1. The Children's Advocacy Center of Grand Traverse and Leelanau counties and the Grand Traverse Band of Ottawa and Chippewa Indians is dedicated to the identification, treatment, awareness and prevention of the sexual and physical abuse of children. Our mission is to protect children by providing prevention and multi-disciplinary intervention in investigation, assessment and treatment of child sexual and physical abuse in an environment that is child-sensitive, supportive and safe.

2. Resources Midwest Regional Children's Advocacy Centers http://www.mrcac.org/ Contacts for Trauma Focused CBT Trainings: Mary Ludtke- State of MI : ludtkem@michigan.gov Erin Skinner- State Coordinator for TF-CBT: skinnere@ceicmh.org 2

3. The TBCAC is…. “Comprehensive, child-focused program in a facility that allows law enforcement, child protection, prosecution, mental health and medical providers to work together to most effectively handle child sexual abuse cases.”

4. One interview witnessed by MDT Family friendly, non-intimidating setting Specially trained forensic interviewers Reduced trauma to child/family Coordination of services for children/families More effective investigations Higher prosecution success rates One interview witnessed by MDT Family friendly, non-intimidating setting Specially trained forensic interviewers Reduced trauma to child/family Coordination of services for children/families More effective investigations Higher prosecution success rates The TBCAC is….

5. Who do we serve? Victims of sexual and other severe physical abuse and neglect –Children ages 3 through 17 –Vulnerable adults 18 years and older Referrals from Law Enforcement & CPS Non-offending family members of victims Greater Grand Traverse region –Grand Traverse County –Leelanau County –Grand Traverse Band of Ottawa & Chippewa Indians

6. “Help” begins when victims are empowered to “tell”… Multi-Disciplinary Team MDTA Multi-Disciplinary Team (MDT) works to provide victims and their families: –A coordinated approach to Law enforcement and Protective Services investigations –Skilled forensic interviewing of victims –Trauma-informed medical and mental health interventions –Court preparation and support –On-going follow-up throughout the criminal prosecution and healing processes

7. What is TF-CBT? A hybrid treatment model that integrates: Trauma sensitive interventions Cognitive-behavioral principles Attachment theory Developmental neurobiology Family therapy Empowerment therapy Humanistic therapy

8. Treatment Research TF-CBT is the most rigorously tested treatment for traumatized children –12 randomized trials, numerous follow-ups –Current RCT for DV Improved PTSD, depression, anxiety, shame and behavior problems compared to supportive treatments PTSD improved more with direct child treatment Improved parental distress, parental support, and parental depression compared to supportive treatment

9. Core Values of TF- CBT CRAFTS Components-Based Respectful of Cultural Values Adaptable and Flexible Family Focused Therapeutic Relationship is Central Self-Efficacy is emphasized

10. Cultural Sensitivity & Competence Essential to understand family’s values related to religion, ethnicity & culture Previous treatment outcome studies found TF-CBT to be successful with diverse ethnic and racial populations (Cohen et al., 2001)

11. TF-CBT COMPONENTS PRACTICE Psychoeducation and Parenting Skills Relaxation Affective Modulation Cognitive Processing – I & II Trauma Narrative In Vivo Desensitization Conjoint Parent-Child Sessions Enhancing Future Safety and Development

12. Trauma-Focused Cognitive Behavioral Therapy – TF-CBT Overlapping Process Joint Sessions Family Sessions Joint Sessions Family Sessions Child’s Treatment Education Skill building Exposure/Processing Preparation for Joint Sessions Child’s Treatment Education Skill building Exposure/Processing Preparation for Joint Sessions Parent’s Treatment Education Skill building Exposure/Processing Behavior Management Preparation for Joint Sessions Parent’s Treatment Education Skill building Exposure/Processing Behavior Management Preparation for Joint Sessions

13. Thank You!