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Training Materials Real Life Heroes® (RLH) is a treatment program that supports the development of safety and attachment needed for reintegration of traumatic memories experienced by children and their caregivers. RLH has been successfully implemented in a wide range of child and family service, educational, and mental health treatment programs for 15 years and was specifically designed for treatment of children and families with Complex Trauma. RLH provides practitioners with easy-to-use tools, including a life storybook and practitioner’s manual (RLH Toolkit) with multi-sensory creative arts activities and…
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Journal Article Childhood sexual abuse (CSA) occurs frequently and often has serious long-term sequelae including posttraumatic stress disorder (PTSD), which often leads to significantly worse outcomes among CSA survivors. However, the most effective treatment, particularly for younger children, remains uncertain. Research supports trauma-focused cognitive behavioural therapy (TF-CBT) in different age groups, and we designed a 4-week residential treatment program for CSA victims aged 8-12. Here we report the outcome from the first 35 children to take part in a complex multimodal program (mean age 10 years…
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Journal Article The Incredible Years (IY) Parent and Child Series are evidence-based interventions that increase knowledge and mastery of parenting, mood regulation, and interpersonal problem solving strategies for caregivers while developing similar social and emotional skills in their children. Rogers, Bobich, and Heppell (2016) use a case study approach to examine the effectiveness of adaptations of the IY program for delivery in a transitional housing shelter. They describe strategies for modifying IY to meet the needs of a vulnerable population within the context of the shelter and the broader welfare…
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Journal Article The commentaries by Williams (2016) and Gartenberg and Lang (2016) on the case of Cathy and her mother Ms. Z (Rogers, Bobich, & Heppell, 2016) explore the similarities between children who have been homeless and those in the foster system, and highlight the importance of trauma-focused treatment to address their mental health needs. A further consideration of the challenges to obtaining such treatment due to system barriers, stigma, and the intergenerational transmission of trauma is applied to the case of Cathy. This illustrates the importance of an array of mental health treatment…
This report presents findings from a study of the Children’s Institute, Inc. (CII), a multiservice organization in Los Angeles that combines a broad range of clinical and nonclinical services to meet the needs of children and families who have been affected by trauma. It begins by explaining that each year, CII serves more than 20,000 children and family members, and that CII’s range of activities, which it calls its Integrated Service Model, serve the “whole child, entire family.” Through its service model, CII provides a broad range of supports that the child and family may need to overcome…
The McSilver Institute for Poverty Policy and Research at New York University Silver School of Social Work recently partnered with the National Council for Behavioral Health to facilitate a yearlong Learning Community (LC), a promising methodology for helping organizations adopt and sustain practices and principles of Trauma-Informed Care (TIC). A total of 32 behavioral health organizations were enrolled in the LC, 92% of which reported having implemented trauma-informed care in at least six of the National Council’s seven TIC domains by the end of the LC, and 100% of which reported improving…
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This brief explains families affected by co-occurring intimate partner violence (IPV) and substance use face unique and interconnected needs and identifies promising practices and programs to meet the needs of these women and children. It begins by discussing the prevalence of IPV and substance abuse and the consequences of IPV, including health concerns and mental health concerns. Links between IPV and substance abuse are explored, and the impacts of IPV and parental substance use on children are then described. The following part of the brief outlines best practices for assessing…
In this report, the Trust for America’s Health (TFAH) examines how to increase the public health approachto child development by looking at national, State and local strategies, policies and programs that have a high impact for improving health and well-being across a range of sectors, and how to better bring those sectors together to develop partnerships that have a better chance of achieving common goals. It begins by reviewing the impact of negative experiences on the physical health and brain development of a child, and the need to reduce risks and build protective factors that help…
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Journal Article Children’s early social experiences shape their developing neurological and biological systems for good or for ill, writes Ross Thompson, and the kinds of stressful experiences that are endemic to families living in poverty can alter children’s neurobiology in ways that undermine their health, their social competence, and their ability to succeed in school and in life. For example, when children are born into a world where resources are scarce and violence is a constant possibility, neurobiological changes may make them wary and vigilant, and they are likely to have a hard time controlling…
