1. March 28, 2014 Suzanne Silverstein, MA, ATR Founding Director Psychological Trauma Center American Society for Adolescent Psychiatry School Mental Health in a Changing Environment

2. Agenda  Psychological Trauma Center  Crisis Intervention  Share and Care Program  Preventative Substance Abuse Program

3.  A Cedars-Sinai Community Benefit Program  Currently serving 29 schools 3 High Schools 6 Middle Schools 20 Elementary Schools  Providing services to schools since 1981 Psychological Trauma Center is:

4. Crisis Intervention

8. Share and Care Program

9. Who is the target population?  Students who have been confronted by violence and/or stressors which have impacted their ability to learn in the classroom and live up to their academic potential.  Students who turn to drugs and alcohol as a way of coping with trauma/stress

10. 2012-2013 Academic Year  13 Share and Care counselors  314 hours of service per week  900 students per week  30,000 total contacts includes students, parents and teachers

11. Gender

12. Ethnicity

13. Current Academic Performance

14. Does the student experience family, behavioral, or academic problems?

18. Digital Image – Student was being bullied, you can always see him at home playing video games, Doesn’t trust many friends.

19. Digital Image – Dad was killed in motorcycle accident

20. Substance Abuse Education and Intervention

22. Have you ever ridden in a C ar driven by someone (including yourself) who was high or had been using alcohol or drugs?

24. Do you ever use alcohol or drugs to R elax, feel better about yourself, or fit in?

26. Do you ever use alcohol or drugs while you are by yourself A lone?

28. Do you ever F orget things you did while using alcohol or drugs?

30. Do your F amily or F riends ever tell you that you should cut down on your drinking?

32. Have you ever gotten into T rouble while you were using alcohol or drugs?

34. Two or more “YES”

35. “59% of young people with PTSD subsequently develop substance abuse problems” Studies have shown a direct link between alcohol use and engagement in risky behaviors. “…these disorders run(s) both ways: trauma increases the risk of developing substance abuse, and substance abuse increases the likelihood that adolescents will experience trauma”

37. CORTEX (THINKING) LIMBIC REGION (EMOTIONAL) BRAIN STEM (SURVIVAL)

38. Statistics

39. AFTER

40. SITUATION

43. CONTACT INFORMATION: Suzanne Silverstein, MA, ATR Founding Director Cedars-Sinai/Psychological Trauma Center 6500 Wilshire Blvd. 11 th Floor Los Angeles, CA 90048 Phone: (310) 423-3541 Email: suzanne.silverstein@cshs.org Website: www.cedars-sinai.edu/ptcsuzanne.silverstein@cshs.orgwww.cedars-sinai.edu/ptc