Real Life Heroes in Residential Treatment: Implementation of an Integrated Model of Trauma and Resiliency-Focused Treatment for Children and Adolescents with Complex PTSD
Real Life Heroes (RLH) engages children and caregivers to rebuild (or build) emotionally supportive relationships, develop self-regulation and co-regulation skills, reduce traumatic stress reactions, and integrate a positive self-image through conjoint life story work. RLH includes psychoeducation, a life story workbook, multi-modal creative arts, and a toolkit to help practitioners implement National Child Traumatic Stress Network recommended components of treatment for Complex PTSD as a child and family transition from residential treatment to home and community-based programs. A case study and results from pilot studies highlight utility of the model for residential treatment and how RLH can help residential treatment programs implement evidence-supported trauma and resiliency-focused treatment including incorporation of NCTSN curricula to provide an integrated framework for practitioners, residential counselors, county case managers, educators, resource parents, home-based counselors, mentors, and other caring adults.
KeywordsTrauma Residential treatment Complex PTSD Real life heroes
- Achenbach, T., & Rescorla, L. (2000). Child behavior checklist 6–18. Burlington: ASEBA, University of Vermont.Google Scholar
- Boss, P. (2000). Ambiguous loss. Cambridge, MA: Harvard University Press.Google Scholar
- Briere, J. (1996a). Trauma Symptom Checklist for Children (TSCC), Professional Manual. Odessa: Psychological Assessment Resources.Google Scholar
- Briere, J. (1996b). Trauma Symptom Checklist for Children (TSCC). Lutz: Psychological Assessment Resources, Inc.Google Scholar
- Briggs, E. C., Greeson, J. K. P., Layne, C. M., Fairbank, J. A., Knoverek, A. M., & Pynoos, R. S. (2012). Trauma exposure, psycholosocial functioning, and treatment needs of youth in residential care: preliminary findings from the NCTSN Core Data Set. Journal of Child & Adolescent Trauma, 5, 1–15.CrossRefGoogle Scholar
- Brown, A. D., McCauley, K., Navalta, C. P., Saxe, G. N. (2013). Trauma Systems Therapy in residential settings: improving emotion regulation and the social environment of traumatized children and youth in congregate care. Journal of Family Violence, 28(7). doi: 10.1007/s10896-013-9542-9.
- Campbell, J. (1968). The Hero with a thousand faces. Princeton: Princeton University Press.Google Scholar
- Child Welfare Collaborative Group, National Child Traumatic Stress Network & The California Social Work Education Center. (2008). Child welfare trauma training toolkit: Trainer’s guide (1st ed.). Los Angeles: National Center for Child Traumatic Stress.Google Scholar
- Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford.Google Scholar
- Conradi, L., Agosti, J., Tullberg, E., Richardson, L., Langan, H., Ko, S., et al. (2011). Promising practices and strategies for using trauma-informed child welfare practice to improve foster care placement stability: a breakthrough series collaborative. Child Welfare, 90(6), 207–226.PubMedGoogle Scholar
- Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et al. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35(5), 390–398.Google Scholar
- DeRosa, R. R., Pelcovitz, D., Kaplan, S., Rathus, J., Ford, J., Layne, C., et al. (2005). Structured psychotherapy for adolescents responding to chronic stress (SPARCS). Manhasset: North Shore University Hospital.Google Scholar
- Ford, J., & Cloitre, M. (2009). Best practices in psychotherapy for children and adolescents. In C. A. Courtois & J. D. Ford (Eds.), Treating complex traumatic stress disorders: An evidence-based guide (pp. 59–81). New York: The Guilford Press.Google Scholar
- Ford, J. D., & Russo, E. (2006). A trauma-focused, present-centered, emotional self-regulation approach to integrated treatment for posttraumatic stress and addiction: Trauma Adaptive Recovery Group Education and Therapy (TARGET). American Journal of Psychotherapy, 60(4), 335–355.PubMedGoogle 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—Participant Handbook. Lost Angeles: National Center for Child Traumatic Stress.Google Scholar
- Habib, M., Labruna, V., Newman, J. (2013). Complex histories and complex presentations: Implementation of a manually-guided group treatment for traumatized adolescents. Journal of Family Violence, 28(7). doi: 10.1007/s10896-013-9532-y.
