1 Bonding Assessments: What Defense Attorneys Should Know Renee L. Genin, LCSW Child and Family Psychotherapist (414) Systemic Perspectives, Inc N. 124th St. #106, Brookfield, WI 53005
2 TPR decisions and dilemmas... Breaking the cycle vs. breaking bonds Risk/harm to child if the bond to the biological parent is severed Risk/harm to child if bond to the foster parent is severed How long can the child wait? Prognosis for healing: Will any placement be successful for this child? Best interests: short-term? long-term? What should we tell the child?
3 What is Attachment?
4 Bonding vs. Attachment Bonding refers to the parent s tie to the infant which develops in the first few hours of life. Attachments are unique, lasting emotional ties between infants and their caregivers.
5 Attachment is... An affectional tie that a person... forms between himself and another specific (person)- a tie that binds them together in space and endures over time. (Mary Ainsworth)
6 The relationship between the mother and child is the prototype for all future relationships. -Freud
7 DMM Definition of Attachment: Attachment refers to the self-protective and progeny-protective strategy used when there is actual or perceived danger or threat of danger. (Crittenden & Ainsworth, 1989)
8 Attachment Styles Secure Attachment: Adults will keep me safe Insecure Attachment: I will keep MYSELF safe AT ALL COSTS
9 Why do we care about Attachment?
10 Developmental Attachment Keeps humans alive! Provides a protective factor against environmental stress and trauma The basis of healthy growth and development Shapes inner working model of social relationships template for future relationships blueprint for perceiving self (good vs. bad), others (trust vs. mistrust), environment (safe vs. unsafe)
11 Inner Working Models Positive Working Model Basic Trust I am good I am Worthy I am competent Others can be trusted The world is safe Vulnerability Connection Safety/Security Commitment Truth Validation Negative Working Model Basic Mistrust I am bad I am Unworthy I am impotent Others can t be trusted The world is unsafe Defense & Alienation Disconnection Threat Abandonment Lies & Tricks Rejection
12 Secure Attachment helps us Attain full intellectual potential Think logically (cause & effect thinking) Develop a conscience Become self-reliant; self-soothing Cope with stress and frustration; modulate affect; handle fear and worry. Develop relationships; have empathy
13 Consequences of Insecure Attachment can include: Poor self-esteem and self regulation Aggressive/rejecting behavior toward peers Withdrawn/isolating relations with peers Low frustration tolerance Less positive affect Lags in cognitive, developmental and academic competence Elevated levels of behavioral symptomatology, anxiety, mood disturbance
14 Attachment Development
15 Attachment across the lifespan Attachment impacts personality Attachment is a lifelong process Behavioral manifestations change over the course of development Impaired attachment (when left untreated) can result in personality disorders Attachment is repairable with intervention: children can learn how to attach Recent research suggests people can change the security of their attachment style into adulthood.
16 Process of Secure Developmental Attachment Repeated cycles of need fulfillment: parents successfully reduce uncomfortable emotions and meet child s needs Enables child to feel soothed and safe when upset This experience is encoded in implicit memory as expectations and then as mental models of social relationships Helps the child feel an internal sense of security in the world at large
18 Secure ( Healthy ) Attachment The child recognizes, prefers, and shows emotional response to a caregiver The emotional bond between caregiver and child is reciprocal The child is wary of unfamiliar people Has been defined as a lasting psychological connectedness between human beings Secure Attachment allows the child to launch into adulthood with a cohesive, nonshaming sense of self and others.
