View with images

National Child Traumatic Stress Network e-Bulletin August 2013

Recent Publications by Network Members, Affiliates, and Colleagues:

 Robert Murphy and John Fairbank of Duke University School of Medicine, in their article Implementation and Dissemination of Military Informed and Evidence-Based Interventions for Community Dwelling Military Families in Clinical Child and Family Psychology Review (Volume 1, Number 17), focus on the challenges to quality mental health care for reserve component (RC) families who live close to their military installations where mental health providers may have little knowledge of military culture. After deployment, RC service members returning to their families have higher rates of symptomatology, lower service utilization, and greater barriers to care than AC families. A paucity of providers skilled in evidence-based treatments (EBTs) limits community mental health capacity to serve RC military families. Authors note that several emergent programs have the potential to better serve community-dwelling military families: behavioral health homes, EBTs and treatment components, structured resiliency and parent training, military-informed schools, outreach methods, technology-based coping, and psychoeducation. Authors review methods from implementation science to improve clinician skill acquisition and to spread and sustain EBTs that may advance access to and quality of mental health treatment. Murphy and Fairbank also discuss research methods, military knowledge and treatment competencies, and transition to a public health model of service delivery.


 Harriet Rosenberg, John Vance, Stanley Rosenberg, George Wolford, Susan Ashley, and Michael L. Howard are the authors of Trauma Exposure, Psychiatric Disorders, and Resiliency in Juvenile-Justice-Involved Youth in Psychological Trauma: Theory, Research, Practice, and Policy (Online First Publication). Recent studies suggest that juvenile justice-involved youth have high levels of trauma exposure and that trauma correlates with psychiatric disorders. Authors assessed the relationships between trauma, posttraumatic stress disorder (PTSD), depression, substance abuse, and resiliency factors in a population of 350 youth in family courts, detention centers and residential treatment facilities in New Hampshire (NH) and Ohio. Using a Web-based screen, they measured trauma, PTSD, depression, substance abuse, and resiliency factors. Ninety-four percent reported at least 1 trauma; the mean was 5.4. Screening showed 45.7% of youth positive for PTSD, 49.4% for depression, 61.2% for substance abuse, and 26.3% positive for all 3 disorders. Trauma exposure was significantly correlated with PTSD (p < .001), depression (p < .001), and substance abuse (p = .009). Juveniles reporting 5.4 traumas had almost 8 times the probability of PTSD compared with those reporting 1 trauma, 7 times the likelihood of depression, and over 6 times the likelihood of substance abuse. Total resiliency score was not a moderator, but one subscale (Involvement) significantly moderated depression (p = .036) and showed a trend to moderate PTSD (p = .102). Results support recent findings of high levels of trauma exposure and related psychiatric disorders in juvenile justice-involved youth. Multiply traumatized youth appear at risk for PTSD, depression, and substance use disorder. Authors recommend further exploration of the apparent moderating effects of the resiliency subscale Involvement on depression and PTSD.



 Carly Dierkhising, Susan Ko, Briana Woods-Jaeger, Ernestine Briggs, Robert Lee, and Robert Pynoos of the National Center for Child Traumatic Stress are the authors of Trauma Histories Among Justice-Involved Youth: Findings from the National Child Traumatic Stress Network in European Journal of Psychotraumatology (Volume 4). This study describes detailed trauma histories, mental health problems, and associated risk factors (i.e., academic problems, substance/alcohol use, and concurrent child welfare involvement) among adolescents in the juvenile justice system. Authors used the National Child Traumatic Stress Network Core Data Set (NCTSN-CDS) to study 658 adolescents recently involved in the juvenile justice system, as indexed by being detained or under community supervision by the juvenile court, and found that the age of onset of trauma exposure was within the first 5 years of life for 62% of youth and that approximately one-third of youth report exposure to multiple or co-occurring trauma types each year into adolescence. Mental health problems were prevalent with 23.6% of youth meeting criteria for PTSD, 66.1% in the clinical range for externalizing problems, and 45.5% in the clinical range for internalizing problems. Early age of onset of trauma exposure was differentially associated with mental health problems and related risk factors among males and females. The results indicate that justice-involved youth report high rates of trauma exposure and that this trauma typically begins early in life, is often in multiple contexts, and persists over time. Findings provide support for establishing trauma-informed juvenile justice systems that can respond to the needs of traumatized youth.


Enhancing Multidisciplinary Responses to Polyvictimization: Complex Trauma Speaker Series
September 12, 2013 (12:00 pm PT)
Presenter: Lisa Goldblatt-Grace, MA, LICSW, Trauma Center at Justice Resource Institute, My Life My Choice Program
Presenters will examine the nuances of polyvictimization as it relates to the commercial sexual exploitation of both girls and women.
September 26, 2013 (12:00 pm PT)
Presenter: Stephen Procopio, ACSW, Trauma Center at Justice Resource Institute
Presenter will examine the nuances of polyvictimization as it relates to the commercial sexual exploitation of both boys and men.
Transforming Trauma in LGBTQ Youth Speaker Series
September 19, 2013 (9:00 am PT)
Presenters: Judy Cohen, MD, Allegheny General Hospital; Al Killen-Harvey, LCSW, Chadwick Center for Children and Families at Rady Children’s Hospital and Health Center; Betty Hill, MPM, Persad; Sandy Soloski, MA, CAC, Persad
This webinar provides concrete strategies that organizations and practitioners can implement to increase access and response to LGBTQ individuals and families.

Understanding and Treating Caregiver Substance Abuse and Trauma: A Focus on the Family
Presenters: Norma Finkelstein, PhD, LICSW, Institute for Health and Recovery; Abigail Gerwitz, PhD, LPC, Ambit Network; Kristen Santangelo, Project Bright; Beth Marron, LICSW, Institute for Health and recovery; Liza Suarez, PhD, University of Illinois at Chicago
This webinar focuses on understanding the connection between caregiver trauma and substance abuse, the impact of both on children, and the challenges experienced by families when both substance abuse and trauma are present. Authors present four models of intervention in the areas of parenting, substance abuse, and trauma. Also they will discuss an attachment curriculum utilized in a residential program for women with substance use disorders and an adaptation of Child-Parent Psychotherapy for parents and children in family residential treatment for substance abuse.
                                                                                                                                                          Find us on Facebook!Follow us on Twitter!