Ctc Theory

A., Mannarino, A. P., Kliethermes, M., & Murray, L. A. (2012). Trauma-focused CBT for youth with complex trauma. Child abuse & neglect, 36(6), 528-541.

While there is agreement that trauma informed care generally refers to a philosophical stance integrating awareness and understanding of trauma and its ongoing impact on patients’ health and lives, there is not yet consensus on a definition or clarity on how the model can be applied in a variety of settings. The philosophical underpinnings of trauma informed care trace to the feminist movements of the 1970s (Burgess & Holstrom, 1974), and the emergence of child-advocacy centers and awareness and response to child abuse in the 1980s. In combination with the growth of research in combat-related posttraumatic stress after the Vietnam War, the focus then expanded to mental health practice, especially in the context of traumatic events. By the late 1990s and early 2000s, social work and mental health professionals began to articulate organizational frameworks for delivery of trauma informed care, as well as conceptual models based on scientific evidence about how traumatic stress impacts brains and behavior (Bloom, 1997; Harris & Fallot, 2001; Covington, 2002; Rivard, Bloom, & Abramovitz, 2003; Ko, Ford, Kassam-Adams, et al. 2008; Bloom, 2010). In 1998, SAMHSA launched the Women, Co-Occurring Disorders and Violence study, a seminal study in 27 sites over five years that examined trauma-integrated services counseling. Following that, the National Child Traumatic Stress Network (NCTSN) began identification and distribution of empirically supported trauma-specific mental health

The facility provides medical care for children and adolescents with severe physical and intellectual impairment conditions. The TWSCCC provides 24-hour skilled nursing care, 24-hour Respiratory Therapy services, Physical, Occupational, and Speech Therapy, Licensed On-site teachers, and a large variety of specialty care services (Truman W. Smith). The facility offers a viable and solicitous option for parents who are unable to take of their chronically ill children in their home, and for children who have been placed in state custody. The TWSCCC allows patients to receive the care they need and might otherwise not receive, in an adequately equipped facility via a staff of specialized care providers who advocate for the patients wants, rights, and well-being. The TWSCCC facility welcomes residents regardless of race, gender, religion, or economic status.

For my senior year field placement, I am currently working at Elwyn’s Media campus in the Children’s Behavioral Health Services Outpatient program. At the outpatient program I am working with the Director of Clinical Operations, Ellen Chung. I also work with Jennifer Torrey who is the Clinical Coordinator for Elwyn’s Media location’s Outpatient program. I also work one on one with the Outpatient Case Manager, Shaneen Brown. I am also working in the Therapeutic After School Program (TASP). At the TASP I work with the Case Manager Jennifer Ziegler and the Clinical Case Manager Denise Georganas. The outpatient therapy team at Elwyn is a multidisciplinary team that works to help children reach their fullest potential. Some services offered by the Outpatient program at Elwyn are psychiatric evaluations, individual therapy, group therapy, family therapy, medication management, client/family education and community resources. The goal of the Therapeutic Socialization Program is to facilitate socialization and communication skills and to decrease problematic behaviors through participation in fun and engaging in activities. This program is based on the principles of Applied Behavior Analysis and other proven approaches to develop individually tailored treatment protocols to help children, adolescents and young adults in the areas of socialization, self-regulation and communication. The TASP also focuses on providing parents with new information to better understand their child’s

The effects of maltreatment in children can last through adolescence and on through adulthood for many. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a very popular type of therapy that join the caregiver and the child’s sessions. The basic process of this therapy is educate and improve parenting skills, teach relaxation techniques and skills, introduce cognitive coping skills, allow the child to talk about the narrative and make the child feel comfortable about talking about the trauma and allow the child cognitively process the traumatic events, ensure that the child feels safe. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). For children who suffer post-traumatic stress syndrome, this treatment can require maintenance for up to 2 years after the child has completed treatment (Deblinger, Steer, & Lippmann,

As children go through life, they will come upon stressful situations and experiences. Many children will work through the challenges that life brings, build resilience and move forward, however, some children may experience more extreme traumatic events that can result in life difficulties due to serious trauma symptoms that are much harder to manage. Trauma-Focused-Cognitive Behavioral Therapy is an evidence based treatment model designed to help youth who have experienced a significantly traumatic life event. TF-CBT uses skills and strength based therapy to address symptoms of post-traumatic stress disorder (PTSD), depression and anxiety (Cohen et al, 2006). This research is an examination of trauma focused cognitive behavior therapy as a model of practice including the areas of history and development of the model, its relationship with other models of practice, considerations of appropriate populations, methods and components for treatment, effectiveness of the intervention and relevance for social work practice.

