The Provincial Centre of Excellence for
Child and Youth Mental Health at CHEO
401 Smyth Rd.
Ottawa, ON K1H 8L1
Attn:
Dr Ian Manion, Executive Director, Operations
Vanessa Pleasance ([email protected])
Re:
Final Report for PEG 162606-015, Intergenerational Trauma Treatment
Model
Child & Youth Wellness Centre of Leeds & Grenville
Dear Dr Manion;
Please find enclosed our final report regarding our program evaluation grant 162606-015. The
grant has been invaluable in helping establish our capacity to participate in the wider research
study on the efficacy of the Intergenerational Trauma Treatment Model currently being
conducted by the program’s author, Valerie Copping.
Do not hesitate to contact us if you require further information. We will be pleased to keep the
Centre of Excellence fully apprised as the research process unfolds in Leeds and Grenville, and
as we become aware of the findings of the broader Ontario study.
Thank you so much for facilitating this tremendous opportunity.
Sincerely,
Amber McCart
Program Director
Final Report: Intergenerational Trauma Treatment Program Research Project (PEG 162606)
Section 1 – Face Sheet
Mental Health Service Provider Agency Information
Agency Name
Child and Youth Wellness Centre of Leeds and Grenvillle
Mailing Address:
779 Chelsea Street, Suite BU, Brockville, ON
K6V 6J8
Program Manager
(Evaluation)
Program Coordinator
Name: Amber McCart
Title/Position: Program Director
Name: Lorena Crosbie
Title/Position: ITTM Project
Coordinator
E-mail Address:
[email protected]
Program Manager
Telephone:
Home: (613) 6593037
Agency Executive Officer
(Administrator of Funds)
Name: Sally Wills
E-mail Address:
[email protected]
Agency Executive Officer
Telephone:
Home: ()
Office: (613) 498-4844
Ext: 34
Other:
Title/Position: Executive Director
Office: (613) 498-4844
Ext: 24
Other: (
Amount received from the Centre of Excellence (Maximum $10,000 one-time money): 10,000
Official Signatures
I certify that to the best of my knowledge, the information provided within this report is complete and accurate
Program (Evaluation) Manager Signature
Name
Signature
Date
Executive Officer (Authorized Signature & Administrator of Funds)
Name
Signature
Date
We will require both a hard (paper) and soft (electronic) version of your
report. Please send the electronic version to [email protected]
<mailto:vpleasance@
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Intergenerational Trauma Treatment Program Research Project
(PEG 162606)
Section 2 - Final Report:
The Intergenerational Trauma Treatment Model, authored by Valerie Copping, M.A. is in
its initial stages of development and implementation at CYWC. A 21 session program, ITTM has
its “roots in theories of trauma and attachment and combines parent training with cognitive
behavioural therapy to form a comprehensive trauma treatment program”. The program
consists of three distinct treatment phases
• Phase A – Group psycho-ed with parents;
• Phase B –parent training and positioning;
• Phase C –Trauma Treatment work with child, parent as participant.
Because the program is currently under research, our participation in the ongoing research study
in one of three capacities (ITTM Treatment evaluation, control group, regular treatment
evaluation) is considered an imperative requirement, as is ongoing supervision to ensure model
adherence, in delivering ITTM in Leeds and Grenville. Research tools have been selected/
developed and are currently implemented in 5 other communities. Please see attached:
“Evaluation of a Child Trauma Treatment Model with Caregivers Present “, Brown, R.A. &
Copping, V.E. , 2001
We are now at the stage of implementation where we are required to commence participation in
the research study. Because we have little infrastructure to facilitate this process, we were
immensely pleased to receive assistance in this regard from the Provincial Centre of Excellence for
Child and Youth Mental Health.
Valerie Copping’s comparison study is evaluating ITTM, this promising 21 session trauma
treatment program for children ages 4-12 and their caregivers/parents. All participant children
will have experienced at least one traumatic event. This evaluation process is currently underway
in five other sites in Ontario. The research study intends to evaluate impact of the model on:
a) presentation of conduct disordered or oppositional behaviours
b) symptoms of separation anxiety
c) level of caregiver / maternal depression
d) parent/ caregiver and child bond
1. Goals and objectives of the specific evaluation activities implemented:
Proposed:
Implementation Summary
1. Enable CYWC participation
in and contribution to the
ITTM research project
currently underway
provincially.
Requirement: to conduct the full
evaluation process with twentyfive subjects as part of our ITTM
commitment.
Consulted with Valerie Copping,
Program and Research Project Author
re: implementation protocols for
research study.
Status re:
Outcomes
Complete
Confirmed commitment to conduct
research with 25 parent/caregiver and
children who have successfully
completed all phases of ITTM
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(treatment group)
ITTM coordinator trained in
implementation of research tools.
2. Establish implementation
plan and schedule for
administering evaluation,
including staff training in
administering required
evaluation instruments.
• set up a process for
implementing five evaluative
instruments at five data points
along the ITTM treatment
continuum: BCFPI, CAFAS,
PSI (Parenting Stress Index),
PBI (Parental Bonding
Instrument), Trauma
Symptom Checklist for Young
Children).
Research tools acquired to meet our
commitment to the larger research
project
Orientation and training to ITTM
coordinator re: implementation of
evaluative instruments
Establishment of format for Data Base
to track and prompt implementation of
evaluation instruments at identified
points along treatment continuum has
been completed. Integration with
current data collection methods at
CYWC is underway.
