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Module 8 Resources: What's Next? The New Frontier for Research and Practice in Trauma-Informed Care

Websites and Online Materials

  1. First Annual National Conference for Creating Trauma-Sensitive Schools: Call for Workshop Proposals—The Attachment & Trauma Network, Inc. is hosting this National Conference for Creating Trauma-Sensitive Schools in Washington, DC February 19-20, 2018 to give educators and other child-serving professionals and interested parties a platform to explore the importance of trauma-informed care. Early childhood trauma impacts a child’s ability to learn and develop which emphasizes the necessity of addressing ACEs in schools. A committee is now accepting session proposals until November 1st and will be evaluated based on relevance, innovation, perspective, effectiveness, application, and interactivity. If the hyperlink does not work, please copy and paste this link in your browser http://www.acesconnection.com/blog/1st-annual-nat-l-conference-for-creating-trauma-sensitive-schools-call-for-workshop-proposals
  2. Resilience is About Nervous System Regulation- NOT Growth Mindset, AcesConnection.com -- While mindset plays an important role, resilience is about the body’s stress response about its ability to remain in a healthy range of arousal. A workshop is being held from December 2-3 to strengthen resilience of participants who may have undergone stress and trauma. If the hyperlink does not work, please copy and paste this link in your browser http://www.acesconnection.com/blog/resilience-is-about-nervous-system-regulation-not-growth-mindset
  3. The Dissociative Subtype of Posttraumatic Stress Disorder Among Adolescents: Co-Occurring PTSD, Depersonalization/Derealization, and Other Dissociation Symptoms, JAACP.com – The purpose of the study was to examine the co-occurrence of posttraumatic stress disorder (PTSD) and dissociation by evaluating evidence for the depersonalization/derealization dissociative subtype of PTSD in a sample of treatment-seeking, trauma-exposed adolescents.
  4. First Annual National Conference for Creating Trauma-Sensitive Schools: Call for Workshop Proposals—The Attachment & Trauma Network, Inc. is hosting this National Conference for Creating Trauma-Sensitive Schools in Washington, DC February 19-20, 2018 to give educators and other child-serving professionals and interested parties a platform to explore the importance of trauma-informed care. Early childhood trauma impacts a child’s ability to learn and develop which emphasizes the necessity of addressing ACEs in schools. A committee is now accepting session proposals until November 1st and will be evaluated based on relevance, innovation, perspective, effectiveness, application, and interactivity. If the hyperlink does not work, please copy and paste this link in your browser http://www.acesconnection.com/blog/1st-annual-nat-l-conference-for-creating-trauma-sensitive-schools-call-for-workshop-proposals
  5. Resilience is About Nervous System Regulation- NOT Growth Mindset, AcesConnection.com -- While mindset plays an important role, resilience is about the body’s stress response about its ability to remain in a healthy range of arousal. A workshop is being held from December 2-3 to strengthen resilience of participants who may have undergone stress and trauma. If the hyperlink does not work, please copy and paste this link in your browser http://www.acesconnection.com/blog/resilience-is-about-nervous-system-regulation-not-growth-mindset
  6. The Dissociative Subtype of Posttraumatic Stress Disorder Among Adolescents: Co-Occurring PTSD, Depersonalization/Derealization, and Other Dissociation Symptoms, JAACP.com – The purpose of the study was to examine the co-occurrence of posttraumatic stress disorder (PTSD) and dissociation by evaluating evidence for the depersonalization/derealization dissociative subtype of PTSD in a sample of treatment-seeking, trauma-exposed adolescents.
  7. Promoting Self-Regulation in Adolescents and Young Adults: A Practice Brief, FPG.unc.edu – This brief defines self-regulation as “the act of managing thoughts and feelings to enable goal-directed actions,” explains the important role caregivers and mentors have in shaping self-regulation skills in adolescents and young adults, and describes the positive impacts good self-regulation can have on an individual. 
  8. Integrating ACEs Science and Trauma-Informed Practices in Your School District- What Role Does the Administrator Play?, ACEsConnection.com – This article identifies the process for schools and school administrations to learn about and implement trauma informed practices. This shift will require buy-in from the educators and personnel who work with students directly as well as deliberate administrative system-building that supports those educators and personnel. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/integrating-aces-and-trauma-informed-practices-in-your-school-district-what-role-does-the-administrator-play
  9. Fetuses Know When Their Mothers Experience Toxic Stress, Experts Say, SCPR.org – This article explores the difference between stress and toxic stress, the relationship between maternal toxic stress and fetal behavior, and how to intervene and prevent toxic stress in pregnant women.
  10. When Stress Is Toxic- Bringing the Science of Child Development into Child Welfare, RiseMagazine.org – This article defines toxic stress, describes the relationship between toxic stress and parents connected to the child welfare system, and describes how parents can protect themselves and their children from toxic stress.
  11. The Trauma Therapist| Inspiring Interviews with Thought-Leaders in the Field of Trauma, ACEsConnection.com – In this Podcast, Guy Macpherson interviews Bruce Perry, Gabor Mate, Janina Fisher, and other experts specializing in PTSD, trauma, and complex trauma and related fields. Discussion topics include the field of trauma therapy, the lessons experts learned during their careers, and advice for future trauma therapists. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/the-trauma-therapist-podcast-with-guy-macpherson-phd-inspiring-interviews-with-thought-leaders-in-the-field-of-trauma
  12. Standing Together With One Voice Against Domestic Violence, NBCNews.com – This editorial describes the importance of disseminating information about domestic violence and facilitating conversations about its effects on individuals, children, and communities. It directly addresses men and their role in preventing domestic violence, and offers steps they can take to prevent violence against women and girls.
