Oregon Community Progams Treatment services for 2.5-6 year olds

Early Intervention Foster Care Established in 1996, the EIFC Program has served well over 100 kids between the ages of 2.5 to 6 years of age. The children are typically in the program for 6-18 months. Children who qualify for services from EC Cares and are currently in foster care are considered eligible, but EC Cares eligibility is not required for EIFC treatment. Use evidenced based treatment services (Parent management training Oregon, informed) to teach families the skills necessary to parent their children in a safe and positive manner as well as teaching children skills to be cooperative, compliant, regulate their emotions and learn age appropriate and positive coping skills to manage past trauma and the difficult emotions that come along with trauma histories. Provide wrap around services, weekly foster parent meetings, weekly skills training and individual therapy, participation in a weekly therapeutic playgroup, school support, and weekly family therapy for both bio families and foster families, case management as needed.

OUR TREATMENT SERVICES WORK STEP BY STEP Identify target behaviors Work on one behavior at a time-most stressful to the foster parent Implement encouragement strategies to promote positive behavior in multiple contexts Help the child build positive and age appropriate skills in all areas of delay (emotion regulation, compliance, good minding, following routines, coping skills, social emotional skills) Maintain progress by coordinating with all agencies involved, using same strategies, reinforcing positive behavior at a high rate

Common misconception that our program is strictly behavioral, we definitely work on trauma and attachment: Educate the caregivers in how to support a child that has been affected by trauma Teach the caregiver how to respond to and manage behaviors associated with trauma and anxiety, this could look like: Emotional outbursts Hyperactivity Repetitive questions Crying/whining Difficulty managing transitions or changes to routine Non compliance and being uncooperative Saying “no” a lot! Kids will bring up trauma when THEY want to, we do not press kids into talking about something they are not ready to or do not have the skills to deal with yet. This will only escalate their negative behaviors. Educate kids on safety, self-care issues, mood regulation, teach age appropriate coping strategies and remind and reinforce the use of these skills Validate and talk about feelings, teach emotion recognition and regulation Reassure safety…always.

REFERRAL PROCESS Children should have two or more foster care placements Between the ages of 2.5 and 6 years We get most referrals from DHS. However, We also receive many referrals from Head Start, Ec Cares and lane county schools (kindergarten classrooms). If you have a child you want to refer, Please call Tracy Stafford at 541-743-4340.

Parent Child Interaction Therapy

Parents are their children’s best teachers! Teach Parents play therapy skills to encourage attachment, trust and cooperation. Improves parent /child relationship, improves self-esteem, increases cooperative and compliant behavior, decreases anxiety, decreases parental stress, improves child’s peer relationships, and improves school behavior. Evidenced based with over 40 years of research. Effective for a variety of disruptive behaviors defiance, hyperactivity, oppositional behavior, inattention, verbal and physical aggression, destructive behavior, low self- esteem, anxiety, perfectionism, whining). Requires a high rate of parent participation. CDI- first phase of tx CDI (child led play) first phase, CDI, the parent is taught traditional play therapy skills to build trust, attachment and improve the parent / child relationship. This phase is thought of the foundation, for without a strong foundation, the second phase will not be as successful. Most children make drastic improvements in their behavior following the completion of CDI.

PDI -2nd phase of tx PDI (parent led play), parents learn skills for decreasing negative behavior, skills such as giving specific directions, praising compliance and learning how to give a very effective time out for non- compliance if necessary

PCIT is a time limited intervention; most families complete CDI within 6-9 months. Direct coaching of the parent / child interactions can correct parental errors immediately before they become well-engrained or negative behavior can be practiced. Direct coaching provides the encouragement that many new families need in learning a new skill, especially with regard to parenting. PCIT recognizes that every child presents differently and the direct coaching can enable a therapist to help a parent work through their child’s unique and sometimes challenging behavior as it arises in the moment. The intervention is data driven and weekly assessments help guide treatment and indicate progress. Parents are educated on developmentally appropriate behavior.

TRAUMA FOCUSED CBT Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidenced based treatment to help children recover after experiencing a traumatic event. TF CBT addresses the unique needs of children with PTSD symptoms, depression, behavior problems, and other difficulties related to traumatic life experiences. Designed for children ages 3-18 TF CBT is structured in a way that promotes the development of relaxation and stress management skills, emotion regulation and expression skills, as well as cognitive coping skills to deal with upsetting thoughts and feelings. Children will practice these skills with their clinician both in session and at home.. Children will also get the opportunity to discuss their trauma narrative and identify trauma reminders that impact their daily functioning. This is done in a supportive and structured way that promotes acquisition of new skills.

Parents are the primary agent for change, especially with the younger children. TF CBT typically reduces symptoms such as: intrusive or upsetting thoughts, memories or dreams about the traumatic experience, difficult concentrating, irritability, emotional numbing. It can also improve behavior problems, depressive symptoms, anxious symptoms, sexualized behaviors and social competence.

REFERRAL PROCESS If you have a child you want to refer, Please call Tracy Stafford at 541-743-4340. NO QUALIFIERS FOR PCIT OR TFCBT – LIMITED AVAILABILITY FOR THESE SERVICS. CALL RIGHT AWAY AND WE WILL START THE SCREENING PROCESS.