Errin Skinner-Liell, Initiative Coordinator
May 4, 2015
I. Overview of trauma
II. Components of the Initiative
III. Child outcome data
IV. Summary
Trauma is an event or experience that:
 Threatens the life or physical integrity of a
person or of someone critically important to
that person (such as a spouse, child, parent,
sibling)
 Produces intense physical and emotional
reactions, including:
• An overwhelming sense of terror,
helplessness, and horror
• Physical sensations such as rapid heart rate,
trembling, dizziness, or loss of bladder or bowel
control
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A sudden, unexpected, nonnormative event that overwhelms
the child’s capacity to cope.
Acute trauma is a single, time-limited
event, such as:
 A serious accident
 An act of community violence or crime
 A natural disaster (earthquakes,
wildfires, floods)
 The sudden or violent loss of a loved
one
 A physical or sexual assault (e.g., being
shot or raped)
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Chronic trauma is the experience of multiple
traumatic events:
 May be recurrent trauma of the same kind—such
as physical or sexual abuse—or varied traumas
such as witnessing domestic violence and then
becoming a victim of community violence
 The effects of chronic trauma tend to build on
each other, as each event serves as a reminder
of past trauma and reinforces its negative
impact
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“80% of the children we serve at
CMH have multiple traumatic
experiences”
CMHSP administrator
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•Trauma
Informed Screening
•Trauma Assessment and
Treatment
•Caregiver Education

Supported by all levels of the
CMH System
◦ Administration
◦ Supervisors
◦ Direct Service Staff
◦ Support Staff
◦ Caregivers
Trauma
Informed
Screening
Trauma
Assessment
and
Treatment
Caregiver Education
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Integration and support of trauma informed
practice across system
Family driven, youth guided practice
Quality practice and use of Evidence Based
Practice
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Goal is to ensure early identification of
trauma
Screening interventionists (in
person and via telephone)
Intake Workers
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Goal is to reduce trauma
symptomolgy through trauma
treatment using TFCBT
 Clinicians and their supervisors are trained in
the evidence based TF-CBT model and
implement the model with children and their
families.
 Home-based / Outpatient clinicians and their
supervisors
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P = Psychoeducation & Parenting skills
R = Relaxation
A = Affect regulation
C = Cognitive coping
T = Trauma Narrative
I = In-vivo exposure
C = Conjoint session
E = Enhancing safety & social skills
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Goal is for CMHSP’s to provide trauma education
to caregivers in their local community who are
raising traumatized youth
Training of trainers model enables sustainability
◦ Goal is for participating sites to incorporate this into
their system of services available for children, their
families, and their community
◦ CMH’s share this resource with caregivers in their
system and community

Desired outcome is to equip caregivers and the
community to effectively intervene and support
the healing of children with a history of trauma
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Introductions
Trauma 101
Understanding Trauma’s
Effects
Making a Safe Place
Dealing with Feelings and
Behaviors
The Importance of
Connection
Becoming an Advocate
Taking Care of Yourself
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Total of 12 cohorts completed; 2 cohorts
currently being trained
Approximately 20 screening interventionists
trained, 406 clinicians and 130 supervisors
trained to implement TFCBT, and 340
parents and staff facilitators trained to
conduct local Resource Parent trainings
40 CMHSP’s trained covering 73 counties
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Implementation of validated trauma screening
instrument during intake assessment process
Integration of the trauma principle “if you
don’t ask, they won’t tell” at the first point of
contact
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Continued statistically significant and
clinically relevant outcomes across all
measures: UCLA trauma symptoms based on
DSM criteria, CAFAS child measure, and
CAFAS parent measure.
Data for young children shows positive
results with home, mood, and behavior
toward others on the PECFAS, supported by
results on the TSCYC.
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Parents, professionals, and community
providers trained as facilitators of
psychoeducational trauma curriculum
Positive feedback from caregivers on the
impact of participating in the parent groups
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Support and commitment at all levels to build a
trauma informed system
Development of an action plan to address
secondary traumatic stress
Integration of essential elements (screening,
assessment/ treatment, and caregiver education)
Individual and/or group supervision to support
implementation of model and new tools
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Mary Ludtke, MDCH Consultant
Email: [email protected]
Telephone Number: (517) 241-5769
Errin Skinner Liell, Initiative Coordinator
Email: [email protected]
Telephone Number: (517) 346-8004
Kathy Fitzpatrick, Technical Assistance
Specialist
Email: [email protected]
Telephone Number: (517) 346-8070
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