19 Secure Attachment Caregivers are generally attuned, responsive and available Child, at a core level, comes to perceive themself as safe, lovable, and worthy of love and connection Child comes to perceive caregivers as a reliable means of protection, support, and need provision Able to trust others and view the world as fairly safe
20 Behavioral Markers of Healthy Attachment in Children Proximity Seeking: insists on maintaining close proximity to preferred caregivers. Secure Base: uses caregivers as a secure base for exploration. Safe Haven: flees to caregiver as a safe haven when frightened or alarmed. Separation Protest: protest caregiver leaving
22 Harlow s Monkeys
23 Insecure Attachments Adaptive in nature Survival strategies Repeated daily interactions with caregivers lead babies to develop reasonably accurate representations of how the attachment figure is likely to respond to their attachment behaviors. Create self-fulfilling prophecies when indiscriminately applied to new relationships
24 Insecure Attachment Occurs when caregivers are generally unavailable and/or rejecting Child develops a inner working model of themselves as unworthy, unlovable, or bad Child learns over time the type of behavior they must exhibit in order to elicit the needed response from their caregiver/s or otherwise get their needs met Represents a risk factor for psychopathology
25 Sub-Types of Insecure Attachment Avoidant: Child presents as detached; doesn t seem to notice or care where their caregiver is even though internally they are feeling the need for comfort. Emotional distancing serves to reduce anticipatory anxiety of rejection/abandonment. Anxious/Ambivalent: Child is clingy, whiny, difficult to console. Disorganized Attachment: often reflects significant trauma (next slide)
27 What is a Bonding Assessment?
28 Bonding Assessment An assessment whose goal is to determine the nature and quality of the child s attachment relationships to birth and/or foster parents.
30 A Bonding Assessment asks: What is the child s capacity for healthy attachment? Who and what does the child need to feel safe in the world? Who occupies the position of psychological parent or Primary Attachment Figure? (Who is most central in the child s emotional life?) What is the quality of that attachment relationship?
31 Bonding assessments also answer questions like: Who are the child s important secondary attachment figures? What are the qualities of those attachment relationships? Can the primary attachment be transferred? What are emotional and psychological risks/benefits to the child if the PAf relationship is severed? What are the benefits?
33 What does the evaluator look for? Patterned, observable behavior (Approach/avoid) Unconscious or subconscious behaviors that are not easy to fake (body language) Discrimination: behavior exhibited in relationship to known caregivers differs from that exhibited toward the unknown evaluator ( stranger ) Explorative vs. self-protective behaviors
34 Caregiver Attachment Behaviors Attunement: Sensitivity to signals, anticipation of needs Responsiveness: Appropriate response to signals in a timely manner Reliability: physical and psychological availability Acceptance vs. rejection of the child s needs Cooperation vs. interference with on-going behavior
36 When should you ask for a bonding assessment?
37 Selling points... The child was placed with the parent during the first 2 years of life. (the first 4 is even better) Few transitions in care The parent has taken responsibility and can provide the child with a corrective narrative Mutual respect between parent/s and foster parent/s The parent is 1. Available, 2. Responsive, 3. Reliable The parent has maintained a relationship with the child The parent doesn t have an Axis II Personality Disorder The child hasn t been diagnosed with RAD The parent was not the primary abuser The parent has/had a healthy relationship with his or her own parent/s The parent has a positive support system The parent is actively working in therapy
38 Ask yourself... Is my client shaming? Is it FOGgy? (Fear, Obligation, Guilt) If you feel FOG, her children feel it too. FOG is toxic to child development. OBJECT to the assessment. And please, convince her to do a voluntary TPR.
39 Proceed with caution: FOGgy Axis II parents breed attachment disorders
40 Narcissistic Abuse: Emotional abuse of children by parents who require the child to give up their own wants and feelings in order to serve the parent's needs for esteem. Ex: Shaming the child for calling their foster parent mom. Ex: Excessive focus on the child s hair, hygiene, external appearance. It s not what she says, it s how she says it. Pawns and dolls OBJECT TO THE ASSESSMENT
41 Common characteristics of adults shamed in childhood Excerpted from: Andrea E. Lamont, Graduate Student Journal of Psychology, 2006, Vol. 8, Teachers College, Columbia University Sidebar: Jane Middelton-Moz, therapist and author. 1. Afraid of vulnerability and fear of exposure of the self. 2. May suffer extreme shyness, embarrassment and feelings of being inferior to others. They don't believe they make mistakes. Instead they believe they are mistakes. 3. Fear intimacy and tend to avoid real commitment in relationships. These adults frequently express the feeling that one foot is out of the door prepared to run. 4. May appear either grandiose and self-centered or seem selfless. 5. Often feel that, "No matter what I do, it won't make a difference; I am and always will be worthless and unlovable."
