Complex Trauma Treatment: New Empirical Research and Evolving Practice Guidelines

2012 ◽  
Author(s):  
Julian Ford ◽  
Christine Courtois ◽  
Marylene Cloitre
Keyword(s):  
Empirical Research ◽  
Practice Guidelines ◽  
Complex Trauma ◽  
Trauma Treatment

STARS experiential group intervention: a complex trauma treatment approach for survivors of human trafficking

2018 ◽  
Vol 15 (2) ◽  
pp. 215-241 ◽  
Author(s):  
Elizabeth K. Hopper ◽  
Naomi Azar ◽  
Sriya Bhattacharyya ◽  
Dominique A. Malebranche ◽  
Kelsey E. Brennan
Keyword(s):  
Human Trafficking ◽  
Group Intervention ◽  
Complex Trauma ◽  
Treatment Approach ◽  
Trauma Treatment

scholarly journals Effectiveness of a High Intensive Trauma-focused, Family-based Therapy for Youth Exposed to Family Violence: Study Protocol for a Randomized Controlled Trial.

2021 ◽  
Author(s):  
Valerie Fictorie ◽  
Caroline Jonkman ◽  
Margreet Visser ◽  
Marjolein Vandenbosch ◽  
Majone Steketee ◽  
...  
Keyword(s):  
Family Violence ◽  
Complex Trauma ◽  
Trauma Treatment ◽  
Trauma Symptoms ◽  
Physical Security ◽  
Randomized Controlled ◽  
The Family ◽  
Family Based ◽  
Parent Child Relationships ◽  
Parent Child

Abstract Background: Family violence is a common problem with direct adverse effects on children as well as indirect effects through disruption of parenting and parent-child relationships. The complex interrelationships between family violence, parenting, and relationships make recovery from psychological responses difficult. In more than half of the families referred to mental health care after family violence, the violence continues. Also effect sizes of ‘golden-standard’ treatments are generally lower for complex trauma compared to other forms of trauma. In the treatment of complex trauma, trauma-focused therapies including cognitive restructuring and imaginal exposure are most effective, and intensifying therapy results in faster symptom reduction. Furthermore, there is promising evidence that adding a parental component to individual trauma treatment increases treatment success. In Family-based Intensive Trauma Treatment (FITT) these factors are addressed on an individual and family level in a short period of time to establish long-term effects on the reduction of trauma symptoms and recovery of security in the family. This randomized controlled multicentre study tests if FITT is an effective treatment for concurrent reduction of trauma symptoms of children, improvement of parenting functioning, and increasing emotional and physical security in children, through improvement of parent-child relationships.Methods: The effectiveness of FITT will be tested by a RCT design. 120 adolescents with a history of family violence and PTS symptoms will be randomized to a) an intensive trauma treatment with a parent and systemic component (FITT), b) an intensive trauma treatment without these components (ITT) and c) treatment as usual (TAU, low-frequency trauma treatment with parent therapy and family sessions). Changes in children’s trauma symptoms, child and parent functioning and emotional and physical security in the family will be monitored before, during, after and at 3 months follow-up.Discussion: Comparing these interventions with and without a high intensive frequency and parenting and family components can help to understand if and how these interventions work and can contribute to the ambition to recover from the impact of family violence and restore emotional and physical security for children and young people.Trial registration: Netherlands Trial Register Trial NL8592, Registered 4 May 2020. https://www.trialregister.nl/trial/8592

scholarly journals Integrating EMDR and Ego State Treatment for Clients With Trauma Disorders

2012 ◽  
Vol 6 (3) ◽  
pp. 120-128 ◽  
Author(s):  
Carol Forgash ◽  
James Knipe
Keyword(s):  
Attachment Styles ◽  
Complex Trauma ◽  
Stress Disorder ◽  
Phase 1 ◽  
Trauma Treatment ◽  
Traumatic Memory ◽  
Treatment Model ◽  
Management Skills ◽  
Preparation Phase ◽  
Trauma Disorders

This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1–59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.

Cultural Adaptations to Complex Trauma Treatment with Children and Adolescents

2007 ◽  
Author(s):  
Cheryl Lanktree ◽  
Thema Bryant-Davis ◽  
William Saltzman ◽  
Russell Jones
Keyword(s):  
Children And Adolescents ◽  
Complex Trauma ◽  
Trauma Treatment ◽  
Cultural Adaptations

scholarly journals AEDP and Cultural Competence in Developmental Trauma Treatment

2018 ◽  
Vol 14 (1) ◽  
pp. 69
Author(s):  
Karen Riggs Skean
Keyword(s):  
Second Language ◽  
Cultural Competence ◽  
Complex Trauma ◽  
Successful Outcome ◽  
Trauma Treatment ◽  
Culturally Competent ◽  
Short Term ◽  
Dynamic Psychotherapy ◽  
Developmental Trauma ◽  
Trauma Survivor

This commentary discusses the therapy of a complex trauma survivor combining Accelerated Experiential Dynamic Psychotherapy (AEDP) with culturally competent strategies, particularly the use of a shared second language of origin. This combination potentiated the transformation of early affectively and bodily held memories and facilitated a successful outcome. Implications for short-term models and the training of therapists are discussed.

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

School-Based Speech-Language Pathologists' Adherence to Practice Guidelines for Assessment of English Learners

2020 ◽  
pp. 1-12
Author(s):  
Virginia L. Dubasik ◽  
Dubravka Svetina Valdivia
Keyword(s):  
Professional Practice ◽  
Practice Guidelines ◽  
Case History ◽  
English Learners ◽  
Online Survey ◽  
Dynamic Assessment ◽  
Federal Legislation ◽  
Assessment Practices ◽  
Speech Language Pathologists ◽  
School Based

Purpose The purpose of this study was to ascertain the extent to which school-based speech-language pathologists' (SLPs) assessment practices with individual English learners (ELs) align with federal legislation and professional practice guidelines. Specifically, we were interested in examining SLPs' use of multiple tools during individual EL assessments, as well as relationships between practices and number of types of training experiences. Method School-based SLPs in a Midwestern state were recruited in person or via e-mail to complete an online survey pertaining to assessment. Of the 562 respondents who completed the survey, 222 (39.5%) indicated past or present experience with ELs, and thus, their data were included in the analyses. The questionnaire solicited information about respondent's demographics, caseload composition, perceived knowledge and skills and training experiences pertaining to working with ELs (e.g., graduate school, self-teaching, professional conferences), and assessment practices used in schools. Results The majority of respondents reported using multiple tools rather than a single tool with each EL they assess. Case history and observation were tools used often or always by the largest number of participants. SLPs who used multiple tools reported using both direct (e.g., standardized tests, dynamic assessment) and indirect tools (e.g., case history, interviews). Analyses revealed low to moderate positive associations between tools, as well as the use of speech-language samples and number of types of training experiences. Conclusions School-based SLPs in the current study reported using EL assessment practices that comply with federal legislation and professional practice guidelines for EL assessment. These results enhance our understanding of school-based SLPs' assessment practices with ELs and may be indicative of a positive shift toward evidence-based practice.

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