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

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2009-06-18
  • Publisher: The Guilford Press
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List Price: $39.47


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 Stressp. 1
Survival Circuits: How Traumatic Stress Is about Survival-in-the Momentp. 23
The Regulation of Emotional States: How Child Traumatic Stress Is a Disorder of the Regulation of Emotional Statesp. 46
The Social Environment and the System of Care: Traumatic Stress Responses Are Embedded in a Social Contextp. 66
Signals of Care: The Importance of Caring Relationships for Traumatized Childrenp. 84
Getting Started
Ten Treatment Principles: The Principles That Guide TSTp. 95
Assessment: How to Assess Child Traumatic Stressp. 109
Treatment Planning: How to Plan for Child Traumatic Stress Interventionsp. 124
The Treatment Team: How to Build a Multidisciplinary Treatment Team (and Keep It Going!)p. 141
Doing Trauma Systems Therapy
Ready-Set-Go!: How to Engage a Family in TSTp. 153
Stabilization on Site: Community-Based Care to Help Kids Stay in Their Homes and Schoolsp. 170
Systems Advocacy: Integrating Advocacy into Critical Treatment with Pamela Tamesp. 187
Psychopharmacology: How Psychopharmacology Is Integrated within TSTp. 206
Emotion Regulation Skills: How to Help Children Regulate Emotional Statesp. 222
Cognitive Processing Skills: How to Help Children Think and Talk about Their Traumatic Experiencesp. 257
Meaning-Making Skills: How to Help Children Make Meaning Out of Their Traumatic Experiences and Move On with Their Livesp. 278
Conclusions: Leaving a Better Systemp. 301
TST Treatment Planning Formp. 309
Weekly TST Check-Inp. 312
TST Treatment Fidelity Formp. 313
Emotion Regulation Guidep. 318
Cognitive Coping Logp. 325
Systems Advocacy Screenerp. 326
Goal-Setting Guidep. 328
Referencesp. 329
Indexp. 332
Table of Contents provided by Ingram. All Rights Reserved.

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