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National Child Traumatic Stress Network e-Bulletin September 2012

Announcing PFA MobileTM

Following disasters or emergencies, the PFA MobileTM app can assist responders who provide Psychological First Aid (PFA) to adults, families, and children. Materials in PFA MobileTM are adapted from the Psychological First Aid Field Operations Guide (2nd Edition). PFA MobileTM allows responders to review the 8 core PFA actions, match PFA interventions to specific stress reactions of survivors, hear mentor tips for applying PFA in the field, self-assess to determine their readiness to conduct PFA, and assess and track survivors’ needs, simplifying data collection and making referrals. PFA MobileTM lets responders review PFA guidelines and assess their readiness to deliver PFA in the field. The app provides additional support when the responder is in the field by providing tips on different survivor groups (infant/toddler, preschool, school-age, adolescent, adult) and keeping track of survivor concerns and referral needs. Resource links are included to facilitate referrals. PFA MobileTM supplements other resources that trained individuals utilize before, during, and after a disaster response.

NOTE: PFA MobileTM does not replace PFA training. To receive training, enroll in PFA Online, which is a free 6-hour interactive course. Free continuing education credits are available.

New on the NCTSN Learning Center

Available Now! Summer 2012 Spotlight on Culture

The summer edition of Spotlight on Culture, Clinicians Not Immune to Impact of Border Violence, discusses the cumulative adversities that clinicians face associated with the violence of US/Mexico border regions. Many clinicians who have family in increasingly dangerous regions are coping with growing personal stress and worry about their loved ones. The article briefly examines how the stress and vicarious trauma from working with children and families who have experienced traumatic events begins to take its toll on clinicians. To combat the toll of border violence, supervisors maintain an open-door policy with staff members, encouraging them to discuss difficult cases or personal situations.

Resource Parent Facilitators Online: A Community for Professionals and Resource Parents
Resource Parent Facilitators Online, a new part of the NCTSN Learning Center, is now open for business. The site is a place for those using the NCTSN Resource Parent Curriculum (RPC) who have questions or want to connect with others, or for those who are interested in learning more about the training. Have your post implementation questions answered by NCTSN master trainers or contact experienced facilitators to obtain more formal consultation. Add yourself to the Resource Parent Facilitators Directory to share information about how you are using or adapting the curriculum, and search for others using it in your state. The site is the only place to access the “Caring for Children Who Have Experienced Trauma” materials, formerly available on the NCTSN website, as well as supplemental resources such as Tips from Experienced Trainers. Register on the site to receive updates about new resources (including a soon-to-be-released checklist on adapting the training for birth parents), as well as a webinar series on RPC implementation beginning this fall. As a reminder, you must have or create an account on the NCTSN Learning Center in order to register on Resource Parent Facilitators Online.
The Use of Web-Based Screening for Trauma and Associated Disorders in Juvenile Justice-Involved Youth
September 12, 2012 (9:00 a.m. PDT) 
Presenters: Stanley Rosenberg, PhD, Dartmouth Trauma Interventions Research Center, Geisel School of Medicine at Dartmouth; Harriet Rosenberg, MA, Dartmouth Trauma Interventions Research Center, Geisel School of Medicine at Dartmouth
Presenters will describe a newly developed, web-based platform to conduct screening in juvenile justice settings and will highlight recent findings on utilizing the web-based tool.
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Understanding and Treating Caregiver Substance Abuse and Trauma: A Focus on the Family  
September 21, 2012 (10:00 a.m. PDT) 
Presenters: Liza Suarez, PhD, University of Illinois at Chicago; Norma Finkelstein, PhD, LICSW, Institute for Health and Recovery; Abigail Gewirtz, PhD, Ambit Network, University of Minnesota; Beth Marron, LICSW, Institute for Health and Recovery; Kristen Santagelo, Project Bright Consumer
Presenters will focus on 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. Four models of intervening in the area of parenting, substance abuse, and trauma will be presented, including two parenting programs. Speakers will also 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. 
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September 28, 2012 (10:00 a.m. PDT) 
Presenters: Liza Suarez, PhD, University of Illinois at Chicago; Harolyn Belcher, MD, Kennedy Krieger Institute; Anne Wells, PhD, Children’s Research Triangle; Kathy Mitchell, MHS, LCADC, National Organization on Fetal Alcohol Syndrome
Presenters will speak about the effects of prenatal exposure to substances and trauma on children, discuss assessment and treatment approaches for youth and caregivers, inform participants about Fetal Alcohol Spectrum Disorders (FASD) through the lifespan, and give a personal testimony on one family’s experience with FASD.
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NCTSN Military Families Learning Community
Child Abuse and Neglect in Military Families: Community and Military Partnerships
September 11, 2012 (10:00 a.m. PDT)
Faculty: Carole Campbell Swiecicki, PhD, Child Abuse Program, Children’s Hospital of The King’s Daughters
Faculty will provide an overview of issues related to child maltreatment in the military, interventions provided to support these children and families, and ways that community-based providers can partner with and support the military to provide critical care to these families.
Audio: 866-295-5950, Code 5318986#

