Below are brief descriptions of the different trainings offered through the Center for Child and Family Traumatic Stress.
Additional documents containing in-depth information about the Center for Child and Family Traumatic Stress' training portfolio are available for download at the bottom of the page.
Evidence-Based Treatment Approaches:
Trauma-Focused Cognitive Behavioral Therapy
This two-day workshop is an introduction to Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), a treatment approach based on the work of Judith Cohen, MD, Anthony Mannarino, PhD, and Esther Deblinger, PhD, TF-CBT is an approach used with children 4-18 years of age who exhibit significant behavioral or emotional problems related to exposure to traumatic events, and their primary caregivers. This workshop will introduce the essential treatment components of TF-CBT, as well as research and case studies supporting the effectiveness of treatment. Following the workshop, consultation/supervision necessary to implement the model will be offered.
Trauma-Informed Treatment Approaches:
Restoring the Whole Child: Yoga-Based Psychotherapy for Children and Adolescents Who Have Experienced Trauma
The neurobiological effects of childhood abuse and neglect are well documented. Among other implications, these negative effects can reduce the development of self-regulatory capacities which in turn inhibits social and emotional functioning and makes traditional mental health interventions less effective. Clinicians at the Center for Child and Family Traumatic Stress at Kennedy Krieger Institute developed a protocol for the Yoga-Based Psychotherapy Group (YBPG) to address deficits in self-regulatory capacities using principles from yoga and movement therapy. This 14 week trauma-informed group intervention utilizes yoga and movement techniques with boys and girls, ages 8-12, to increase self-awareness, promote improved self-regulation, self-esteem and pro-social behaviors. This 6 hour workshop will discuss Yoga as a complimentary alternative treatment and identify how its principles can be used to provide trauma informed treatment for children and adolescents. It will include the Yoga-Based Psychotherapy Group (YBPG) protocol. Presentation is experiential and will include lecture, practice exercises and discussion. The workshop will simulate an actual YBPG session. No previous yoga experience is required and movement is optional.
Core Concepts and Interventions from the Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) Model
This one-day workshop will provide an overview of SPARCS, a 16-week group intervention that was specifically designed to address the needs of chronically traumatized adolescents who may still be living with ongoing stress and are experiencing problems in several areas of functioning. These areas include difficulties with affect regulation and impulsivity, self-perception, relationships, somatization, dissociation, numbing and avoidance, and struggles with their own purpose and meaning in life as well as worldviews that make it difficult for them to see a future for themselves. The workshop will teach specific core concepts and skills of the model including: mindfulness, problem-solving, meaning-making, relationship building and communication skills. Participants will also be educated about how to implement key interventions into their daily practice.
Safety Mentoring Advocacy Recovery Treatment (SMART) Model: Treatment of Sexualized Children
This two-day training will present the SMART treatment model that addresses the mental health needs of sexually abused children exhibiting problematic sexual behaviors. The model is abuse-specific and is directed at the resolution of the trauma of child sexual abuse through a reparative process. The training will provide an overview of pertinent theoretical perspectives embedded in the model; the typology of sexually aggressive children; the impact of sexual abuse on the continuum of sexual development; clinical strategies/interventions that are specifically designed to decrease problematic sexual behavior and address the trauma of child sexual abuse and the role of community networking that is required to best serve these children. A comprehensive, highly flexible, yet structured treatment manual and workbook will be provided that details the core components and strategies needed to successfully implement the model. Consultation calls to support the implementation of the model will be provided by the trainer.
Innovative and Novel Treatment Approaches:
This two-part training will provide the fundamentals to become a team lead for FamilyLive, a method of family therapy that addresses childhood trauma in families where the caregiver(s) have histories of neglect and/or unresolved trauma and abuse themselves. The training will cover the foundation for the required experiential elements (observation, supervised practice experiences and group supervision) that will occur over a multi-week period prior to and following the didactic portions. The training will present the history of the development of the FamilyLive model, the theoretical justification for the model, model fidelity and basic skills and tools required to be a team lead using the FamilyLive model. Part I will emphasize the conceptual frame work and Part II will emphasize application of the model. Training methods will include lecture, discussion, and review of video clips and transcripts of examples.
