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©20061 UCLA Trauma-Grief Focused Treatment Program for Adolescents (TGFT) Christopher M. Layne William R. Saltzman Robert S. Pynoos
©20062 Implementation Sites to Date Armenia (massive earthquake) Post-War Bosnia (war) Inglewood, California (school shooting) Pasadena, California (community violence) Columbine/Santee High Schools (school shootings) World Trade Center (terrorist attack, community & domestic violence) Florida (selected components; hurricane)
©20063 Empirical Evidence (Layne et al., 2001) Significant pre-post reductions in: –PTSD symptoms –complicated grief symptoms –depression symptoms Reliable improvement rates (RCI’s): –49% in PTSD scores –51.4% in complicated grief scores –35.2% in depression scores
©20064 Program Characteristics Ages: years old Focus: Trauma (single or multiple exposure) & traumatic death/loss. Setting: School or community clinic Assessment-driven Length of Treatment: sessions (modular design – varied length depending on which parts are used).
©20065 Overview of Trauma/Grief-Focused Group Psychotherapy Module I (6 sessions) Module II (8-12 sessions) Module III (8 sessions) Module IV (4 sessions) Group Phase OpeningWorking ThroughTermination Module Title Group Cohesion, Psychoeducation, and Basic Coping Skills Working Through Traumatic Experiences Coping with Traumatic Loss and Grief Re-Focusing on the Present and Looking to the Future Therape -utic Tasks 1: Welcome and introduction (program overview, barriers, group contract, posttraumatic stress, depression, and grief reactions) 2: Learning about trauma and loss reminders (how I react to, and cope with, reminders) 3: Learning coping skills 4: The event-thought- feeling link 5: Identifying and challenging distressing thoughts (“Three Steps to Taking Charge of Your Feelings”) 6: Support seeking (“Five Steps to Getting Support”) First: Preparing for trauma narrative work (constructing the group narrative, constructing my personal trauma timeline) Middle: Constructing the trauma narrative (prolonged therapeutic exposure; develop a vocabulary for communicating about the trauma) Final: Exploring the worst moments (prolonged therapeutic exposure; using trauma reminders to understand the nature and personal meaning of traumatic experiences; cognitive restructuring cognitions associated with guilt and shame; exploring intervention fantasies) 1: Learning about grief (grief reactions, loss reminders, and grief processes / tasks) 2: Understanding grief reactions: Focus on anger 3: Understanding grief reactions: Focus on guilt 4: Remembering and reminiscing 5: Guided imagery: Retrieving a non-traumatic image of the deceased 6: Adjusting to a world in which the deceased is absent 7: Planning for difficult days (relapse prevention) 8: Saying goodbye in a good way 1: Resuming developmental progression 2: Problem-solving current life (“Three Steps to Solving a Problem”) 3: Dealing with problems that are not my job to fix 4: Saying goodbye in a good way
©20066 Trauma/Grief Focused Psychotherapy: Five Therapeutic Foci 1)Traumatic Experiences 2)Trauma & Loss Reminders 3)Post-Trauma Stresses & Adversities 4)Bereavement and the Interplay of Trauma & Grief Reactions 5)Developmental Impact
©20067 Intervention Strategies Psychoeducation Skills Training Cognitive Interventions Prolonged Therapeutic Exposure Grief Processing/Facilitation Social Network Interventions Relapse Prevention
10 My Timeline What was happening outside of me: What was happening inside of me: (thoughts, feelings, bodily sensations)
© SituationsThoughts BehaviorsFeelings Trauma Narrative Construction Algorithm
© Practice Exercise: Parts of my life I want or need to change to adjust to the loss Overall Change I Want/Need First Steps I need to Take Living situation and finances Mealtimes/ time spent with family School, homework, preparation for college Choice of friends/ time spent with friends Daily interactions with people Favorite activities and hobbies Chores and Responsibilities Other (describe)____________
Manual Writing: Learning As You Go William R. Saltzman, Ph.D. The National Center for Child Traumatic Stress & Miller’s Child Abuse and Violence Intervention.
Three Tiers of Mental Health Intervention Tier 1 General post-trauma support to a wide population of children through their schools, community agencies,
Interpersonal Therapy Slides adopted from Dr. Lisa Merlo.
Trauma Focused Cognitive Behavioral Therapy “TF-CBT”
Intervention and treatment programs after traumatic events.
Students, Trauma, and Resiliency Debra Klemann, M.S., LCPC.
Overview for this evening Seminar! Anxiety Disorders (PTSD) and Acute Stress Treatment planning for PTSD Therapy methods for PTSD and Acute Stress.
Errin Skinner-Liell, Initiative Coordinator May 4, 2015.
Responding to Domestic Violence: CII’s Integrated Wellness Approach to Group Treatment for Adult Survivors and Their Children Leslie Anne Ross, Psy.D.
Mass Trauma Reactions | 1 Dealing with Mass Trauma Reactions First Edition, 2007.
Finding Your Resilience When dealing with Burnout, Compassion Fatigue and Vicarious Trauma.
