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Learning from Research and Clinical
Practice Core Annual Meeting this Month The
first annual Learning from Research and Clinical
Practice (LRCP) Core meeting will be held April 6-7,
2004, in Durham, North Carolina.
The LRCP Core
is concerned with building and disseminating the
evidence base about clinical interventions that diminish
the effects of trauma in children and families.
Hence, the goals of the meeting include:
• Identifying exemplary practices within the
NCTSN.
• Creating dissemination systems that will
get the right information to the right people at the
right time so that they can make a difference in the
lives of children and families experiencing traumatic
stress.
Additional questions about the LRCP
Core, and this meeting, may be e-mailed to Charlene
Allred, director of the LRCP Core at the National
Center.
Rural Consortium Dates
Announced The
new Rural Consortium, consisting of 10 NCTSN centers,
plans to hold its first meeting April 22-23 in Atlanta,
Georgia. As this group identifies its strategic
objectives, regular updates will be provided to the
NCTSN e-Newsletter. Any questions regarding
this consortium may be e-mailed to Jan
Markiewicz, network liaison.
Designated Media Contacts and Area of
Expertise Still Needed from Each NCTSN
Center The National Resource Center (NRC)
requests that each NCTSN center identify and provide the
name of its designated media relations contact. Please
include the contact name(s), daytime phone, e-mail,
pager, and cell phone information and the center's
area(s) of expertise in the field of child traumatic
stress. This information, along with any questions, may
be e-mailed to the NRC or
faxed to 919-667-9578.
Fourth Quarter
NCTSN Performance Report Now Available
Online The NCTSN Performance Report for the
fourth quarter of fiscal year two is now available under
"Network Performance" on the members-only NCTSN
Website. Any questions or concerns with this report
may be e-mailed to Andrew
Broughton, Monitoring & Evaluation and
Technology
Consultant.
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NRC Continues to Call for NCTSN
Assistance in Building the National
Library The NRC is continuing the important
process of collecting materials for the NCTSN’s National
Library. To achieve this goal, the NRC requests that any
relevant resources from NCTSN centers relating to the
topic of child traumatic stress be sent to the NRC
librarian as soon as possible since the physical library
will be up and running in May. Materials to be submitted
include, but are not limited to, journal articles, book
chapters, guides, manuals, training curricula, white
papers, videos, DVDs, etc. Please send materials
to: Smyth
Lai, Assistant Librarian National Resource
Center NCCTS—Duke University School of
Medicine 905 West Main Street, Suite 23-D Durham,
NC 27701 Phone: 919-682-1552 ext. 240 Fax:
919-667-9578
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Kassam-Adams, Nancy, and Winston, Flaura Koplin
(2003). Predicting Child PTSD: The Relationship between
Acute Stress Disorder and PTSD in Injured Children.
Journal of the American Academy of Child &
Adolescent Psychiatry. April 2004, Volume 43, Issue
4.
Cohen, Judith, Deblinger, Esther, Mannarino,
Anthony, and Steer, Robert (2003). A Multisite,
Randomized Controlled Trial for Children with Sexual
Abuse-Related PTSD Symptoms. Journal of the American
Academy of Child & Adolescent Psychiatry. April
2004, Volume 43, Issue 4.
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The Trauma Center, Massachusetts Mental Health
Institute The Trauma Center, affiliated with the
Massachusetts Mental Health Institute, Boston University
School of Medicine, the National Center on Family
Homelessness, and the Hamilton Fish Youth Violence Consortium,
is recognized internationally for its community outreach,
clinical innovations, and educational achievements.
Co-directed by Bessel van der Kolk, M.D., and Robert
Macy, Ph.D., the Trauma Center is a pioneer in research and
treatment on complex posttraumatic states in children and
adults exposed to multiple and prolonged interpersonal trauma,
as well as in posttraumatic stress management, psychosocial
intervention, and crisis response to acute trauma including
school and community violence, disaster, and terrorism.
