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National Child Traumatic Stress Network e-Bulletin April 2014

New on the NCTSN Website 

New Military and Veterans Families Webpage!

The NCTSN Military and Veteran Families Program proudly announces the recently updated Military and Veteran Families and Children webpage. On this website, you can access products and resources, including the recently released factsheet Working Effectively with Military Families: 10 Things Providers Should Know, as well as archived NCTSN Learning Center webinars and the Military Families Knowledge Bank.
New Community Violence Webpage!
Our Community Violence Collaborative Group is proud to announce the Community Violence webpage! Access the community violence products: Violence Places, Dangerous Times: Does Community Violence Control Your Life?; Community Violence: Reactions and Actions in Dangerous Times; and the Community and School Violence Reading List

Noteworthy Resources
Recent Publications by Network Members, Affiliates, and Colleagues:

Bradley Stolbach and Reese Minshew, among others, in their study Complex Trauma Exposure and Symptoms in Urban Traumatized Children: A Preliminary Test of Proposed Criteria for Developmental Trauma Disorder in Journal of Traumatic Stress (Volume 26, Issue 4) provide preliminary evidence to support Developmental Trauma Disorder (DTD) as a new diagnostic category. Children who had been exposed chronically to violence, maltreatment, and disruptions of protective caregiving were much more likely to meet the proposed DTD symptom criteria than other children. This field trial suggests that the proposed construct of DTD is useful for describing the symptoms induced by ongoing traumatic stressors and disrupted caregiving and that the proposed symptom criteria can differentiate children with histories of exposure to developmental trauma from other trauma-exposed children. 

 Megan Goslin, Carla Smith Stover, Steven Berkowitz, and Steve Marans are authors of Identifying Youth at Risk for Difficulties Following a Traumatic Event: Pre-event Factors are Associated with Acute Symptomatology published in Journal of Traumatic Stress (Volume 26, Issue 4). This study examined factors that place children at risk following exposure to a wide range of potentially traumatic events (PTEs) to assist professionals in screening and referring youth most in need of intervention. An exclusive focus on the current traumatic experience is inadequate to determine children's risk. Using data from baseline assessments collected on 112 youth presenting for clinical evaluation within a month of a PTE and their non-offending caregivers, authors tested the following factors in 3 hierarchical regression models: index PTE category, history of traumatic exposure, pre-index event functioning, and parenting behaviors. Prior trauma exposure, pre-index event functioning, and hostile parenting were uniquely related to children's symptoms in the acute posttraumatic period after controlling for time since the event and child age, but trauma category was not. Implications for identifying and referring children at high risk for poor outcomes in the early aftermath of a PTE are discussed. An exclusive focus on the event is insufficient and more comprehensive understanding of the child and family is required. 


 Courtenay Cavanaugh, Silvia Martins, Hanno Petras, and Jacqueline Campbell have authored Mental Disorders Associated with Subpopulations of Women Affected by Violence and Abuse in Journal of Traumatic Stress (Volume 26, Issue 4). Violence against women is a major public health problem associated with mental disorders. Few studies have examined the heterogeneity of interpersonal violence and abuse (IVA) among women and associated mental health problems. Latent class analysis was used to identify subpopulations of women with similar lifetime histories of IVA victimization and to examine 10 associated past-year mental disorders. Participants were 19,816 adult women who participated in Wave 2 of the National Epidemiologic Study on Alcohol and Related Conditions (NESARC). The 3-class model was best supported by the data. Class 1 (6.7%) had a high probability of witnessing domestic violence as a child. Class 2 (21.8%) had a low probability of all events except lifetime sexual assault. Class 3 (71.5%) had a low probability for all events. Mental disorders were more common among members of Classes 1 and 2 than Class 3. For example, members in Class 1 were approximately 8 and 9 times more likely than members in Class 3 to have had PTSD or a drug use disorder, respectively, during the past year. Of the 10 mental disorders, 5 were more common among members of Class 1 than of Class 2. Findings suggest the mental health consequences of IVA among women are extensive and interventions should be tailored for distinct subpopulations affected by IVA. 

New on the NCTSN Learning Center

Trauma- and Resilience-Informed Integrated Healthcare for Youth and Families 
April 7, 2014 (9:00 am PDT)
Presenters: Al Killen-Harvey, LCSW, Chadwick Center, The Harvey Institute; Sandra Soloski, MA, Persad Center; Presenter from Village Family Services
Presenters will outline how to work with LGBTQ youth and describe the clinical competencies needed to provide a safe space for LGTBQ youth who are dealing with trauma.  
Human Trafficking as it Intersects with Polyvictimization and Complex Trauma
April 10, 2014 (12:00 pm PT)
Presenter: Sujata Regina Swaroop, PsyD, The Trauma Center at JRI, Project Reach 
Presenter will discuss the complexities of human trafficking and how it transects with both polyvictimization and complex trauma, and how to serve survivors.
Assessing Families' Needs and Strengths: Introduction to the FANS-Trauma
April 17, 2014 (9:00 am PT)
Presenters: Laurel Kiser, PhD, MBA, University of Maryland, School of Medicine; Kay Connors, MSW, University of Maryland, Schools of Social Work
Presenters will describe using the FANS-Trauma, how to assess a family's needs and strengths, and treatment planning upon completing the FANS-Trauma.   
April 17, 2014 (12:00 pm PT)
Presenter: Regina Musicaro, The Trauma Center at JRI 
Presenter will review the various webinars within the Enhancing Multidisciplinary Responses to Polyvictimization: Complex Trauma Speaker Series and answer questions. 

Coming Next Month on our Learning Center

Working with Families and Schools
May 7, 2014 (9:00 am PT)
Presenters: Al Killen-Harvey, LCSW, Chadwick Center, The Harvey Institute; Betty Hill, MPM, Persad Center; Sandra Soloski, MA, Persad Center; Presenter from the NCTSN Schools Committee
Presenters will discuss how to work with families and their schools to advocate for a child or youth who identifies as LGBTQ.  
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