  13. Utah Passes Resolution to Encourage State Policies and Programs Based on ACEs Science, ACEsConnection.com – This article describes a newly approved state resolution to address “severe emotional trauma and other adverse childhood experiences.” It includes recommendations that describe the impact of ACEs in health, school performance, employment success, and life expectancy. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/utah-passes-resolution-to-encourage-state-policies-and-programs-based-on-aces-science
  14. Your Baby’s Brain May Already Hold Signs of Anxiety and Depression, TheStir.CafeMom.com – This article discusses a recent study from the Washington University School of Medicine that found patterns in some children’s brains from birth that are linked to an increased likeliness of negative mental health outcomes later in life including separation anxiety, anxiety, and depression.
  15. T2’s Third “Rage, Reflection, and Restoration Circle” on March 15th, ACEsConnection.com – This article describes “Rage, Reflection, & Restoration Healing Circle – Moving Forward with Compassion and Dependability,” an annual event in Oakland, California to be held on March 15, 2017. The event is facilitated by youth and community healing teams, as well as Trauma Transformed staff. It is part of an effort to build “a regional trauma-informed Bay Area system of care and improve the ways we understand, respond to, and heal trauma.” If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/g/california-aces-action/blog/t2-s-third-rage-reflection-and-restoration-circle-on-march-15
  16. Iowa’s ACEs Coalition Continues to Advance Policy, ACEsConnection.com – This article describes the Iowa ACEs Policy Coalition’s legislative advocacy efforts, and offers two documents related to Iowa funding legislation. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/iowa-aces-coalition-continues-to-advance-policy
  17. From “Problems” to “Issues”: Making Trauma-Informed Policy Change, ACEsConnection.com – This article focuses on trauma-informed policy changes in the United States, and highlights advocacy groups such as the Campaign for Trauma Informed Policy and Practice. It also addresses the process of policy change how to create specific policy proposals. Supporting topical webinars and documents are provided. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/from-problems-to-issues-making-trauma-informed-policy-change
  18. Should K-8 Schools Give Students an ACE Survey?, ACEsConnection.com – This article details an instance of a public school in Idaho that gave the ACEs survey to all of its students. This caused controversy among parents, and the situation raised questions of what role schools have, if any, in regards to administering ACEs surveys. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/should-k-8-schools-give-students-an-ace-survey
  19. Spotlight: Building Resilient and Trauma-Informed Communities: Introduction, SAMHSA.gov – This publication is available for free at SAMHSA’s online store. It contains approaches to building trauma-informed, resilient communities and discusses the effects of trauma on individuals.
  20. Spotlight: Building Resilient and Trauma-Informed Communities- Kansas City, KS, and MS: A Coalition in the Business of Compassion, SAMHSA.gov – This publication is available for free at SAMHSA’s online store. It contains approaches to building trauma-informed, resilient communities and discusses Kansas City’s approach to trauma and resilience building.
  21. A Sherpa is Helping Us Scale Mountains of Loss and Fear: The Impact of Sebern Fisher’s Work, ACEsConnection.com – Christine White reviews Sebern Fisher’s book, Neurofeedback in the Treatment of Developmental Trauma: Calming the Fear-Driven Brain. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/a-sherpa-helping-us-scale-mountains-of-loss-and-fear-the-impact-of-sebern-fisher-s-work
  22. Impact of Trauma on Children Leads to Never-Ending Cycle, ACEsConnection.com – In this video, Dr. Altha Stewart of the Center for Health in Justice Involved Youth describes the relationship between ACEs and the juvenile justice system. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/clip/impact-of-trauma-on-children-leads-to-never-ending-cycle-2-min-wmcactionnews5-com
  23. The Nurtured Parent Revolution: Trauma Transformed-Patrice Lenowitz, ACEsConnection.com – This Ted x Bergen Community College video explores family court processes and their failure to protect women and children who attempt to leave abusive family circumstances. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/clip/the-nurtured-parent-revolution-trauma-transformed-patrice-lenowitz-14-min-tedxbergencommunitycollege
  24. Comprehensive Legislation Introduced in U.S. Senate and House to Address Trauma, ACEsConnection.com – This article describes the “Trauma-Informed Care for Children and Families Act” (S. 744, H.R. 1757). This legislation would create a multi-agency task force to recommend best practices for identifying and supporting children who have experienced trauma. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/comprehensive-legislation-introduced-in-u-s-senate-and-house-to-address-trauma
  25. If They Can Do It, So Can We! Resources For System Change, ACEsConnection.com – This article introduces a resource guide for New Zealand entitled “Healthy Families: From ACEs to Trauma Informed Care to Resilience and Wellbeing: Examples of Policies and Activities Across IIMHL and IIDL Countries.” If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/if-they-can-do-it-so-can-we-resources-for-system-change
  26. Trauma-Informed Juvenile Justice Systems: A Systematic Review of Definitions and Core Components, PsychNet.APA.org – This abstract from the Journal of Psychological Trauma introduces a review that examined existing published definitions of a trauma-informed juvenile justice system in an effort to identify the most common core elements and policies.
  27. Can a Difficult Childhood Enhance Cognition, TheAtlantic.com – This article highlights new research published in the Journal of Personality and Social Psychology in 2015, in which researchers found that participants with unpredictable childhoods performed better in attention-shifting tasks and experienced other boosts in types of thinking.
  28. Developmental, Behavioral Issues More Common Among Rural Children, Healio.com – This article raises the issue of underreporting of mental disorders in rural areas, and calls for more research regarding neighborhood risk and protection for childhood mental health disorders within rural communities.
