442016
Trauma Informed Care What Educators Need to Know
2016 PA PBS Implementers Forum May 6 2016
Sherry Peters MSW ACSW Senior Policy Associate Georgetown University Center for Child and Human Development
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
bull Trauma is pervasive bull Trauma affects a studentrsquos ability to learn
bull ldquoSystemsrdquo sometimes re‐traumatize bull ldquoTrauma‐Informedrdquo environments can help ‐ including addressing ldquosecondary traumatic stressrdquo bull Many available resources for tiers 1 2 and 3
Essential
Takeaway Concepts
Agenda for Today
1
442016
What is Trauma
How do you define trauma
What may cause trauma
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Individual trauma results from
bull an event series of events or set of circumstances that is
bull experienced as physically or emotionally harmful or life threatening and that has
bull lasting adverse effects on the individualrsquos functioning and mental physical social emotional or spiritual well‐being
SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014 httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 4
2
442016
A program organization or system that is trauma‐informed
bull Realizes the widespread impact of trauma
bull Recognizes the signs and symptoms of trauma in both people we serve and staff
bull Responds with policies procedures and practices
bull Resists re‐traumatization SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014
httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 5
Trauma Informed Principles
Safety Physical and Emotional Trustworthiness amp Transparency Empowerment Voice amp Choice Collaboration and Mutuality Cultural Historical and Gender Issues Peer Support
SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014 httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 6
3
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
One of the largest investigations ever conducted to assess associations between childhood
maltreatment and later‐life health and well‐being
Collaboration between the Centers for Disease Control and Prevention and Kaiser Permanentes
Health Appraisal Clinic in San Diego
httpwwwcdcgovaceprevalencehtmACED
Adverse Childhood Experience (ACE) Study
ACE Study Continued
bull Initial phase 1995 to 1997
bull More than 17000 participants ndash completed a standardized physical examination and completed a confidential survey that contained questions about childhood maltreatment and family dysfunction as well as items detailing their current health status and behaviors
bull No further participants were enrolled but medical status of the baseline participants tracked over time
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 8
4
442016
10 Adverse Childhood Experiences Studied
bull Household Situations bull Childhood abuse ndash Parental separation or
ndash Emotional divorce
ndash Household substance abuse ndash Physical ndash Household mental illness
ndash Sexual ndash Mother treated violently
bull Neglect ndash Incarcerated household member
ndash Emotional
ndash Physical
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adverse Childhood Experiences are Common
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 10
5
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
ADVERSE CHILDHOOD EXPERIENCES
11
httpwwwcdcgovviolencepreventionacestudy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Antidepressant Prescriptions
12
Retrieved from httpacestoohighcomgot‐your‐ace‐score
6
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
What is Trauma
How do you define trauma
What may cause trauma
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Individual trauma results from
bull an event series of events or set of circumstances that is
bull experienced as physically or emotionally harmful or life threatening and that has
bull lasting adverse effects on the individualrsquos functioning and mental physical social emotional or spiritual well‐being
SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014 httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 4
2
442016
A program organization or system that is trauma‐informed
bull Realizes the widespread impact of trauma
bull Recognizes the signs and symptoms of trauma in both people we serve and staff
bull Responds with policies procedures and practices
bull Resists re‐traumatization SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014
httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 5
Trauma Informed Principles
Safety Physical and Emotional Trustworthiness amp Transparency Empowerment Voice amp Choice Collaboration and Mutuality Cultural Historical and Gender Issues Peer Support
SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014 httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 6
3
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
One of the largest investigations ever conducted to assess associations between childhood
maltreatment and later‐life health and well‐being
Collaboration between the Centers for Disease Control and Prevention and Kaiser Permanentes
Health Appraisal Clinic in San Diego
httpwwwcdcgovaceprevalencehtmACED
Adverse Childhood Experience (ACE) Study
ACE Study Continued
bull Initial phase 1995 to 1997
