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National Child Traumatic Stress Network e-Bulletin January 2015

New on the NCTSN Website 

Testifying in Court about Trauma: The Court Hearing

Many clinicians face testifying in court with trepidation; now there is a new 7-page fact sheet to help those preparing for a court hearing. In addition to a case example, Testifying in Court about Trauma: The Court Hearing depicts what clinicians can expect in court, defines legal terms, delineates the types of cases in which clinician testimony might be required, explains the roles of "expert" witness and "fact" witness, describes how to testify effectively (with specific talking points), charts behaviors traumatized children may display and possible contributing facts from a trauma perspective, tells your rights as a witness, presents a checklist to use prior to the hearing day, and gives self-care tips for managing anxiety dur-ing the hearing. 
New Events Calendar 
Looking to promote a child trauma training, confer­ence, or event? We can help with that! Send your posting to and  we will feature . 
Public Awareness: Human Trafficking Awareness Month
In support of Human Trafficking Awareness Month, the NCTSN website has added new re-sources for mental health professionals, law en-forcements personnel, health care professionals, and survivors on the signs of trafficking and services for trafficking survivors. 

Noteworthy Resources

SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach
This new report from SAMHSA responds to and recognizes the effect of trauma on many sectors in behavioral health. Published July 2014 and prepared by SAMHSA’s Trauma and Justice Strategic Initiative, the paper introduces the concept of trauma and offers a framework for how organizations, systems, and service sectors can become trauma-informed. SAMHSA’s paper defines and explores the following topics: (1) Definition of trauma; (2) Definition of trauma-informed approach; (3) Six key principles of a trauma-informed approach; (4) Ten implementation domains; and (5) Sample questions to consider when implementing a trauma-informed approach. By "cross-walking" the key principles with trauma-specific content, this paper aims to provide a viable and unified framework to use to support the work of consumers, communities, and stakeholders. The authors hold that engaging and involving the public was critical in creating such a framework for the many sectors who serve survivors and their families.
Recent Publications by Network Members, Affiliates, and Colleagues:
Network members Julie Kaplow, Christopher Layne, and Robert Pynoos have co-authored Parental Grief Facilitation: How Parents Can Help Their Bereaved Children during the Holidays, included in the December 2014 online newsletter Traumatic StressPoints published by the International Society for Traumatic Stress Studies (ISTSS). The authors note that “although the holidays can be a very difficult time for bereaved families, parentally facilitated grieving can help children to remember and honor their deceased loved ones while creating new, meaningful holiday memories.” They suggest that balancing comforting holiday traditions with open, honest discussion and new celebratory activities “can serve to buffer feelings of distress, promote a sense of connection to the deceased, and encourage a positive outlook on the future as children enter the new year.” Authors offer six guidelines for parents to promote adaptive grief and ease distress only partially described here: (1) using body language (and eye contact) that conveys warmth, physical affection, engagement, and enthusiasm for the child’s sharing; (2) being sensitive in the moment to the child’s reactions and needs and appreciate individual differences among siblings; (3) preparing yourself to answer children’s questions honestly and tolerating a child’s preoccupation with or revisiting of the events leading to the death; (4) not assuming that your children’s grief reactions will correlate with your own (in fact, they are quite different); (5) providing opportunities for their children to feel connected to the deceased and sharing honestly-held, comforting spiritual beliefs and their own grief reactions (within reason); and (6) being aware of “red flag” grief-related behaviors, such as a child wishing to die to be reunited with the loved one in an afterlife, and as needed, getting a referral for a trauma/grief-informed assessment by a mental health professional. 
Network colleagues Marian Williams, Melissa Carson, Inna Zamora, Eliza Harley, and Patricia Lakatos are co-authors of Child-Parent Psychotherapy in the Context of the Developmental Disability and Medical Service Systems published in Pragmatic Case Studies in Psychotherapy (Volume 10, Module 3, Article 3). Child-Parent Psychotherapy (CPP), an evidence-based dyadic treatment for young children who have experienced trauma, shows promise in intervening with children with developmental disabilities, as illustrated in the cases we described of 14-month-old "James" and 6-year-2-month-old "Juan." (Harley, Williams, Zamora, & Lakatos, 2014). In their thoughtful commentary on these cases, Ghosh Ippen, Noroña, & Lieberman (2014) discuss additional clinical considerations important to the use of CPP with this population. In a second response, Williams and co-authors explore further implementation of CPP in the context of the developmental disability and medical service systems. They highlight the importance of resilience in parents’ responses to their child’s developmental disability, contributions from pediatric psychology to understanding pediatric medical traumatic stress, infusing relationship-based approaches in collaboration with other service systems, and addressing barriers to service access in ethnic minority families. Finally, they provide recommendations for training and fidelity monitoring when applying CPP to children with developmental disabilities and their families. 

