Trauma Systems Therapy for Children and Teens
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This highly practical book has helped thousands of clinicians make the most of limited resources to support children and families struggling with chronic, multiple adversities. Trauma systems therapy (TST) is grounded in cutting-edge research on traumatic stress and child development. It provides a roadmap for integrating individualized treatment with services at the home, school, and community levels. Effective assessment and intervention strategies are accompanied by vivid case material and reproducible worksheets and forms. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. (First edition title: Collaborative Treatment of Traumatized Children and Teens.)
New to This Edition
*Restructured to reflect significant conceptual and clinical advances.
*Even more clinician friendly: increased emphasis on practical aspects of assessment and treatment.
*Chapter on organizational planning.
*Chapters on TST innovations, including applications for diverse trauma populations and for problems other than trauma.
*More reproducible clinical tools--now downloadable.
Table of Contents
2. Survival Circuits
3. The Regulation of Survival-in-the-Moment States
4. The Social Environment and the Services System
5. Safety Signals
II. Getting Started
6. Ten Treatment Principles
7. The Treatment Team
8. Organizing Your Program
III. Doing TST
10. Treatment Planning
12. Safety-Focused Treatment
13. Regulation-Focused Treatment
14. Beyond Trauma Treatment
IV. Improving TST
16. Democratizing TST
17. Extending TST Beyond Trauma
B. Heidi Ellis, PhD, is Assistant Professor of Psychiatry at Harvard Medical School and Boston Children's Hospital. She is also Director of the Refugee Trauma and Resilience Center at Boston Children's Hospital, a partner in the National Child Traumatic Stress Network. Dr. Ellis's primary focus is understanding how trauma and sociocultural contexts affect the mental health and development of youth, and translating this understanding into mental health and/or violence prevention intervention programs. She is the codeveloper of TST and oversees the adaptation and implementation of the model with refugee youth.
Adam D. Brown, PsyD, is Clinical Assistant Professor in the Department of Child and Adolescent Psychiatry at NYU School of Medicine. He is also the clinical coordinator of the trauma service at the NYU Child Study Center. At NYU, he directs training, consultation, and technical assistance in TST. Dr. Brown has overseen programs for youth in inpatient, day treatment, and residential settings, and has extensive training and expertise in the area of assessing and treating interpersonal trauma in children and adolescents. He has a focused interest in the complex interplay between traumatized youth and families, the people who provide care to these youth and families, and the systems that contain this care.
"A marvelous, practical, integrative guide for all those who work to help traumatized kids. Based on a thorough understanding of the underlying biological, social, and attachment issues, this book confronts the realities of children's and families' lives and the awesome obstacles that providers face. TST offers a comprehensive way to deliver effective services and reorganize often-broken systems of care. This approach not only will facilitate healing, but also will help prevent practitioner burnout and the wasteful use of resources. I love the energy behind this work!"--Bessel A. van der Kolk, MD, Medical Director, The Trauma Center at Justice Resource Institute; Professor of Psychiatry, Boston University School of Medicine
"The second edition of this important book reflects the essence of what it takes to provide excellent trauma treatment. Everything in this volume makes complete sense, especially with regard to understanding and assessing the traumatized child's survival-in-the-moment states. Recommendations for planning treatment and integrating services are clear and concise. Readers will find this a valuable resource for developing comprehensive services for children and families exposed to traumatic life events."--Anthony P. Mannarino, PhD, Department of Psychiatry, Allegheny General Hospital and Drexel University College of Medicine
"Building on the strengths of their first edition, the authors have incorporated innovations from successful adopters of TST. This treatment model tackles multiple real-world challenges to thoroughly assess traumatized children and their families and social environments. Interventions targeting both the impact of trauma and the barriers to care in the environment take into consideration key principles of neurobiology, child development, and family systems, as well as the evidence base for treating child traumatic stress. The book includes a full set of therapeutic activities and reproducible assessment tools and worksheets. The new chapter on organizational planning and implementation facilitates adoption of this unique model of integrated care."--Lisa Amaya-Jackson, MD, MPH, UCLA-Duke National Center for Child Traumatic Stress, Duke University School of Medicine
"This second edition represents the growth of TST and its increased focus on the TST treatment team working within a much larger, multifaceted organizational system….The 10 years between the first and second edition of this book led to the creation of a more robust and encompassing treatment plan. This excellent book details the growth of TST and its expansion to include more than the population of traumatized children. Much was learned over those 10 years, and that learning is carefully laid out in a comprehensive, organized, and, to use the author's expression, 'real world' manner. It is clear that Saxe, Ellis, and Brown have 'walked the walk' and have created an excellent, important, well thought out, and detailed text which can have a profound impact on both providers and those in need of services. The book can be a valuable tool for any student or trainee in social work, psychology, psychiatry, pediatrics, or law who wishes for a greater understanding of the fundamentals of trauma."--Child and Family Behavior Therapy
"An excellent resource for therapists who work with the children and families served by public mental health and child welfare systems. This is a practical treatment manual that incorporates all of the major techniques or practice elements used in proven trauma treatments....Saxe and colleagues have organized their book to be easily accessible for busy clinicians and other mental health workers who may find it difficult to tackle denser textbooks....I really like this book. I recommend it highly for clinicians working in children's mental health and for students in this field. In fact, I have been trying to find a way to buy copies for all of our state's contracted provider agencies, because I think they all could improve their practice by using at least some aspects of this approach. "--PsycCRITIQUES