Western Michigan University SW MI Children’s Trauma Assessment Center

WHO? WHAT? WHEN? WHERE? WHY?

History 1999: A Perceived Need Is Verified Started with only $25,000 from two small grants and University resources First child in March 2000

1999: A Perceived Need Is Verified

Started with only $25,000 from two small grants and University resources

First child in March 2000

Mission To provide comprehensive assessment of traumatized children ages birth to 18 years and share recommendations to caretakers and responsible persons.

Address the impact of trauma and subsequent changes in the child’s behavior, development, and relationships

Philosophy Children who are traumatized are often found to have significant developmental delays in all domains. These children can effectively be treated when delays are identified at an early age .

Services Education and Training Research CTAC COMPONENTS

Education and Training SLP OT SW Transdisciplinary Approach

Referrals Primary Referrals via Foster Care Case Worker Court referrals Community Mental Health Foster Parent Self Referral

Primary Referrals via Foster Care Case

Worker Court referrals

Community Mental Health

Foster Parent Self Referral

Services Comprehensive Medical, Developmental, Pyschosocial Assessment Recommendations for services Medical consultation

Comprehensive Medical, Developmental, Pyschosocial Assessment

Recommendations for services

Medical consultation

Assessments Physical Exam: Emphasis on FASD Profile 3 Salient Features

Physical Exam: Emphasis on FASD Profile

FAS Diagnostic Grid (Univ. of Washington, 1999) 4 Digit Diagnostic Code Grid 4444=FAS --- 1111=WNL PHYSICAL EXAM DEVELOPMENTAL DIAGNOSTIC CODE HISTORY Gestational Alcohol Exposure Growth Face Brain High Some Unknown No risk Definite 4 Probable 3 Possible 2 Unlikely 1 Severe Moderate Mild Absent Significant Moderate Mild None ______ Gestational Alcohol Exp _______ ______ _______ _______ Brain Dysfunction FAS Facial Features Growth Deficiency

Assessments Hearing Evaluation

Hearing Evaluation

Assessments Developmental Assessments (Team Based ) Infant and Preschool Inventories (0-6) Neurodevelopmental Examinations (Ages 4-15) ( PEER….PEEX 2…..PEERAMID 2)

Developmental Assessments (Team Based )

Infant and Preschool Inventories (0-6)

Neurodevelopmental Examinations (Ages 4-15) ( PEER….PEEX 2…..PEERAMID 2)

Assessments Kaufmann Brief Intelligence Test (KBIT) Clinical Observations/Sensory Profile

Kaufmann Brief Intelligence Test (KBIT)

Clinical Observations/Sensory Profile

Neurodevelopmental Examinations Gross Motor Sensory Processing Cognition Graphic/Fine Motor Speech/Language Social Communication

Gross Motor

Sensory Processing

Cognition

Graphic/Fine Motor

Speech/Language

Social Communication

Psychosocial Assessments… CBCL: Child Behavior Checklist Play Based Interview Trauma Symptom Checklist for Children (TSCC) Draw a Person Test Reactive Attachment Disorder Questionnaire (RADQ) Child Sexual Behavior Inventory (CSBI)

Post Assessment Report to Case Manager and Caregiver Report to Court Recommendations for Services

Report to Case Manager and Caregiver

Report to Court

Recommendations for Services

Research Projects CTAC in the National Child Traumatic Stress Network (NCTSN) www.nctsn.org Research

CTAC in the National Child Traumatic Stress Network (NCTSN)

www.nctsn.org

Major Research Funding 2003-2012 Trauma Informed Child Welfare Systems Change (SAMHSA) Development and Study of School-Based Intervention Project (SAMHSA and OJJ-Safe Start) Total: 4 million

Trauma Informed Child Welfare Systems Change (SAMHSA)

Development and Study of School-Based Intervention Project (SAMHSA and OJJ-Safe Start)

Research Projects Development and Study of School-Based Intervention Project PreSchool…Elementary…..Middle…Secondary… Creating Trauma Informed Communities

Development and Study of School-Based Intervention Project

PreSchool…Elementary…..Middle…Secondary…

Creating Trauma Informed Communities