1. 910: Trauma and Medication: Your Role as Resource Parent
Welcome!
The Pennsylvania Child Welfare Training Program

2. Agenda
Section 1: Introduction Section 2: Understanding the Effects of Trauma on Brain Development Section 3: The Role of Trauma Informed Care Break Section 4: Psychotropic Medications Section 5: Making Medical Decisions with a Team Section 6: Summary and Evaluation
The Pennsylvania Child Welfare Training Program

3. Name Hobby # Of Children Favorite part about being a resource parent
Name Tags
Hobby
# Of Children
Length of time being a resource parent
Favorite part about being a resource parent
Name

4. What’s In It For Me?
What do you hope to gain from this training?

5. Learning Objectives
Upon completion of this training, participants will be able to
Understand the significance of brain development and the effects of trauma on the brain development of children and youth
Understand how trauma informed care principles and practices apply to the use of psychotropic medications with children and youth in care
Recognize the prevalence of mental health diagnoses and psychotropic medications for children and youth in care.
Describe the types and uses of psychotropic medications utilized with children and youth in care
Understand the use of multidisciplinary teams to make informed medication decisions and provide collaborative monitoring and oversight
The Pennsylvania Child Welfare Training Program

6. Section 2 Understanding the Effects of Trauma on Brain Development
The Pennsylvania Child Welfare Training Program

7. Section Objectives
Understand the brain development of children and youth
Identify the impacts of psychotropic medications on brain functions
Identify mental health challenges facing youth in out-of-home placement
Identify the possible causes of trauma experienced by children and youth in care

8. Understanding Brain Development
Key Components Impacted By Trauma
Bonding and Attachment
The Social Brain

9. Large Group Discussion
Considering the impacts of trauma on brain development
What are some things you might see if a child hasn’t formed a bond or attachment with a caregiver?
What are some things you might see if a child hasn’t fully developed the social brain?

10. What is trauma? Individual Trauma Traumatic Stress

11. What can lead to trauma?

12. VIDEO Impacts of Trauma Toxic Stress Derails Healthy Development
(Center on the Developing Child at Harvard University, 2011)

13. Impacts of Trauma

14. End of Section 2
What questions do you have about the impacts of trauma?

15. Section 3 The Role of Trauma Informed Care
The Pennsylvania Child Welfare Training Program

16. Section Objectives
Understand the impacts that trauma have on children and youth in out of home placement
Recognize treatment techniques for children and youth in out of home placement
Understand the role of psychotropic medications in treating trauma

17. What Happened To You?

18. Elements of Trauma Informed Care
(Children’s Bureau et al., 2015)

19. Five Key Principles of Trauma Informed Care Activity
Group 1: How could you make a child who has experienced trauma feel safe?
Group 2: How could you build trust with child/youth in your care that has experienced trauma?
Group 3: How can you encourage a child/youth to be involved in decisions being made regarding his/her care?
Group 4: Who should play a role in the decision for care in a child/youth’s treatment for trauma?
Group 5: How can you empower a child/youth to advocate for their own needs?
(Fallot & Harris, 2009)

20. Five Key Principles of Trauma Informed Care
Safety
Trustworthiness
Choice
Collaboration
Empowerment
(Fallot & Harris, 2009)

21. Section 4 Psychotropic Medications
The Pennsylvania Child Welfare Training Program

22. Section Objectives
Identify types of psychotropic medications and treatment uses
Identify the impacts of psychotropic medications on brain functions
Understand the appropriate considerations for administering and monitoring psychotropic medications to a child or youth in out-of-home placement

23. Types of Psychotropic Medications
Antidepressants
Antianxiety Medications
Stimulants
Mood Stabilizers
Antipsychotic Medications
(NIMH, 2016)

24. Discussion

25. Section 5 Making Medical Decisions with a Team
The Pennsylvania Child Welfare Training Program

26. Section Objectives
Identify the role of the resource family in the medication decision process
Understand informed consent
Recognize key members of a treatment plan for children and youth in out-of-home placement
Prepare for medication appointments

27. Resource Family Role in Medical Decisions

28. Resource Family Role in Medical Decisions
Things to consider:
Child/youth needs to be heard
Does the provider have experience with providing trauma informed care and with working with a team?
Provide any available information to the prescribing doctor

29. Understanding Informed Consent
Informed consent is a process between the health provider and the child and his/her parent/guardian.

30. Recognizing Key Members of a Treatment Plan Team
Resource families do not need to be alone in making decisions regarding medication plans for a youth in their care.
Considering personal and professional relationships, who are some people that could be on a team to support you in making these decisions?

31. Preparing for Medical Appointments
What questions might you ask at a medication appointment?

32. Section 6 Summary and Evaluation
The Pennsylvania Child Welfare Training Program

33. Thank You! Questions or Comments?
The Pennsylvania Child Welfare Training Program