For the
past 20 years, the Trauma Center has provided direct clinical
care and evaluation of traumatized children, adolescents, and
adults. During the past five years it has established local
and regional networks for school-based acute and long-term
response for children and adolescents exposed to traumatic
events. The Trauma Center fulfills its broader service mission
by providing extensive education, training, and consultation
to community-based mental health workers throughout Greater
Boston and New England. These mental health workers serve
traumatized children and families from ethnically diverse and
under-resourced urban and rural communities for whom access to
trauma-informed services has traditionally been limited.
The Trauma Center also provides training on child and
adolescent trauma to a broad range of multidisciplinary
professionals including Boston's public school administrators,
members of the Department of Social Services, and the Police
Department in order to heighten awareness and to facilitate
cooperative work among these community agencies. The Trauma
Center is an active member in the NCTSN Complex Trauma Work
Group, has been involved in the development of a white paper
on complex trauma in children and adolescents, and has
conducted a survey of children's adaptation to trauma,
demonstrating that early onset of exposure to chronic trauma
results in complex adaptation, including disruption of normal
processes of attachment, self-regulation, behavior, and
learning.
The Trauma
Center Community Program achievements include:
•
Provided psychoeducation on school based response and
posttraumatic stress management to all 124 of Boston's public
school principals.
• Training to over 2,000 clinicians
in the metropolitan Boston area in the field of posttraumatic
stress and its management.
• On-site
educational and consultative services to community mental
health centers in Massachusetts, New Hampshire, and Maine in
order to enhance responsivity to acute care in the event of
clinical crises such as homicides, suicides, and posttraumatic
stress.
• Contract with
Boston 's public school system to provide on-site
psychoeducation and crisis management related to school-based
trauma.
• Classroom-based
intervention offered to 146 school children within the last
year to address reactions to traumatic exposure.
• Large-scale initiative to develop a 12-session
psychoeducational program (Stress Inoculation Model) to help
school-aged children deal with their reactions to trauma.
• Development of a stress response network providing
education to clinicians working with specific cultural groups.
The Trauma
Center Clinical Service and Psychoeducation Program
accomplishments include:
• Emphasis on
making services more available to children, adolescents, and
adults from underserved and under-resourced communities.
• On-site Certificate Program on Traumatic Stress
provided to eight clinicians per year from underserved and
minority community clinical sites.
• Didactic and
consultative program (eight sessions) provided to agencies at
their site (11 agencies and 350 clinics in the past year) to
facilitate trauma-informed clinical services at these sites.
• Education regarding homelessness and trauma to care
providers of homeless children and adolescents.
• Consultation to therapeutic schools, transitional
living facilities, and homeless shelters regarding chronic
exposure to interpersonal violence.
• Piloting Child
and Adolescent Needs and Strength: Trauma Exposure Adaptation
(CANS: TEA adapted by Cassandra Kisiel, Ph.D., National Center
director of the Training Core), a structured interview
instrument.
• Lead role in
conducting a survey of early onset childhood exposure to
trauma and its effects on complex adaptation (Joseph
Spinazzola, Ph.D.).
• Lead editors on
NCTSN white paper on Complex Trauma in Children and
Adolescents (Alex Cook, Ph.D., Margaret Blaustein, Ph.D.,
Joseph Spinazzola, Ph.D. & Bessel van der Kolk, M.D.).
By joining
the NCTSN, the Trauma Center has a greater opportunity to
expand its community and clinical services in both the acute
response to traumatic exposure and long-term management of
chronic forms of exposure to traumatic events.
For
additional information about this NCTSN center, e-mail Joseph Spinazzola.
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First
Responder Working Group Off to a Big Start Under the
leadership of Steven Berkowitz, of the
Childhood Violent Trauma Center; Becky Gaba, of the
Children’s Institute International; and Sarah McGuire, of the Children
Who Witness Violence Program, the newly formed First
Responder Working Group is making great progress on the Domestic
Violence First Responder Accelerated Collaborative Project.
