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National Child Traumatic Stress Network e-Bulletin May 2012


In honor of National Mental Health Awareness Month, we invite you to celebrate the 7th annual Children's Mental Health Awareness Day on May 9, 2012. This month, please join us in increasing your awareness of and support for positive youth development, resiliency, and recovery, along with the transformation of mental health service delivery for youth, adolescents, and their families. Please visit our National Mental Health Awareness Month Page for helpful resources related to children's mental health designed for child welfare/medical/mental health professionals; educators; juvenile justice professionals; military families, parents and caregivers, and policy makers. 


New on the NCTSN Learning Center

Emotional Challenges and Self-Care for Those Working with Young Traumatized Children Tomorrow
May 3, 2012 (9:00 a.m. PDT)
Presenters: Leslie Ross, PsyD, Children's Institute, Inc.; Joy Osofsky, PhD, Louisiana State University School of Medicine
Presenters will discuss the importance of identifying and implementing effective strategies for self-care in dealing with the emotional challenges of working with infants, young children, and their caregivers who have been traumatized.
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Optimizing Visitation for Young Traumatized Children and Their Parents/Caregivers
May 24, 2012 (9:00 a.m. PDT) 
Presenters: Anna Smyke, PhD, Tulane University School of Medicine; Leslie Brown, LCSW, Children's Relief Nursery; Amy Sommer, MSW, Project Bright
Presenters will address the important role that visitation plays for young foster children and their caregivers and discuss ways to organize and improve the visit experience. Learn methods for transforming visitation from a frustrating to a therapeutic experience, including ways to manage children's behavior during and after the visit. 

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Form Child Maltreatment to Juvenile Delinquency: Trajectories of Crossover Youth and the Role of Trauma 
May 8, 2012 (10:00 a.m. PDT) 
Presenters: Gene Griffin, JD, PhD, Northwestern University Feinberg School of Medicine; Denise Herz, PhD, California State University, Los Angeles School of Criminal Justice 
The Center for Juvenile Justice Reform and the National Child Traumatic Stress Network will kick off a 3-part webinar series entitled Crossover Youth and Trauma-Informed Care: Bridging Two Fields of Practice about youth who are known to—and who move between—the child welfare and juvenile justice systems. Presenters will discuss research findings on crossover youth, how traumatic stress plays a role in the trajectory of this population, and implications for policy and practice. Follow-up webinars will expand on these policy and practice implications with discussions on strategies for policy reform and ways to translate research into promising practices.
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Trauma Screening and Assessment Measures for Child Welfare 
May 17, 2012 (9:00 a.m. PDT) 
Presenters: James Henry, PhD, Western Michigan University; Cassandra Kisiel, PhD, Northwestern University Feinberg School of Medicine; Lisa Conradi, PsyD, Chadwick Center for Children and Families
Presenters will describe, compare, and contrast three specific trauma screening and assessment instruments that have been used extensively within child welfare settings: Trauma Screening Checklist, Child Welfare Trauma Referral Tool, and the Child and Adolescent Needs and Strengths (CANS)Trauma Version.
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Responding to High Profile Child Sexual Abuse After Penn State 
May 29, 2012 (10:00 a.m. PDT) 
Presenters: Tony Mannarino, PhD, Allegheny General Hospital, Center for Traumatic Stress; Esther Deblinger, PhD, UMDNJ, CARES Institute;  Susana Rivera, PhD, SCAN-Inc.; Roy Van Tassell, LPC, Family and Children's Services, Child Abuse & Trauma Services; family member from Family and Children's Services, Child Abuse & Trauma Services
Why is child sexual abuse still stigmatized, sensationalized, and sexualized? What will it take to improve care for high profile sexual abuse victims? As the Penn State and other recent scandals prove, child sexual abuse remains the trauma no one wants to see, but won't go away. Presenters will address the special needs of high profile sexual abuse victims who experience the secondary adversities of media attention—which may continue for months and years—and protracted legal court cases. 
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Secondary Traumatic Stress and Provider Self-Care in Disaster and Terrorism Settings  
May 31, 2012 (11:00 a.m. PDT)
Presenters: Melissa Brymer, PhD, PsyD, UCLA Neuropsychiatric Institute; Patricia Watson, PhD, UCLA Neuropsychiatric Institute, National Center for PTSD; Steve Berkowitz, MD, Penn Center for Youth and Family Trauma Response and Recovery
Presenters will address the potential for secondary traumatic stress in disaster and terrorism settings and outline some recommended actions for preventing and reducing the potentially stressful impact of this work on disaster mental health providers.
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The Secondary Traumatic Stress (STS) Speaker Series presentation Organizational Secondary Traumatic Stress is available to view on the NCTSN Learning Center for Child and Adolescent Trauma "on demand." Presenters Leslie Ross, PsyD, of Children's Institute, Fred Strieder, PhD, of University of Maryland School of Social Work, and Cynthia Vrabel, MD, of Mental Health Services address the impact of STS in organizational settings, including risk management and workforce development. Learn strategies to reduce the impact of STS in your organization via training, assessment, case-load management, self-care practices, and supervision.

