Sowk 645 (trauma)

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  • Sowk 645 (trauma)

    1. 1. Clinical Practice in Mental Health Settings SOWK 645- Fall 2010 TRAUMA Jodi Smith LCSW, RPT-S
    2. 2. QUESTIONS???? Readings Journals Theoretical Paper
    3. 3. Placement Issues Relevant to Class
    4. 4. TRAUMA Briere Hindman James Sgori Terr Seigel Van der Kolk Perry
    5. 5. TF-CBT
    6. 6. TF-CBT Psychoeducation Stress Management Affect Expression & Modulation Cognitive Coping Trauma Narrative Cognitive Processing Behavioral Management Training Parent Child Sessions
    7. 7. Trauma Defined
    8. 8. Trauma Defined A situation or event that creates psychological trauma when it overwhelms the individual’s ability to cope, and leaves that person fearing death, annihilation or psychosis. The individual may feel emotionally, cognitively and/or physically overwhelmed.
    9. 9. Trauma Defined A situation or event that creates psychological trauma when it overwhelms the individual’s ability to cope, and leaves that person fearing death, annihilation or psychosis. The individual may feel emotionally, cognitively and/or physically overwhelmed. The event does not define the trauma, the survivor’s experience of the event does.
    10. 10. TRAUMA Traumatic material is stored in the right hemisphere (Siegel, 2000; van der Kolk 1997) Brain encodes information visually (Terr) Bi-lateral activity activates the right hemisphere Kinesthetic experiences stimulate the formulation of imagery Kinesthetic & sensory experiences activate limbic system, followed by cognitive & pre- frontal systems
    11. 11. Terr Chowchilla Trauma defined Type 1 & Type 2 trauma
    12. 12. Type I - Acute (Terr) Short & severe One time event in normal life Very few people develop PTSD Medical Natural Disasters
    13. 13. Type I - Acute (Terr) Short & severe One time event in normal life Very few people develop PTSD Medical Natural Disasters Verbal recall
    14. 14. Type II - Chronic (Terr) Repeated, anticipated (but single incident) Persistent exposure High incident of PTSD Repeated physical or sexual abuse Neglect War
    15. 15. Type II - Chronic (Terr) Repeated, anticipated (but single incident) Persistent exposure High incident of PTSD Repeated physical or sexual abuse Neglect War Verbal recall compromised
    16. 16. Type III- Complex Cumulative Multiple Incidents Cannot separate incidents Resiliency lost Impaired fx in all areas/daily Psychiatric manifestations From: The National Institute for Trauma & Loss in Children
    17. 17. Safe from the Start Video Bruce Perry
    18. 18. Neurosequential Model A developmentally-informed, biologically-respectful approach to working with at- risk children.  This clinical approach helps professionals determine the strengths and vulnerabilities of a given child and create individualized intervention, enrichment and educational plans for children.  Goal is to find the appropriate set of therapeutic activities that match a child’s current need in various domains of functioning   (i.e., social, emotional, cognitive and physical).  Patterned, repetitive and developmentally-appropriate activities provided in context of nurturing relationships are the keys to effective intervention.  Active participation of caregivers and other adults in the child’s life is important to the success of the NMT; indeed, by weaving various activities throughout the child’s various relationships and environments, the majority of “therapeutic” experiences are provided outside of the actual context of conventional therapy. The model has three key components – assessment, staffing/training and the array of therapeutic, educational and enrichment activities. 

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