1. Developing trust with adolescents
A MATTER OF TRUST
Developing trust with adolescents

2. WHAT COMES BEFORE : TRAUMA IN THE US
Changing View of Trauma
National Comorbidity Study Adolescents
Potentially Traumatic Experiences %
More Females than Males

3. TRAUMA IN THE US, continued
National Epidemiologic Survey on Alcohol and Related Conditions
1) 71.6% witnessed
2) 30.7% trauma plus injury
3) 17.3% psychological

4. TRAUMA IN THE US, continued
The Women, Co-occurring Disorders and Violence Study
1) 59%-99% seeking treatment
2) Higher levels of Intimate Partner Violence

5. TRAUMA IN THE US, continued
The Adverse Childhood Experiences Study
1) One out of four
2) Higher for females
3) Earlier causes more potential

6. HIGH RISK POPULATIONS Native American Alaskan Native African American
Mixed Race
Higher rates of maltreatment and neglect
More than 50% of African American, Native American and Hispanic youth have witnessed violence

7. HIGH RISK POPULATIONS, continued
Youth whose parents have a criminal record or a history of mental illness, alcoholism and/or substance abuse
Witness Domestic Violence
Victims of Child Abuse
Sexual Abuse
Access to Drugs and Alcohol

8. HIGH RISK POPULATIONS, continued
LGTB Youth
Higher incidence of physical and sexual abuse
Lower levels of support
“Hate” Rape perpetrated against lesbians

9. HIGH RISK POPULATIONS, continued
Youth who live in “Conflict Zones”
More than 75% of youth who witness a school shooting have PTSD

10. HIGH RISK POPULATIONS Girls and Women More Likely to be Victims
Trauma more likely to be intentional
Intimate Partner Violence 1 in 5 females have been raped
1 in 59 males

11. HIGH RISK POPULATIONS Girls and Women More Likely to be Victims
Trauma more likely to be intentional
Intimate Partner Violence 1 in 5 females have been raped
1 in 59 males

12. TRAUMA, STRESS and CHILDREN
Adverse childhood experience
Prevalence Emotional abuse Female Male Total
Physical
Sexual
Emotional Neglect
Physical
One ACE
Four ACE

13. ACE Study Household dysfunction Totals Caretaker abused 12.7
Substance Abuse
Mental Illness
Divorce/Separation
Incarceration

14. Patience and Repetition
Words and Actions
Do the right thing

15. More Than Love
Care
Concern

16. Components of Trust Reliability If you say it No qualifiers
Not always 2 way street

17. Components of Trust Predictability Life values Stories
“I” instead of “you”

18. Components of Trust
Faith
Conflict
Best Interest
Even if