Orientation and training to 15
participating clinical team members,
and 2 Intake workers. Dissemination
of training to participating clinical
team members scheduled for May,
2006.
190 hours (110
hours therapist
training and
delivery, 50 hours
data entry, 20
hours program
development and
supervision
completed.
Plan established
for ongoing
therapist training
and supervision to
ensure adherence
to program and
research protocols.
2. How this grant has built capacity for evaluation activities within the program,
and how these activities will be maintained in the future
We have worked hard as an organization to introduce the Intergenerational Trauma Treatment
Model into our array of services. 15 staff have completed the extensive training; we have offered 5
full Phase A Trauma Information Session Courses to our counties’ parents and caregivers, with
three more currently underway. ITTM is now integrated into our treatment services to the
community. Now that we have had opportunity to acquire both the evaluation instruments and
the training in their reliable use; and now that we have established a format for implementing
them, we expect that the actual implementation will unfold as part of the normal course of
treatment. As part of the implementation requirements for the ITTM, we have contracted with
Valerie Copping for monthly consultation to assist in ensuring that we adhere to the program
model and to the data collection schedule.
3. Knowledge exchange activities to convey findings of the research
study/program evaluation
As stated in our proposal “The Intergenerational Trauma Treatment Model is a promising practice
that warrants evaluation. In preliminary evaluation it demonstrates potential in particular to:
• Respond to and treat children and families struggling to cope with the impact of trauma
• Treat the effects of trauma regardless of the particular trauma event (broad applicability)
4
•
•
•
Strengthen parent/caregiver capacity to respond to their children’s unique needs
Reduce presentation of disruptive symptoms across settings (home, school, community)
Provide quick access to treatment (Phase A groups) and efficient movement through a
treatment process (average 21 session to family and child treatment completion)”
Because we anticipate that we are at the outset of our participation in a broader,
longitudinal study that is currently underway, we expect that knowledge dissemination
will be a staged process, unfolding over the next three years. Much of it will be
conducted under the auspices of that larger study. From the perspective of a CMHO
centre, we expect that the knowledge generated from this process will be used to inform:
•
•
•
•
•
ITTM’s efficacy as a treatment model, and its promotion among Leeds and
Grenvilles’s families and child-serving community partners
ITTM’s capacity to respond to the unique issues facing rural, geographically decentralized children’s mental health services
Partnership development for treatment delivery with local child welfare services,
and other family serving community partners, including dissemination of
evaluation outcomes.
Internal restructuring of programs and services
Presentation to other CMHO partner organizations regarding its efficacy as a
treatment option
To date we have established a local distribution list including links with key community
partners and treatment services providers to facilitate communication of our ongoing
findings as we implement the ITTM. This network will also disseminate program
information to parents/caregivers who would benefit from ITTM participation.
We have formed a link with one of our sister children’s mental health organizations for
Frontenac, Lennox and Addington Counties – Pathways for Children and Youth – who
are in beginning stages of implementing the ITTM in order to share information and
findings generated through participation in the ITTM. Another sister organization, Open
Doors for Lanark Children and Youth, along with Crossroads Children Centre in Ottawa
expect to complete ITTM training within the next calendar year. We have been in
dialogue with both Crossroads and Open Doors around their training plans, and expect
that we will be able to generate in the future a collaborative approach to using our
collective findings and experience with ITTM to evaluate the program from our unique
vantage in Eastern Ontario. We have discussed with Valerie Copping our particular interest as
well in investigating its capacity to assist families in our mental health setting – rural,
decentralized – and using that data to inform other CMH providers regarding its potential
efficacy.
We are working to deliver this program in part to respond to the high needs children in foster
settings and at risk families referred through our local child welfare agency. We expect it will help
inform our development of treatment options for child welfare-linked cases. We hope to use
preliminary findings when they are made available to our organization from the wider
research study to clarify our treatment approaches for our child welfare partners, and
further streamline the referral process to the program.
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Conclusion
Our ambitions in submitting for this grant were very modest, but vital to our ability to
position ourselves to contribute to the larger ITTM research study currently underway.
We have traveled some distance independently in training in the implementation of the
model itself, and are immensely appreciative of the assistance afforded through this
grant to put in place those key elements that will enable us to ensure that we are able to
adhere to the model, its research protocol. We look forward to future opportunity this
will afford us to evaluate the efficacy of this treatment model for our communities, and
to build a habit of collaboration in treatment delivery and evaluation with our
community partners.
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ACCOUNTING SUMMARY OF EXPENSES
Grant PEG 162606-015
Eligible Budget Items
Cost per Item ($)
Total Cost
($)
Personnel Costs
Community Therapist (130 Hours)
Administrative Co-ordination (50 hours)
Program Director (45 hours)
$ 4,205.28
$ 1,049.20
$ 2,082.52
Consultation Costs
Computer Costs (hardware and software; Max. $3,000)
Hardware
$ 1,839.70
Training Tools/Questionnaires
Instruments
Training/Consultation
$ 100.00
$ 723.30
Administrative Costs (details required; Max. $1,000)
Office Supplies (Max. $500)
Web-Design (Max. $500)
Travel (for data collection only)
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Total Cost of All Expenses (Max. $10,000)
$
$10,000.00
8