Collaborative Treatment of Traumatized Children and Teens, First Edition The Trauma Systems Therapy Approach

by Saxe, Glenn N.; Ellis, B. Heidi; Kaplow, Julie B.

• ISBN13: 9781593853150
• ISBN10: 1593853157
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-10-27
• Publisher: The Guilford Press

Summary

For too many traumatized children and their families, chronic stressors such as poverty, substance abuse, and family or community violence—coupled with an overburdened care system—pose seemingly insurmountable barriers to treatment. This empowering book provides a user-friendly blueprint for making the most of limited resources to help those considered the “toughest cases.” Evidence-based strategies are presented for effectively integrating individualized treatment with services at the home, school, and community levels. Written in an accessible, modular format with reproducible forms and step-by-step guidelines for assessment and intervention, the approach is grounded in the latest knowledge about child traumatic stress. It has been recognized as a treatment of choice by state mental health agencies nationwide.

Author Biography

Glenn N. Saxe, MD, formerly the Chairman of Child Psychiatry at Boston Medical Center, is Associate Chief of Psychiatry for Research and Development at Children’s Hospital, Boston and Harvard Medical School. He leads a program devoted to finding and building mental health program models that will be helpful for inner-city children and families with severe and complex social, psychological, and medical problems. Trauma systems therapy (TST) was developed over almost 10 years of effort, and is now used in many different clinics and agencies across the United States. Dr. Saxe also leads the Center for Children at Risk of the National Child Traumatic Stress Network (NCTSN).

 

B. Heidi Ellis, PhD, is a clinical psychologist and Assistant Professor of Psychiatry at Boston University School of Medicine and Boston Medical Center, with joint appointments in Psychology and Pediatrics. Her primary area of interest is in developing interventions for traumatized youth and their families, particularly those who typically do not access mental health care. As associate director of the Center for Children at Risk of the NCTSN, she has dedicated her efforts to making mental health care more relevant and accessible cross-culturally, with a specific focus on helping refugee children.
 
Julie B. Kaplow, PhD, is a licensed clinical psychologist and Assistant Professor in the Department of Psychiatry at New Jersey Medical School. Her primary research interest is the psychological consequences of childhood trauma, with a focus on identifying effective coping strategies that can help to inform interventions. Dr. Kaplow has conducted research and clinical work with various populations of traumatized children, including those suffering from sexual abuse, traumatic injuries, and bereavement. She has served on the Traumatic Grief Task Force of the NCTSN.

Table of Contents

Introduction: Trauma Systems Therapy for Child Traumatic Stress	1	(22)
PART I. Foundations
Survival Circuits: How Traumatic Stress Is about Survival-in-the Moment	23	(23)
The Regulation of Emotional States: How Child Traumatic Stress Is a Disorder of the Regulation of Emotional States	46	(20)
The Social Environment and the System of Care: Traumatic Stress Responses Are Embedded in a Social Context	66	(18)
Signals of Care: The Importance of Caring Relationships for Traumatized Children	84	(11)
PART II. Getting Started
Ten Treatment Principles: The Principles That Guide TST	95	(14)
Assessment: How to Assess Child Traumatic Stress	109	(15)
Treatment Planning: How to Plan for Child Traumatic Stress Interventions	124	(17)
The Treatment Team: How to Build a Multidisciplinary Treatment Team (and Keep It Going!)	141	(12)
PART III. Doing Trauma Systems Therapy
Ready--Set--Go!: How to Engage a Family in TST	153	(17)
Stabilization on Site: Community-Based Care to Help Kids Stay in Their Homes and Schools	170	(17)
Systems Advocacy: Integrating Advocacy into Critical Treatment with Pamela Tames	187	(19)
Psychopharmacology: How Psychopharmacology Is Integrated within TST	206	(16)
Emotion Regulation Skills: How to Help Children Regulate Emotional States	222	(35)
Cognitive Processing Skills: How to Help Children Think and Talk about Their Traumatic Experiences	257	(21)
Meaning-Making Skills: How to Help Children Make Meaning Out of Their Traumatic Experiences and Move On with Their Lives	278	(23)
Conclusions: Leaving a Better System	301	(28)
Appendix
TST Treatment Planning Form	309	(3)
Weekly TST Check-In	312	(1)
TST Treatment Fidelity Form	313	(5)
Emotion Regulation Guide	318	(7)
Cognitive Coping Log	325	(1)
Systems Advocacy Screener	326	(2)
Goal-Setting Guide	328	(1)
References	329	(3)
Index	332