Transcript How does art therapy help people work through with trauma

The Children's Advocacy Center of Grand Traverse and
Leelanau counties and the Grand Traverse Band of
Ottawa and Chippewa Indians is dedicated to the
identification, treatment, awareness and prevention of
the sexual and physical abuse of children. Our mission
is to protect children by providing prevention and
multi-disciplinary intervention in investigation,
assessment and treatment of child sexual and physical
abuse in an environment that is child-sensitive,
supportive and safe.
Resources
• Midwest Regional Children's Advocacy Centers
http://www.mrcac.org/
• Contacts for Trauma Focused CBT Trainings:
Mary Ludtke- State of MI : [email protected]
Erin Skinner- State Coordinator for TF-CBT:
[email protected]
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The TBCAC is….
“Comprehensive, child-focused program in a
facility that allows law enforcement, child
protection, prosecution, mental health and
medical providers to work together to most
effectively handle child sexual abuse cases.”
The TBCAC is….
• One interview witnessed by MDT
• Family friendly, non-intimidating setting
• Specially trained forensic interviewers
• Reduced trauma to child/family
• Coordination of services for children/families
• More effective investigations
• Higher prosecution success rates
Who do we serve?
• Victims of sexual and other severe physical abuse
and neglect
– Children ages 3 through 17
– Vulnerable adults 18 years and older
• Referrals from Law Enforcement & CPS
• Non-offending family members of victims
• Greater Grand Traverse region
– Grand Traverse County
– Leelanau County
– Grand Traverse Band of Ottawa & Chippewa Indians
“Help” begins when victims are
empowered to “tell”…
• A Multi-Disciplinary Team (MDT) works
to provide victims and their families:
– A coordinated approach to Law enforcement
and Protective Services investigations
– Skilled forensic interviewing of victims
– Trauma-informed medical and mental
health interventions
– Court preparation and support
– On-going follow-up throughout the
criminal prosecution and healing processes
What is TF-CBT?
A hybrid treatment model that integrates:
• Trauma sensitive interventions
• Cognitive-behavioral principles
• Attachment theory
• Developmental neurobiology
• Family therapy
• Empowerment therapy
• Humanistic therapy
Treatment
Research
• TF-CBT is the most rigorously tested treatment for
traumatized children
– 12 randomized trials, numerous follow-ups
– Current RCT for DV
• Improved PTSD, depression, anxiety, shame and
behavior problems compared to supportive treatments
• PTSD improved more with direct child treatment
• Improved parental distress, parental support, and
parental depression compared to supportive treatment
Core Values of TFCBT
CRAFTS
Components-Based
Respectful of Cultural Values
Adaptable and Flexible
Family Focused
Therapeutic Relationship is Central
Self-Efficacy is emphasized
Cultural
Sensitivity &
Competence
• Essential to understand family’s values related to
religion, ethnicity & culture
• Previous treatment outcome studies found TF -CBT
to be successful with diverse ethnic and racial
populations
(Cohen et al., 2001)
TF-CBT
COMPONENTS
PRACTICE
Psychoeducation and Parenting Skills
Relaxation
Affective Modulation
Cognitive Processing – I & II
Trauma Narrative
In Vivo Desensitization
Conjoint Parent-Child Sessions
Enhancing Future Safety and Development
Trauma-Focused
Cognitive
Behavioral
Therapy – TF-CBT
Overlapping Process
Child’s Treatment
Education
Skill building
Exposure/Processing
Preparation for
Joint Sessions
Parent’s Treatment
Education
Skill building
Exposure/Processing
Behavior Management
Preparation for
Joint Sessions
Joint Sessions
Family Sessions
Thank You!