bull More than 17000 participants ndash completed a standardized physical examination and completed a confidential survey that contained questions about childhood maltreatment and family dysfunction as well as items detailing their current health status and behaviors
bull No further participants were enrolled but medical status of the baseline participants tracked over time
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 8
4
442016
10 Adverse Childhood Experiences Studied
bull Household Situations bull Childhood abuse ndash Parental separation or
ndash Emotional divorce
ndash Household substance abuse ndash Physical ndash Household mental illness
ndash Sexual ndash Mother treated violently
bull Neglect ndash Incarcerated household member
ndash Emotional
ndash Physical
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adverse Childhood Experiences are Common
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 10
5
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
ADVERSE CHILDHOOD EXPERIENCES
11
httpwwwcdcgovviolencepreventionacestudy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Antidepressant Prescriptions
12
Retrieved from httpacestoohighcomgot‐your‐ace‐score
6
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
A program organization or system that is trauma‐informed
bull Realizes the widespread impact of trauma
bull Recognizes the signs and symptoms of trauma in both people we serve and staff
bull Responds with policies procedures and practices
bull Resists re‐traumatization SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014
httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 5
Trauma Informed Principles
Safety Physical and Emotional Trustworthiness amp Transparency Empowerment Voice amp Choice Collaboration and Mutuality Cultural Historical and Gender Issues Peer Support
SAMHSArsquos Concept of Trauma and Guidance for a Trauma‐Informed Approach 2014 httpstoresamhsagovproductSMA14‐4884from=carouselampposition=4ampdate=09032014
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 6
3
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
One of the largest investigations ever conducted to assess associations between childhood
maltreatment and later‐life health and well‐being
Collaboration between the Centers for Disease Control and Prevention and Kaiser Permanentes
Health Appraisal Clinic in San Diego
httpwwwcdcgovaceprevalencehtmACED
Adverse Childhood Experience (ACE) Study
ACE Study Continued
bull Initial phase 1995 to 1997
bull More than 17000 participants ndash completed a standardized physical examination and completed a confidential survey that contained questions about childhood maltreatment and family dysfunction as well as items detailing their current health status and behaviors
bull No further participants were enrolled but medical status of the baseline participants tracked over time
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 8
4
442016
10 Adverse Childhood Experiences Studied
bull Household Situations bull Childhood abuse ndash Parental separation or
ndash Emotional divorce
ndash Household substance abuse ndash Physical ndash Household mental illness
ndash Sexual ndash Mother treated violently
bull Neglect ndash Incarcerated household member
ndash Emotional
ndash Physical
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adverse Childhood Experiences are Common
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 10
5
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
ADVERSE CHILDHOOD EXPERIENCES
11
httpwwwcdcgovviolencepreventionacestudy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Antidepressant Prescriptions
12
Retrieved from httpacestoohighcomgot‐your‐ace‐score
6
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
One of the largest investigations ever conducted to assess associations between childhood
maltreatment and later‐life health and well‐being
Collaboration between the Centers for Disease Control and Prevention and Kaiser Permanentes
Health Appraisal Clinic in San Diego
httpwwwcdcgovaceprevalencehtmACED
Adverse Childhood Experience (ACE) Study
ACE Study Continued
bull Initial phase 1995 to 1997
bull More than 17000 participants ndash completed a standardized physical examination and completed a confidential survey that contained questions about childhood maltreatment and family dysfunction as well as items detailing their current health status and behaviors
bull No further participants were enrolled but medical status of the baseline participants tracked over time
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 8
4
442016
10 Adverse Childhood Experiences Studied
bull Household Situations bull Childhood abuse ndash Parental separation or
ndash Emotional divorce
ndash Household substance abuse ndash Physical ndash Household mental illness
ndash Sexual ndash Mother treated violently
bull Neglect ndash Incarcerated household member
ndash Emotional
ndash Physical
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adverse Childhood Experiences are Common
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 10
5
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
ADVERSE CHILDHOOD EXPERIENCES
11
httpwwwcdcgovviolencepreventionacestudy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Antidepressant Prescriptions
12
Retrieved from httpacestoohighcomgot‐your‐ace‐score