  29. States Produce a Bumper Crop of ACEs Bills in 2017 – Nearly 40 Bills in 18 States, ACEsConnection.com – This article describes new trends in legislation that specifically address ACEs. Attached is a document with a full list of legislation. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/states-produce-a-bumper-crop-of-aces-bills-in-2017-nearly-40-bills-in-18-states
  30. Managing the Groundswell of Interest in ACEs: Illinois MARC Update. ACEsConnection.com – This article discusses the impact of Paper Tigers screenings, and the new opportunities and challenges the Illinois ACEs Response Collaborative faces due to the current interest in ACEs. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/managing-the-groundswell-of-interest-in-aces-illinois-marc-update
  31. Mindfulness May Rival Talk Therapy for A Variety of Mental Health Issues, Forbes.com – This article discusses preliminary research on the effect of mindfulness-based group training (MGT) versus standard cognitive behavioral therapy (CBT), and found that MGT was as effective as individual CBT for treating typical depression and anxiety symptoms.
  32. 5 Ways to Assist A Child With A Broken And Hurting Heart, ACEsConnection.com – This article offers suggestions from a faith perspective about how ministers and church staff should interact with children who have suffered from a parent’s divorce or another trauma. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/g/faith-based-connection/blog/5-ways-to-assist-a-child-with-a-broken-and-hurting-heart
  33. Broadening Your Network and Identifying Partners for More Resilient, Healthier Communities, ACEsConnection.com – This article instructs advocates on the process of building relationships between communities and potential collaborators, and highlights the Building Community Resilience (BCR) Partner Build Grow Action Tools, which focus of coalition building, building trust, and reaching mutual goals. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/broadening-your-network-and-identifying-partners-for-more-resilient-healthier-communities
  34. Trauma-Informed Training for Lancaster County Corrections and Parole Officers Seeks Less Use of Force, LancasterOnline.com – This article discusses the improvements made in Lancaster County by supporting trauma-informed responses during interactions between individuals and law enforcement officers. The article focuses on local training initiatives and a study of the Lancaster County Prison system.
  35. Yoga Helps At-Risk Girls Cope With Trauma, Georgetown Law Report Finds, Georgetown.edu – This article describes a new report on gender and trauma which found that tailored yoga and mindfulness programs were uniquely effective in supporting girls who experienced trauma. Trauma-informed yoga practices were cost-effective, sustainable, and successful.
  36. Study Finds First Molecular Genetic Evidence of PTSD Heritability, Harvard.edu – This report describes a new study from the Psychiatric Genomics Consortium that found molecular evidence that genetics play a role in an individual’s risk of experiencing PTSD. The report highlights findings and links to the online publication of the study.
  37. Parent Partners and a Bridge to the Business World: Wisconsin MARC Update, ACEsConnection.com – This update report describes Mobilizing Action for Resilient Communities (MARC) grantee action in the Wisconsin Children’s Mental Health Collective Impact (CMHCI). CMHCI has focused on involving parents and youth with lived experiences of trauma, and spreading information about ACEs and resilience to the local business community by way of a workplace wellness and mindfulness app. CMHCI is dedicated to reaching a wider audience in year two of their program. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/parent-partners-and-a-bridge-to-the-business-world-wisconsin-marc-update
  38. ACEs-Related Depression- Genes, Environment, Both?, ACEsConnection.com – This article addresses recent research from Robert Culverhouse et al. that explored the possibility of a genetic vulnerability to suffering depression as a result of ACEs. They did not find that an interaction between 5-HTTLPR and stress had significant clinical relevance for depression. If the hyperlink does not work, please copy and paste the following into your browser: http://www.acesconnection.com/blog/aces-related-depression-genes-environment-both
  39. Where Dealing with Trauma is Part of Job Training, CityLab.com – Hopeworks ‘N Camden is a nonprofit in New Jersey for disadvantaged youth that combines real world work experience with counseling to overcome past pain.
  40. ACL Guidance to the Aging Services Network: Outreach and Service Provision to Holocaust Survivors, ACL.gov – Guidance on promising practices for conducting outreach and service provisions to the Holocaust population. ACL created this guidance as a vehicle by which the Aging Services Network can build stronger connections to organizations and stakeholders providing care to Holocaust survivors, to enhance services capacity and quality. The guidance examines the unique needs and challenges of serving Holocaust survivors, with a particular focus on mental and physical health, nutrition, transportation, caregiver support, outreach, legal and ombudsman services, with a foundation in person-centered, trauma-informed approaches.
  41. Looking through the lens of 1000 Poulton at TEDxDunedinA multidisciplinary, longitudinal study of 1,037 babies born began in Dunedin between 1972 and 1979. The study members have been followed up since birth, at age 3; then every 2 years to age 15; and at ages 18, 21, 26, 32 and, most recently, 38 (2010-2012). It is next planned to see the study members at age 45. Recent assessments have included a broad range of studies in the psychosocial, behavioral medicine and biomedical research areas. This TED Talk resonates with the ACEs study in the UD – the advantage of the Dunedin study being that they have followed 1,000 children over 40 years into adulthood, unique in the world.
