1. Trauma-Informed Practice eLearning (draft) 5/27/16

2. Welcome Trauma-Informed Practice eLearning 60 minutes

3. Course Outline Pre-test Key terms and definitions Impact of trauma on development Responses to trauma Special considerations for CSEC and LGBT youth

4. Learning Objectives Knowledge K1. The trainee will be able to define key terms related to childhood traumatic stress and describe experiences that constitute childhood trauma. These include, but are not limited to: Acute trauma Chronic trauma Complex trauma Trauma triggers K2. The trainee will be able to describe how traumatic experiences affect children at various developmental stages, including brain development and memory. K3. The trainee will be able to describe behaviors associated with traumatic responses at carious developmental stages and chronological ages K4. The trainee will be able to identify Commercially Sexually Exploited Children (CSEC) as trauma victims. K5. The trainee will be able to identify LGBT youth as a highly vulnerable population for trauma exposure. K6. The trainee will identify ways to support healing and recovery of youth who have experienced trauma, especially CSEC and LGBT youth.

5. Learning Objectives Values V1. The trainee will support referring children with a trauma history for a thorough trauma assessment and specific trauma-related mental health services V2. The trainee will recognize the importance of supporting parents, caregivers, and others who care for children and youth in the child welfare system by promoting trauma- informed practice and making available resources related to trauma education and trauma treatment. V3. The trainee will appreciate the need to informed, skilled, and culturally relevant interventions for CSEC and LGBT youth.

6. Child Traumatic Stress Physical Responses Emotional Responses Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

7. Situations that can be traumatic Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

8. DIFFERENT TYPES OF TRAUMATIC STRESS Acute trauma Chronic trauma Complex Trauma Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

9. Acute Trauma Single traumatic event that is limited in time Examples: – Serious accidents – Community violence – Natural disasters – Sudden or violent loss of a loved one – Physical or sexual assault – School shootings Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

10. Chronic Trauma Multiple and varied Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

11. Complex Trauma Exposure to chronic trauma Usually caused by adults entrusted with the child’s care such as parents or caregivers Immediate and long-term impact on the child Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

12. Children in the Child Welfare System Acute and chronic trauma Poverty Inability of caregiver to meet needs Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

13. Other Sources of Ongoing Stress Poverty Discrimination Separation from parents/siblings Frequent moves School problems Traumatic grief and loss Refugee or immigrant experiences Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

14. How many children experience child traumatic stress? In 2010, according to a U.S. Department of Health and Human Services report, 695,000 children were victims of substantiated child maltreatment. Of these: – 78.3% experienced neglect – 17.6% were physically abused – 9.2% were sexually abused – 8.1% endured emotional abuse – 2.3% were subjected to medical neglect 14 Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

15. Factors that influence how children experience trauma 15 Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

16. Impact of Complex Trauma Attachment Biology Mood Regulation Dissociation Behavioral Control Cognition Self-Concept Development Child Welfare Training Toolkit: January 2013 (Trainer Guide and Participant Manual) www.NCTSN.org

17. Impact of Trauma Credit: Tapert, S. F., Caldwell, L., & Burke, C. (2004/2005). Alcohol and the adolescent brain: Human studies. Alcohol Research & Health, 28(4), 205–212. Child Welfare Information Gateway. (2015). Understanding the effects of maltreatment on brain development. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.

18. Reactions to Trauma Infants Preschool and young school-age children School-age children Adolescents

19. What are Trauma Reminders? Anything that reminds children of past traumatic experiences (even years afterward): places, people, sights, sounds, smells, and feelings Child Welfare Trauma Training Toolkit: Trauma Reminders | March 2008 The National Child Traumatic Stress Network www.NCTSN.org19 7 year old boy 3 year old girl 9 year old girl ToddlerTeenager 12 year old boy

20. Trauma Reminders Child Welfare Trauma Training Toolkit: Trauma Reminders | March 2008 The National Child Traumatic Stress Network www.NCTSN.org20

21. CSEC Complex trauma reactions PTSD Damaged sense of self Compromised interpersonal boundaries Distrust of others Suicidality Anxiety Depression Substance abuse Facts for Policymakers: Commerical Sexual Exploitation of Youth| October 2015 The National Child Traumatic Stress Network www.NCTSN.org21

22. CSEC Core Competencies for Serving Commercially Sexually Exploited Children (CSEC), 2015, Child Welfare Council CSEC Action Team

23. LGBT Youth 123456 Promoting Culturally Competent Trauma-Informed Practices NCTSN Culture & Trauma Briefs v1 n2. 2006 www.NCTSN.org23

24. LGBT Youth

25. Conclusion

26. Additional Resources The following are additional resources to learn more about trauma: – www.nctsn.org www.nctsn.org – www.childtrauma.org www.childtrauma.org – http://www.nimh.nih.gov/health/publications/hel ping-children-and-adolescents-cope-with- violence-and-disasters-parents-trifold/index.shtml