Grounded in theory and research on complex childhood trauma, this book provides an accessible, flexible, and comprehensive framework for intervention with children and adolescents and their caregivers. It is packed with practical clinical tools that are applicable in a range of settings, from outpatient treatment centers to residential programs. Rather than presenting a one-size-fits-all treatment model, the authors show how to plan and organize individualized interventions that promote resilience, strengthen child–caregiver relationships, and restore developmental competencies derailed by chronic, multiple stressors. More than 50 reproducible handouts, worksheets, and forms are featured; the large-size format facilitates photocopying. "This book moves beyond the developmentally limited diagnosis of PTSD to fully address the clinical complexity of traumatized children and families encountered in the real world. The authors, both experienced therapists, offer a detailed, theory-based treatment model supported by an array of pragmatic strategies and therapeutic suggestions. The depth and flexibility of this approach allow it to be translated to a wide range of settings in which traumatized children and their families are seen and served."
—Frank W. Putnam, MD, Departments of Pediatrics and Psychiatry, Cincinnati Children's Hospital Medical Center "Provides a lucid theoretical synthesis and an eminently practical toolkit for psychotherapy with children and adolescents with PTSD and other traumatic stress disorders. The emphasis on attachment, self-regulation, and competency is unique. This is an invaluable resource for all therapists who work with children and adolescents, as well as therapists in training."
—Julian D. Ford, PhD, Department of Psychiatry, University of Connecticut Health Center "Written by gifted clinicians, this book presents one of the most helpful therapeutic approaches for complex childhood trauma. It describes the developmental consequences of trauma and provides specific techniques for resolving them. The book is filled with examples, exercises, handouts, worksheets, and therapeutic tools that allow the clinician to directly intervene in the child or adolescent's relational schemata, self-regulation difficulties, and subsequent dysfunctional behaviors. Highly recommended!"
—John Briere, PhD, Departments of Psychiatry and Psychology, Keck School of Medicine, University of Southern California
Contents:
Introduction
I. Overview
1. The Developmental Impact of Trauma
2. Child Development, the Human Danger Response, and Adaptation: A Three-Part Model for Understanding Child Behaviors
3. The Attachment, Self-Regulation, and Competency (ARC) Treatment Framework
II. Attachment
4. Caregiver Management of Affect
5. Attunement
6. Consistent Caregiver Response
7. Building Routines and Rituals
Beyond Attachment: The Role of the Caregiving System in Building and Supporting Regulation and Competency
III. Self-Regulation
8. Affect Identification
9. Modulation
10. Affect Expression
IV. Competency
11. Strengthening Executive Functions
12. Self-Development and Identity
V. Integration
13. Trauma Experience Integration
A Postscript
Appendix A. Provider Materials
Appendix B. Caregiver Educational Materials and Worksheets
Appendix C. Group Activities
Appendix D. Youth Educational Handouts and Worksheets
Appendix E. Milieu–Systems Materials
Additional Resources
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