6
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
10 Adverse Childhood Experiences Studied
bull Household Situations bull Childhood abuse ndash Parental separation or
ndash Emotional divorce
ndash Household substance abuse ndash Physical ndash Household mental illness
ndash Sexual ndash Mother treated violently
bull Neglect ndash Incarcerated household member
ndash Emotional
ndash Physical
httpwwwcdcgovaceprevalencehtmACED
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adverse Childhood Experiences are Common
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 10
5
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
ADVERSE CHILDHOOD EXPERIENCES
11
httpwwwcdcgovviolencepreventionacestudy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Antidepressant Prescriptions
12
Retrieved from httpacestoohighcomgot‐your‐ace‐score
6
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
ADVERSE CHILDHOOD EXPERIENCES
11
httpwwwcdcgovviolencepreventionacestudy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Antidepressant Prescriptions
12
Retrieved from httpacestoohighcomgot‐your‐ace‐score
6
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Suicide Attempts
13
Retrieved from httpacestoohighcomgot‐your‐ace‐score
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Adult Alcoholism
14
Retrieved from httpacestoohighcomgot‐your‐ace‐score
7
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Teen Sexual Behaviors
15
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Consequences of Lifetime Exposure to Violence Retrieved from httpacestoohighcomgot‐your‐ace‐score
bullAlcoholism and alcohol abuse bullChronic obstructive pulmonary disease (COPD) bullDepression bullFetal death bullHealth‐related quality of life bullIllicit drug use bullIschemic heart disease (IHD) bullLiver disease bullRisk for intimate partner violence bullMultiple sexual partners bullSexually transmitted diseases (STDs) bullSmoking bullSuicide attempts bullUnintended pregnancies bullEarly initiation of smoking bullEarly initiation of sexual activity bullAdolescent pregnancy
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 16
8
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
Finding your ACE Score
What is your total ACE Score Worksheet to calculate ACE Score
__ 0 __ 6
__ 1 __ 7
__ 2 __ 8
__ 3 __ 9
__ 4 __ 10
__ 5
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 17
Retrieved from httpacestoohighcomgot‐your‐ace‐score
Affects on the Brain and Impact on Learning
Video Clips
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 18
9
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
Impact on the Brain Long‐Term Impact of Toxic Stress
bull Children experiencing toxic stress may ndash Be easily overwhelmed by minor stressors such as a change in their schedule or routine
ndash Have difficulty soothing or calming themselves
ndash Have difficulty with focusing and paying attention
ndash Be anxious unable to settle down
ndash Exhibit Bullying and other aggressive behaviors
ndash Experience hyperarousal that causes that to overreact to nonthreatening triggers
ndash Exhibit dissociation from the traumatic event in which the child shuts down emotionally
ndash Exhibit disruptions in emotional attachment
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience
Fortunately brains and lives are somewhat plastic The appropriate
integration of resilience factors born out of ACE concepts mdash such as asking for help developing trusting relationships forming a positive attitude listening to feelings mdash can help people improve their
lives
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 20
10
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
What Is Your Resilience Score
bull Developed by the early childhood service providers pediatricians psychologists and health advocates of Southern Kennebec Healthy Start Augusta Maine in 2006 and updated in February 2013
bull Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group
bull Scoring system was modeled after the ACE Study questions
bull Content based on research studies over 40 years including Emmy Werner
bull Purpose is limited to parenting education ‐ not developed for research
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 21
Factors that contribute to resilience include
bull Close relationships with family and friends
bull A positive view of yourself and confidence in your strengths and abilities
bull The ability to manage strong feelings and impulses
bull Good problem‐solving and communication skills
bull Feeling in control
bull Seeking help and resources
bull Seeing yourself as resilient (rather than as a victim)
bull Coping with stress in healthy ways and avoiding harmful coping strategies such as substance abuse
bull Helping others
bull Finding positive meaning in your life despite difficult or traumatic events
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpwwwpbsorgthisemotionallifetopicresiliencewhat-resilience
11
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Resilience Trumps ACEs
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule1html
Introductory Video to Module 1
12
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
In what parts of this story do you see opportunities for educators to have responded differently