42 Adults shamed as children cont Frequently feel defensive when even a minor negative feedback is given. They suffer feelings of severe humiliation if forced to look at mistakes or imperfections. 7. Frequently blame others before they can be blamed. 8. May suffer from debilitating guilt These individuals apologize constantly. They assume responsibility for the behavior of those around them. 9. Feel like outsiders. They feel a pervasive sense of loneliness throughout their lives, even when surrounded with those who love and care. 10. Project their beliefs about themselves onto others. They engage in mindreading that is not in their favor, consistently feeling judged by others. 11. Often feel ugly, flawed and imperfect. These feelings regarding self may lead to focus on clothing and make-up in an attempt to hide flaws in personal appearance and self. 12. Often feel angry and judgmental towards the qualities in others that they feel ashamed of in themselves. This can lead to shaming others.
43 Adults shamed as children cont Often feel controlled from the outside as well as from within. Normal spontaneous expression is blocked. 14. Feel they must do things perfectly or not at all. This internalized belief frequently leads to performance anxiety and procrastination. 15. Experience depression. 16. Block their feelings of shame through compulsive behaviors like workaholics, eating disorders, shopping, substance abuse, list-making or gambling. 17. Lie to themselves and others. 18. Often have caseloads rather than friendships. 19. Often involve themselves in compulsive processing of past interactions and events and intellectualization as a defense against pain. 20. Have little sense of emotional boundaries. They feel constantly violated by others. They frequently build false boundaries through walls, rage, pleasing or isolation.
44 If you re considering a bonding assessment, read the visitation notes first.
45 Request a bonding assessment: IF the supervised visitation notes suggest a SECURE attachment.
46 Caregiver behaviors associated with SECURE attachment: Sensitive, attuned, and responsive care Clear, consistent, developmentally appropriate expectations and supervision Warm, positive, and responsive verbal interaction Treats the child as a unique individual "Holding the child in mind (i.e., awareness of and ability to reflect on the parent s own feelings and responses to the child)
47 Child behaviors associated with SECURE attachment: Comfort exploring in presence of an attachment figure When hurt, going to an attachment figure for comfort (i.e., not a stranger) Seeking help when needed Willingness to comply with requests with minimal conflict No pattern of controlling or directing the behavior of caregivers (no role-reversal)
48 Proceed with caution: IF the SV notes suggest an insecure attachment.
49 Caregiver behaviors associated with INSECURE attachment: Interfering with the child s attempts at exploration (i.e., intrusive, overly controlling) Unclear, inconsistent, developmentally inappropriate expectations and supervision Ignoring the child s needs and cues Inconsistent, unreliable responsiveness Hostile, threatening, and frightening behaviors
50 Caregiver behaviors associated with INSECURE attachment: Prioritizing the parent s needs over the child s (i.e., self-absorbed) Behaving like a child or treating the child as though he/she is in charge (i.e., rolereversal) Marked withdrawal, fright, hesitance or timidity around the child Sexualized or overly intimate behaviors
53 Child behaviors associated with INSECURE attachment: Excessive dependence Marked shyness, withdrawal, or unfriendliness Failure to seek contact, comfort when needed Indiscriminate friendliness or contact seeking Punitive, bossy behaviors
54 Child behaviors associated with INSECURE attachment: Disoriented or frightened in presence of the parent (ex: approaching while looking away, blank stare, freezing, or rocking) Promiscuous, sexualized behavior Over-concern with the parent s well-being (i. e., role reversal)
56 Protective factors... Detainment occurred after age 4 Child was breast fed Co-sleeping at child s request (no sexual activity) Positive secondary attachment relationships/ Connection to extended family Parent is secure : The best predictor (with 80% accuracy) of a child s attachment classification at six years of age is the birth mother s attachment classification before the birth of her child (Siegel, 1999).
57 SIGNIFICANT Risk Factors: Neglect, DV Child was detained before age of 2(-4) Child was traumatized before age 2(-4) The parent was traumatized before the age of 2(-4). The parent grew up in foster care. Child had failure to thrive. You never see the parent take her newest baby out of the car seat. DV in the home when the child was an infant.