New on the Learning Center
Supporting Caregivers of Youth with Substance Use Problems Affected by Trauma
January 21, 2014 (10:00 a.m. PST)
Presenters: Liza Suarez, PhD, Urban Youth Trauma Center, University of Illinois at Chicago; Shannon Cross-Bear, National Family Dialogue; Joanne Peterson, Learn to Cope Inc., Massachusetts
Adolescents experiencing co-occurring traumatic stress and substance use problems have greater severity of symptoms, functional impairment, and are often involved with multiple service systems, including Juvenile Justice and Child Welfare. Caring for these youth can take a toll on family members. This webinar will provide a picture of the challenges experienced by families caring for youth with trauma and substance use, address the effect of trauma and substance use in the context of the family, and provide information on promising practices, supports, and resources for families. Featured speakers have experience leading local and national advocacy and support efforts and will share their personal connection to these family struggles. Participants will be able to (1) identify ways in which trauma and substance use are linked for youth and families; (2) understand the effect of youth substance use and family trauma on family functioning; and (3) learn about promising practices, supports, and resources for families.

Upcoming Events
Webinar: Addressing the Needs of Serving Unaccompanied Immigrant Minors 
Hosts: CWLA and the NCTSN 
Thursday, January 22, 2015 (12-1:30 pm PT)
Presenters: Marta Casas, LMHC, Justice Resource Center; Megan Mooney, PhD, DePelchin Children’s Center; Carmen Rosa Noroña, MSW, MSEd, CEIS, Child Witness to Violence Project; Cathi Tillman, LSW, Intercultural Coalition for Family Wellness and La Puerta Abierta/The Open Door
Presenters will discuss the needs of unaccompanied immigrant minors, and service provision needs and ide¬as for this population. 
Visit for more information or email Julie Collins at
Webinar: Campus Sexual Assault: What Clinicians Need to Know. 
Host: The National Health Collaborative on Violence and Abuse
Monday, January 26, 2015 (10-11:30 pm PT)
Presenters: Antonia Abbey, PhD, MA Professor & Area Chair of Cognitive, Developmental and Social Psychology, Wayne State University; Tricia Bent-Goodley, PhD, MSW, LICSW Professor & Director, Howard University School of Social Work; Rebecca Campbell, PhD, MA Professor of Community Psychology and Program Evaluation, Michigan State University; Annie Lewis-O’Connor, PhD, NP-BC, MPH Nurse Scientist and Director, Partners Healthcare 
Moderated by: Lynn Rosenthal, BASW White House Advisor on Violence Against Women 
Sexual violence on college campuses is far too common a problem. This webinar seeks to raise awareness about the problem; discuss effective strategies for violence prevention and victim support; and provide guidance for registered nurses, nurse practitioners, physicians’ assistants, medical doctors, and other clinicians who work with young adults. Speakers will discuss the prevalence of sexual violence on campuses, the role of alcohol in campus sexual assault, and comprehensive approaches to sexual violence prevention.

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