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From adverse childhood experience to ongoing interpersonal and community violence, Oklahoman's have a high rate of exposure to traumatic events, increasing their risk factors to experience traumatic stress. It is important for each of us as individuals to understand how traumatic stress may impact all areas of a person's life long after the trauma is over. By doing so, we help create social safety, forming communities where seeking support for behavioral health is as acceptable as addressing physical health.

Traditionally the focus of treatment providers has been solely on those we serve, the children, youth, and adults entering our doors. However, being trauma informed looks at the entire agency, all levels of staff and influences the community outside our doors.

For those that we serve as providers, it does provide a way for us to understand behaviors, responses, attitudes, and emotions as a collection of survival skills developed in response to traumatic experiences.

It's not enough to have just been trained in general behavioral health. Traumatic stress is the underlying cause of multiple diagnosis and the specificity of its symptoms demands a specificity of treatment. This is why providers should continuously be aware of and trained in trauma specific evidence based practices, and receive consultation as indicated.

A fully integrated trauma informed system that provides trauma specific services, includes all employees in a facility in the culture change. Clients are routinely screened for trauma histories and assessed for symptoms as indicated, trauma specific treatment is offered, and staff receive support in their own self care and developing protective factors to vicarious trauma.

All of this takes us back to our three core values of creating safety, instilling hope and building resilience everywhere for everyone.

Adult Self Report Trauma Screen:

National Center for Post-Traumatic Stress Disorder (PCL-5). Post-Traumatic Stress Disorder Checklist -5. The updated version of the above PCL, with 20 items to coincide with the DSM-5.
http://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp

Child and Youth Trauma Screen:

The Child and Adolescent Trauma Screen (CATS) was developed by Lucy Berliner and is based on DSM 5 criteria for diagnosis of Posttraumatic Stress Disorder. It aims to provide a practical and easy-to-use questionnaire for screening and symptom monitoring. It can be self-completed by children and adolescents 7-17 years and a caregiver report is available for ages 3-17. Validation of the measure in multiple languages and normative data collection is in progress. The measure is public domain and may be entered into the EMR system.

The tools include (click to download PDF):
CATS - Caregiver version for ages 3-17
CATS - Youth version for ages 7-17
CATS - Scoring Sheet
CATS - Stoplight Sheet
CATS - Six Question Short Version

Spanish Language Versions (click to download PDFs):
CATS - Caregiver 3-6 - Spanish
CATS - Caregiver 7-17 - Spanish
CATS - Youth 7-17 - Spanish

For Adults

Free online training in CPT: Cognitive Processing Therapy can be found at https://cpt.musc.edu/ This course was developed to complement other methods of clinical learning, such as reading a manual or attending a workshop or training course. Cognitive Processing Therapy (CPT), Cognitive Processing Therapy (CPT) gives individuals a new way to handle distressing thoughts and to gain an understanding of these events. By using the skills learned in therapy, clients can learn why recovery from traumatic events has been hard. Clients learn how going through a trauma changed the way they look at the world, themselves, and others.

Seeking Safety: A Treatment Manual for PTSD and Substance Abuse. Najavits. L.M., ,www.seekingsafety.org.
Trauma Recovery Empowerment Model (TREM). Harris. M., Adult trauma specific model for women. www.communityconnections.org.
Male -Trauma Recovery Empowerment Model (M-TREM). Harris, M. Male version of the adult trauma specific model. www.communityconnections.org.
Cognitive Processing Therapy (CPT), Cognitive Processing Therapy (CPT) gives individuals a new way to handle distressing thoughts and to gain an understanding of these events. By using the skills learned in therapy, clients can learn why recovery from traumatic events has been hard. Clients learn how going through a trauma changed the way they look at the world, themselves, and others. Widely tested with veteran population.
http://www.ptsd.va.gov/public/treatment/therapy-med/cognitive_processing_therapy.asp.

For additional models and information on EBPs please refer to SAMHSA:
The National Registry of Evidence-Based Programs and Practices (NREPP) resource for reviewing and identifying effective treatment programs
http://www.nrepp.samhsa.gov

For Children and Youth

Free online training in TF-CBT: Trauma Focused Cognitive Behavioral Therapy http://tfcbt.musc.edu/ This website was developed to complement other methods of clinical learning, such as reading a manual or attending a workshop or training course. Trauma-Focused Cognitive Behavior Therapy (TF-CBT) is a mental health treatment model designed for children ages 3- 18 who are experiencing difficulties after trauma exposure such as sexual abuse, exposure to violence, or a natural disaster. TF-CBT was developed by Judy Cohen, M.D., Anthony Mannarino, Ph.D. and Esther Deblinger, Ph.D.

Oklahoma TFCBT website: http://oklahomatfcbt.org Here you will find information and resources for families considering Trauma-Focused Cognitive-Behavioral Therapy, professionals interested in learning about TF-CBT treatment and TF-CBT therapists implementing the model within our state.

Seeking Safety: A Treatment Manual for PTSD and Substance Abuse. Najavits. L.M., www.seekingsafety.org.



For additional models and information on EBPs please refer to http://www.cebc4cw.org/

Trauma-Informed Care & Alternatives to Seclusion and Restraint: The National Center for Trauma-Informed Care and Alternatives to Seclusion and Restraint (NCTIC) is a technical assistance center dedicated to promoting alternatives to seclusion and restraint, and building the knowledge base on the implementation of trauma-informed approaches in programs, services, and systems.
http://beta.samhsa.gov/nctic

Sanctuary Model: What is the Sanctuary Model? The Sanctuary ModelA(R) represents a theory-based, trauma-informed, evidence-supported, whole culture approach that has a clear and structured methodology for creating or changing an organizational culture.
http://www.sanctuaryweb.com/

Manitoba Trauma Information and Education Centre: Working together to promote trauma informed relationships and practices.
http://trauma-informed.ca/

National Center On Family Homelessness: The National Center supports organizations across the country to adopt a trauma-informed approach. They provide training, consultation, and a variety of tools and resources to support organization to become trauma-informed.
http://www.familyhomelessness.org/trauma.php?p=sm#

Under Construction

National Center on Trauma, Domestic Violence & Mental Health.
http://www.nationalcenterdvtraumamh.org

National Council for Behavioral Health: Trauma Informed Care
http://www.thenationalcouncil.org/topics/trauma-informed-care/

Herman, J. (1992). Trauma and recovery: The aftermath of violence from domestic abuse to political terror.
www.amazon.com.

National Child Traumatic Stress Network
The mission of the National Child Traumatic Stress Network is to raise the standard of care and improve access to services for traumatized children, their families, and communities throughout the United States. This website offers resources for parents, counselors, teachers, and communities. www.nctsn.org This is also the location of the child welfare trauma training toolkit.
 

Child Trauma Academy
The Child Trauma Academy is a unique collaboration of individuals and organizations working to improve the lives of high-risk children through direct service, research, and education. The .com site offers free online courses, while the .org site offers a myriad of educational resources. www.childtraumaacademy.com and www.childtraumaacademy.org

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