58 Developmental Attachment Trauma
59 The Intentions of the Human Brain #1:SURVIVE... #2:THRIVE... AT ALL COST And Develop
60 Trauma Theory Trauma can disrupt the healthy development by overwhelming a person s ability to cope. Trauma is defined as: an overwhelming sense of terror, helplessness, and horror in response to real or perceived threat to the life or physical integrity of the child or someone important to that child The brain releases chemicals that help the body to respond to the threat (fight, flight, freeze)
61 Types of Trauma: Type I: Acute trauma: A single event that lasts for a limited time Type II: Chronic trauma: multiple traumatic events, often over a long period of time Neglect: Failure to provide for a child s basic needs is perceived as trauma by an infant or young child due to dependency on adults for care.
62 Brain Injury
63 The hippocampus is a brain structure crucially involved in the formation of memory for facts and events. ( thinking brain ) At birth and in early childhood this structure is not fully grown...memory of birth is unlikely. the brain structure for emotional memory, the amygdala ( lizard brain ), is mature in infancy... The outcome of these two facts:... an emotionally significant event during infancy may affect the way a child behaves later in life despite them not being able to remember the actual event. -David Sant
64 Complex Trauma Specific kind of chronic (Type II) trauma in which multiple traumatic events begin at a very young age and are caused by adults who should have been caring for and protecting the child Ex: ongoing sexual abuse, domestic violence, physical abuse
65 Complex Trauma continued Trauma that happens in childhood at the hands of a caregiver is doubly destructive because it destroys the attachment relationship that the child would normally need to depend on to manage the trauma of the abuse. The resolution of attachment issues is a central component of trauma recovery.
66 Complex Trauma & Disorganized Attachment Trauma at the hands of a caregiver creates a double bind for the child who is faced with two opposing needs. 1) The need to develop and maintain attachment to caregivers. 2) To need to defend himself emotionally, physically and mentally from the very people they are supposed to rely on When parent is a figure of both fear and reassurance, child can develop a disorganized attachment style.
67 Relationship between Trauma and Attachment Secure attachment serves as a buffer that mediates the post-trauma response (especially with Type I Trauma) Type II trauma more likely to result in Insecure Attachment Attachment protects against Trauma, but Trauma can hurt Attachment Development is derailed due to unmet safety and security needs
68 DISORGANIZED (Ambivalent) Attachment Trauma Bond 1. Contradictory responses ( I hate you, don t leave me. ) Responding to caregivers with a mixture of approach/avoidance ( push/pull dynamics, emotional manipulation) and 2. Resistance to comforting or 3. Frozen watchfulness (Dissociation)
69 Disorganized Attachment Caregiver behaviors are bizarre, threatening, unpredictable, violent or frightening Infant feels insecure, and cannot organize a strategy for insuring protective access to their caregivers. Under distress, child exhibits contradictory behavioral patterns, freezing, stilling, and slowed movements and expressions, clear signs of fear of the parent, clear signs of disorganization and disorientation.
70 Continuum of Attachment Attachment problems RAD Disorganized attachment and attachment insecurity are NOT disorders, but can increase risk of other disorders Reactive Attachment Disorder: A pattern of social relatedness based on a LACK OF an early attachment relationship
71 Reactive Attachment Disorder (RAD) Can include: control issues self destructive behavior destruction of property inappropriately demanding/clingy behavior stealing, lying passive aggression sneaky behavior hoarding, gorging inappropriate sexual attitudes and behaviors cruetly to animals or younger children
72 Attachment Classification Can Change based on: Emotional support, direction and structure provided by caregiver Stressful life events in the family Quality of home environment Environmental support Changes in mother s emotional functioning Changes in mother child interactions
73 It is loving that saves us, not loss that destroys us. -G. Vaillant, 1985
74 Role of Corrective Experience Experience changes or grows the brain The brain develops by forming connections. Interactions with caregivers are critical to brain development. The more an experience is repeated, the stronger the connections become. Important that the child perceives the experience as different. Goal is to challenge and correct (rather than reinforce) the underlying negative working model.
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.
