Course Goal Increase student awareness and understanding of children and family mental health needs after experiencing trauma.
Course Objectives Identify and define sources of childhood trauma Understand and analyze the prevalence, etiology and risk factors of childhood trauma Understand healthy child development to differentiate against development related to traumatic experiences Evaluate assessment criteria of child trauma and understand best practices and intervention Identify supports and resources for trauma in the community Understand the System of Care philosophy by applying to case studies
Required Reading Perry, B. & Szalavitz, M. (2007). The Boy Who Was Raised as a Dog. Various research articles. Articles will be available on ecollege.
Attendance 10% of grade 20 points 10 @ 2 point each
Participation 15% of grade 30 points 15 @ 2 point each During classes in which your fellow students are presenting or threaded discussions Participation points cannot be made up if you are absent (even if the absence is excused)!
Article Reviews 35% of grade 60 points 12 @ 5 points each Every week students will be required to write a review of the articles for that weeks reading All reviews must be completed prior to the start of class and should be turned into the ecollege dropbox Be sure to bring a copy to class as well
Discussion Lead 15% of grade 30 points 2 @ 15 points each Students will be assigned to groups and a topic twice during the semester Each group will be expected to lead threaded discussion regarding the research articles and the assigned topic in general for that week
Paper 20% of grade or 40 points Identify one child trauma event (or theme) and make up a case study. Locate a written resource that covers trauma, its causes, consequences and possible interventions to assist traumatized children Identify resources within your community Interview one resource.
Paper logistics No more than 7 pages double spaced One page is your list of resources One is your case study One is your reference page APA guidelines Due at start of class on 11/29/2011 Dropbox
Presentation 10% of grade 20 points Presentation of paper 10 -15 minutes
What is Development? Skill acquisition in physical, language, emotional, cognitive, and adaptive areas throughout the lifespan Based upon neurological maturation as well as experience and environmental influences Most rapid during prenatal, infancy, and adolescence
Key Concepts Wired for learning First two years are critical Brain Plasticity: Brain’s ability to change as the result of experience Balance of risk and protective factors Within child Within environment
Risk Factors Co-exist and compound Generate secondary stresses Likelihood of disorders increase with number of risk factors
Risk Factor for Parents Low self-esteem/depression Poor impulse control Substance abuse Abused as child Teen parent Unrealistic expectation of child Negative view of self and child Punitive child rearing
Family Factors Isolation Family/domestic violence Non-biologically related male in home Poverty Unemployment/financial problems Single parent Animal abuse
Community Risk Factors Poor access to health care Limited community Neighborhood safety
Protective Factors Parental Resilience Social Connections Knowledge of parenting and development Concrete support in times of need Social and emotional competence of children
What is Trauma? Person is exposed to traumatic event or events that involve actual or threatened death or serious injury Man-made and natural disasters Including war, abuse, violence, earthquakes, mechanized accidents or medical emergencies
Acute Trauma Psychological injury that results from singular exposure Isolated experience
Complex Trauma Psychological injury that results from protracted exposure to prolonged social and/or interpersonal trauma with lack or loss of control, disempowerment, and in the context of either captivity or entrapment
Event Acute Complex BothJim’s fell out of a tree and broke his arm.Aiden’s grandmother died in a car accident.The Walsh family lost their home in a fire.Sara and Jacob were abused by their fatherthroughout their childhood.Eliza is a mother of three and has been stationed inIraq for the past nine months.Jarod and his family were forced to evacuate duringa hurricane.Mary was sexually assaulted at a party as a teen.
Acute Stress Reaction Immediate reaction to stress Symptoms Initial daze, withdrawal, agitation and overactivity, anxiety, impaired judgment, confusion, detachment, and depression Partial to complete amnesia of event Immediate – 3 days
Acute Stress Disorder Psychological condition arising in response to a terrifying or traumatic event Symptoms Numbing, detachment, dissociative amnesia, flashbacks, and avoidance of reminders 2 days to 4 weeks
Post Traumatic Stress Disorder Severe anxiety disorder that can develop after exposure to any event that results in psychological trauma Overwhelming the ability to cope Symptoms Flashbacks, avoidance, hypervigilance, disruption in functioning Last longer than 4 weeks 50-90% expereince trauama, 8% develop PSTD
Reactions to Trauma: 5 and Younger Clinging to parent or caregiver Crying or screaming Whimpering or trembling Moving aimlessly Becoming immobile Returning to behaviors common to being younger Thumb sucking, bedwetting, fear of dark
Hierarchy of Negative Cognitions/Beliefs in PTSD Responsibility: “It was my fault, I should have done something” Safety: “I am in danger/ I cannot protect myself/ I cannot trust my judgement/ I can’t trust anyone” Results in hypervigilance Choice & Control: “I’m powerless”/ “I’m not in control” Self-Defectiveness: “I am a failure/ I am permanently damaged / I’m a bad person /I’m a disappointment / I am shameful/ I’m good enough”