  42. Article on Adverse Childhood Experiences Shows Income Levels as Very Strong Indicator of Health, ACEsConnection.comThe compelling issue of how race and income are related to adverse childhood experiences (ACEs) was examined in a recent article published in Health and Social work, a journal of the National Association of Social Workers, co-authored by Jennifer Jones of the Alliance for Strong Families and Communities, Kristen Slack, professor at University of Wisconsin-Madison, and Sarah Font, professor at Pennsylvania State University. See article at http://www.acesconnection.com/blog/article-on-adverse-childhood-experiences-shows-income-level-as-very-strong-indicator-of-health
  43. Aspiring therapists learn on the ground at Casa Pacifica, VCStar.com Aided by a presidential initiative, the Casa Pacifica agency has doubled admission to a program that prepares psychologists to work with abused, neglected, and emotionally troubled youth.
  44. Health system should recognize intergenerational trauma, expert says, CBC.ca A leading authority on First Nations health is calling on healthcare practitioners to recognize intergenerational trauma when treating indigenous patients.
  45. The MDMA being used to treat trauma is different from the street drug Ecstasy, TheConversation.comIt is important to understand the difference between the pure, regulated MDMA being tested as a treatment option for individuals with PTSD and the street drug, commonly referred to as Ecstasy.
  46. The Development of Technology for ACEs (Part 1), ACEsConnection.com Thomas Peter Berntsen describes approaching the development of technology in support of preventing ACEs, healing trauma, and building resilience in part 1 and part 2. Access article at http://www.acesconnection.com/blog/the-development-of-technology-for-aces-part-1?reply=464476379540736442
  47. Philadelphia ACE Task Force ACEs Messaging Group Meeting, ACEsConnection.com The ACEs Messaging Group (AMG) met on Tuesday, December 13th to discuss with a small group the work that had been done in November in lieu of a larger group meeting. The group began with a history and overview of the work, revisiting the discussion of particular target audiences: youth, parents of young children, and older adults. Each small group then updated the larger AMG about their work. Access article at http://www.acesconnection.com/blog/philadelphia-ace-task-force-aces-messaging-group-meeting-1
  48. UNC study: Yoga treatment shows promise for improving trauma and related mental health problems, News-Medical.netFindings show that the evidence regarding yoga as an intervention for the effects of trauma as well as the mental health symptoms and illnesses often associated with trauma is encouraging.
  49. 'Perpetrator' Networks Key to Predicting Child Abuse, SocialJusticeSolutions.orgDefines “perpetrator networks” as the group of adults who present a potential threat in a child’s life. This approach changes the focus from the child’s risk of experiencing abuse to using a data mining algorithm to determine which adults are the most likely to pose a threat in a child’s life. Creating a widespread initiative will require policy and practice changes on national and state levels. This new tool would use a “social network analysis” of pre-existing widely available data to move past already existing predictive analytics tools. There are some data mining ethics concerns in play, to be resolved with further tool development and use.
  50. Using the RPC with Military Connected Families, NCTSN.org – This podcast resource is hosted by Melissa Hoffman of the University of Tennessee Health Science Center. She interviews George Ake from the Center for Child and Family Health, who offers his personal experience with using the RPC with military connected families.
  51. Think Trauma Toolkit, NCTSN.orgThis resource provides training for juvenile justice staff and describes the process of creating a trauma-informed juvenile justice residential setting. It highlights the importance of gaining knowledge about trauma-informed care, modifying behavior, creating cultural and organizational paradigm shifts, and effecting policy and procedural change on all levels of the institution.
  52. Arizona legislation would create "Adverse Childhood Experiences Study Committee," ACESConnection.com – This article describes a bill in Arizona, H.B. 2198, which is designed to better address childhood trauma by establishing a committee to thoroughly investigate all areas related to adverse childhood experiences, including prevention, treatment, long term effects of trauma, and others. http://www.acesconnection.com/blog/arizona-legislation-creates-adverse-childhood-experiences-study-committee
  53. Sesame Street Plans Social-Emotional Learning Program for Refugee Children, EdWeek.orgThis article describes a new Sesame Workshop initiative created in partnership with the International Rescue Committee. The goal is to “deliver transformative early learning and social-emotional support to millions of refugee children in Jordan, Lebanon, Iraq, and Syria.” This project includes digital platforms and printed materials with relevant cultural content to be disseminated through schools, community centers, social protection programs, and health clinics.
  54. Trauma-Informed Care Environmental Scan Released, ACEsConnection.comDescription of the Illinois ACEs Response Collaborative’s Environmental Scan Report, whose goal it is to uncover essential characteristics, promising practices, and obstacles for meaningful systems change towards trauma-informed care. Access article at http://www.acesconnection.com/blog/trauma-informed-care-environmental-scan-released
  55. Do Some Trauma Survivors Cope by Overworking, The Atlantic.comCase studies depict the link between traumatic experiences and overwork or work addiction, and the need for more research in this area.
  56. Why Aren't Trauma Survivors Warned that Parenthood May Be a PTSD Trigger, ACEsConnection.com – Personal story of a mother who was sexually abused as a child experiencing PTSD triggers while parenting her own children. She describes the difficulty of everyday tasks and the unavoidable fact that her own children are her triggers. She describes the importance of educating providers about trauma survivors who become parents and their unique needs. Access article at http://www.acesconnection.com/blog/why-aren-t-trauma-survivors-warned-that-parenthood-may-be-a-ptsd-trigger-www-triggerpointsanthology-com
  57. Understanding and Responding to the Needs of Commercially Sexually Exploited Youth, NIH.govThis article, published by the Child and Adolescent Psychiatric Clinics, aims to increase awareness about the increase in commercial sexual exploitation of children (CSEC). The article provides guidance for identifying the risk factors for CSEC and treatment options that can help improve detection and care for this underserved population.
  58. Human Anti-Trafficking Response Team (HART), CT.govThe State of Connecticut Department of Children and Families (DCF) has increasingly sharpened its focus on the growing issue of domestic minor sex trafficking (DMST) afflicting children across the state.
