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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…
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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…