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Strong Families Strong Forces: A Program to Support Military Families with Young Children
September 25, 2012 (10:00 a.m. PDT)
Faculty: Ellen R. DeVoe, PhD, Boston University School of Social Work, Strong Families Strong Forces; Ruth Paris, PhD, Boston University School of Social Work, Strong Families Strong Forces; Michelle Acker, PsyD, Boston University School of Social Work, Strong Families Strong Forces
Faculty will describe the work of Strong Families Strong Forces, a Department of Defense funded project to develop and test a home-based intervention for military families with young children (birth to five). Using a Community Based Participatory Research model, they developed a 3-phase project to (1) explore the needs of military families after an OEF/OIF deployment, (2) pilot an attachment-based intervention in the home, and (3) test the developed model using a randomized clinical trial. They will describe their work with over 100 families, including details of the 8-module intervention, and present case vignettes to illustrate the clinical work and varied needs of families during the reintegration phase of the deployment cycle.

Audio: 866-295-5950, Code 5318986#
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Secondary Traumatic Stress in Schools
September 24, 2012 (12:00 p.m. PDT)
Presenters: Bev Lawrason, Superintendant of the St. Bernard Parish Schools Chalmette, Louisiana; Robin H. Gurwitch, PhD, Cincinnati Children's Hospital Medical Center; Rick N. Costa, PsyD, Louisiana State University Health Sciences Center School of Medicine
Presenters will discuss secondary traumatic stress as it relates to schools settings.

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Screening and Assessment for Trauma in the Child Welfare Setting Speaker Series
Screening Measures for Parent-Child Dyads
September 27, 2012 (9:00 a.m. PDT)
Presenters: Claude Chemtob, PhD, and Erika Tullberg, MPA, MPH, MPAACS-NYU Children’s Trauma Institute, Family Trauma Program, New York University School of Medicine
Presenters will address trauma screening and assessment for parents and children in the child welfare system, with a focus on how information gained through screening can help inform casework practice, improve family engagement, and guide decision-making on mental health services.
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 Noteworthy Resources

Network Member James Caringi is among the authors of Secondary Traumatic Stress among Child Welfare Workers in the United States published in the International Journal of Child & Family Welfare (Volume 14, Number 2). This study investigates secondary traumatic stress (STS) in child welfare workers, using a mixed method design to identify mitigating and contributing factors. It also adds to the qualitative research literature on social work practice by shedding light on the lived experiences of child welfare workers and by demonstrating both deductive and inductive techniques used to identify key themes in qualitative content analysis. Findings from the qualitative data suggest that child welfare workers with STS perceive several factors modifying or mediating level of STS, categorized in the following areas: (1) prior personal history of worker trauma, (2) coping style, (3) organizational factors, and (4) worker perceptions of their stress.

