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A Statewide Trauma-Focused Cognitive Behavioral Therapy Network: Creating an Integrated Community Response System

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Abstract

There is a significant body of research which demonstrates the long-term, negative consequences of early trauma exposure and its significant societal burden. It is imperative for communities to develop both a framework for the prevention of childhood trauma and an integrated response system that includes evidence-based, trauma-specific mental health treatment for children and families. The present paper briefly reviews the literature demonstrating the negative consequences of trauma exposure, describes the development and impact of a statewide trauma-focused cognitive behavioral therapy network on other child-serving systems and outlines preliminary efforts to integrate these systems into a more effective trauma informed system of care for traumatized children and their families.

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References

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Anda, R., Fliesher, V., Felitti, V., Edwards, V., Whitfield, C., Dube, S., & Williamson, D. (2004). Childhood abuse, household dysfunction, and indicators of impaired adult worker performance. Permanente Journal, 8(1), 30–38.

    Google Scholar 

  • Beers, S. R., & De Bellis, M. D. (2002). Neuropsychological function in children with maltreatment-related posttraumatic stress disorder. The American Journal of Psychiatry, 159(3), 483–486.

    Article  PubMed  Google Scholar 

  • Briere, J. (1996). Trauma Symptom Checklist for Children (TSCC), Professional Manual. Odessa, FL: Psychological Assessment Resources Inc.

    Google Scholar 

  • Briere, J. (2005). Trauma Symptom Checklist for Young Children (TSCYC): Professional Manual. Odessa, FL: Psychological Assessment Resources Inc.

    Google Scholar 

  • Brodsky, B. S., Oquendo, M., Ellis, S. P., Haas, G. L., Malone, K. M., & Mann, J. J. (2001). The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression. American Journal of Psychiatry, 158, 1871–1877.

    Article  CAS  PubMed  Google Scholar 

  • Brown, D. W., Anda, R. F., Tiemeier, H., Felitti, V. J., Edwards, V. J., Croft, J. B., & Giles, W. H. (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventative Medicine, 37(5), 389–396.

    Article  Google Scholar 

  • Brown, N. M., Brown, S. N., German, M., Belamarich, P. F., & Briggs, R. D. (2014, May). Association between adverse childhood experiences and ADHD: Analysis of the 2011 National Survey of Children’s Health. Paper presented at the 2014 Pediatric Academic Societies Annual Meeting, Vancouver, Canada.

  • Bulik, C. M., Prescott, C. A., & Kendler, K. S. (2001). Features of childhood sexual abuse and development of psychiatric and substance use disorders. The British Journal of Psychiatry, 179, 444–449.

    Article  CAS  PubMed  Google Scholar 

  • Carr, C. P., Martins, C. M. S., Stingel, A. M., Lemgruber, V. B., & Juruena, M. F. (2013). The role of early life stress in adult psychiatric disorders: A systematic review according to childhood trauma subtypes. The Journal of Nervous and Mental Disease, 201(12), 1007–1020.

    Article  PubMed  Google Scholar 

  • Chadwick Center for Children and Families & Child and Adolescent Services Research Center (2009). The California evidence-based clearinghouse for child welfare. Retrieved from http://www.cachildwelfareclearinghouse.org/.

  • Chadwick Trauma-Informed Systems Project. (2011). Trauma-Informed Child Welfare System Definition. Retrieved October 23, 2014 from www.chadwickcenter.org/CTISP/ctisp.htm.

  • Child Welfare Collaborative Group, National Child Traumatic Stress Network, and The California Social Work Education Center. (2013). Child welfare trauma training toolkit: Trainer’s guide (2nd ed.). Los Angeles, CA and Durham, NC: National Center for Child Traumatic Stress.

    Google Scholar 

  • Cohen, J. A., & Mannarino, A. P. (2000). Predictors of treatment outcome in sexually abused children. Child Abuse and Neglect, 24, 983–994.

    Article  CAS  PubMed  Google Scholar 

  • Cohen, J. A., & Mannarino, A. P. (2008). Disseminating and implementing Trauma-Focused CBT in community settings. Trauma, Violence, & Abuse, 9, 214–226.

    Article  Google Scholar 

  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating Trauma and Traumatic Grief in Children and Adolescents. New York, NY: Guilford Press.

    Google Scholar 

  • Cohen, J. A., Mannarino, A. P., & Rogal, S. (2001). Treatment practices for childhood posttraumatic stress disorder. Child Abuse and Neglect, 25, 123–135.

    Article  CAS  PubMed  Google Scholar 

  • Copeland, W., Keeler, G., Angold, A., & Costello, E. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64, 577–584.

