Understanding Trauma: Types, Impact, and Management
Explore the different types of trauma, from acute to chronic, and its effects on children. Learn about trauma-informed screening and treatment approaches. Discover how trauma can overwhelm a child's capacity to cope and the importance of recognizing and addressing these experiences.
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Presentation Transcript
Errin Skinner-Liell, Initiative Coordinator May 4, 2015
I. Overview of trauma II. Components of the Initiative III. Child outcome data IV. Summary
Trauma is an event or experience that: Threatens the life or physical integrity of a person or of someone critically important to that person (such as a spouse, child, parent, sibling) Produces intense physical and emotional reactions, including: An overwhelming sense of terror, helplessness, and horror Physical sensations such as rapid heart rate, trembling, dizziness, or loss of bladder or bowel control 3
A sudden, unexpected, non- normative event that overwhelms the child s capacity to cope.
Acute trauma is a single, time-limited event, such as: A serious accident An act of community violence or crime A natural disaster (earthquakes, wildfires, floods) The sudden or violent loss of a loved one A physical or sexual assault (e.g., being shot or raped) 5
Chronic trauma traumatic events: May be recurrent trauma of the same kind such as physical or sexual abuse or varied traumas such as witnessing domestic violence and then becoming a victim of community violence The effects of chronic trauma tend to build on each other, as each event serves as a reminder of past trauma and reinforces its negative impact Chronic trauma is the experience of multiple 6
80% of the children we serve at CMH have multiple traumatic experiences CMHSP administrator 9
Trauma Informed Screening Trauma Assessment and Treatment Caregiver Education Trauma Informed Screening Trauma Assessment and Treatment Caregiver Education Supported by all levels of the CMH System Administration Supervisors Direct Service Staff Support Staff Caregivers 10
Integration and support of trauma informed practice across system Family driven, youth guided practice Quality practice and use of Evidence Based Practice 11
Goal is to ensure early identification of trauma Screening interventionists (in person and via telephone) Intake Workers 12
Goal is to reduce trauma symptomolgy through trauma treatment using TFCBT Clinicians and their supervisors are trained in the evidence based TF-CBT model and implement the model with children and their families. Home-based / Outpatient clinicians and their supervisors 13
P = Psychoeducation & Parenting skills R = Relaxation A = Affect regulation C = Cognitive coping T = Trauma Narrative I = In-vivo exposure C = Conjoint session E = Enhancing safety & social skills 14
Goal is for CMHSPs to provide trauma education to caregivers in their local community who are raising traumatized youth Training of trainers model enables sustainability Goal is for participating sites to incorporate this into their system of services available for children, their families, and their community CMH s share this resource with caregivers in their system and community Desired outcome is to equip caregivers and the community to effectively intervene and support the healing of children with a history of trauma 15
Introductions Trauma 101 Understanding Trauma s Effects Making a Safe Place Dealing with Feelings and Behaviors The Importance of Connection Becoming an Advocate Taking Care of Yourself 16
Total of 12 cohorts completed; 2 cohorts currently being trained Approximately 20 screening interventionists trained, 406 clinicians and 130 supervisors trained to implement TFCBT, and 340 parents and staff facilitators trained to conduct local Resource Parent trainings 40 CMHSP s trained covering 73 counties
Implementation of validated trauma screening instrument during intake assessment process Integration of the trauma principle if you don t ask, they won t tell at the first point of contact
Continued statistically significant and clinically relevant outcomes across all measures: UCLA trauma symptoms based on DSM criteria, CAFAS child measure, and CAFAS parent measure. Data for young children shows positive results with home, mood, and behavior toward others on the PECFAS, supported by results on the TSCYC.
Parents, professionals, and community providers trained as facilitators of psychoeducational trauma curriculum Positive feedback from caregivers on the impact of participating in the parent groups
Support and commitment at all levels to build a trauma informed system Development of an action plan to address secondary traumatic stress Integration of essential elements (screening, assessment/ treatment, and caregiver education) Individual and/or group supervision to support implementation of model and new tools
Mary Ludtke, MDCH Consultant Email: LudtkeM@michigan.gov Telephone Number: (517) 241-5769 Errin Skinner Liell, Initiative Coordinator Email: skinnere@ceicmh.org Telephone Number: (517) 346-8004 Kathy Fitzpatrick, Technical Assistance Specialist Email: fitzpatr@ceicmh.org Telephone Number: (517) 346-8070 24
