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Module I Orientation to Child Trauma Assessment
Part I ,[object Object]
Project Goal ,[object Object],[object Object],[object Object],[object Object]
Changes Desired:  ,[object Object],[object Object],[object Object]
DHS CMH SCHOOLS COURTS Resource  Parents
The Team
 
 
Cultural & Linguistic Competence Yvette D. Hyter, Ph.D., CCC-SLP Speech-Language Pathologist Western Michigan University  Children's Trauma Assessment Center
Why this information is important ,[object Object],U. S. is becoming more diverse U. S. counties are following the same trend Image from Office of Languages, Canada
Culture is like an Iceberg ,[object Object],[object Object],Photo courtesy of L. Hyter (1997) Ting-Toomey, 1999
Every Living Being has Culture Degazon, C. E. (2008) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diversity within Cultures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathway to Cultural &  Linguistic Competence Awareness Sensitivity Reciprocity Competence Open to others; learning about cultural histories, values, beliefs  (Adams, 1995)  Aware of differences & similarities that have an effect on values and behavior; no value judgments   (Stafford et al., 1997) Coordinated behaviors, attitudes, and policies that allow effect service across multiple cultural & linguistic groups  (Cross et al., 1989 Recognition underlying taken-for-granted assumptions, how they guide behaviors and affect those that do not hold them  (Kalyanpur & Harry, 1999)
Reflect, Revise, Retry Know Your Self and your group Understand History  Learn from others Ten Principle Practices  Eliminate ethnocentrism Cultural Competence Learn from mistakes made Tear down barriers  Be accountable Honor Uniqueness Center other experiences Hyter, 2009
 