- Herman, J. (2011). Throwing off the burden of shame: Social bonds and recovery from the traumas of gender-based violence. Keynote Address at the 27th Annual Meeting of the International Society for Traumatic Stress Studies, Baltimore, Maryland, November.Google Scholar
- Hodgdon, H., Kinniburgh, K., Gabowitz, D., Blaustein, M., Spinazzola, J. (2013). Development and implementation of trauma-informed programming in residential schools using the ARC framework. Journal of Family Violence, 28(7). doi: 10.1007/s10896-013-9531-z.
- Kagan, R. (2004). Rebuilding attachments with traumatized children: Healing from losses, violence, abuse and neglect. New York: Routledge.Google Scholar
- Kagan, R. (2007a). Real life heroes: A life storybook for children (2nd ed.). New York: Routledge.Google Scholar
- Kagan, R. (2007b). Real life heroes practitioner’s manual. New York: Routledge.Google Scholar
- Kagan, R. (2009). Transforming troubled children into tomorrow’s heroes. In D. Brom, R. Pat-Horenczyk, & J. Ford (Eds.), Treating traumatized children: Risk, resilience and recovery (pp. 255–268). New York: Routledge.Google Scholar
- Kagan, R., Henry, J., Richardson, M., Trinkle, J., LaFrenier, A. (2013). HEROES Project Final Report. Unpublished Manuscript. Albany, NY: Parsons Child and Family Center.Google Scholar
- Kinniburgh, K., Blaustein, M., Spinazzola, J., & van der Kolk, B. A. (2005). Attachment, self-regulation, and competency. Psychiatric Annals, 35(5), 424–430.Google Scholar
- Knoverek, A. M., Briggs, E. C., Underwood, L. A., Hartman, R. L. (2013). Clinical considerations for the treatment of latency age children in residential care. Journal of Family Violence, 28(7). doi: 10.1007/s10896-013-9536-7.
- Lanktree, C., & Briere, J. (2008). Integrative Treatment of Complex Trauma for Children (ITCT-C): A guide for the treatment of multiply-traumatized children aged eight to twelve years. MCAVIC-USC Child and Adolescent Trauma Program, National Child Traumatic Stress Network. Available from www.johnbriere.com
- Macy, R. D., Barry, S., & Gil, N. G. (2003). Youth facing threat and terror; Supporting preparedness and resilience. San Francisco: Jossey-Bass.Google Scholar
- Pecora, P. (2007). Why should the child welfare field focus on minimizing placement change as part of permanency planning for children? Paper presented at the California Permanency Conference, San Diego, CA, March. Retrieved from www.casey.org/Resources/Publications/pdf/MinimizingPlacements.pdf.
- Saxe, G. N., Ellis, B., & Kaplow, J. B. (2007). Collaborative treatment of traumatized children and teens: The trauma systems therapy approach. New York: Guilford Press.Google Scholar
- Steinberg, A., & Brymer, M. (2008). The UCLA PTSD reaction index. In G. Reyes, J. Elhai, & J. Ford (Eds.), Encyclopedia of psychological trauma (pp. 673–674). New York: Wiley.Google Scholar
- Strand, V., Hansen, S., & Layne, C. (2012). Report on results of coding project to identify common intervention objectives and practice elements across 26 trauma-focused intervention manuals. Los Angeles: National Child Traumatic Stress Network.Google Scholar
- Vaughn, C. F. (2005). Residential treatment centers: not a solution for children with mental health needs. Clearinghouse Review Journal of Poverty Law and Policy, 39(3–4), 274.Google Scholar
- Williams, M. L. (2005). Cool cats, calm kids, relaxation and stress management for young people. Atascadero: Impact Publishers.Google Scholar
- Zelechoski, A. D., Sharma, R., Beserra, K., Miguel, J., DeMarco, M., Spinazzola, J. (2013). Traumatized youth in residential treatment settings: prevalence, clinical presentation, treatment, and policy implications. Journal of Family Violence, 28(7). doi: 10.1007/s10896-013-9534-9.