauma from a place of greater safety, competence and empowerment. In working with clients with developmental disabilities, it is helpful to use concrete metaphors and visual stimuli to help compensate for processing difficulties. Play therapy, art therapy, and social stories are often helpful in restructuring the event and the client s thoughts about the event. During this stage, the therapist should be prepared to address common post trauma issues such as fear of reoccurrence, guilt about the event, loss and grief reactions, and separation anxiety that has been triggered by the trauma (Pynoos & Nader, 1988). The therapist should also be sure to address the aspects of the trauma that are worst for the client. It is important not to assume that you know the answer to this question or can guess based on what the client has spent the most time talking about. Often the issue that is most troubling will not have been discussed directly. Phase Four: Transition Beyond the Trauma In this stage, the therapist helps the client to move beyond the trauma by using the new understanding of what happened, as well as the new competency and self advocacy skills that have been developed. Clients with developmental disabilities need special help in this area, because it may take more work for them to rehearse the skills sufficiently to feel confident in their ability to use 8
9 them. Until they feel competent in implementing their new skills, they are likely to continue to feel out of control and unready to move beyond the trauma. Discussion People with developmental disabilities are more likely to be exposed to traumatic events and are particularly vulnerable to developing mental illnesses following exposure to traumatic events, due to their reduced resiliency. Therefore, it is extremely important for us to develop effective treatments for this population that are designed to meet their needs following exposure to traumatic events. People with developmental disabilities are just as likely to benefit from psychotherapy as anyone else, provided appropriate adaptations are made to the services they receive. It is our job to continue to work toward providing them with the same type of options for trauma treatment that are available to the non-disabled population. 9
10 References Avrin, S., Charlton, M., & Tallant, B. (2002). Diagnosis and treatment of clients with developmental disabilities. [Original presentation 1998, revised 2002]. In Aurora Mental Health Center Staff Training Seminars. Baladerian, N.J. (1991). Sexual abuse of people with developmental disabilities. Journal of Sexuality and Disability, 9 (4): Blatt, E. R. & Brown, S. W. (1986). Environmental influences on incidents of alleged child abuse and neglect in New York state psychiatric facilities: Toward an etiology of institutional child maltreatment. Child Abuse and Neglect, 10 (2): Burrows, H. C. & Kochurka, K. A. (1995). The assessment of children with disabilities who report sexual abuse: A special look at those most vulnerable. In Ney, T. (Ed.), True and False Allegations of Child Sexual Abuse: Assessment and Case Management. New York: Brunner/Mazel, Bütz, M. R., Bowling, J. B., & Bliss, C. A. (2000). Psychotherapy with the mentally retarded: A review of the literature and the implications. Professional Psychology: Research and Practice, 31(1), Charlton, M. (October, 2002). Relationships: One step at a time. In National Association for Dual Diagnosis Conference Proceedings: 19 th Annual Conference. Kingston, New York: NADD Press. Goldson, E. (2002, July). Maltreatment among children with disabilities. In 14th International Congress on Child Abuse and Neglect. Denver, Colorado. James (1988). In Tharinger, D., Horton, C., & Milleas, S. (1990). Sexual abuse and exploitation of children and adults with mental retardation and other handicaps. Child Abuse and Neglect, 14: Mansell, S., Sobsey, D., & Moskal, R. (1998). Clinical findings among sexually abused children with and without developmental disabilities. Mental Retardation, 36 (1): Mansell, S., & Sobsey, D. (2001). Counseling people with developmental disabilities who have been sexually abused. Kingston, New York: NADD Press. Pynoos, R. S., & Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: Research implication. Journal of Traumatic Stress, 1(4), Sobsey, D. (1996). Relative victimization risk rates: people with intellectual disabilities (unpublished manuscript). Sobsey, D. & Doe, T. (1991). Patterns of sexual abuse and assault. Sexuality and Disability, 9 (3): Sobsey, D., & Varnhagen, C. (1989). Sexual abuse and exploitation of disabled individuals. In C. R. Bagley & R. J. Thomlison (Eds), Child Sexual Abuse: Critical Perspectives on Prevention, Intervention and Treatment (pp ). Toronto, Canada: Wall & Emerson, Inc. Sullivan, P. & Knutson, J. (2000). Maltreatment and disabilities: A population-based epidemiological study. Child Abuse & Neglect, 24 (10): Vasterling, J. J., Duke, L. M., Brailey, K., Constans, J. I., Allain, A. N., & Sutker, P. B. (2001). Attention, learning, and memory performances and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology, 16(1). Westat, Inc. (1991). A Report on the Maltreatment of Children with Disabilities, U. S. Department of Health and Human Services. Washington, D. C. 10