  59. Safe Center for Human Trafficking Survivors, UMDSafeCenter.org - The University of Maryland Safe Center for Human Trafficking Survivors provides survivor-centered and trauma-informed services that empower trafficking survivors to heal and reclaim their lives. The Center also prevents trafficking and better serves survivors through research and policy advocacy.
  60. ACEs articles by category Oct 18, 2016 – Wisconsin Dept of Health Services, ACEsConnection.com – Scott Web, from the Wisconsin Department of Health Services, has provided a comprehensive list of articles about ACEs covering Adversity Impact; Brain and Biology; Bullying; Courts, Juvenile Justice, Corrections, and Probation; Post-Traumatic Stress Disorder; Resilience; Schools; Substance Use Disorder; and Trauma-Informed Care. To access this resource copy and paste the following link into your browser http://www.acesconnection.com/blog/a-month-of-aces-articles-by-category-wisconsin-dept-of-health-services
  61. Animal Assisted Therapy Bill. Connecticut enacted this bill on October 1, 2013. The bill requires collaboration with mental health care providers to incorporate animal assisted therapy into therapy for children and youth, the development of a coordinated volunteer canine crisis response team, and the development of a results based accountability assessment of the results of animal assisted programs. This bill could set a precedent for other states to participate in animal assisted therapy.
  62. At-risk girls prone to social withdrawal before acting out through crime.This article discussed a recent study published in The Journal of Interpersonal Violence, which found that girls who experience physical abuse as children tend to internalize their feelings and are often quiet and withdrawn, whereas abused boys more often tend to act out aggressively, getting into fights and trouble at school. Surprisingly, it was the girls who were withdrawn as children who were most likely later to exhibit antisocial behavior — reporting a pattern of abusive relationships and engaging in criminal activity — as adults.
  63. Behind the Mask: Revealing the Trauma of War. A powerful website with stories about soldiers and their families dealing with brain injuries caused by blast events that change soldiers in ways many can’t articulate. Some use art therapy, creating painted masks to express how they feel.
  64. Black Girls Matter: Pushed Out, Overpoliced and Underprotected. This report is based on a new review of national data and personal interviews with young women in Boston and New York.   According to recent data from the U.S. Department of Education cited in the report, nationally black girls were suspended six times more than white girls, while black boys were suspended three times as often as white boys.  Available on this website is the report, the executive summary, and a Black Girls Matter: Social Media Guide, which provides images, tweets, and key messages for use in promoting the basic point that Black Girls Matter.
  65. Bringing ACEs to Church Leaders. Linda Ransons Jacobs is integrating ACEs information into DivorceCare for Kids, a nonprofit organization of 15,000 churches.
  66. Building Resilience After Trauma. This website contains multiple resources on different types of trauma (i.e. domestic violence, sexual abuse, traumatic grief) and resources on treating special populations, such as homeless youth, LGBTQ youth and youth with substance abuse/dependence.
  67. Bullied Kids May Have Double the Risk of Being Overweight at 18, PsychCentral.com – Studies have been done to establish the mental health problems associated with being bullied, but a new study from King’s College London introduces consequences to physical health. A longitudinal study shows an association between being bullied in primary and/or secondary school and being overweight as a young adult.
  68. The Case for a Facility Dog Program. April 23, 2014. Policy Research Associates explains the benefits of having a facility dog in the courtroom, especially in cases where victims and witnesses have experienced trauma. The facility dog serves to calm and comfort the victim, which allows them to momentarily escape their trauma and gain the strength to testify against whoever abused them.
  69. Child Welfare Information Gateway. This information portal lists resources aimed at adults who are survivors of childhood trauma. Childhood trauma has lifelong implications, and these resources aim to help the adult recover and move on from their traumatic experiences. Addressing childhood trauma in adults can help to prevent intergenerational trauma.
  70. Child Welfare Systems Grapple with How to Translate Brain Science into Practice, ChronicleOfSocialChange.org – Applying the Science of Child Development in Child Welfare Systems suggests areas where those in child welfare can apply changes to better address the brain science behind toxic stress.
  71. Childhood Adversity Linked to Blood Pressure Dysfunction, MedicalXpress.com – Researchers are finding an association between adverse childhood experiences and faster increases of blood pressure in adulthood.
  72. Framework for Prevention of Child Maltreatment. This page from the Child Welfare Information Gateway lists and explains the different levels of public health prevention: primary, secondary and tertiary. Examples of prevention strategies specific to childhood trauma are given.
  73. Grandma’s Experiences Leave a Mark on Your Genes. June 11, 2013. This article published in Discover describes how scientists Michael Meany and Moshe Szyf started studying the epigenetics of trauma—how traumatic experiences can create changes in the epigenome, which can then possibly be passed on to offspring. Pharmaceutical and biotech companies are on the hunt for epigenetic drugs to treat depression, anxiety and PTSD where today’s drugs have failed.
  74. How one generation’s experience can affect the next. It is now becoming more evident that the environments of both the mother and the father can influence offspring’s phenotype. While it is clear that the conditions experienced by parents can affect their offspring’s metabolism and risk for various diseases, it is important to be cautious in interpreting what this means for human health.
  75. Job-Based Aid Programs Should Address Trauma. Employment is often a requirement to qualify for many federal assistance programs geared toward poor young families, but a new study shows that people who need the most help often have overwhelmingly high levels of adversity and exposure to violence that can limit their success in the workplace.