Attachment Theory: Understanding and Applying Attachment Style in Addiction Counseling Denise Kagan, PhD Pavillon Psychologist Attachment Theory Mentalization and Attachment Studies Neurobiology of Attachment
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
Self-Esteem and Mental Health Contents Section 1 Building Your Self-Esteem Section 2 Using Good Communication Skills Section 3 Mental and Emotional Health Section 4 Understanding Mental Disorders Section
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
Understanding trauma bonding Are you addicted to someone who has been abusing you? Can t seem to break out of the abuse cycle? Or have you left but can t stop thinking about the person? Experiencing obsessive
caring FOR A CHILD who has been impacted by substance abuse WHERE CAN CAREGIVERS FIND HELP? Caregivers may need guidance and support as they respond to the attachment needs of vulnerable children. Help
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
Parental Resilience 1of 5 Being a parent can be a very rewarding and joyful experience. But being a parent can also have its share of stress. Parenting stress is caused by the pressures (stressors) that
Government of Western Australia Department for Child Protection and Family Support How do I recognise when a child is at risk of abuse or neglect? Physical abuse Physical abuse is when someone is deliberately
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
Sunrise to Sunset, the Family Circle, and yet.. How family of origin loss creates adult problems. Alan Basham, M.A. Eastern Washington University Ryan Kiely, M.S. Excelsior Youth Center Circumplex Model
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
Issues in OCD Resistance: Co-Morbidity and Merged Vs Unmerged OCD Page 1 Jonathan Grayson, Ph.D. I. Introduction A. Treatment resistance comes in many forms, which all of us have been addressing over the
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
Psychopathology Change in the way look at problems. Similar to change in biology. Also look over life cycle. Look at how they adapt to change. 1 Burden Stages of research Diagnosable symptomatology Positive
Co-dependency Fact Sheet on co-dependency from Mental Health America: Co-dependency is a learned behavior that can be passed down from one generation to another. It is an emotional and behavioral condition
The Nature of Personality Disorders Chapter 12 Personality Disorders Enduring patterns of perceiving, relating to, and thinking about the world and oneself Manifest across many life areas Are inflexible
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
Interpersonal Attraction and Personal Relationships Chapters 8 & 9 Banu Cingöz Ulu The Need to Belong We want people around us! Loneliness: experienced when our social relations are inadequate ( aloneness)
CORE-INFO: Emotional neglect and emotional abuse in pre-school children Introduction This leaflet summarises what is currently known about children aged less than six years who have been emotionally neglected
switching seats in the classroom stealing money Take Action Against Bullying spreading rumors pushing & tripping U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Substance Abuse and Mental Health Services Administration
: Juli Alvarado, MA, LPC, NCC Coaching for LIFE 866-570-0604 Most adults with whom I work, as clinicians or adoptive parents, tend to see adoption as a blessing, and in most ways it is. But for the adopted
A Model for Conceptualizing the Treatment of Trauma, Developmental Immaturity, and Eating Disorders/Addictions Stephanie Schoville, M.A. Lead Clinician Rosewood Outpatient Center Tempe, Arizona Goals To
I-Self and Me-Self Self Concept I-Self Self as knower & actor: Separate from surrounding world Same over time Private inner life Controls own thoughts and actions Me-Self Self as object of knowledge Consists
Development Through the Lifespan Chapter 6 Emotional and Social Development in Infancy and Toddlerhood This multimedia product and its contents are protected under copyright law. The following are prohibited
Dyadic Developmental Psychotherapy Goals and Objectives Dan Hughes, Ph.D. 2014 Introduction When children and teens have been traumatized by their parents or other caregivers, they are at risk to manifest
The Impact of Trauma on Attachment Relationships Jody Todd Manly, Ph.D. Clinical Director, Mt. Hope Family Center University of Rochester Information reported herein has been funded in part by grants from
Circle of Security: An Attachment Based Intervention Charles H. Zeanah, M.D. Institute of Infant and Early Childhood Mental Health Tulane University School of Medicine Circle of Security Relationship based