11 Authors Note The Adapted Treatment Work Group of the collected some of the information included in this presentation. Chairperson: Margaret Charlton. Work Group Members: Anne Traverne, Matthew Kliethemes, Brian Tallant, Ric Durity, Amy Oxman, Amy Shadoin, Amy Tishelman, Barbara Boat, Greg Taliaferro, Pamela Marshall and Bill Harris. 11
Facts on Traumatic Stress and Children with Developmental Disabilities
Facts on Traumatic Stress and Children with Developmental Disabilities Adapted Trauma Treatment Standards Work Group This project was funded in part by the Substance Abuse and Mental Health Services Administration,
More informationFacts on Trauma and Deaf Children
Adapted Trauma Treatment Standards Work Group the Deaf and Hard of This project was funded by the Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
More informationWHAT 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 informationTraumatic 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 informationSupporting 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 informationFACT 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 informationSupporting 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 informationDialectical Behavior Therapy: A New Direction in Psychotherapy
: A New Direction in Psychotherapy Eric J. Dykstra, MA Intercept Center, Aurora Mental Health Center University of Denver Margaret Charlton, Ph.D. Intercept Center, Aurora Mental Health Center Presented
More information10/14/2015. Overview. Prevention Have fun being yourself. Presented by: Jodie Petkovich Hamilton Brant Behaviour Services
Dual Diagnosis & Addictions Supporting people With Developmental Disabilities Presented by: Jodie Petkovich Hamilton Brant Behaviour Services Tracey Miles Barrett Centre Crisis Support Christine Squires
More informationEssential 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 informationWhat is Narrative Exposure Therapy (NET)?
What is Narrative Exposure Therapy (NET)? Overview NET is a culturally universal short-term intervention used for the reduction of traumatic stress symptoms in survivors of organised violence, torture,
More informationPsychiatric 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 informationDOMESTIC 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 informationHealing the Invisible Wound. Recovery and Rehabilitation from a Post Traumatic. Stress Injury. By Dr. Amy Menna
Healing the Invisible Wound Recovery and Rehabilitation from a Post Traumatic Stress Injury By Dr. Amy Menna Post Traumatic Stress Disorder can affect anyone. It is a term used to describe a reaction to
More informationUnderstanding PTSD and the PDS Assessment
ProFiles PUTTING ASSESSMENTS TO WORK PDS TEST Understanding PTSD and the PDS Assessment Recurring nightmares. Angry outbursts. Easily startled. These are among the many symptoms associated with Post Traumatic
More informationThe Forgotten Worker: Veteran
The Forgotten Worker: Veteran Larry Ashley & Meghan Pierce University of Nevada, Las Vegas Veteran Workforce Statistics The unemployment rate of veterans from all eras is 8.7% (Bureau of Labor Statistics,
More informationPOST-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 informationCHAPTER 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 informationDo you help people recover from trauma? training programs
Do you help people recover from trauma? 2015 training programs Do you or your staff help people who have experienced trauma? Phoenix Australia s training programs teach the skills required by a range of
More information2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member
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
More informationThere are several types of trauma that can occur when people experience difficult life changing
Trauma Informed Services Part 1 The Hidden Aspect of Addiction Many individuals struggling with addiction have personal and family histories of trauma including sexual, emotional, and/or physical abuse
More informationAssessing 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 informationTRAUMA & ADDICTION. written for. American Academy of Health Care Providers in the Addictive Disorders. Sandra H. Colen, LCSW, Dip-CFC, CAS
TRAUMA & ADDICTION written for American Academy of Health Care Providers in the Addictive Disorders by Sandra H. Colen, LCSW, Dip-CFC, CAS December 22, 2014 Purpose The purpose of this paper is to present
More informationSubstance 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 informationExpert Witness Services for Personal Injury Lawyers
Advanced Assessments Ltd Expert witnesses and Psychologists A Member of the Strategic Enterprise Group 180 Piccadilly, London, W1J 9HP T: 0845 130 5717 Expert Witness Services for Personal Injury Lawyers
More informationSupporting students and staff after the shooting in Aurora, CO
Supporting students and staff after the shooting in Aurora, CO David J. Schonfeld, MD Daniel Nelson, MD National Center for School Crisis and Bereavement Cincinnati Children s Hospital Medical Center david.schonfeld@cchmc.org
