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Early Childhood Trauma and Brain Development
1. Building Bright Futures Council
March 16th, 2012
Nicole Mondejar, MHA
Administrator of Early Childhood Programs
WCMHS, Inc.
2. Brain
Development &
Trauma/Stress
What to Look For
Best Practices &
Local Resources
What You Can Do
3. Positive Stress All managed by
brain circuits and
hormones in the
body .
Tolerable Stress
Prolonged exposure
Toxic Stress to stress hormones =
impaired brain
development and
functioning.
4. Trauma is defined as a physical or
psychological threat or assault to a child’s
physical integrity, sense of self, safety or
survival or to the physical safety of another
person significant to the child.
(VT CUPS Handbook)
5. Children may experience trauma as a
result of a number of different
circumstances, such as:
Abuse, including sexual, physical, emotional
Abandonment or neglect
Witness to domestic violence
Death or loss of a loved one
Severe natural disasters
War, terrorism, military or police actions
(including media images)
Witness to community violence
Personal attack by another person or an animal
Kidnapping
Severe bullying
Medical procedure, surgery, accident or serious illness
Living in chronically chaotic environments
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12. “High levels of stress during pregnancy
should be categorized as potentially
“toxic”, indicating that they might have
long-term consequences for human
development that are similar to the
adverse impacts of significant neglect or
abuse in early childhood”.
Study Title and Authors: Richardson, HN, Zorrilla, EP, Mandyam, CD, Rivier, CL (2006). Exposure
to
repetitive versus varied stress during prenatal development generates two distinct anxiogenic
and neuroendocrine profiles in adulthood. Endocrinology 147:2506-2517.
13. In one study, children aged 2–5, 52.5% had experienced a
severe stressor in their lifetime.
Young children have the highest rate of abuse and neglect,
and are more likely to die because of their injuries.
Children younger than 3 years of age constituted 31.9% of all
maltreatment victims reported to authorities in 2007.
Infants are the fastest growing category of children entering
foster care in the US.
Infants removed from their homes and placed in foster care
are more likely than older children to experience further
maltreatment.
14. Children aged 0-2 exposed to traumatic stress may:
Act withdrawn
Demand attention through both positive and negative behaviors
Demonstrate poor verbal skills
Display excessive temper tantrums
Exhibit aggressive behaviors
Exhibit memory problems
Exhibit regressive behaviors
Experience nightmares or sleep difficulties
Fear adults who remind them of the traumatic event
Have a poor appetite, low weight and/or digestive problems
Have poor sleep habits
Scream or cry excessively
Show irritability, sadness and anxiety
Startle easily
15. Children aged 3-6 exposed to traumatic stress may also:
Act out in social situations
Be anxious and fearful and avoidant
Be unable to trust others or make friends
Be verbally abusive
Believe they are to blame for the traumatic experience
Develop learning disabilities
Experience stomachaches and headaches
Fear being separated from parent/caregiver
Have difficulties focusing or learning in school
Imitate the abusive/traumatic event
Lack self-confidence
Show poor skill development
Wet the bed or self after being toilet trained or exhibit other
regressive behaviors
16. Contrary to popular belief,
young children living in highly
disadvantaged environments
can be protected from serious
emotional or behavioral
consequences.
17. VT Child Trauma Collaborative (VCTC)
12 community-based mental health treatment centers
serving all regions under the DMH.
6 clinicians at each site to form local ARC community
treatment & service teams
Services target children ages 3-18 and their families,
who have experienced complex trauma
Train-the-trainers series for mental health providers
and community partners to provide trauma trainings
across the system of care
19. Four standardized assessments administered at intake,
quarterly, and at discharge:
Parenting Stress Index (PSI) for ages 0 to 12 or the Stress Index
for Parents of Adolescents (SIPA) for ages 11 to 19.
Trauma Symptom Checklist for Children (TSCC) for ages 8 to
16 or the Trauma Symptom Checklist for Young Children
(TSCYC) for ages 3 to 12.
The UCLA PTSD Reaction Index (UCLA PTSDRI) to assess post-
traumatic stress reactions among children and adolescents aged 7
to 12 years old.
The Achenbach System of Empirically Based Assessment Child
Behavior Checklist (ASEBA CBCL) for ages 1 ½ to 5 or 6 to 18.
20. Neurosequential Model of Therapeutics
(NMT)
Developmental & Relational History
Estimate which neural networks & functions likely
impacted by trauma
Current Assessment of Functioning
Brain Mapping
Recommendation for interventions
Addressed in developmental sequence
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23. Early
Childhood & Family Mental Health
(ECFMH): Accessed through referrals to CIS
Home Visiting
Parent Training & Education
Therapeutic Case Management
Individual Therapy for parent and/or child
Marital/Couples Therapy
Coordination with Substance Abuse Services
Linking Community Supports (LINCS)
Outpatient Therapy
Individualized Play Therapy
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25. “Participation in pre-kindergarten
dramatically reduced participation
in juvenile and adult crime, and
increased high school graduation,
employment and earnings,
with a total benefit-cost ratio
of 16 to 1.26”.
26. 1. Healthy Adult Relationships
2. Promote Protective Factors
Nurturing and attachment
Knowledge of parenting and of child and youth
development
Parental resilience
Social connections
Concrete supports for parents
s Early Identification & Access to Supports
r Increase Awareness
s Call your legislators