  76. More Focused, Better Behaved Kids, Through Mindfulness. Advocates say that mindfulness, a behavioral learning approach that is experiencing exponential growth in schools across the country, develops a moment-by-moment awareness of one’s thoughts, emotions, sensations and surrounding environment. It has been shown to strengthen our ability to pay attention where and when we want. It can also help us regulate our emotions; grow understanding and compassion for what others are experiencing; wisely adapt behavior patterns; increase our ability to calm ourselves; and build resilience to life’s ups and downs. Students practicing mindfulness realize that if emotions escalate they need to take time to calm down and think, so they are able to avoid a regretful response.
  77. New Computer Technology Identifies Suicidal Behavior from Words, PsychCentral.com – An algorithm used by a computer technology called machine learning is able to accurately determine whether a patient is suicidal, mentally ill and not suicidal, or neither.
  78. NIMH-Funded Study to Track the Effects of Trauma, NIH.gov – Trauma related disorder affect millions of Americans. The National Institute of Mental Health is funding a study with the potential to identify underlying causes of impairment and new targets for interventions that will improve care for individuals at high risk of post-traumatic stress conditions.
  79. Prison Born. The Atlantic. What becomes of the babies of incarcerated mothers? Research suggests that having nurseries in prisons leads to lower recidivism rates for moms and better outcomes for their kids.
  80. Racing ACEs gathering and reflection: If it’s not racially just, it’s not trauma-informed, ACEsConnection.com – Racing ACEs acknowledges that there is an intersection between adverse childhood experiences and historical trauma and oppression. To access this resource copy and paste the following link into your browser http://www.acesconnection.com/blog/racing-aces-gathering-and-reflection-if-it-s-not-racially-just-it-s-not-trauma-informed
  81. Rat Study Suggests Even Brief Stress Can Affect Brain, PsychCentral.com. A new study suggests that stress can cause the portion of your brain responsible for memory to shrink before memory and behavior change become evident.
  82. Safe Space, Safe Places: Creating Welcoming and Inclusive Environments for Traumatized LGBT Youth. The NCTSN Child Sexual Abuse committee is pleased to announce the launch of a new video which highlights the effect of trauma on LGBTQ youth; how bias impedes optimal care, and practical steps for creating safe and welcoming environments for traumatized LGBTQ youth. The video features five LGBTQ youth describing how trauma and bias have affected their ability to feel safe when seeking services. NCTSN presenters discuss specific steps that professionals and organizations can take to create safer and more welcoming environments for traumatized LGBTQ youth.
  83. Safety Net Programs Don't Support High Rates Of Trauma In Participants. A recent study found that a high number of participants in a federal cash assistance program have suffered significant childhood adversity, exposure to violence as adults and other poverty-related stressors, highlighting the need to take participants' past trauma into account.
  84. San Francisco Teens Study Adversity Among Their Peers. The research study, which recruited and surveyed 9th-12th grade high school students from Leadership High School during the 2015-2016 academic school year presents lessons that further emphasize the need for immediate action to address the problem of ACEs, particularly for youth living in marginalized communities.
  85. The Science of Suffering: Kids are inheriting their parents’ trauma. Can science stop it? New Republic. November 16, 2014. This article highlights the trauma experienced by refuges, holocaust survivors, Native Americans, and other populations, and how their trauma has been passed on to the second generation. The article summarizes research that provides the scientific basis for this “transmission” of trauma and how it can help understand how trauma is passed on and why some individuals are more resilient than others.
  86. Students with influence over peers reduce school bullying by 30 percent. Curbing school bullying has been a focal point for educators, administrators, policymakers and parents, but the answer may not lie within rules set by adults, according to new research. Instead, the solution might actually be to have the students themselves, particularly those most connected to their peers, promote conflict resolution in school. Peers influencing peers is a base of a test program called the Roots program, which engages the school's most influential students, only some of whom fit the typical profile of a student leader or a popular student, to spread anti-conflict messages.
  87. Trauma Informed Care for Intellectually Disabled. (PDF, 651KB). Dr. Julie Gentile gives insight into how people with intellectual disabilities (ID) may experience trauma differently than non-ID people. She then gives suggestions on how to treat trauma based on the individuals’ developmental level.
  88. Trauma may pave the road to prison for many women. This article by STWNEWSPRESS highlights that PTSD is the second most common mental illness among incarcerated women, with about one in five showing symptoms, or five times the rate for men.
  89. Unique PTSD/Depression Risk Factors for Blacks, Latinos. A study analyzed certain types of negative experiences that may affect low-income African-Americans and Latinos and found five specific environmental factors, which the researchers call “domains,” that can predict adult depression, anxiety, and post-traumatic stress disorder.
  90. Veterans: Serving and healing in community. The Telling Project organizes local veterans in communities across the country to share a professionally scripted narrative of their own stories to civilian audiences of family members, friends and strangers.
  91. What Can Be Done to Prevent Child Abuse and Neglect? This is the seventh chapter from the Administration for Children and Families’ “A Coordinated Response to Child Abuse and Neglect: The Foundation for Practice”. This chapter emphasizes the importance of prevention as a strategy. Prevention efforts occur before a problem develops so that the problem itself, or the manifestation of the problem, can be stopped or lessened. Examples of prevention strategies are given, as well as links to organizations that actively work to prevent child abuse and neglect.
  92. When puppets meet refugees, healing begins for children. This article discussed the use of puppets to help children process their trauma. "Syrian children who have seen their houses bombed and family members killed are using string, glue, socks, beads and other odds and ends to help put their lives back together. …"

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Downloadable Documents

  1. Testifying in Court about Trauma: Following the Hearing, NCTSN.orgThis is the last fact sheet in this series focuses on follow-through – for clinicians, clients, and their caregivers – after the court process. Because testifying in court can be a difficult and stressful experience for clients and their caregivers, clinician’s should follow up with them, to support them and give them the opportunity to ask questions. Clinicians must keep in mind that testifying can be indirectly traumatizing and that they should seek out strategies to prevent secondary traumatic stress.