General Trauma Education:
Complex Trauma in Adolescents
Designed for professionals who routinely interact with adolescents in the urban setting where the experience of complex trauma may be often overlooked. This 6 hour workshop seeks to enhance participants’ understanding of the often complicated and difficult to recognize clinical presentations of adolescents who have experienced complex trauma and are interacting with multiple service systems. This workshop will assist the participants in recognizing potential complex trauma symptomology and differentiating between complex trauma symptoms and more typical adolescent mood and behavioral concerns. Symptoms, assessment, engagement, risk management and treatment of complex trauma symptomatology will be discussed.
Domestic Minor Sex Trafficking (DMST): Vulnerabilities, Recruitment, and What Practitioners Need to Know
This one day, two part training series is an introduction to DMST. Part 1 will focus on identifying children at risk for or who may be involved in sex trafficking in Maryland. It will explore the vulnerabilities of youth and how they may be recruited and groomed by traffickers. It is an interactive presentation and will include lecture, case examples and discussion. A prevention video to be utilized with youth in community settings will also be shown. Part 2 will explore how children are recruited and enter into sex trafficking. The role of pimp control and why children stay in addition to the role of trauma bonding for survivors will be discussed. It will also focus on the traumatic effects and symptomology among trafficking survivors and explore treatment models, safety planning and clinical interventions useful for survivors.
Soothing Through Pain: The Assessment and Treatment of Self-Injury in Adolescents
This half-day workshop will present current research and trends related to the increasing presence of self-injurious behaviors among youth presenting for mental health treatment. Risk factors for these behaviors, particularly adverse experiences and attachment difficulties will be examined. This workshop will assist participants to feel more confident in their ability to recognize and assess self-injurious behaviors in youth, as well as their ability to effectively respond to these behaviors through effective and practical interventions.
Introduction to Childhood Traumatic Stress: Core Concepts
This half-day workshop will provide an introduction to identifying and understanding childhood traumatic stress and its impact. The workshop will provide an overview of the theoretical foundations and core concepts related to childhood traumatic stress. Participants will learn to distinguish between normal childhood adverse experiences and childhood traumatic stress. They will learn about the prevalence of trauma and the impact of various types of traumatic stressors on a child's daily functioning. Simple and complex trauma experiences will be discussed and will include the impact upon the developing brain. Attachment, attachment disruption, and the most common behavioral, emotional, and cognitive sequelae will be examined from a developmental and neurobehavioral perspective. Finally, key issues critical to effective treatment planning will be highlighted. Case studies will be presented along with didactic materials and a list of resources for further study. This workshop is appropriate for mental health professionals working with children and their families and/or those interested in learning more about childhood traumatic stress and its impact.
Childhood Traumatic Stress: Assessment and Treatment
This half-day workshop will provide an overview of the core components and skills necessary to assess children with traumatic stress and will highlight key elements of trauma informed treatment. A brief overview of the available evidence based treatments for treating childhood traumatic stress will be presented. Assessment will be discussed in light of pre-existing vulnerabilities and factors that both promote traumatic stress and protect from traumatic stress. Diagnostic considerations, specific diagnoses, and complex trauma will be integrated into discussion. A brief overview of issues related to emotional and behavioral dysregulation as well as the impact of trauma on cognitive abilities will be presented. Participants will learn that trauma informed treatments are culturally sensitive, systemic, strength based, and ever aware of the necessity to empower clients and provide both physical and emotional safety at all times. Case studies will be presented along with didactic materials and a list of resources for further study. This workshop is appropriate for those who have a basic knowledge of childhood traumatic stress and are interested in enhancing and/or expanding their current skills and repertoire.