On March 4-5, 2004, the Trauma Intervention Center for
Children and Adolescents in Nashville, hosted a face-to-face meeting
for the project. Over 10 sites from across the NCTSN were
represented at this meeting along with a representative from the
Domestic Violence Division of the Metropolitan Nashville Police
Department and members of the National Resource Center and National
Center staff. The group spent time reviewing and discussing existing
relevant manuals, on-line trainings, and video productions.
Additionally, Betsy McAlister-Groves and Miriam Berkman led the
group in developing four "Core Concepts," around which content will
be developed for a training curriculum to be used first with law
enforcement. Additional modules will be added for other first
responder groups over time.
For more information about this
group, including minutes from the meeting, please view the Collaborative
Activities section of the members' area of the NCTSN Website or
e-mail Susan Ko,
National Center director of the Service Systems
Core.
NCTSN Indian County Child Trauma Center
Sponsors American Indian Training The University of
Oklahoma Health Sciences Center and its Indian County Child Trauma
Center (ICCTC) will sponsor a week-long training on the treatment of
physically and sexually abused Native American children in May. The
ICCTC will incorporate both common and tribal-specific native
cultural perspectives and traditions. Participants will be drawn
from the ICCTS's Project Making Medicine, a federally funded
national Indian Country training network operated by the Center for
Child Abuse and Neglect at the Health Sciences Center. Project
Making Medicine has trained mental health providers at tribal and
Indian Health Services facilities nationwide, and has affiliated
sites in 22 of the 25 states with substantial native populations,
including Alaska.
Consulting and core faculty for the
training include traditional native healers and child clinical and
counseling psychologists who have expertise in treatment and
prevention of child maltreatment in native communities.
Presentations
will emphasize traditional approaches to healing, rediscovery of
native culture, ways of perceiving health, value systems and
learning styles, and Native American perspectives of human
development. Evening activities include participation in a Southern
Cheyenne sweat lodge. For more information, contact Dr. Dolores
Subia Bigfoot at (405) 271-8858.
Community
Resiliency Defined at Summit in Oklahoma City The
National Center's Terrorism and Disaster Branch (TDB), in
conjunction with the National Center for Injury Prevention and
Control of the Centers for Disease Control and Prevention (CDC),
held a Community Resilience Summit March 24-25, 2004, in Oklahoma
City. The purpose of this summit was to explore issues associated
with community resilience that enable communities to become more
resilient in response to the mental health needs of children and
families in the face of terrorism and disasters.
At this
intensive two-day summit, the CDC, TDB, NCTSN members, academic
partners, and community stakeholders from Oklahoma City gained
consensus on the definition of resilience and worked to develop
recommendations that would promote, enhance, and facilitate
community resilience. This group will use the recommendations from
the summit to create a community guide that focuses on developing or
enhancing the efforts of primary service sectors, such as first
responders, schools, public health, primary care, and businesses, to
meet the all-hazards mental health needs of children and their
families.
An executive summary to the guide will be
published this spring and will address the importance of community
resilience. It will feature the definition and elements of community
resilience as well as highlight core recommendations to each of the
primary service sectors. Any questions regarding this project may be
e-mailed to Juliann
Montgomery, TDB Project Coordinator.
NCAC
Symposium Hosts over 1,000 Attendees from All 50 States and Beyond
The 20th National Symposium on Child Abuse, sponsored
by the National Children's Advocacy Center (NCAC), was held in
Huntsville, Alabama March 16-19, 2004. Over 1,200 child abuse
professionals, representing all 50 states and several foreign
countries, attended this year's symposium.
Featuring more
than 150 workshop sessions, several NCTSN center presenters also
served on the faculty, including Bob Franks, director of the
National Resource Center, who co-presented with Bob Casey of the
Yale Child Study Center. Other NCTSN center presenters included
Benjamin Saunders, with the National Crime Victims Research and
Treatment Center, and Linda Cordisco Steele with the NCAC.
One of this year's highlights was the National Center
providing live streaming video broadcasts of select presentations
for NCTSN members. An NCTSN track is planned for next year's
symposium, to be held March 8-11, 2005. Any questions regarding this
year's symposium may be e-mailed to Jan Payne, training
director of the NCAC.