Chapter 8 Outline I. Foundations of Psychosocial Development A. Emotions Emotions: Subjective reactions to experience that are associated with physiological and behavioral changes. 1. First Signs of Emotion
Department of Early Education and Care Technical Assistance Child Guidance Ask anyone and they will tell you that helping children develop self-control is an enormous challenge and responsibility. Effective
Parents Names (If Client is a Minor) Client Information Sheet Client s Last Name First M.I.. Social Security No. Date of Birth: Age Sex M / F Home Phone No.( ) Education Level: Marital Status: Home Address:
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
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
Treatment Planning The Key to Effective Client Documentation Adapted from OFMQ s 2002 provider training. 1 Models Medical Model Diagnosis Psych Eval Problems Symptoms Psycho/Social/Behavioral Model Diagnosis
CONTROL Claudja Inc. 2005 Handout #1 Depression PERFECTIONISM TRAUMA Issues of Recovery VICTIMIZATION PROCRASTINATION ADDICTIVE DISORDERS RAGE Handout #2 EMOTIONAL ABANDONMENT R A E C J C E E C P T Emotional
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
Chapter 1 ATTACHMENT AND EMOTIONAL RESILIENCE Whenever a child or adult is faced with traumatic life events, particularly the loss of a loved one, the ability to survive the emotional and physical pain
Addressing Family Needs FAMILIES How Can I Build Stronger Family Ties? Everyone in the family is affected by TBI. * Your role within the family has changed and the role of your family member with TBI may
Did you know? Treatment Strategies to Address Problematic Sexual Behavior October 27. 2008 Betsy Offermann, LCSW-C Sexualized behavior is more frequent in sexually abused children than in other clinical
TRAUMA INFORMED CLASSROOMS FOR ELL STUDENTS Oakland Unified School District, June 25, 2015 Trauma An experience (or extreme threat) of physical or psychological harm or the severe withholding of resources
School-Age Child Guidance Technical Assistance Paper #2 School-age Child Guidance High quality out-of-school time programs promote school-age children s emotional and social development as well as their
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
Mental Illness in the Home: Tools and Guidance for Families How mental illnesses can affect family and friends Definition of recovery Serious mental illness Schizophrenia Bipolar disorder Panic disorder/mood
Learners with Emotional or Behavioral Disorders S H A N A M. H A T Z O P O U L O S G E O R G E W A S H I N G T O N U N I V E R S I T Y S P E D 2 0 1 S U M M E R 2 0 1 0 Overview of Emotional and Behavioral
A back-to-basics, step-by-step model of care promoting children s recovery from abuse and neglect through the promotion of therapeutic care environments Colby Pearce 2015 Key Features: 1.Back-to-basics:
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
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
How do emotions and personality develop in infancy? Emotional Development What Are Emotions? Feeling or affect that occurs when a person is in a state or an interaction that is important to her or him,
TRAUMA INFORMED CARE FOR INDIVIDUALS WITH I/DD Marcus DeMott, MSW, LSW, Legacy Treatment Services WHAT IS TRAUMA? A traumatic event is one in which a person experiences (witnesses or is confronted with):
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
SIGNS AND SYMPTOMS OF CHILD ABUSE AND NEGLECT The warning signs and symptoms of child abuse and neglect vary from child to child. Children have different ways of coping with abuse and the signs often depend
DEVELOPMENTAL TRAUMA AND ITS IMPACT ON CHILDREN S FUNCTIONING Presented by: Kym Asam, LICSW, QMHP OBJECTIVES Definitions Understand the impact of developmental trauma on the brain Understand students states
Domestic Violence: What You Need to Know Domestic violence is the willful intimidation, physical assault, and/or other abusive behavior perpetrated by an intimate partner against another. Domestic violence
Trauma Informed Care for Child Welfare Professionals Edward Turner, RN, MA SOURCE: NATIONAL CHILD TRAUMATIC STRESS NETWORK (NCTSN) TRAUMA TRAINING TOOLKIT AND WEB BASED RESOURCES FROM NCTSN.ORG Goals of
Anorexia The Flip Side of Addiction WHAT IS ANOREXIA IN THE AREA OF SEX AND LOVE? Sex and Love Addicts Anonymous (S.L.A.A.) offers this definition: As an eating disorder, anorexia is defined as the compulsive
Introduction by Vince Natomagan Main body by Glen McCallum, Wellness Wheel Counsellor As practised by the Pinehouse Reclaiming Our Community working group Honourable Mention: Dr. Tom Hengen, Pyschologist
Children, Trauma and the impact of Substance abuse Day One Outpatient (874-1045) Amy Stevenson LCPC CCS (firstname.lastname@example.org) Don Burke LCPC CCS (email@example.com) Assessing families and treating trauma in
