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Childhood	
  Trauma	
  
Treatment	
  Services	
  
We’ve	
  all	
  seen	
  the	
  headlines….	
  
Some	
  have	
  asked…	
  	
  
how	
  could	
  that	
  have	
  happened?	
  
but	
  we	
  asked…	
  
How	
  Can	
  We	
  Help?	
  
Childhood	
  Trauma	
  –	
  a	
  prevalent	
  	
  problem	
  	
  	
  	
  	
  	
  
in	
  the	
  US…	
  
Each year, among US children ages 2-17

50%

12.5%

33.3%

8.3%
1/3

Half experiences
physical assault

1 in 8 is maltreated
(child abuse, neglect)

1 in 12 is sexually
victimized

1 in 3 witnesses
violence

(Fairbank, Putnam, & Harris, 2007) (Finkelhor et al., 2005)

! In	
  fact,	
  nearly	
  61%	
  of	
  males	
  and	
  51%	
  of	
  females	
  ages	
  12	
  to	
  
24	
  	
  report	
  more	
  than	
  one	
  trauma;c	
  event.	
  	
  	
  	
  (Kessler et al., 1995)
! Up	
  to	
  93%	
  in	
  the	
  youth	
  jus;ce	
  system	
  experience	
  trauma.	
  
With	
  long-­‐term	
  affects	
  on	
  health	
  
According	
  to	
  the	
  Adverse	
  Childhood	
  Experience	
  Study	
  (ACE),	
  
children	
  who	
  experience	
  childhood	
  trauma	
  are	
  at	
  a	
  greater	
  risk	
  
of	
  having	
  serious	
  adult	
  health	
  problems:	
  

4x to 12x more likely to
abuse alcohol or drugs

2x to 4x more likely to
smoke, have an STD or
poor health

1.4x more likely to be
severely obese

They also are at greater risk of having serious heath problems including cancer,
heart disease, depression and a higher risk for unintended pregnancy.
These	
  outcomes	
  ARE	
  avoidable…	
  	
  	
  
And	
  there’s	
  one	
  place	
  for	
  exceptional	
  
treatment	
  in	
  the	
  Greater	
  Cincinnati	
  area…	
  	
  
Transforming	
  the	
  lives	
  of	
  
vulnerable	
  children…	
  
A	
  wealth	
  of	
  experience	
  in	
  childhood	
  
Trauma.	
  
!  ne	
  of	
  the	
  largest	
  trauma	
  providers	
  in	
  Hamilton	
  
O
county.	
  
!  	
  7	
  year	
  history	
  trea;ng	
  childhood	
  trauma.	
  	
  
A
!  ehavioral	
  health	
  therapists	
  in	
  over	
  80	
  schools.	
  
B
!  	
  physicians	
  in	
  schools	
  for	
  medica;on	
  management.	
  
6
!  ver	
  1,300	
  children	
  screened	
  for	
  trauma	
  since	
  2011.	
  
O
Highly	
  trained	
  staff.	
  
Proven	
  Therapy	
  Models.	
  
! Nearly	
  100	
  Children’s	
  Home	
  therapists	
  have	
  been	
  trained	
  in	
  
childhood	
  trauma	
  therapy	
  models	
  over	
  the	
  past	
  3	
  years:	
  
Trauma Focused
Cognitive Behavioral
Therapy (TF-CBT)
•  Evidence based
treatment.
•  Teaches stress
management, cognitive
processing,
communication, problem
solving, and safety.

Parent Child Interaction
Therapy (PCIT)
•  Empirically-supported
treatment.
•  Places emphasis on
restoring the parentchild relationship.

Trauma-focused
Integrated Play Therapy
(TF-IPT)
•  Model well suited to
young children ages 5 to
17.
•  Utilizes play and art
therapies to enhance
education and reparative
work.
Highly	
  trained	
  staff.	
  
Proven	
  Therapy	
  Models.	
  
! Nearly	
  100	
  Children’s	
  Home	
  therapists	
  have	
  been	
  trained	
  in	
  
child	
  trauma	
  therapy	
  models	
  over	
  the	
  past	
  3	
  years:	
  
Trauma and Grief Component Therapy for
Adolescents (TGCT-A)
•  Manualized treatment for older children
and adolescents
•  Emphasis given to individuals’
differences in responses to trauma or
traumatic loss
•  Has been implemented and evaluated in
the US and Internationally, with a broad
variety groups including multi-racial and
multi-ethnic adolescents

Child Adult Relationship Enhancement
(CARE)

•  Field initiated modification of PCIT
•  Specific PCIT skills are employed
by non-clinical adults who interact
with children in community based
settings
Instructed	
  by	
  key	
  trauma	
  specialists	
  and	
  
coached	
  for	
  continuous	
  enhancement	
  
Dr.	
  Erna	
  Olafson,	
  PhD,	
  PsyD	
  
–  Co-­‐director,	
  	
  Cincinna;	
  Children’s	
  Center	
  for	
  
Trauma	
  Recovery	
  and	
  Juvenile	
  Jus;ce	
  	
  
–  Associate	
  Professor,	
  University	
  of	
  Cincinna;	
  