  2. A hope for change: Duluth Indian Child Welfare Court aims for better outcomes for Native American families, Inforum.comIndian Child Welfare Court, began in the spring of 2015 as a way to offer a better, more culturally sensitive experience to Native American families moving through the legal system.
  3. From Best Practices to Breakthrough Impacts: A science-based approach to building a more promising future for young children and families, NETDNA-CDN.comThis report includes information on the science of early childhood development, lessons learned from program evaluation research, how to produce breakthrough impacts using research and development, and a call to action to create new opportunities to collaborate for new research regarding best practice and learning more about which strategies do or do not work for young children and families and why. 
  4. Beyond ACEs: Building Hope and Resiliency in Iowa: Findings on adverse childhood experiences in Iowa from 2012-2014 and opportunities to respond, PromisePartners.org – This report defines ACEs and their impact on development, highlights findings regarding the prevalence and impact of ACEs within Iowa, offers case studies framed around areas such as physical health, mental health, impact on health risk behaviors, and ways that parents, young people, educators, employers, and community members can “break the cycle” with ACEs.
  5. Principles of Trauma-Informed Approaches to Child Sexual Abuse: A Discussion Paper, APO.org – This paper discusses the status of the application of trauma-informed care in Australia and identifies several challenges. While there is a significant interest in trauma-informed approaches to care, there is not yet a body of coordinated, publicly available material, or an agreement on how principles of trauma-informed care should be put into practice. The authors encourage the development of collaborative initiatives to design, implement, and evaluate systemic approaches to trauma-informed care.
  6. Guidance to States and Services on Addressing Human Trafficking of Children and Youth in the United States, ConstantContact.comThe US Department of Health and Human Services Administration for Children, Youth and Families (ACYF) is providing guidance to states and service programs to build greater awareness and better response to the problem of child trafficking.
  7. Addressing Child Sex Trafficking from a Child Welfare Perspective, ConstantContact.com A national survey, from the Casey Family Program, was done to gather child welfare leader insights into the issue of child sex trafficking and what they need to learn about in order to combat it. This report provides outcomes from that survey.
  8. Washington State Model Protocol for Commercially Sexually Exploited Children, ConstantContact.com - The Center for Children and Youth Justice aims to provide technical assistance and training to communities in adapting the commercial sexual exploitation of children (CSEC) model protocol to localities throughout Washington State, and establish structures for ensuring continuing improvements to the protocol.
  9. Domestic Minor Sex Trafficking/Commercial Sexual Exploitation of Children, ConstantContact.comThe Foster Family-based Treatment Association has provided a compilation of resources for providers of Treatment or Therapeutic Foster Care (TFC) to address the identification and treatment of victim-survivors of Domestic Minor Sex Trafficking (DMST)/Commercial Sexual Exploitation of Children (CSEC).
  10. Trauma-Informed Case Management Webinar Series, FreedomNetworkUSA.orgThis practical 4-part training and technical assistance series for case managers and social workers working with trafficking survivors includes information on case management, confidentiality, referrals, intakes and safety planning.
  11. Trauma Informed Care: Pediatric/Children’s Disaster Resilience Group Call, JBSInternational.com – This presentation provides general information about the impact of trauma at the individual and systemic level. It also provides information about evidence based practices for working with individuals who have experienced trauma and demonstrated how these practices can be applied following an environmental or man-made disaster.
  12. A Call for the Integration of Trauma-Informed Care Among Intellectual and Developmental Disability Organizations. Keesler JM. Journal of Policy and Practice in Intellectual Disabilities. 2014,11(1):34-42. This article explains the previously unnoticed link between childhood trauma and intellectual and developmental disabilities, and makes recommendations on how to include trauma in the forefront of service delivery for individuals with intellectual and developmental disabilities.
  13. Behavioral control blunts reactions to contemporaneous and future adverse events: Medial prefrontal cortex plasticity and a corticostriatal network. Maier S.F. 2014. Neurobiology of Stress. Recently, it has become clear that the experience of behavioral control over adverse events produces enduring changes that reduce the effects of subsequent negative events, even if they are uncontrollable and quite different from the original event controlled. This review focuses on the mechanism by which control both limits the impact of the stressor being experienced and produces enduring, trans-situational “immunization”. Importantly, the joint occurrence of control and adverse events seems to produce enduring plastic changes in the topedown inhibitory mPFC system such that this system is now activated by later adverse events even if they are uncontrollable, thereby reducing the impact of these events. Other issues are discussed that include a) whether other processes such as safety signals and exercise, that lead to resistance/resilience, also use the mPFC circuitry or do so in other ways; b) whether control has similar effects and neural mediation in humans, and c) the relationship of this work to clinical phenomena.
  14. Childhood maltreatment is associated with distinct genomic and epigenetic profiles in posttraumatic stress disorder. Mehta D et al. Proceedings of the National Academy of the Sciences. 2013;110(20:8302-8307. This study shows that PTSD patients who were abused as children have different patterns of DNA methylation and gene expression compared to those that were not abused as children. 98% of the changes in gene expression patterns in the PTSD patients with childhood abuse did not overlap with those found in PTSD patients without childhood abuse. The researchers also found that epigenetic marks associated with gene expression changes were 12-fold higher in PTSD patients with a history of childhood abuse. These findings suggest that we need to rethink our classifications of PTSD, and therefore tailor treatment to each patient and his or her experiences.
