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Trauma Treatment for Abused Children
|
| How it is Impacted |
| by |
| Caregiver Substance Abuse Issues |
| |
| Post traumatic Stress Disorder |
| wDSM IV, 5 axes |
| |
| PTSD – Trauma (Threat + Fear/helpless) & |
| wRe-experiencing symptoms |
| wAvoidance symptoms |
| wArousal symptoms |
| Re-experiencing Symptoms |
| wSensory triggers for traumatic memories |
| wImpact of memories, and self-soothing |
| wFunctional vs. Dysfunctional Coping |
| w“Triggers” in Trauma and Substance Abuse |
| |
| Avoidance Symptoms |
| wPeople, places, sensory triggers |
| wImpact on family, social, educational functioning |
| wDysfunctional Avoidance |
| wFunctional Avoidance |
| nClients own self-care mechanisms; Praise Success |
| nSafety planning |
| nSobriety from substances (“people, places and things”) |
| |
| Arousal Symptoms |
| wSomatic symptoms |
| wEmotional symptoms |
| wInteractional symptoms |
| wSelf-injurious behavior and Risk Taking |
| wChild’s arousal symptoms as trigger for caregiver’s addictive urges |
| |
| Components of Effective Treatment |
| wConsistency |
| wBoundaries |
| wAvailability |
| |
| Consistency |
| wStability and dependability |
| nTreatment logistics |
| wGoals and modalities |
| wTherapist |
| wChallenges |
| wAddressing change |
| |
| Boundaries |
| wTrauma as boundary violation |
| wTreatment as boundary building and creation |
| wRoles |
| wTesting of boundaries |
| wTherapist and family system |
| wRevictimizing the Victim |
| |
| Availability |
| wPhysical and Emotional |
| wEgo Strength |
| wAffect Tolerance |
| |
Caregiver Role in Treatment
& impact of substance abuse |
| wConsistency |
| wBoundaries |
| wAvailability |
| Consistency |
| wLogistics of home life |
| wLogistics of treatment compliance |
| wEmotional presence |
| wDisciplinary presence |
| wComposition of household |
| |
| Boundaries |
| wRoles of parent vs. roles of child |
| nNon-parental roles |
| nNon-child roles |
| nChallenges for caregiver recovery |
| wSibling relations & Extended family |
| wAdult and child peer systems |
| wRevictimizing the Victim |
| |
| Availability |
| wPhysical and Emotional |
| wEgo Strength |
| wAffect Tolerance |
| |
Systems Interactions
our responsibility to our clients |
| wTrauma Treatment System |
| wRecovery System |
| wChildren’s Services/Protection System |
| wFoster Care System |
| wCourt/legal System |