Department	
  of	
  Pediatrics	
  	
  
–  The	
  Children’s	
  Home	
  trainer	
  and	
  consultant	
  for	
  
TF-­‐CBT	
  and	
  TGCT-­‐A	
  
–  Provides	
  regular	
  case	
  consulta;on	
  	
  	
  
“I’m very impressed with The Children’s Home’s firm commitment to
trauma focused treatment and their fostering and sustaining a trauma
informed institution which is embedded firmly in our community.”
And	
  inLluenced	
  by	
  experts	
  in	
  the	
  Lield	
  
!  Dr.	
  Bruce	
  Perry,	
  M.D.,	
  Ph.D.	
  
– 
– 
– 

Adjunct	
  Professor	
  of	
  Psychiatry	
  and	
  Behavioral	
  Sciences,	
  	
  Northwestern	
  University	
  
Senior	
  Fellow	
  at	
  the	
  Child	
  Trauma	
  Academy,	
  	
  
Clinician	
  and	
  researcher	
  in	
  children's	
  mental	
  health	
  and	
  the	
  neurosciences	
  

!  Dr.	
  James	
  J.	
  Clark	
  
– 
– 

Department	
  Head,	
  School	
  of	
  Social	
  Work,	
  University	
  of	
  Cincinna;	
  
Co-­‐chair	
  for	
  Na;onal	
  Child	
  Trauma;c	
  commi`ee	
  

!  Dr.	
  Kate	
  Chard,	
  Ph.D.	
  
– 

Assistant	
  Professor,	
  UC	
  Department	
  of	
  Pediatrics	
  

!  Dr.	
  Eliana	
  Gil,	
  Ph.D.	
  
– 
– 

Director	
  of	
  Starbright	
  Training	
  Ins;tute	
  for	
  Child	
  and	
  Family	
  Play	
  Therapy	
  
Cer;fied	
  NMT	
  Phase	
  I	
  Trainer	
  	
  
	
  	
  	
  

!  Dr.	
  Erica	
  Pearl	
  Messer,	
  PsyD	
  
– 
– 

Director,	
  Trauma	
  Recovery	
  Center	
  at	
  Cincinna;	
  VA	
  Medical	
  Center	
  
Clinical	
  Psychologist,	
  Behavioral	
  Medicine	
  and	
  Clinical	
  Psychology	
  /	
  Mayerson	
  Center	
  

!  Dr.	
  Sandra	
  Bloom,	
  MD	
  
– 
– 

Founder	
  of	
  the	
  Sanctuary	
  Ins;tute	
  
Dis;nguished	
  Fellow	
  at	
  the	
  Andrus	
  Children's	
  Center.	
  	
  

!  Montrose	
  Madison	
  Wolf,	
  PhD	
  
– 

Created	
  the	
  Teaching	
  Family	
  Model	
  

!  Drs.	
  Robert	
  Anda,	
  Vincent	
  FeliH	
  and	
  researchers	
  at	
  the	
  Centers	
  for	
  Disease	
  Control	
  	
  
– 

Adverse	
  Childhood	
  Experiences	
  “ACES”	
  Study	
  
Contact	
  Us	
  
To	
  learn	
  more	
  about	
  The	
  Children’s	
  Home	
  Childhood	
  
Trauma	
  Treatment	
  Services	
  please	
  contact:	
  
Debbie	
  Gingrich,	
  LISW-­‐S	
  
	
  

Director	
  of	
  Behavioral	
  Health	
  

	
  
	
  
	
  
	
  