The Brain-Behavior Connection Neurobiological & Neurodevelopmental Impact of  Traumatic Stress & Prenatal Alcohol Exposure  in Children & Adolescents:  Understanding Difficult Behaviors Mark A. Sloane, DO, FACOP, FAAP Kalamazoo, MI 18 February 2009
Mind (Brain)-Boggling Numbers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Building the brain From simple to complex: Hierarchy of brain function Brain- stem Diencephalon Limbic Neocortex Abstract Thought Concrete Thought Executive Function Attachment Sexual Behavior Emotional Regulation Motor Regulation Motivation Arousal Sleep BP / Heart Rate Respiratory Drive Body Temperature Perry 2006 All sensory input  enters here
The Delicate Balance: Brain control of emotion / behavior Top-Down  “ Brakes ”  (Prefrontal Cortex) Bottom-Up  “Accelerator”  (Brainstem/Limbic System)
So… now let’s talk about the  accelerator
Wake up!!! Let’s talk about  arousal …
No energy / tired & sleepy (Eeyore) Optimal  “Goldilocks” Arousal Way too wound-up / “wild” (“Tigger - on crack”) Arousal Genesis / Regulation Too wound-up (Tigger)
Role of Anxiety & Panic  in Mood / Emotion Generation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Next, let’s talk about the…  BRAKES
The Prefrontal Cortex:  The home of   Executive Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Experience alters brain structure ,[object Object],[object Object],[object Object],[object Object]
Building (& Rebuilding) the Brain Neural systems can be changed / treated but some systems are  easier   to change  Brain- stem Diencephalon Limbic Neocortex Complexity Plasticity & Ease of change
Child Traumatic Stress & the Developing Brain
Traumatic Stress & the Child’s Developing Brain ,[object Object],[object Object],[object Object]
Traumatic Stress & the  Child’s Developing Brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
So…what about neglect???
But…this case  only   involves neglect !
Impact of Severe Neglect
Complex Trauma: Summary ,[object Object],[object Object],[object Object],[object Object]
Complex Trauma  And Developmental Trauma Disorder Connie Black-Pond  MA, LMSW, LPC
[object Object],[object Object],What is Complex Trauma? Sources:  Cook et al. (2005).  Psychiatry Ann ,35 (5):390-398; van Der Kolk & Courtois. (2005)  J Trauma Stress ,  18 :385-388 . The term   Complex trauma  (or  Developmental Trauma Disorder ) describes  exposure  to chronic (repeated) trauma  and  the  impact  of such exposure (traumatic stress) on the child.
Domains Impacted by Complex Trauma Behavioral Control Cognition Attachment Dissociation Affect  Regulation Biology Self Concept
Functional Impairment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Generalized Expectancies of the Traumatized Child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What do we see? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Other factors that affect a child’s experience of a potentially  traumatic event include:
[object Object]
[object Object]
[object Object]
Traumatic Expectations of the World
How Children Respond to Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Factors that may help a child “bounce back” from traumatic events include:
[object Object],[object Object]
Sensory Processing Disorder Ben J. Atchison, PhD, OTR, FAOTA Department of Occupational Therapy Western Michigan University
Sensory Processing is.. ,[object Object],[object Object],[object Object],[object Object]
Key Idea is:   ,[object Object],[object Object],[object Object],[object Object]
Sensory Processing Disorder (SPD) Sensory Modulation Disorder Sensory-Based Motor Disorder Sensory Discrimination Disorder SOR SUR SS SOR=Sensory Over-reactivity-Low threshold SUR=Sensory Under-reactivity-High Threshold SS=Sensory Seeking/Craving-High Threshold Miller, et al, (2007) , Mar.April AJOT Dsypraxia Postural Disorders Visual Auditory Tactile Position/Mvt Taste Smell
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Including… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Social Communication Yvette D. Hyter, Ph.D., CCC-SLP Speech-Language Pathologist Western Michigan University Children’s Trauma Assessment Center [email_address] , 269-387-8025
[object Object],Greenspan, S. (1993) cited in Nelson, N. W.
Early Peer Relationships Contribute To:  ,[object Object],[object Object],[object Object],[object Object],Greenspan, S. (1993) cited in Nelson, N. W.
Social Communication ,[object Object],[object Object],Coggins, Timler, & Olswang, 2007 influence others understand and interpret  social situations
Social Communication Framework  Higher Order Executive Functions  Decision making and strategic planning processes Social Communicative Behaviors Social Communicative Competence Using language in interpersonally appropriate ways to successfully  influence people and interpret events Coggins, T. E., Timler,G. R.  & Olswang, L.. B. (2007).  Social Cognition Understanding why people act  in certain ways and what they  are  likely to do next. Language Sentence Structure Word meanings/relationships Language use
Benefits of  Social Communication: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hey!.....Here’s a good idea!... Let’s finish with a group…  stress test!!!
Stress Test ,[object Object],[object Object],[object Object]
 
Are You Ready…For the Next Step? Are You Ready for the Next Step?
You Are Ready….IF… ,[object Object],[object Object],[object Object],[object Object]
This presentation is part of a comprehensive professional education and training project created by the SW Michigan Children’s Trauma Assessment Center funded by a grant from the Substance Abuse and Mental Health Services, Department of Health and Human Services which funds the National Children’s Trauma Stress Network