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  Network Members James Clark, Ginny Sprang, and Adrienne Whitt-Woosley are among the authors of “Better than Nothing” is Not Good Enough: Challenges to Introducing Evidence-Based Approaches for Traumatized Populations in the Journal of Evaluation in Clinical Practice (Volume 18, Number 2). This paper explores reasons behind low utilization of evidence-based practices (EBPs) that putatively would benefit poor communities in which these behavioral health care providers serve. Eight focus groups of 45 licensed and certified behavioral health professionals were conducted over a 6-month period of time in 2006. Facilitated by trained interviewers using a semi-structured interview schedule, the groups focused on how participants defined, assessed, and understood trauma, as well as on the information therapists utilized to determine interventions for clients with trauma histories. The findings shed light on the endurance of insufficient behavioral health infrastructures, despite therapists' access to scientifically validated treatments for trauma spectrum and co-morbid mental disorders suffered by children and adults. Such insights have implications for the success of global dissemination of validated behavioral health interventions.


  Network Center ACS-NYU Children’s Trauma Institute has developed practice briefs for child welfare providers and other stakeholders seeking to develop trauma-informed practice. These briefs—on addressing secondary traumatic stress experienced by child welfare staff, easing children’s transitions into foster care, and working with parents who have been impacted by trauma—provide information on work that the Institute and other jurisdictions have done in these areas and make recommendations for policy and practice improvements. The first brief, Trauma and Parenting touches on the profound impact both parenting and engagement with the child welfare system; Easing Foster Care Placement examines the trauma of the actual transition and foster care placement process; and Addressing Secondary Traumatic Stress among Child Welfare Staff discusses the need to view child welfare staff as first responders, in order to understand their day-to-day operations more fully and to better support them in their awareness of secondary traumatic stress and self-care activities.

A Developmental Approach to Trauma-Informed Practice with Crossover Youth
October 9, 2012 (9:00 a.m. PDT) 
Presenters: Monique Marrow, PhD, Nebraska Department of Health and Human Services; Macon Stewart, MS, Center for Juvenile Justice Reform, Georgetown University Public Policy Institute
Presenters will discuss how child serving systems can improve their response to the needs of youth that cross over from child welfare to juvenile justice. Drawing from the framework provided in the Crossover Youth Practice Model, presenters will look at various decision points in the case of a young person, identify how the system can improve its functioning, and describe trauma-informed interventions best suited for the youth.

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NCTSN Military Families Learning Community
School and Behavioral Health Support Services for US Army Children and Families  
October 16, 2012 (10:00 a.m. PDT)
Faculty: Michael Faran, MD, PhD, Child, Adolescent, and Family Behavior Health Proponency, Madigan Army Medical Center
Faculty will feature an update on US Army Behavioral Health Services, including (1) types of services and initiatives available to soldiers and their families, (2) challenges facing military children and families, (3) coordinated assets (military and civilian) with focus on prevention and resilience, (4) and the Comprehensive Soldier Fitness program. Dr. Faran will describe Army School Behavioral Health Programs, Child and Family Assistance Centers, and trainings and/or services available through CAF-BHP. Following the presentation, Dr. Faran will answer questions.

Audio: 866-295-5950, Code 5318986#
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Welcome Back Veterans Programs: Supporting and Transforming the Lives of Service Members, Veterans, and Their Families
October 23, 2012 (10:00 a.m. PDT)
Faculty: Anna Laubach, Special Initiatives & Veterans Initiatives, McCormick Foundation; Terri Tanielian, RAND Corporation; Robert Murphy, PhD, Center for Child & Family Health; Jana Thompson, MPH, Duke University V3C Program; Karen Goetz, Duke University V3C Program; with Discussant John Fairbank, PhD, National Center for Child Traumatic Stress, Duke University, Duke University V3C Program
In this webinar presentation, senior leadership from McCormick Foundation, RAND Corporation, and Duke University’s Veteran Culture and Clinical Competence (V3C) Program will discuss their work providing innovative community-based behavioral health programs to their communities.

Audio: 866-295-5950, Code 5318986#
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