This six-hour workshop will address the personal impact upon mental health professionals and others who interact with children and their families, who suffer or have suffered from traumatic stress. Child welfare workers, mental health professionals, school counselors, spiritual counselors, and other professionals who work with this specialized population will be provided with an overview of the personal "cost of caring." Practical advice and easily implemented strategies to prevent and treat the effects of vicarious traumatization will be presented. The workshop will explore the similarities and differences between counter transference, vicarious trauma, secondary trauma, and burnout. Boundaries, self-care, and the concept of "Vicarious Resilience" will be presented in order to help participants reduce their risk of vicarious traumatization. Didactic material, case studies, and experiential exercises in mind/body awareness and control will be presented.
Child Sexual Abuse: A Comprehensive Approach to Assessment and Treatment
This two-day training will present current research and trends in the field of child sexual abuse. Information provided will utilize a trauma informed approach on topics such as assessment, signs and symptoms, expected versus problematic sexual behaviors, treatment planning, and vicarious trauma. Interventions, helpful resources, and psycho-educational materials to address the complexities of treating children with a history of sexual abuse, including those exhibiting problematic sexual behavior (PSB) will be provided.
Spirituality and Trauma
This half-day workshop will explore the topic of spirituality and healing from psychological trauma. Participants will be provided information regarding the differences between spirituality and religion and the role each of these plays in the healing process from psychological trauma. The most current literature and research will be presented. An overview of spiritually based treatments currently used in mental health practice, as well as what evidence-based practices are available that incorporate spirituality will be discussed. Through lecture, interactive discussions, and didactic exercises, participants will be provided the opportunity to explore how the personal beliefs of the therapist affect the way spiritual issues are handled in the treatment setting.
Intergenerational Transmission of Trauma Effects in Families
Conditions of high stress and multiple trauma exposures across generations require that individuals and families make significant adaptations in order to survive. This 6 hour workshop will provide a review of the literature focusing on the impact of those adaptations on family functioning and parent child relationships. Particular emphasis will be placed on the negative effects of traumatic exposures and enduring stressful conditions on help seeking behavior and ability to benefit from services. Presenters will use clinical examples from three family focused trauma models to demonstrate interventions that that promote engagement and build family strengths in the face of historical and present day adversities.
Treating Traumatic Stress Disorders in Children with Developmental Disabilities
Research suggests that children with developmental disabilities (DD’s), including autism spectrum disorders and intellectual disabilities, are more likely than their typically developing peers to be assaulted or maltreated (Sullivan, 2009, Turner et al., 2011). For example, children with special health care needs may be bullied at a rate 1.5 to 2 times more than non-impaired youth (van Cleave & Davis, 2006). However, there is relatively little research, writing or service provision designed specifically for children with co-occurring trauma and DD’s (Mevissen & de Jongh, 2010).
Identification can be difficult as children with developmental or intellectual delays may have trouble reporting traumatic events and their effects. Caregivers and treatment providers struggle to discriminate between DD-related behavior and trauma-related symptoms (Mazefsky, Kao, & Oswald, 2011). Provision of trauma-informed care requires an understanding of the prevalence of trauma and its effects on children. This half-day workshop has a three-pronged focus: reviewing the literature on trauma in developmentally disabled (DD) children, discussing dual diagnosis of trauma and DD; and giving practical strategies for applying a trauma-informed treatment approach to children with DD’s.
This 6 hour workshop will provide an introduction to the traumatic stress response that can accompany injury, illness and medical treatment to youth and their families. This workshop will provide an overview of the key concepts of child traumatic stress and differentiate between normal stress and traumatic responses, with a specific emphasis on the impact of pediatric illness and injury. The impact of developmental stages on a youth’s reaction to traumatic stress reactions will be discussed. Assessment and intervention utilizing the DEF Protocol will be taught.