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Orientation To Child Trauma

  • 1. Module I Orientation to Child Trauma Assessment
  • 2.
  • 3.
  • 4.
  • 5. DHS CMH SCHOOLS COURTS Resource Parents
  • 7.  
  • 8.  
  • 9. Cultural & Linguistic Competence Yvette D. Hyter, Ph.D., CCC-SLP Speech-Language Pathologist Western Michigan University Children's Trauma Assessment Center
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Pathway to Cultural & Linguistic Competence Awareness Sensitivity Reciprocity Competence Open to others; learning about cultural histories, values, beliefs (Adams, 1995) Aware of differences & similarities that have an effect on values and behavior; no value judgments (Stafford et al., 1997) Coordinated behaviors, attitudes, and policies that allow effect service across multiple cultural & linguistic groups (Cross et al., 1989 Recognition underlying taken-for-granted assumptions, how they guide behaviors and affect those that do not hold them (Kalyanpur & Harry, 1999)
  • 15. Reflect, Revise, Retry Know Your Self and your group Understand History Learn from others Ten Principle Practices Eliminate ethnocentrism Cultural Competence Learn from mistakes made Tear down barriers Be accountable Honor Uniqueness Center other experiences Hyter, 2009
  • 16.  
  • 17. The Brain-Behavior Connection Neurobiological & Neurodevelopmental Impact of Traumatic Stress & Prenatal Alcohol Exposure in Children & Adolescents: Understanding Difficult Behaviors Mark A. Sloane, DO, FACOP, FAAP Kalamazoo, MI 18 February 2009
  • 18.
  • 19. Building the brain From simple to complex: Hierarchy of brain function Brain- stem Diencephalon Limbic Neocortex Abstract Thought Concrete Thought Executive Function Attachment Sexual Behavior Emotional Regulation Motor Regulation Motivation Arousal Sleep BP / Heart Rate Respiratory Drive Body Temperature Perry 2006 All sensory input enters here
  • 20. The Delicate Balance: Brain control of emotion / behavior Top-Down “ Brakes ” (Prefrontal Cortex) Bottom-Up “Accelerator” (Brainstem/Limbic System)
  • 21. So… now let’s talk about the accelerator
  • 22. Wake up!!! Let’s talk about arousal …
  • 23. No energy / tired & sleepy (Eeyore) Optimal “Goldilocks” Arousal Way too wound-up / “wild” (“Tigger - on crack”) Arousal Genesis / Regulation Too wound-up (Tigger)
  • 24.
  • 25. Next, let’s talk about the… BRAKES
  • 26.
  • 27.
  • 28. Building (& Rebuilding) the Brain Neural systems can be changed / treated but some systems are easier to change Brain- stem Diencephalon Limbic Neocortex Complexity Plasticity & Ease of change
  • 29. Child Traumatic Stress & the Developing Brain
  • 30.
  • 31.
  • 33. But…this case only involves neglect !
  • 34. Impact of Severe Neglect
  • 35.
  • 36. Complex Trauma And Developmental Trauma Disorder Connie Black-Pond MA, LMSW, LPC
  • 37.
  • 38. Domains Impacted by Complex Trauma Behavioral Control Cognition Attachment Dissociation Affect Regulation Biology Self Concept
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 49.
  • 50.
  • 51. Sensory Processing Disorder Ben J. Atchison, PhD, OTR, FAOTA Department of Occupational Therapy Western Michigan University
  • 52.
  • 53.
  • 54. Sensory Processing Disorder (SPD) Sensory Modulation Disorder Sensory-Based Motor Disorder Sensory Discrimination Disorder SOR SUR SS SOR=Sensory Over-reactivity-Low threshold SUR=Sensory Under-reactivity-High Threshold SS=Sensory Seeking/Craving-High Threshold Miller, et al, (2007) , Mar.April AJOT Dsypraxia Postural Disorders Visual Auditory Tactile Position/Mvt Taste Smell
  • 55.
  • 56.
  • 57.
  • 58.
  • 59. Social Communication Yvette D. Hyter, Ph.D., CCC-SLP Speech-Language Pathologist Western Michigan University Children’s Trauma Assessment Center [email_address] , 269-387-8025
  • 60.
  • 61.
  • 62.
  • 63. Social Communication Framework Higher Order Executive Functions Decision making and strategic planning processes Social Communicative Behaviors Social Communicative Competence Using language in interpersonally appropriate ways to successfully influence people and interpret events Coggins, T. E., Timler,G. R. & Olswang, L.. B. (2007). Social Cognition Understanding why people act in certain ways and what they are likely to do next. Language Sentence Structure Word meanings/relationships Language use
  • 64.
  • 65. Hey!.....Here’s a good idea!... Let’s finish with a group… stress test!!!
  • 66.
  • 67.  
  • 68. Are You Ready…For the Next Step? Are You Ready for the Next Step?
  • 69.
  • 70. This presentation is part of a comprehensive professional education and training project created by the SW Michigan Children’s Trauma Assessment Center funded by a grant from the Substance Abuse and Mental Health Services, Department of Health and Human Services which funds the National Children’s Trauma Stress Network