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Children who experience trauma often are subject to complex trauma, which is a series of difficult life events that interfere with attachment relationships and that threaten healthy development in a range of domains, including emotional, cognitive, sexual, social, and physical (Van der Kolk, 2005). Children learn to cope with, adapt to, and overcome the effects of trauma in the safety of secure relationships. The purpose of this powerpoint is to describe complex trauma, to show the importance of secure relationships, and to show factors associated with good social service outcomes when children have experienced complex trauma. Case materials bring the issues to life.