Restorative Parenting: A Group Facilitation Curriculum Activities Dave Mathews, Psy.D., LICSW RP Activities 1. Framework of Resourcefulness 2. Identifying the Broken Contract Articles 3. The Process of
Relationship Changes Following Traumatic Brain Injury Information for Patients and their Families Talis Consulting Limited Why can a Head Injury affect Whole Families? All of us live our lives embedded
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
Self-Awareness The Counselor as a Person and as a Professional Chapter 2 Psychology 475 Professional Ethics in Addictions Counseling Listen to the audio lecture while viewing these slides Without a high
Behavior 141 142 BEHAVIOR What is Behavior? A behavior is the way a person acts in response to a particular situation. Why is Behavior Important? For children who have experienced trauma, keeping themselves
Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India - Article 24 of the Convention on the Rights of the Child recognizes
Personality Disorders Chapter 11 Personality Disorders: An Overview The Nature of Personality and Personality Disorders Enduring and relatively stable predispositions (i.e., ways of relating and thinking)
Child Perspectives on Substance Abuse Child Development 101 Naomi Weinstein, MPH Center on Addiction and the Family Phoenix House 646-505-2061 firstname.lastname@example.org Children s Vulnerability Age Lack
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,
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
This factsheet provides a basic description of personality disorders, their symptoms and the treatments and support options available. What is a personality disorder? Personality disorder is a relatively
Strengthening the Adoptive Family: An Attachment-Based Family Therapy Approach Reena Bernards, LCMFT January 31, 2014 Jonah Green and Associates, LLC Initial Thoughts about Adoption Adoption has both losses
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
Physicians in Couples Counseling I am a psychotherapist in private practice in Toronto. I see many physicians individually in my practice for a multitude of issues. They are a unique population who present
The Dance of Attachment The parenting challenge for carers fostering or adopting children with attachment difficulties Kim S. Golding Dancing the Same Steps Child signals attachment needs clearly Sensitive
PARENTING AND BLOCKED CARE In their book Brain Based Parenting Dan Hughes and Jonathan Baylin explore the neuroscience of caregiving and consider what this means in terms of parenting. The book describes
ADDICTIONS BEHAVIOURAL Internet Shopping Work Sex Gambling Food SUBSTANCE - RELATED Alcohol Drugs Medicine Tobacco Addiction is a chronic, relapsing disease affecting the brains's reward, motivation and
THE NURTURING PROGRAM FOR FAMILIES IN SUBSTANCE ABUSE TREATMENT AND RECOVERY Code: B2 Lisa Fockler, Program Director, Remedy Exchange Disclosures and Acknowledgements Lisa Fockler, (dba) Remedy Exchange
Page 1 of 7 Diseases and Conditions Antisocial personality disorder By Mayo Clinic Staff Antisocial personality disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving
How mental health diiculties aect children Contents Mental health influences our overall wellbeing Mental health can change over time Mental health diiculties in the early years Risk and protective factors
SECTION 7 Stroke and depression 7: Stroke and depression Section overview This section looks at: The impact of stroke on the survivor s feelings and social life First reactions and later changes Post-stroke
Compensation Strategies for Common Challenges after Traumatic Brain Injury Annette Pearson MS, LADC, CBIS Vinland National Center email@example.com 1 This is any one of us, with some area(s) of
Definitions of Child Abuse in the State of Oregon Oregon law defines physical abuse as an injury to a child that is not accidental. Most parents do not intend to hurt their children, but abuse is defined
Anger Anger is common with PTSD and anger is an understandable response to trauma. Anger is an emotion that can range from mild annoyance to intense rage. People may become angry when they feel threatened,
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
ASSERTIVENESS TRAINING: HOW TO BECOME MORE ASSERTIVE IN ORDER TO MAXIMIZE THE CHANCE OF GETTING WHAT YOU WANT WHAT IS ASSERTIVENESS? There are three basic interpersonal styles that we can use when interacting
Abnormal Psychology Clinical Perspectives on Psychological Disorders 5e Personality Disorders Chapter 10 Personality Disorders Chapter 10 Personality trait An enduring pattern of perceiving, relating to,
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
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,
Your consent to our cookies if you continue to use this website.