More informationCo-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 informationPTSD Ehlers and Clark model
Problem-specific competences describe the knowledge and skills needed when applying CBT principles to specific conditions. They are not a stand-alone description of competences, and should be read as part
More informationTrauma Informed Care: Top 10 Tips for Caregivers and Case Managers. Dr. David Ott Christina Suarez, LCSW Kimberly Brien
Trauma Informed Care: Top 10 Tips for Caregivers and Case Managers Dr. David Ott Christina Suarez, LCSW Kimberly Brien Our Goals Today Provide information about concepts associated with trauma informed
More informationPost Traumatic Stress Disorder & Substance Misuse
Post Traumatic Stress Disorder & Substance Misuse Produced and Presented by Dr Derek Lee Consultant Chartered Clinical Psychologist Famous Sufferers. Samuel Pepys following the Great Fire of London:..much
More informationAppendix 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 informationUSVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD)
USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD) 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
More informationBaladerian (1998) describes disabilities as occurring in six major domains:
MEETING THE NEEDS OF CRIME VICTIMS WITH DISABILITIES 1. INTRODUCTION According to the U.S. Department of Justice, there are approximately 43 million individuals with disabilities in the United States (Rubin,
More informationPhD. 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 informationNeeds 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 informationMinimize Your Risk: Mental Stress And The WSIB
Minimize Your Risk: Mental Stress And The WSIB By Joseph Cohen-Lyons and Samantha C. Seabrook Mental health in the workplace has been the focus of both employer and legislative interest in recent years.
More informationTHE 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 informationTrauma and the Family: Listening and learning from families impacted by psychological trauma. Focus Group Report
Trauma and the Family: Listening and learning from families impacted by psychological trauma Focus Group Report A summary of reflections and remarks made by Baltimore City families impacted by trauma and
More informationManagement Assistance Program
Management Assistance Program COMMUNICATING WITH EMPLOYEES DURING A CRISIS: How to prepare and help employees cope with a workplace related crisis GOALS: The goal of this module is to provide organizations,
More informationThe Amazing Brain: Trauma and the Potential for Healing. By Linda Burgess Chamberlain, PhD, MPH
The Amazing Brain: Trauma and the Potential for Healing By Linda Burgess Chamberlain, PhD, MPH A baby s brain is like a flower ready to bloom. From the first moments of life, a baby s brain is absorbing
More informationHarm Reduction Strategies to Address Anxiety and Trauma. Presented by Jodi K. Brightheart, MSW
Harm Reduction Strategies to Address Anxiety and Trauma Presented by Jodi K. Brightheart, MSW What would you diagnose a client with the following symptoms? Frantic efforts to avoid being abandoned by friends
More informationBeth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com
Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com EDUCATION 1992: M.A in, Art Therapy, Norwich University, Vermont, U.S.A, 1990: B.F.A., with major in art education, Concordia University,
More informationA STATE CALL TO ACTION: Working to End Child Abuse and Neglect In Massachusetts
A STATE CALL TO ACTION: Working to End Child Abuse and Neglect In Massachusetts Massachusetts Citizens for Children A Massachusetts Kids Count Report, April 2001 CHAPTER 15: The Role of Schools in the
More informationPsychotherapeutic Interventions for Children Suffering from PTSD: Recommendations for School Psychologists
Psychotherapeutic Interventions for Children Suffering from PTSD: Recommendations for School Psychologists Julie Davis, Laura Lux, Ellie Martinez, & Annie Riffey California Sate University Sacramento Presentation
More informationPost Traumatic Stress Disorder and Substance Abuse. Impacts ALL LEVELS of Leadership
Post Traumatic Stress Disorder and Substance Abuse Impacts ALL LEVELS of Leadership What IS Post Traumatic Stress Disorder (PTSD) PTSD is an illness which sometimes occurs after a traumatic event such
More informationTraumatic Stress with Alcohol and/or Drug Addiction
Traumatic Stress with Alcohol and/or Drug Addiction information for individuals and families Eastern Trauma Advisory Panel What is Post Traumatic Stress Disorder (PTSD)? How people react to a traumatic
More informationPresented to Compassionate Care Conference By Bill Cross PhD LMFT
Presented to Compassionate Care Conference By Bill Cross PhD LMFT This is the Perfect Time This is the Perfect Place This is the Perfect Teaching This is the Perfect Teacher This is the Perfect Student
More informationEMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY
Traumatic brain injury EMOTIONAL AND BEHAVIOURAL CONSEQUENCES OF HEAD INJURY Traumatic brain injury (TBI) is a common neurological condition that can have significant emotional and cognitive consequences.