    Article  PubMed  Google Scholar 

  • de Arellano M. A., Lyman, D. R., Jobe-Shields, L., George, P., Dougherty, R. H., Daniels, A. S.,… Delphin-Rittmon, M. E. (2014). Trauma-focused cognitive-behavioral therapy for children and adolescents: assessing the evidence. Psychiatric Services, 65(5), 591-602.

  • De Bellis, M. D. (2005). The psychobiology of neglect. Child Maltreatment, 10, 150–172.

    Article  PubMed  Google Scholar 

  • De Bellis, M. D., & Zisk, A. (2014). The biological effects of childhood trauma. Child and Adolescent Psychiatric Clinics of North America, 23, 185–222.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dierkhising, C., Ko, S., Woods-Jaeger, B., Briggs, E., Lee, R., & Pynoos, R. (2013). Trauma histories among justice-involved youth: Findings from the National Child Traumatic Stress Network. European Journal of Psychotraumatology, 4, 20274.

    Article  Google Scholar 

  • Dorsey, S., Pullmann, M. D., Deblinger, E., Berliner, L., Kerns, S. E., Thompson,…Garland, A. F. (2013). Improving practice in community-based settings: a randomized trial of supervision – study protocol. Implementation Science, 8(89), 1-11.

  • Ehrensaft, M. K., Cohen, P., Brown, J., Smailes, E., Chen, H., & Johnson, J. G. (2003). Intergenerational transmission of partner violence: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 71, 741–753.

    Article  PubMed  Google Scholar 

  • Farmer, E. M., Burns, B. J., Phillips, S. D., Angold, A., & Costello, E. J. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services, 54(1), 60–66.

    Article  PubMed  Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V.,…Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14, 245-258.

  • Finkelhor, D., Turner, H. A., Shattuck, A., & Hamby, S. L. (2013). Violence, crime, and abuse exposure in a national sample of children and youth: An update. JAMA Pediatrics, 167, 614–621.

    Article  PubMed  Google Scholar 

  • Greer, D., Grasso, D. J., Cohen, A., & Webb, C. (2014). Trauma-focused treatment in a state system of care: Is it worth the cost? Administration and Policy In Mental Health, 41, 317–323.

    Article  PubMed  Google Scholar 

  • Grillo, C. A., Lott, D. A., Foster Care Subcommittee of the Child Welfare Committee, & National Child Traumatic Stress Network. (2010). Caring for children who have experienced trauma: A workshop for resource parents—Facilitator’s guide. Los Angeles, CA & Durham, NC: National Center for Child Traumatic Stress.

    Google Scholar 

  • Grogger, J. T. (1997). Local violence and educational attainment. Journal of Human Resources, 32(4), 659–682.

    Article  Google Scholar 

  • Harris & Fallot. (2001). Envisioning a trauma-informed service system: A vital paradigm shift. In M. Harris & R. D. Fallot (Eds.), Using trauma theory to design service systems. San Francisco: Jossey-Bass.

    Google Scholar 

  • Hurt, H., Malmud, E., Brodsky, N. L., & Gianetta, J. (2001). Exposure to violence: Psychological and academic correlates in child witnesses. Archives of Pediatrics and Adolescent Medicine, 155(12), 1351–1356.

    Article  CAS  PubMed  Google Scholar 

  • Kilpatrick, D. G., Rugierro, K. J., Acierno, R., Saunders, B. E., Resnik, H. S., & Best, C. L. (2003). Violence and risk of PTSD, Major Depression, substance abuse/dependences, and comorbidity: Results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology, 71, 692–700.

    Article  PubMed  Google Scholar 

  • Kisiel, C., Lyons, J.S., Blaustein, M., Fehrenbach, T., Griffin, G., Germain, J.,…Ellis, H. (2011). Child and adolescent needs and strengths (CANS) manual: The NCTSN CANS Comprehensive—Trauma Version: A comprehensive information integration tool for children and adolescents exposed to traumatic events. Chicago, IL: Praed Foundation/Los Angeles, CA & Durham, NC: National Center for Child Traumatic Stress.

  • Lang, C. M., & Sharma-Patel, K. (2011). The relation between childhood maltreatment and self- injury: A review of the literature on conceptualization and intervention. Trauma, Violence & Abuse, 12(1), 23–37.

    Article  Google Scholar 

  • Leslie, L. K., Hurlburt, M. S., Landsverk, J., Barth, R., & Slymen, D. J. (2004). Outpatient mental health services for children in foster care: A national perspective. Child Abuse and Neglect, 28(6), 697–712.

    Article  Google Scholar 

  • Lipschitz, D. S., Winegar, R. K., Nicolaou, A. L., Hartnick, E. W., Michele, B. A., & Southwick, S. M. (1999). Perceived abuse and neglect as risk factors for suicidal behavior in adolescent inpatients. Journal of Nervous Mental Disorders, 187, 32–39.