Barnahús – The Children´s House · Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Thorbjorg Sveinsdottir MSc Psychology Barnahus 31. mai.
The Long War and Impact of Parental Combat Deployment on Children and At Home Spouses Patricia Lester, MD, UCLA Semel Institute.
Occupational Therapy with individuals suffering from Complex Psychological Trauma. Geraldine Hamilton Clinical Specialist Occupational Therapist.
“To care for him who shall have borne the battle and for his widow, and his orphan,” President Lincoln March 4, 1865 UNITED STATES DEPARTMENT OF VETERANS.
Grief in Children By: Glenda K. Lane & Phillip N. Lambert Jr.
Lisa Jaycox Supporting Students Exposed to Stress and Trauma though Schools.
Post Traumatic Stress Disorder May 2014Jessica Isbell.
THE ROLE OF PEDIATRICIANS IN THE MANAGEMENT OF TRAUMATISED CHILDREN Debra Kaminer Department of Psychology / Child Guidance Clinic University of Cape Town.
Alaska Child Trauma Intervention Outcomes Study Alaska Child Trauma Center at Anchorage Community Mental Health Services Done in collaboration with Duke.
P R O T E C T I N G C H I L D R E N B Y S T R E N G T H E N I N G F A M I L I E S Midwest Learning Center for Family Support, Family Focus, Inc. PROTECTIVE.
‘Being Kinder to Myself’ Elaine Beaumont, Lecturer University of Salford / Psychotherapist for Greater Manchester Fire and Rescue Service ‘Being Kinder.
Post-Traumatic Stress Disorder. Posttraumatic Stress Disorder is a psychiatric disorder that can happen following the experience or witnessing of life-
PTSD Besher Mousa Basha Medical student Al-Ma’arefa Colleges.
Disaster and Trauma During Childhood: The Role of Clinicians Stephen J. Cozza, M.D. Professor of Psychiatry Uniformed Services University.
Traumatic Stress Agnė Bružaitė Psbd8-01. Content Causes; Traumatic events; Reactions to traumatic events; Acute stress disorder (ASD); Post-traumatic.
Adaptive Disclosure Brett Litz National Center for PTSD VA Boston Healthcare System Boston University.
Describe and Evaluate the Cognitive Treatment for Schizophrenia.
Vicious circle of mood & memory upsetting emotional state depression, social anxiety, agoraphobia, ocd, posttraumatic stress disorder, etc facilitated.
Halton Region Health Department Healthy Coping. 4 What is Healthy Coping? 4 Why Healthy Coping?
Chapter 9, Lesson 4 Guided Reading Activity Define the following terms.
Areas of Clinical Behavior Therapy Chapter 28. ESTs Empirically Supported Treatments –Therapies that have been shown to be effective through scientific.
The National Child Traumatic Stress Network Ellen Gerrity, Ph.D. Associate Director and Senior Policy Advisor National Center for Child Traumatic Stress.
© Raija-Leena Punamäki 2007 Consultation Workshop, Ramalla Raija-Leena Punamäki Mental health development in Gaza Intervention and prevention.
5 Minutes for 5 Things cognitive explanation What can you tell me about the cognitive explanation of schizophrenia?
Massive Community Violence: Collective “Trauma”. Definition of “Trauma” “Trauma” was initially a medical term referring to a wound. However, it also began.
Early & Appropriate Interventions for Child Abuse Prevention Nicole Huff, LCSW Chief Programs Officer ESCAPE Family Resource Center.
The Death of a Peer during Adolescence Blakeley Collins CDFS 413.
Chapter 3: Personal Stress Management An Invitation to Health Brief, 5 th Edition Hales Prepared by: Jeanne Freeman, PhD, CHES.
E MOTIONAL R EGULATION. Aim of the Module 1.Impart knowledge on the basics of emotional regulation for professional carers and its importance in caring.
Chapter 19: Trauma-Related Problems and Disorders Brian Fisak.
313: Managing the Impact of Traumatic Stress on the Child Welfare Professional.
School-based Psychosocial Intervention for Children Affected by Violence: Cluster Randomized Trials in Burundi and Indonesia Wietse A. Tol-HealthNet TPO/
CLINICAL CASE FORMULATION Felícitas Kort Psychology Projects Coordinator Clinical Management Consultants FREEDOM FROM FEAR.
1 Trauma-Focused CBT Judy Cohen, M.D. & Tony Mannarino, Ph.D. Allegheny General Hospital Esther Deblinger, Ph.D. New Jersey CARES Institute.
Lesson 12 Identify several healthy ways to cope with loss or grief. Why do you think feelings of loss and grief intensify during holidays? Look at page.
Evidence-Based Psychotherapies for Managing PTSD in the Primary Care Setting Kyle Possemato, Ph.D. Clinical Research Psychologist Collaborative Family.
SG/PMHP/Wrexham CAMHS/Inspire Welcome to the F.R.I.E.N.D.S Workshop Presented by Sophie Gorst Primary Mental Health Practitioner.
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