What strategies currently exist in your schools that would have helped Henry at an earlier stage
Henryrsquos Story Reflection Questions
25
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
9 Introductory Videos
8 Modules
Partnership with JBS International
LINKS TO THE TOOL httpgucchdtacentergeorgetowneduTraumaInformedCare
or httptraumajbsinternationalcomtraumatool
13
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
Youth Mental
copy 2014 NATIONAL T
442016
ECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
5 Issue Briefs
7 Sets of Annotated Resources
27 Content Videos (11 hours total)
Example of video from Module 1 Understanding the Impact of Trauma
Other Summary Documents
Multi‐Tiered Approach to Trauma‐Informed Care in Schools
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
eg CBITS or SSET
egTF‐CBT
eg screening attention to transitions calming activities
PAX
Youth Mental Health First Aid
14
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
Examples of Resources for All Students bull Trauma Sensitive Schools The Trauma and Learning Policy Initiativersquos (TLPI) mission is to ensure that children traumatized by exposure to family violence and other adverse childhood experiences succeed in school As part of this effort TLPI published Helping Traumatized Children Learn (HTCL) which introduces the Flexible Framework a tool organized according to six core operational functions of schools that can help any school create a trauma sensitive learning environment for all children The publication consists of two volumes Volume 1) A Report and Policy Agenda and Volume 2) Creating and Advocating for Trauma‐Sensitive Schools
bull PAX Good Behavior Gamereg (PAX for short) PAX is officially included on the US National Registry of Evidence‐based Programs and Practices It teaches children to self‐regulate to work together for common goals and to focus on a positive future they co‐create with others These are core cognitive emotional and behavioral skills required for peaceful productive healthy and happy lives PAX is not a classroom or behavior management program yet has the benefit of making any classroom easier to manage PAX reduces teacher and staff stress and brings back joy into the classroom every daymdashwhile increasing time for meaningful instruction and learning Watch the videos at httppaxisorgnewsvideos to learn more about PAX in action and listen to the teachers administrators and students speak up
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 29
Explaining the Brain to Children
httpsvimeocom109042767
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Video Clip
30
15
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Happy Brain vs Worry Brain
31
Color drawings source httppracticalkatiecom20121105the‐worry‐brain
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Example of a Second Tier Intervention
32
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
16
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
Another Example of Second Tier Intervention
Support for Students Exposed to Trauma (SSET) a series of 10 lessons with a structured approach that aims to reduce distress resulting from exposure to trauma Designed to be implemented by teachers or school counselors in groups of 8 to 10 middle school students the program includes a wide variety of skill‐building techniques geared toward changing maladaptive thoughts and promoting positive behaviors It is also intended to increase levels of peer and parent support for affected students
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 33
Example of an Evidence‐Based Treatment in the Third Tier
httpgucchdtacentergeorgetowneduTraumaInformedCareModule4html
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
17
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
Secondary Trauma
35
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3html
001
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
httpgucchdtacentergeorgetowneduTraumaInformedCareModule3ResourceshtmlSelf‐Care
Self‐Care Resources
18
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
Slide 35
001 synthesize above and show video00 1062014
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
NrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY
442016
Self Care Apps and Websites
bull Flipagram bull Provider Resilience bull Wild Divinecopy bull GPS for the Soul bull Cardio Buddy bull Mediation Oasis Apps bull Stress Check bull Mindfulness Training System bull Streakscom bull IChill App (Peter Levine) bull Mindfulness Bell bull Narrative Therapy Questions bull httpplumvillageorgmindful (Narrative Qrsquos) ness-practicemindfulness-bull Brain Wave software bull Inner Balance bull httpsocialworkbuffaloedur bull Happify esourcesself‐care‐starter‐
kithtml
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRE 37
To Learn More about Trauma and HealingExcellent Resources by Van der Kolk and Perry
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 38
19
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
442016
Questions and Contact Info
Sherry Peters
slp45georgetownedu
Or
shepeterspagov
copy 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDRENrsquoS MENTAL HEALTH GEORGETOWN UNIVERSITY 39
20
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