More informationFor 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 informationCritical Incidents. Information for schools from Derbyshire Educational Psychology Service
Critical Incidents Information for schools from Derbyshire Educational Psychology Service Introduction to Critical Incidents A critical incident (CI) is any event that is unexpected, acute, stressful and
More informationOpen Residential Firesetting and Sexual Behavior Treatment Program
Open Residential Firesetting and Sexual Behavior Treatment Program ABRAXAS Open Residential Firesetting and Sexual Behavior Treatment Program Since 2006, the Abraxas Open Residential Firesetting and Sexual
More informationPost-traumatic stress disorder. Understanding post-traumatic stress disorder
Post-traumatic stress disorder Understanding post-traumatic stress disorder Understanding post-traumatic stress disorder Post-traumatic stress disorder (PTSD) may emerge months or sometimes years after
More informationAcute Stress Disorder and Posttraumatic Stress Disorder
Acute Stress Disorder and Posttraumatic Stress Disorder Key Messages Traumatic Events Events that involve actual or threatened death or serious injury (real or perceived) to self or others (e.g., accidents,
More informationSUVI H. MILLER, LCSW
SUVI H. MILLER, LCSW EDUCATION New York University, New York, NY Graduate School of Social Work Master of Social Work May 1992 Syracuse University, Syracuse, NY College of Visual and Performing Arts Bachelor
More informationGuidelines for Mental Health Practitioners
Normality of Trauma Response Guidelines for Mental Health Practitioners Our understanding of Post-Traumatic Stress Disorder has changed dramatically over the past 10 years. We now recognize that it is
More informationHow Emotional/ Psychological Trauma Affects the Body
How Emotional/ Psychological Trauma Affects the Body Objectives: Define trauma What is the relationship between physical health and PTSD? Identify how trauma is assessed/screened How can family members
More informationTowards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families
Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families Presented By Dr. Pamela Gillen University of Colorado Anschutz Medical Campus and Dan
More informationThe United Nations (UN) broadly defines human trafficking as the acquisition of people by
Psychological Impact of Human Trafficking and Sex Slavery Worldwide: Empowerment and Intervention Leah Kaylor Intern from John Jay College of Criminal Justice New York, NY The United Nations (UN) broadly
More informationMinnesota 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 informationAfter Sexual Assault. A Recovery Guide for Survivors SAFE HORIZON. 24-Hour Hotline: 212 227 3000. www.safehorizon.org
After Sexual Assault A Recovery Guide for Survivors SAFE HORIZON 24-Hour Hotline: 212 227 3000 www.safehorizon.org SAFE HORIZON hopes this guide will help the recovery of anyone whose life has been affected
More informationPostpartum Depression and Post-Traumatic Stress Disorder
Postpartum Depression and Post-Traumatic Stress Disorder Emotional Recovery: Postpartum Depression and Post-Traumatic Stress Disorder By: Lisa Houchins Published: July 23, 2013 Emotions vary widely after
More informationDomestic 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 informationTIVERTON PSYCHOLOGICAL SERVICES 2128 MAIN ROAD TIVERTON, RI 02878 www.tivertonpsych.com Phone: 401-624-9972; Fax: 401-624-1452
TIVERTON PSYCHOLOGICAL SERVICES 2128 MAIN ROAD TIVERTON, RI 02878 www.tivertonpsych.com Phone: 401-624-9972; Fax: 401-624-1452 Dorothy B. Brown, Ph.D. Anne Davidge, Ph.D. Dennis J. Rog, Ed.D. Licensed
More informationPost-Traumatic Stress Disorder (PTSD)
Post-Traumatic Stress Disorder (PTSD) Post traumatic stress disorder is a condition where you have recurring distressing memories, flashbacks, and other symptoms after suffering a traumatic event. Treatment
More informationEvidence Based Treatment for PTSD during Pregnancy:
