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Foster Healing: Trauma Treatment for Families and Staff in Child Welfare By Konniesha Moulton, LMFT and Kelly Sachter, LCSW Boppity Boppity Bop Trauma in Child Welfare • Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual's functioning and physical, social, emotional, or spiritual well-being. • 90% of children in foster care have experienced trauma • Foster children are twice as likely as war veterans to develop post-traumatic stress disorder. • Complex trauma: exposure to multiple traumatic events, often of an invasive, interpersonal nature, and the wide-ranging, long-term impact of this exposure. Could include child maltreatment, including psychological maltreatment, neglect, exposure to violence and physical and sexual abuse. TRAUMA Natural Disasters Terrorism Physical Abuse Witnessing Domestic Violence Sexual Abuse Bullying Emotional Abuse Community Violence Sudden violent loss of a loved one Serious Accident Death or loss of loved one Abandonment or Neglect Physical or Sexual assault Foster Healing • Provides services to improve children’s social, emotional and developmental functioning. • Provide caregivers with psycho-education on the effects of trauma and how to effectively nurture their children’s development. • Division of Child Protection and Permanency staff receive trauma informed training through the Child Welfare Trauma Training Toolkit Peacock Feather Child Welfare Trauma Training Toolkit • The Child Welfare Trauma Training Toolkit was developed by the National Child Trauma Stress Network • Teaches how trauma affects children in the child welfare system. • Goal is to provide trauma-informed child welfare practice to enhance the safety, permanency, and well-being of children and families Treatment in Foster Healing Various modalities based on the needs of the client ARC Parent Child Interaction Therapy (PCIT) Works on improving the relationship between children and their parents and changing parent child interaction patterns Sensory Motor Arousal Regulation Treatment (SMART) A comprehensive treatment approach that is organized to support arousal regulation in traumatized children by integrating: Attachment Theory & Treatment Sensory Integration Sensory Motor Psychotherapy TF-CBT • Working with the parent and child to identify coping skills, reduce negative behavioral responses to trauma and correct maladaptive beliefs and thoughts. Psychoeducation and parenting skills Relaxation Affective Expression and Modulation Cognitive Coping and Processing Trauma narrative development and processing In vivo mastery of trauma reminders Conjoint child-parent sessions Enhancing future safety and development Goals and Accomplishments Goals • Foster children to receive trauma informed treatment, improvements in trauma symptoms • Caregivers to receive trauma informed education/treatment • DCPP workers to complete the Child Welfare Trauma Training Toolkit • Results thus far 59 children have received trauma informed treatment in Year 1 and 2; 75% of Foster Healing clients saw decreases in several trauma symptoms. Most of the clients had a decrease in 5 scales or more on the TSC. • 50 parents have participated in trauma informed education/treatment • 252 DCPP workers have completed the Child Welfare Trauma Training Toolkit and showed improvements in identifying how trauma affects their work Self Care Plan