5050	
  Madison	
  Road	
  
Cincinna;,	
  Ohio	
  	
  45227	
  
513.272.2800	
  	
  	
  x	
  4307	
  
dgingrich@thechildrenshomecin;.org	
  
NPO Chld

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NPO Chld

  • 2. We’ve  all  seen  the  headlines….  
  • 3. Some  have  asked…     how  could  that  have  happened?   but  we  asked…  
  • 4. How  Can  We  Help?  
  • 5. Childhood  Trauma  –  a  prevalent    problem             in  the  US…   Each year, among US children ages 2-17 50% 12.5% 33.3% 8.3% 1/3 Half experiences physical assault 1 in 8 is maltreated (child abuse, neglect) 1 in 12 is sexually victimized 1 in 3 witnesses violence (Fairbank, Putnam, & Harris, 2007) (Finkelhor et al., 2005) ! In  fact,  nearly  61%  of  males  and  51%  of  females  ages  12  to   24    report  more  than  one  trauma;c  event.        (Kessler et al., 1995) ! Up  to  93%  in  the  youth  jus;ce  system  experience  trauma.  
  • 6. With  long-­‐term  affects  on  health   According  to  the  Adverse  Childhood  Experience  Study  (ACE),   children  who  experience  childhood  trauma  are  at  a  greater  risk   of  having  serious  adult  health  problems:   4x to 12x more likely to abuse alcohol or drugs 2x to 4x more likely to smoke, have an STD or poor health 1.4x more likely to be severely obese They also are at greater risk of having serious heath problems including cancer, heart disease, depression and a higher risk for unintended pregnancy.
  • 7. These  outcomes  ARE  avoidable…      
  • 8. And  there’s  one  place  for  exceptional   treatment  in  the  Greater  Cincinnati  area…    
  • 9. Transforming  the  lives  of   vulnerable  children…  
  • 10. A  wealth  of  experience  in  childhood   Trauma.   !  ne  of  the  largest  trauma  providers  in  Hamilton   O county.   !   7  year  history  trea;ng  childhood  trauma.     A !  ehavioral  health  therapists  in  over  80  schools.   B !   physicians  in  schools  for  medica;on  management.   6 !  ver  1,300  children  screened  for  trauma  since  2011.   O
  • 11. Highly  trained  staff.   Proven  Therapy  Models.   ! Nearly  100  Children’s  Home  therapists  have  been  trained  in   childhood  trauma  therapy  models  over  the  past  3  years:   Trauma Focused Cognitive Behavioral Therapy (TF-CBT) •  Evidence based treatment. •  Teaches stress management, cognitive processing, communication, problem solving, and safety. Parent Child Interaction Therapy (PCIT) •  Empirically-supported treatment. •  Places emphasis on restoring the parentchild relationship. Trauma-focused Integrated Play Therapy (TF-IPT) •  Model well suited to young children ages 5 to 17. •  Utilizes play and art therapies to enhance education and reparative work.
  • 12. Highly  trained  staff.   Proven  Therapy  Models.   ! Nearly  100  Children’s  Home  therapists  have  been  trained  in   child  trauma  therapy  models  over  the  past  3  years:   Trauma and Grief Component Therapy for Adolescents (TGCT-A) •  Manualized treatment for older children and adolescents •  Emphasis given to individuals’ differences in responses to trauma or traumatic loss •  Has been implemented and evaluated in the US and Internationally, with a broad variety groups including multi-racial and multi-ethnic adolescents Child Adult Relationship Enhancement (CARE) •  Field initiated modification of PCIT •  Specific PCIT skills are employed by non-clinical adults who interact with children in community based settings
  • 13. Instructed  by  key  trauma  specialists  and   coached  for  continuous  enhancement   Dr.  Erna  Olafson,  PhD,  PsyD   –  Co-­‐director,    Cincinna;  Children’s  Center  for   Trauma  Recovery  and  Juvenile  Jus;ce     –  Associate  Professor,  University  of  Cincinna;   Department  of  Pediatrics     –  The  Children’s  Home  trainer  and  consultant  for   TF-­‐CBT  and  TGCT-­‐A   –  Provides  regular  case  consulta;on       “I’m very impressed with The Children’s Home’s firm commitment to trauma focused treatment and their fostering and sustaining a trauma informed institution which is embedded firmly in our community.”
  • 14. And  inLluenced  by  experts  in  the  Lield   !  Dr.  Bruce  Perry,  M.D.,  Ph.D.   –  –  –  Adjunct  Professor  of  Psychiatry  and  Behavioral  Sciences,    Northwestern  University   Senior  Fellow  at  the  Child  Trauma  Academy,     Clinician  and  researcher  in  children's  mental  health  and  the  neurosciences   !  Dr.  James  J.  Clark   –  –  Department  Head,  School  of  Social  Work,  University  of  Cincinna;   Co-­‐chair  for  Na;onal  Child  Trauma;c  commi`ee   !  Dr.  Kate  Chard,  Ph.D.   –  Assistant  Professor,  UC  Department  of  Pediatrics   !  Dr.  Eliana  Gil,  Ph.D.   –  –  Director  of  Starbright  Training  Ins;tute  for  Child  and  Family  Play  Therapy   Cer;fied  NMT  Phase  I  Trainer           !  Dr.  Erica  Pearl  Messer,  PsyD   –  –  Director,  Trauma  Recovery  Center  at  Cincinna;  VA  Medical  Center   Clinical  Psychologist,  Behavioral  Medicine  and  Clinical  Psychology  /  Mayerson  Center   !  Dr.  Sandra  Bloom,  MD   –  –  Founder  of  the  Sanctuary  Ins;tute   Dis;nguished  Fellow  at  the  Andrus  Children's  Center.     !  Montrose  Madison  Wolf,  PhD   –  Created  the  Teaching  Family  Model   !  Drs.  Robert  Anda,  Vincent  FeliH  and  researchers  at  the  Centers  for  Disease  Control     –  Adverse  Childhood  Experiences  “ACES”  Study  
  • 15. Contact  Us   To  learn  more  about  The  Children’s  Home  Childhood   Trauma  Treatment  Services  please  contact:   Debbie  Gingrich,  LISW-­‐S     Director  of  Behavioral  Health           5050  Madison  Road   Cincinna;,  Ohio    45227   513.272.2800      x  4307   dgingrich@thechildrenshomecin;.org