  15. Creating a Trauma-Informed Criminal Justice System for Women: Why and How. (PDF, 1MB). The Substance Abuse and Mental Health Service Administration (SAMHSA) explains how there seems to be a pattern of the same women cycling through the criminal justice system, wrestling with persistent mental health and substance abuse issues. By placing interventions throughout the criminal justice system, these women can break the cycle of trauma and avoid incarceration.
  16. Essential Components of Trauma-Informed Judicial Practice. (PDF, 2MB). In this document, the Substance Abuse and Mental Health Service Administration (SAMHSA) recommends implementing small changes to how a treatment court interacts with court participants, which will lead to more successful interactions and better chance of recovery and success for the participant. This trauma awareness is an opportunity to make small adjustments that improve judicial outcomes while minimizing avoidable challenges and conflict during and after hearings.
  17. Estimated Annual Cost of Child Abuse and Neglect. (PDF, 415KB). Gelles R, Pearlman S. 2012. Chicago IL: Prevent Child Abuse America. This report includes the direct (hospitalizations, mental health care system, law enforcement, etc.) and indirect costs (special education, lost productivity to society, etc.) attributed to child abuse and neglect.
  18. Implementing Trauma-Informed Approaches in Access to Recovery Programs. (PDF, 2MB). Access to Recovery (ATR) 3. This technical assistance package from the Substance Abuse and Mental Health Service Administration (SAMHSA) emphasizes the need for choice and experience-driven trauma-informed practices in substance abuse treatments. The paper gives examples of client groups and their unique needs and experiences.
  19. Recognizing resilience: Learning from the effects of stress on the brain. McEven, B.S., Gray, J.D., & Nasca, C. 2014. Neurobiology of Stress. As the central organ of stress and adaptation to stressors, the brain plays a pivotal role in behavioral and physiological responses that may lead to successful adaptation or to pathophysiology and mental and physical disease. In this context, resilience can be defined as “achieving a positive outcome in the face of adversity”. The goal is to recognize those biological changes that underlie flexible adaptability, and to recognize gene pathways, epigenetic factors and structural changes that indicate lack of resilience leading to negative outcomes, particularly when the individual is challenged by new circumstances. Early life experiences determine individual differences in such capabilities via epigenetic pathways and laying down of brain architecture that determine the later capacity for flexible adaptation or the lack thereof. Reactivation of such plasticity in individuals lacking such resilience is a new challenge for research and practical application. Finally, sex differences in the plasticity of the brain are often overlooked and must be more fully investigated.
  20. Strategic Action Plan on Services for Victims of Human Trafficking in the United States 2013-2017. (PDF, 3MB). This five year plan created by the President’s Interagency Task Force to Combat Trafficking in Persons aims to align efforts, improve understanding, expand access to services, and improve outcomes for people who are victims of human trafficking. This plan takes a person-centered, trauma-informed approach, and involves different branches and levels of the federal government.
  21. Supporting Brain Development in Traumatized Children and Youth. (PDF, 533KB). The Child Welfare Information Gateway provides information on the effects of trauma on brain development. It contains strategies and tools to help caregivers identify if the child or youth’s development is delayed, and how to promote healthy brain development.
  22. Trauma-Informed Approaches: Federal Activities and Initiatives. (PDF, 632KB). Federal Partners Committee on Women and Trauma. September, 2013. This committee is an intergovernmental effort to address the causes and consequences of trauma, with a focus on women and girls. This document describes how multiple federal entities are working together to make a trauma-informed world that is safe for women.
  23. Trauma-Informed or Trauma-Denied: Principles and Implementation of Trauma-Informed Services for Women. Elliot DE, Bjelajac P, Fallot RD, Markoff LS, Reed BG. Journal of Community Psychology. 2005;33(4):461-477. This article seeks to bridge the gap between practice (service delivery) and philosophy (trauma theory, empowerment, relational theory). Examples of trauma-informed services in human services areas are given. The article recommends that consumers be directly involved with the design and evaluation of services.
  24. Understanding the Effects of Maltreatment on Brain Development. (PDF, 193KB). This issue brief from the Child Welfare Information Gateway provides information on the effects of abuse and neglect on brain development. The issue brief includes implications of brain development on trauma-informed practice and treatment. Understanding the neurobiology underlying challenging behavior, and the child’s individual experiences, are valuable tools in effectively treating the child.
  25. Working Effectively With Military Families: 10 Key Concepts All Providers Should Know. (PDF, 1MB). National Child Traumatic Stress Network. This list includes the different concepts that providers should be aware of when treating a veteran or military family with PTSD. Many support systems are available within and surrounding military communities, but mental health providers outside these systems should be able to support the resilience of military families and help them understand the importance of physical and emotional self-care.

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Additional References

  1. Emerging Treatments for PTSD. Cukor J, Spitalnick J, Difede J, Rizzo A, Rothbaum BO. Clinical Psychology Review. 2009; 21(6): 559-569.This article examines the evidence for a range of emerging interventions, from social and family-based treatments to technological-based treatments. It also reviews recent findings regarding novel pharmacologic approaches. Most of these treatments require more research, but they are a strong start to the new frontier of PTSD treatment.
  2. Neurobiologically Informed Trauma Therapy with Children and Adolescents. This book by Linda Chapman introduces a model of treatment grounded in the physical, psychological and cognitive reactions that children have to traumatic experiences. This book contains the most recent knowledge of the role of the right hemisphere in development and therapy.

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