Evidence Based Treatment for PTSD during Pregnancy: What prenatal care providers need to know Robin Lange, Ph.D. Why bother? PTSD in pregnant mothers has been associated with: Shorter gestation Lower birth
More informationHow To Get Help From Inspireira
INSPIRA HEALTH NETWORK Behavioral Health and Wellness Providing Quality Care Across the Region Comprehensive Programs Tailored for Your Needs Inspira offers a range of behavioral health and wellness services
More informationPsychology Externship Program
Psychology Externship Program The Washington VA Medical Center (VAMC) is a state-of-the-art facility located in Washington, D.C., N.W., and is accredited by the Joint Commission on the Accreditation of
More informationClinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder
Clinical Practice Guidelines: Attention Deficit/Hyperactivity Disorder AACAP Official Action: OUTLINE OF PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, AND ADULTS WITH ADHD
More informationHandout: Risk. Predisposing factors in children include: Genetic Influences
Handout: Risk The more risk factors to which a child is exposed the greater their vulnerability to mental health problems. Risk does not cause mental health problems but it is cumulative and does predispose
More informationPost-traumatic stress disorder (PTSD): the treatment of PTSD in adults and children
Post-traumatic stress disorder (PTSD): the treatment of PTSD in adults and children Understanding NICE guidance information for people with PTSD, their advocates and carers, and the public March 2005 Information
More informationSCHOOL MENTAL HEALTH RESPONSE GUIDELINES
1 SCHOOL MENTAL HEALTH RESPONSE GUIDELINES The School Mental Health Response Staff may consist of a variety of members of the school s SBSLT (School Based Support Learning Team), including but not limited
More informationPsychiatrists should be aware of the signs of Asperger s Syndrome as they appear in adolescents and adults if diagnostic errors are to be avoided.
INFORMATION SHEET Age Group: Sheet Title: Adults Depression or Mental Health Problems People with Asperger s Syndrome are particularly vulnerable to mental health problems such as anxiety and depression,
More informationAdversity, 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 informationSuzanne R. Merlis, Psy. D. Georgia-LLC Licensed Psychologist
Suzanne R. Merlis, Psy. D. Georgia-LLC Licensed Psychologist If going to asylum officer at affirmative stage: ASYLUM OFFICER, ARLINGTON ASYLUM OFFICE In the Matter of Mr. X Respondent If referred to judge:
More informationTestifying in Court about Trauma: How to Prepare
Testifying in Court about Trauma: How to Prepare It is critical that therapists willingly go to court to try to impart their knowledge to the judge. The judge will only make a good decision if he or she
More informationLisa 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 informationCritical Incident Management Plan
Critical Incident Management Plan 1. PURPOSE/ PREAMBLE BCIT is committed to promoting individual and community well-being, safety and security by protecting the learning, teaching and working environments
More informationSCREENING FOR INTIMATE PARTNER VIOLENCE IN THE PRIMARY CARE SETTING
SCREENING FOR INTIMATE PARTNER VIOLENCE IN THE PRIMARY CARE SETTING Partner violence can affect one third of the patients cared for in the primary care setting. The primary care setting offers an opportunity
More informationIdentifying 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 informationPost Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD
Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Definition and Criteria PTSD is unlike any other anxiety disorder. It requires that
More informationFOCUSING-ORIENTED THERAPY AND COMPLEX TRAUMA TRAINING PROGRAM
What is Focusing Oriented Therapy? Focusing-Oriented Therapy (FOT) is a body-centered and person-centered approach to healing, developed three decades ago at the University of Chicago by Dr. Eugene Gendlin.