NCTSN's TRY: Trauma Recovery
for Youth Kick-Off Event a Success The Jackson,
Mississippi-based TRY: Trauma Recovery for Youth Community Planning
Session brought together approximately 100 guests representing
various social service agencies, city and state government,
faith-based organizations, and other community members.
Information drawn from a focus group of local adolescents
with a history of trauma was reported to session attendees. These
youth identified the most important factors in helping them make it
through the traumatic events. Participants were divided into small
working groups to discuss ideas for developing collaborative
services and supports based upon what these youth reported as being
critical factors for resiliency in the face of trauma. A
considerable amount of information was synthesized from these
discussions to support the planning and development of a local
community network for traumatized children and youth. Nearly 15
agencies have agreed to partner on this project thus far, with many
more indicating interest in future collaborations.
In
addition, the guest were addressed by speakers including Patty
Marshall from the State Attorney General’s Office; Jan Markiewicz
from the National Center for Child Traumatic Stress; Linda Raff,
executive director of Catholic Charities, Inc.; Jennifer Sigrest,
director of Crisis Response and Trauma Services, Catholic Charities,
Inc.; and Kelly Wilson, director of Therapeutic Foster Care,
Catholic Charities, Inc.
A panel discussion was also
convened to discuss the current reality in the Jackson community
regarding child trauma. Panelists included Edna Drake, the assistant
chief of police of Jackson Police Department; Billy Mangold,
director of Family and Children Services of the Mississippi
Department of Human Services; Claude McInnis, resource officer of
the Henley-Young Juvenile Justice Center; and Brenda Scafidi, Ed.D.,
director of the Division of Children and Youth Services, Mississippi
Department of Mental Health. The panel discussion was moderated by
Tessie Schweitzer, executive director of Mississippi Families as
Allies.
For additional
information about this event, e-mail Jennifer
Sigrest or call 601-948-4493 extension 115.
Two NCTSN
Centers Say Good-Bye to Their Directors The NCTSN is
sad to be losing two of its center directors in the next several
months. Jeff Wherry is leaving the Greater St. Louis Child Traumatic
Stress Program in Missouri this June. Matt Epstein from the Center
for Child and Family Health in Durham, North Carolina is leaving in
the next few months.
Wherry started the center in St. Louis
in 1996. During his tenure, the center has expanded to two
locations, provides forensic and mental health services to over 500
children per year, trains over 1,500 professionals each year, and
provides research related to child sexual abuse for the region.
Wherry has been instrumental is providing Internet safety training
to students, parents, teachers, and professionals across the state
of Missouri and has also helped establish two other child advocacy
centers.
Wherry will be
moving to Abilene, Texas, to teach full-time at Abilene Christian
University. Dr. Ally Burr-Harris will serve as the liaison to the
NCTSN following Jeff's departure. “My involvement with the NCTSN has
been the most exciting opportunity of my career,” said Wherry. “At
some point in the future, it is my hope to ‘weasel' back into the
NCTSN and participate in some fashion.”
Epstein started
the Center for Child and Family Health in Durham in 1995. The center
integrates medical forensic services from Duke University and the
University of North Carolina at Chapel Hill with trauma treatment
from Duke University and a legal clinic at North Carolina Central
University. The center serves over 3,000 North Carolina children and
families each year and offers a broad array of services including
home visiting for new parents, early intervention services, a
wellness clinic, psychopharmacology, parent training, intensive
in-home services, school-based services, and family support
services. The center is now participating in a comprehensive 10-year
plan to cut child abuse and neglect in half in Durham using models
that can be blueprinted and replicated.
Epstein will
stay with the center until a replacement can be found. “Joining the
NCTSN has allowed our center to provide more services, train more
people and agencies, and take advantage of the learning and skills
available throughout the NCTSN,” said Epstein.
Job openings for
these two positions are currently posted on the NCTSN
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