Every child deserves individual attention, and facilities that work with troubled children should have the necessary elements and tools to help them make a favorable change. According to webpage mtsservices “It has been proven to work and produce positive results with the toughest kids. It blends the best clinical treatments—cognitive behavioral therapy, behavior management training, family therapies and community psychology to reach this population.” It is based on evidence that the Multisystemic therapy helps children to stay out of trouble and build better relations with themselves and their families. Also, mtsservices states “Intervention effectiveness is evaluated continuously from multiple perspectives with MST team members being held accountable for overcoming barriers to successful outcomes.” This means that they really pay close attention to their patients by evaluating their continuous effort and developmental accountability. The juvenile justice system should take in consideration of adding the Multisystemic therapy system into their facilities to start making appropriate adjustments.

Despite, all this benefit of using CPT in trauma treatments there are also limitation when using this method for a counsellor/therapist should be aware of. Notwithstanding, the impact CPT has in reducing erroneous thought with PTSD (Sobel, et al., 2009), still recommended for the need more in-depth further studies in understanding the cognitive process in recovery from PTSD. More so, research has to be done or studies that have proven to be successful in using this treatment should be replicated to determine the effectiveness of CPT with different population (Resick et al., 2002). CPT believes that homework and other written work is very vital with this treatment approach, and this could pose as a challenge for clients who might have difficulty

Cognitive processing therapy (CPT) was developed in order to facilitate the expression of affect and appropriate accommodation of the traumatic event. It begins with the trauma memory and focuses on the feelings, beliefs, and thoughts that are directly resulting from the traumatic event. During the treatment session, Sarah should be encouraged to examine whether the trauma appeared to disrupt or confirm prior beliefs to the experience. She should then be taught to challenger her self and modify her extreme beliefs.

The CSHNB is distinctively qualified to provide medical, rehabilitation and mental health services to children who have experienced of traumatic brain trauma, chronic pain, chronic illness and mental health disorders. The staff provides evidence-based treatments focused towards the primary client as well as the family unit. A large success of the CSH is the quality of treatment being provided for all children across the state and nation. Further, staff is respectful of cultural diversity of the clients they serve.

Their program procedures are easy to be completed and seem to work for the clients. They are structured and maintain a well-operated addiction program. However, there is one weakness I find in this program. One disadvantage of this program is that individuals must be the age of 18 or older to receive service. For families include young children seeking family therapy services, ATCNE would not be a program they can go to. the program should integrate children into their family therapy practice. Families who are a member of the program would have to find another program to take their young children or they would have to continue with family therapy, not including their children. it is important for kids to be a part of the sessions because they are a member of the family and they are also affected. The reasoning of the program not including young children in the program is because they would need to hire professionals with special licensing. counselors at the program are not liked to work with children under the age of

The strength of TF-CBT is that has strong evidence of efficiency and is flexible to adapt to for different types of families. TF-CBT may also be used in different types of settings such as clinical, school, residential settings, and home. Another strength of the TF-CBT is that the treatment works effectively when child and parent present and also works effectively when there is no parent or caregiver present. A weakness of the TF-CBT is having a short term treatment model for the work that is being done. I think professionals such as therapist that uses the TF-CBT may find it difficult to implement this treatment with 12-16 sessions. There may be a family or a child that needs a little more attention and need more than 12-16 sessions. The sessions are short term so therapist may have a difficult time following the implementation within the minimum session and may be forced to continue to the next component of the treatment without satisfying the previous

This treatment approach is based on cognitive and learning theories, tackling-misleading beliefs related to the traumatic events of acknowledgments related to the abuse and provides a supportive environment of which individuals are encouraged to talk about their traumatic experience. A numerous amount of research has been carried out to investigate into how effective CBT really can be for PTSD. (Resick et al, 2002) carried out an investigation comparing CBT with strong cognitive restructuring focus and CBT with a strong exposure focus and to a waiting-list control of rape survivors. Prior to this experiment approximately 80% of patients who completed either form of CBT no longer met the criteria for PTSD. Once this investigation was complete a follow up treatment took place of which it was noted 2% of the waiting list group had lost the PTSD diagnoses. Only a year after this investigation Bryant, Moulds, Guthrie, Dang & Nixon, (2003) restructured the experiment comparing exposure alone, exposure plus cognitive restructuring, and supportive counselling in civilians with PTSD resulting from various traumatic events. At this particular follow up 65-80% of participants who either completed either form of CBT were now clear of PTSD diagnosis, compared to less than 40% of those who completed supportive counselling.

According to the comments, visitors and family had issues with the space, furniture, and comfort of the room. In addition, the visitors made loud noises making the roommate unable to rest comfortably. Although changing the size or spaces in the rooms is a long term process, it is possible to limit the amount of noises which visitors make. Moreover, patients are not satisfied with the discharge process as they are often not provided with enough information and ended up waiting longer.

The customer value proposition in this case is that the agency is the oldest child-serving nonprofit in the state of Florida, who provides a necessary, high quality service to those clients identified as being in a significant time of need. The agency also makes access to the services available to the clients at no charge to the families through Medicaid billing. The statement of advantage is emphasized by again considering the continuum of care offered and level of wrap-around services that are provided by the agency. This creates an environment of excellent communication in treatment planning, and allows a client to receive all necessary services through one place, minimizing treatment errors or oversights.