More informationContent Outlines and KSAs Social Work Licensing Examinations
Content Outlines and KSAs Social Work Licensing Examinations What are KSAs? A KSA is a Knowledge, Skills, and Abilities statement. These statements describe the discrete knowledge components that may be
More informationColorado Springs Office 3210 E. Woodmen Rd., #100 Colorado Springs, CO, 80920. Denver Office 837 Sherman St. Denver, CO 80203
Colorado Springs Office 3210 E. Woodmen Rd., #100 Colorado Springs, CO, 80920 Denver Office 837 Sherman St. Denver, CO 80203 Welcome to my practice. I am honored that you are giving me the opportunity
More informationAl Ahliyya Amman University Faculty of Arts Department of Psychology Course Description Special Education
Al Ahliyya Amman University Faculty of Arts Department of Psychology Course Description Special Education 0731111 Psychology and life {3} [3-3] Defining humans behavior; Essential life skills: problem
More informationSocial 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 informationAge-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 informationPolicy for Preventing and Managing Critical Incident Stress
Policy for Preventing and Managing Critical Incident Stress Document reference number HSAG 2012/3 Document developed by Revision number 1.0 Document approved by Consultation with 14 September 2012 Presented
More informationPsychological First Aid Training. For Emergency Responders
Psychological First Aid Training For Emergency Responders Overview What You Will Learn Impact of disaster on communities Psychological First Aid When to refer Disaster do s/don ts Taking care of self and
More informationTrauma 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 informationChild 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 informationHelping Children After a Wildfire: Tips for Parents and Teachers
Helping Children After a Wildfire: Tips for Parents and Teachers Natural disasters can be traumatic for children and youth. Experiencing a dangerous wildfire can be frightening even for adults, and the
More informationREPORT ON CONSULTATIONS:
REPORT ON CONSULTATIONS: Amending the Workers Compensation Act to Provide Presumptive Coverage for Post-Traumatic Stress Disorder JUNE 2015 A Report Prepared by the Workers Compensation Board on behalf
More informationPost-traumatic stress disorder overview
Post-traumatic stress disorder overview A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive
More informationCognitive Behavioral Therapy for PTSD. Dr. Edna B. Foa
Cognitive Behavioral Therapy for PTSD Presented by Dr. Edna B. Foa Center for the Treatment and Study of Anxiety University of Pennsylvania Ref # 3 Diagnosis of PTSD Definition of a Trauma The person has
More informationGerald Caplan s Preventive Psychiatry
Seminar in Preventive Psychological Intervention EDS 246b Stephen E. Brock, Ph.D.,NCSP Course Description: Study and application of various primary, secondary, and tertiary psychological interventions
More informationTreatment of Rape-related PTSD in the Netherlands: Short intensive cognitivebehavioral
Treatment of Rape-related PTSD in the Netherlands: Short intensive cognitivebehavioral programs Agnes van Minnen October 2009 University of Nijmegen Clinic of Anxiety Disorders Acknowledgements: We kindly
More informationUNDERSTANDING TRAUMA-BASED BEHAVIOR. Gloria Castro Larrazabal, Psy.D. Infant-Parent Program UCSF/SFGH
UNDERSTANDING TRAUMA-BASED BEHAVIOR Gloria Castro Larrazabal, Psy.D. Infant-Parent Program UCSF/SFGH NEIGHBORHOOD -Home Environment -Neighborhood -Child Care System -Schools -Hospitals -Clinics -Social
More informationAssessing Risk in Social and Behavioral Sciences
Tracy Arwood, MS Clemson University Sangeeta Panicker, PhD American Psychological Association Assessing Risk in Social and Behavioral Sciences Assessing Risk in Social and Behavioral Sciences Content Authors
More informationAustralasian Conference on Child Abuse and Neglect (ACCAN) November 2013 Melbourne
Australasian Conference on Child Abuse and Neglect (ACCAN) November 2013 Melbourne 1 Deaf Children in Australia 1 in 6 people in Australia has a hearing loss. It is estimated that there are 16,000 school
More information7/15/2010. 11 th Annual Summer Institute Sedona, AZ July 21, 2010. July 21, 2010 Sedona, AZ Workshop 1
The Addiction-Trauma Connection: Spirals of and Healing Stephanie S. Covington, Ph.D., L.C.S.W. Center for Gender and Justice Institute for Relational Development La Jolla, CA 11 th Annual Summer Institute
More information