Noteworthy Resources

Network Members Ernestine Briggs, John Fairbank, Johanna Greeson, Christopher Layne, Alan Steinberg, Lisa Amaya- Jackson, Sarah Ostrowski, Ellen Gerrity, Diane Elmore, Harolyn Belcher, and Robert Pynoos are the authors of the Links Between Child and Adolescent Trauma Exposure and Service Use Histories in a National Clinic-Referred Sample in the March issue of Psychological Trauma: Theory, Research, Practice, and Policy, (Volume 4, Issue 2). This paper describes children and adolescents served by a broad range of NCTSN centers (e.g., demographic characteristics, types of trauma exposures, services utilized prior to NCTSN assessment and treatment services). Results show that systematically assessing children's trauma exposure histories provides clinically useful information, particularly for those exposed to multiple types of traumatic events. Additionally, results suggest that identifying subgroups and markers of risk for trauma-related sequelae may inform policies, programs, and best practices to meet specific needs of children and families.

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 The National Suicide Prevention Lifeline  Advisory Committee has developed The Suicide Grief Support Quick Reference. Reviewed by grief and trauma experts, suicide bereavement support volunteers, crisis center directors, and survivors of suicide loss, the Quick Reference can be downloaded (in several formats) and used in training and other settings to address  help for people coping with grief after suicide.   

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 Network Members Cameo Borntrager, James Caringi, Richard van den Pol, Lindsay Crosby, Kelsey O'Connell, Ashley Trautman, and Molly McDonald are the authors of Secondary Traumatic Stress in School Personnel in Advances in School Mental Health Promotion (Volume 5, Issue 1). Although research has examined secondary traumatic stress (STS) among mental health workers, no studies have systematically addressed STS among public school personnel. The authors of this article found that school staff reported very high levels of STS, despite also deriving the same satisfaction from doing their job well and the same job burnout levels as the national average. Although individuals working in mental health receive training to recognize STS in self and colleagues, and they receive STS referral, mitigation, and treatment opportunities on the job, school personnel are not given these opportunities. Implications and recommendations for such programs are discussed.

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 Network Members  Judith Cohen, Anthony Mannarino, and Esther Deblinger are the editors of the new book Trauma-Focused CBT for Children and Adolescents, an ideal complement to their authoritative Treating Trauma and Traumatic Grief in Children and Adolescents, which showed clinicians how to do trauma-focused cognitive-behavioral therapy (TF-CBT). The new volume—featuring a wealth of clinical examples—describes promising applications of TF-CBT in diverse contexts and with specific populations. Experienced clinicians provide recommendations for effectively implementing the approach in schools, foster care, and residential and international settings; incorporating play strategically; and tailoring TF-CBT for adolescents with complex trauma, children with developmental challenges, military families, and Latino and Native American children.

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Coming Next Month

Military and Civilian Partnerships: Extending the Bridge to Meet the Short- and Long-Term Needs of Military Families and their Young Children

Child Abuse and Neglect in Military Families: Community and Military Partnerships
Tuesday, June 19, 2012 (10:00 a.m. PDT)
Faculty: Carole Campbell Swiecicki, PhD, CHKD Child Abuse Program, Eastern Virginia Medical School; Gregory Leskin, PhD, Military Families Initiatives, UCLA-Duke National Center for Child Traumatic Stress
Faculty will present on current efforts by community-based organizations to support US Military Family Advocacy Programs (FAP) related to issues of child abuse and child maltreatment. This presentation will describe evidence-based interventions and coordinated models of care for addressing issues of child abuse in military families.
Audio: 866-295-5950, Code 5318986#
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Addressing Transition Issues for Young Foster Children
June 7, 2012 (9:00 a.m. PDT)
Presenters: Anna Smyke, PhD, Tulane University School of Medicine; Devi Miron, PhD, Tulane University Hospital; Julie Larrieu, PhD, Tulane University School of Medicine
Faculty will discuss the many transitions experienced by—and the challenges transitions pose for—young traumatized children in the child welfare system. Whether responding to the transition from the biological parents' home to a foster home, from foster home to foster home, or the changes accompanying reunification, those working in the child welfare system will benefit from understanding the effects of these transitions and the appropriate methods for facilitating them.
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Screening and Assessment in the Juvenile Justice System
The Need for Trauma-Informed Screening and Assessment in Juvenile Justice Settings: Strengths and Limitations of commonly-Used Instruments Upcoming
June 21, 2012 (11:00 a.m. PDT) 
Presenters: Patricia K. Kerig, PhD, University of Utah; Carly Dierkhising, MA, UCLA-Duke National Center for Child Traumatic Stress
Faculty will discuss the need for trauma-informed screening and assessment in juvenile justice settings, while briefly comparing screenings and assessments. Following the overview, presenters will discuss the strengths and limitations of the MAYSI and its sensitivity to trauma and traumatic stress. Finally, presenters will highlight the UCLA PTSD-Reaction Index and its utility in juvenile justice settings. 




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