Pub. Date:
Guilford Publications, Inc.
Collaborative Treatment of Traumatized Children and Teens: The Trauma Systems Therapy Approach

Collaborative Treatment of Traumatized Children and Teens: The Trauma Systems Therapy Approach

by Glenn N Saxe
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For too many traumatized children and their families, chronic stressors such as poverty, substance abuse, and family or community violence--coupled with an overburdened care system--pose seemingly insurmountable barriers to treatment. This empowering book provides a user-friendly blueprint for making the most of limited resources to help those considered the "toughest cases." Evidence-based strategies are presented for effectively integrating individualized treatment with services at the home, school, and community levels. Written in an accessible, modular format with reproducible forms and step-by-step guidelines for assessment and intervention, the approach is grounded in the latest knowledge about child traumatic stress. It has been recognized as a treatment of choice by state mental health agencies nationwide.

Product Details

ISBN-13: 2901606233497
Publisher: Guilford Publications, Inc.
Publication date: 06/18/2009
Edition description: Older Edition
Pages: 354
Product dimensions: 6.00(w) x 1.25(h) x 9.00(d)

About the Author

Glenn N. Saxe, MD, formerly the Chairman of Child Psychiatry at Boston Medical Center, is Associate Chief of Psychiatry for Research and Development at Children’s Hospital, Boston and Harvard Medical School. He leads a program devoted to finding and building mental health program models that will be helpful for inner-city children and families with severe and complex social, psychological, and medical problems. Trauma systems therapy (TST) was developed over almost 10 years of effort, and is now used in many different clinics and agencies across the United States. Dr. Saxe also leads the Center for Children at Risk of the National Child Traumatic Stress Network (NCTSN).
B. Heidi Ellis, PhD, is a clinical psychologist and Assistant Professor of Psychiatry at Boston University School of Medicine and Boston Medical Center, with joint appointments in Psychology and Pediatrics. Her primary area of interest is in developing interventions for traumatized youth and their families, particularly those who typically do not access mental health care. As associate director of the Center for Children at Risk of the NCTSN, she has dedicated her efforts to making mental health care more relevant and accessible cross-culturally, with a specific focus on helping refugee children.
Julie B. Kaplow, PhD, is a licensed clinical psychologist and Assistant Professor in the Department of Psychiatry at the University of Michigan Medical School. Her primary research interest is the psychological consequences of childhood trauma, with a focus on identifying effective coping strategies that can help to inform interventions. Dr. Kaplow has conducted research and clinical work with various populations of traumatized children, including those suffering from sexual abuse, traumatic injuries, and bereavement. She has served on the Traumatic Grief Task Force of the NCTSN.

Table of Contents

Chapter 1 Introduction: Trauma Systems Therapy for Child Traumatic Stress 1

Part I Foundations

Chapter 2 Survival Circuits: How Traumatic Stress Is about Survival-in-the Moment 23

Chapter 3 The Regulation of Emotional States: How Child Traumatic Stress Is a Disorder of the Regulation of Emotional States 46

Chapter 4 The Social Environment and the System of Care: Traumatic Stress Responses Are Embedded in a Social Context 66

Chapter 5 Signals of Care: The Importance of Caring Relationships for Traumatized Children 84

Part II Getting Started

Chapter 6 Ten Treatment Principles: The Principles That Guide TST 95

Chapter 7 Assessment: How to Assess Child Traumatic Stress 109

Chapter 8 Treatment Planning: How to Plan for Child Traumatic Stress Interventions 124

Chapter 9 The Treatment Team: How to Build a Multidisciplinary Treatment Team (and Keep It Going!) 141

Part III Doing Trauma Systems Therapy

Chapter 10 Ready-Set-Go!: How to Engage a Family in TST 153

Chapter 11 Stabilization on Site: Community-Based Care to Help Kids Stay in Their Homes and Schools 170

Chapter 12 Systems Advocacy: Integrating Advocacy into Critical Treatment with Pamela Tames 187

Chapter 13 Psychopharmacology: How Psychopharmacology Is Integrated within TST 206

Chapter 14 Emotion Regulation Skills: How to Help Children Regulate Emotional States 222

Chapter 15 Cognitive Processing Skills: How to Help Children Think and Talk about Their Traumatic Experiences 257

Chapter 16 Meaning-Making Skills: How to Help Children Make Meaning Out of Their Traumatic Experiences and Move On with Their Lives 278

Chapter 17 Conclusions:Leaving a Better System 301


TST Treatment Planning Form 309

Weekly TST Check-In 312

TST Treatment Fidelity Form 313

Emotion Regulation Guide 318

Cognitive Coping Log 325

Systems Advocacy Screener 326

Goal-Setting Guide 328

References 329

Index 332


Therapists working with children and families with complex, multiple problems, including child psychologists and psychiatrists, social workers, and professionals in related fields; researchers and graduate students interested in child therapy, PTSD, and child welfare.

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