    Article  CAS  Google Scholar 

  • McHugh, R., Murray, H. W., & Barlow, D. H. (2009). Balancing fidelity and adaption in the dissemination of empirically-supported treatments: The promise of transdiagnostic interventions. Behavior Research and Therapy, 47, 946–953.

    Article  Google Scholar 

  • Pecora, P. J., Williams, J., Kessler, R. K., Downs, A. C., O’Brien, K., & Hirpi, (2005). Assesing the effects of foster care: Early results from the Casey National Alumni Study. Seattle, WA: Casey Family Program.

    Google Scholar 

  • Reavis, J. A., Looman, J., Franco, K. A., & Rojas, B. (2013). Adverse childhood experiences and adult criminality: How long must we live before we possess our own lives? Permanente Journal, 17(2), 44–48.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rind, B., Tromovitch, P., & Bauserman, R. (1998). A meta-analytic examination of assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124, 22–53.

    Article  CAS  PubMed  Google Scholar 

  • Sigel, B. A., Benton, A. H., Lynch, C. E., & Kramer, T. L. (2013a). Characteristics of 17 statewide initiatives to disseminate trauma-focused cognitive-behavioral therapy (TF-CBT). Psychological Trauma: Theory, Research, Practice, and Policy, 5(4), 323–333.

    Article  Google Scholar 

  • Sigel, B. A., Kramer, T. L., Conners-Burrow, N. A., Church, J. K., Worley, K. B., & Mitrani, N. A. (2013b). Statewide dissemination of trauma-focused cognitive-behavioral therapy (TF-CBT). Children and Youth Services Review, 35, 1023–1029.

    Article  Google Scholar 

  • Teicher, M. H., Andersen, S. L., Polcari, A., Anderson, C. M., & Navalta, C. P. (2002). Developmental neurobiology of childhood stress and trauma. Psychiatric Clinics of North America, 25(2), 397–426.

    Article  PubMed  Google Scholar 

  • Varese, F., Smeets, F., Drukker, M., Lieverse, R., Lataster, T., Veichtbauer, W., et al. (2012). Childhood adversities increase the risk of psychosis: A meta-analysis of patient control, prospective-and-cross-sectional cohort studies. Schizophrenia Bulletin, 38(4), 661–671.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wolpow, R., Johnson, M., Hertel, R., & Kincaid, S. (2009). The heart of learning and teaching: Compassion, resiliency, and academic success. Olympia WA: Washington State Office of Superintendent of Public Instruction (OSPI).

    Google Scholar 

  • Wonderlich, S. A., Brewerton, T. D., Jocic, Z., Dansky, B. S., & Abbott, D. W. (1997). Relationship of childhood sexual abuse and eating disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 36(8), 1107–1115.

    Article  CAS  PubMed  Google Scholar 

  • Wonderlich, S. A., Rosenfeldt, S., Crosby, R. D., Mitchell, J. E., Engel, S. G., Smyth, J., & Miltenberger, R. (2007). The effects of childhood trauma on daily mood lability and comorbid psychopathology in bulimia nervosa. Journal of Traumatic Stress, 20(1), 77–87.

    Article  PubMed  Google Scholar 

  • Wonderlich, S. A., Simonich, H. K., Myers, T. C., LaMontagne, W., Hoesel, J., Erickson, A. L.,…Crosby, R. D. (2011). Evidence-based mental health interventions for traumatized youth: A statewide dissemination project. Behavior Research and Therapy, 49, 579-587.

  • Xiangming, F., Brown, D., Florence, C., & Mercy, J. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse and Neglect, 36(2), 156–165.

    Article  Google Scholar 

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Authors and Affiliations

  1. Neuropsychiatric Research Institute, 120 South 8th St., Fargo, ND, 58103, USA

    Heather K. Simonich, Stephen A. Wonderlich, Ann L. Erickson & Kelsey Engel

  2. University of North Dakota School of Medicine and Health Sciences, Grand Forks, USA

    Stephen A. Wonderlich

  3. Sanford Health, Fargo, USA

    Stephen A. Wonderlich & Tricia Cook Myers

  4. North Dakota Department of Human Services, Bismarck, USA

    JoAnne Hoesel & Susan Wagner

Authors
  1. Heather K. Simonich
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  2. Stephen A. Wonderlich
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  3. Ann L. Erickson
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  4. Tricia Cook Myers
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  5. JoAnne Hoesel
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  6. Susan Wagner
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  7. Kelsey Engel
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Correspondence to Heather K. Simonich.

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Simonich, H.K., Wonderlich, S.A., Erickson, A.L. et al. A Statewide Trauma-Focused Cognitive Behavioral Therapy Network: Creating an Integrated Community Response System. J Contemp Psychother 45, 265–274 (2015). https://doi.org/10.1007/s10879-015-9305-4

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  • DOI: https://doi.org/10.1007/s10879-015-9305-4

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