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National Child Traumatic Stress Network e-Bulletin December 2013

New on the NCTSN Website 

New Webpages on Secondary Traumatic Stress!  
The Secondary Traumatic Stress (STS) Committee is pleased to announce the launch of a new webpage on the NCTSN website devoted to STS and the work of the committee. On this webpage you will find resources related to STS and links to a wide range of documents, programs, and materials that can be used by individuals and organi-zations to create STS-informed responses to indirect trauma exposure

Noteworthy Resources

 Boys & Girls Clubs of America designed its Great Think series to facilitate innovative public-private collaborations that ensure great futures for America’s youth, especially those who are most vulnerable. The children of military families—some of our nation’s most resilient youth—have made tremendous sacrifices on behalf of our country. The Great Think series examines the challenges facing military youth and proposes steps that the public, private, and non-profit sectors can take to help these children cope with the unique pressures of their circumstances and reach their full potential. 

 The American Professional Society on the Abuse of Children (APSAC) has released a new Practice Guideline titled The Commercial Sexual Exploitation of Children: The Medi¬cal Provider’s Role in Identification, Assessment and Treatment. The Guideline gives pro¬viders a broad overview of the current understanding of the commercial exploitation of children and offers guidance on the identification, assessment, and treatment of CSEC youth.


Recent Publications by Network Members, Affiliates, and Colleagues:

Betty Pfefferbaum is among the authors of Practice Parameter on Disaster Preparedness in the Journal of the American Academy of Child and Adolescent Psychiatry (Volume 52, Number 11). With contributions from Lisa Amaya-Jackson and Stephen Cozza, the Prac¬tice Parameter identities best approaches to the assessment and management on children and adolescents across all phases of disaster. Delivered within a disaster system of care, interventions such as Psychological First Aid, family outreach, psychoeducation, social support, screening, and anxiety reduction techniques are appropriate in the weeks and months after a disaster. As clinicians should assess and monitor risk and protective factors throughout all phases of a disaster, schools are a natural site for conducting assessments and delivering services to children. Multimodal approaches using social support, psy-choeducation, and cognitive behavioral techniques have the strongest evidence base. Psy¬chopharmacologic interventions for children with severe reactions or coexisting psychiatric conditions. 



Authors Johanna K. P. Greeson, Ernestine C. Briggs, Christopher M. Layne, Harolyn M. E. Belcher, Sarah A. Ostrowski, Soeun Kim, Robert C. Lee, Rebecca L. Vivrette, Robert S. Pynoos, and John A. Fairbank, in their article Traumatic Childhood Experiences in the 21st Century: Broadening and Building on the ACE Studies With Data From the National Child Traumatic Stress Network in the Journal of Interpersonal Violence (Volume 28, Number 18), examine the association between the total number of trauma types experienced and child/adolescent behavioral problems in order to determine whether the number of trauma types experienced predict youth behavioral problems above and beyond demographic characteristics, using a diverse set of 20 types of trauma. Data came from the National Child Traumatic Stress Network’s (NCTSN) Core Data Set (CDS), which includes youth assessed and treated for trauma across the United States. Authors used random effects models to account for possible intra-class correlations as treatment services were provided at different NCTSN centers. They used logistic regression analyses to investigate associa¬tions among demographic characteristics, trauma, and emotional and behavioral problems as measured by the Child Behavior Checklist (CBCL). Results provide further evidence of strong associations between diverse traumatic childhood experiences and a diverse range of behavior problems, and they underscore the need for a trauma-informed public health and social welfare approach to prevention, risk reduction, and early intervention for trau¬matized youth.


New on the NCTSN Learning Center

Overview and Use of the CANS-Trauma: A Functional Assessment Strategy for Use Across Service Systems
December 5, 2013 (10:00 am PT)
Presenters: Cassandra Kisiel, PhD, Northwestern University; Tracy Fehrenbach, PhD, Northwestern University
Presenters will discuss the purpose and utility of the CANS-Trauma Comprehensive as an innovative, trauma-informed assessment strategy and describe applications of CANS-Trauma at both the direct service and systems level and across a range of service settings. Speakers will highlight resources to support the implementation and use of the CANS in practice, including training and certification on the CANS-Trauma and use of the CANS in trauma-informed treatment and service planning and care-giver/family engagement.

Coming Next Month on our Learning Center

Diagnostic Statistical Manual-5: Developmental Considerations and Clinical 
Implications for Young Children: Part II
January 29, 2013
Presenters: Julie Larrieu, PhD, Tulane University; Chandra Ghosh-Ippen, PhD, 
University of California San Francisco
Presenters will discuss the implications of the changes in the DSM-5 as they relate to young children. 
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