Trauma Systems Therapy for Children and Teens / Edition 2

by Glenn N. Saxe MD, B. Heidi Ellis PhD, Adam D. Brown Ph.D.

Overview

This highly practical book has helped thousands of clinicians make the most of limited resources to support children and families struggling with chronic, multiple adversities. Trauma systems therapy (TST) is grounded in cutting-edge research on traumatic stress and child development. It provides a roadmap for integrating individualized treatment with services at the home, school, and community levels. Effective assessment and intervention strategies are accompanied by vivid case material and reproducible worksheets and forms. Purchasers get access to a webpage where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. (First edition title: Collaborative Treatment of Traumatized Children and Teens.)

New to This Edition
*Restructured to reflect significant conceptual and clinical advances.
*Even more clinician friendly: increased emphasis on practical aspects of assessment and treatment.
*Chapter on organizational planning.
*Chapters on TST innovations, including applications for diverse trauma populations and for problems other than trauma.
*More reproducible clinical tools—now downloadable.

Product Details

ISBN-13:	9781462521456
Publisher:	Guilford Publications, Inc.
Publication date:	11/11/2015
Edition description:	Second Edition
Pages:	506
Sales rank:	392,829
Product dimensions:	7.00(w) x 9.90(h) x 1.10(d)

About the Author

Glenn N. Saxe, MD, is the Arnold Simon Professor and Chair of the Department of Child and Adolescent Psychiatry at New York University (NYU) School of Medicine and Director of the NYU Child Study Center. Dr. Saxe is a physician-scientist with a focus on the psychiatric consequences of traumatic events in children and on factors that contribute to children’s risk and resilience in the face of adversity. He is the principal developer of trauma systems therapy (TST), which is currently used to guide clinical care in 14 states. He is also Director of the Center for Coordinated Trauma Services in Child Welfare, a National Child Traumatic Stress Network academic center funded to improve trauma services for the nation’s child welfare systems.
 
B. Heidi Ellis, PhD, is Assistant Professor of Psychiatry at Harvard Medical School and Boston Children's Hospital. She is also Director of the Refugee Trauma and Resilience Center at Boston Children's Hospital, a partner in the National Child Traumatic Stress Network. Dr. Ellis's primary focus is understanding how trauma and sociocultural contexts affect the mental health and development of youth, and translating this understanding into mental health and/or violence prevention intervention programs. She is the codeveloper of TST and oversees the adaptation and implementation of the model with refugee youth.
 
Adam D. Brown, PsyD, is Clinical Assistant Professor in the Department of Child and Adolescent Psychiatry at NYU School of Medicine. He is also the clinical coordinator of the trauma service at the NYU Child Study Center. At NYU, he directs training, consultation, and technical assistance in TST. Dr. Brown has overseen programs for youth in inpatient, day treatment, and residential settings, and has extensive training and expertise in the area of assessing and treating interpersonal trauma in children and adolescents. He has a focused interest in the complex interplay between traumatized youth and families, the people who provide care to these youth and families, and the systems that contain this care.

Table of Contents

1. Introduction to TST
I. Foundations
2. Survival Circuits
3. The Regulation of Survival-in-the-Moment States
4. The Social Environment and the Services System
5. Safety Signals
II. Getting Started
6. Ten Treatment Principles
7. The Treatment Team
8. Organizing Your Program
III. Doing TST
9. Assessment
10. Treatment Planning
11. Ready–Set–Go
12. Safety-Focused Treatment
13. Regulation-Focused Treatment
14. Beyond Trauma Treatment
15. Psychopharmacology
IV. Improving TST
16. Democratizing TST
17. Extending TST Beyond Trauma
18. Conclusions

Interviews

Mental health professionals working with 6- to 18-year-olds, including child and adolescent clinical psychologists, psychiatrists, social workers, and counselors. May serve as a supplemental text in graduate-level courses.

Editorial Reviews

"The authors provide helpful advice on the treatment of childhood traumatic stress that can be used by clinicians, teachers, social service workers, lawyers, administrators, policy makers....Helps guide individuals in the treatment of children as well as in the coordination of services under a financially constrained system of care." (on the first edition)

Journal of the American Academy of Child and Adolescent Psychiatry

"The authors of this text have done well in bridging a gap between theory and practice, while providing an easy-to-read text, which serves as a guidebook for effective treatment of traumatic stress in children and teens." (on the first edition)

Family Journal

A valuable resource that strikes the balance well between just the right amount of jargon-free theory and maintaining its focus on practical issues. The book is friendly and easy to read....Here is a book that offers a model that moves theory to practice in order to help all of us who endeavour to treat, support, and care for traumatised children and adolescents." (on the first edition)

Counselling Children and Young People

"An excellent resource for therapists who work with the children and families served by public mental health and child welfare systems. This is a practical treatment manual that incorporates all of the major techniques or practice elements used in proven trauma treatments....Saxe and colleagues have organized their book to be easily accessible for busy clinicians and other mental health workers who may find it difficult to tackle denser textbooks....I really like this book. I recommend it highly for clinicians working in children's mental health and for students in this field. In fact, I have been trying to find a way to buy copies for all of our state's contracted provider agencies, because I think they all could improve their practice by using at least some aspects of this approach. Although the book focuses on intensive outpatient treatment settings, the approach clearly could be applied in many of the other settings that make up our array of services, such as therapeutic group home or foster home programs." (on the first edition)

PsycCRITIQUES

"A marvelous, practical, integrative guide for all those who work to help traumatized kids. Based on a thorough understanding of the underlying biological, social, and attachment issues, this book confronts the realities of children's and families' lives and the awesome obstacles that providers face. TST offers a comprehensive way to deliver effective services and reorganize often-broken systems of care. This approach not only will facilitate healing, but also will help prevent practitioner burnout and the wasteful use of resources. I love the energy behind this work!"—Bessel A. van der Kolk, MD, Founder and President, Trauma Research Foundation, Boston, Massachusetts

"The second edition of this important book reflects the essence of what it takes to provide excellent trauma treatment. Everything in this volume makes complete sense, especially with regard to understanding and assessing the traumatized child's survival-in-the-moment states. Recommendations for planning treatment and integrating services are clear and concise. Readers will find this a valuable resource for developing comprehensive services for children and families exposed to traumatic life events."—Anthony P. Mannarino, PhD, Department of Psychiatry, Allegheny General Hospital and Drexel University College of Medicine

"Building on the strengths of their first edition, the authors have incorporated innovations from successful adopters of TST. This treatment model tackles multiple real-world challenges to thoroughly assess traumatized children and their families and social environments. Interventions targeting both the impact of trauma and the barriers to care in the environment take into consideration key principles of neurobiology, child development, and family systems, as well as the evidence base for treating child traumatic stress. The book includes a full set of therapeutic activities and reproducible assessment tools and worksheets. The new chapter on organizational planning and implementation facilitates adoption of this unique model of integrated care."—Lisa Amaya-Jackson, MD, MPH, UCLA-Duke National Center for Child Traumatic Stress, Duke University School of Medicine

From the Publisher

"This book would be extremely supportive to clinicians working in schools, homes, clinics, or the community….It is also extremely useful knowledge for any practitioner working with trauma, either in children or adults….The book is, effectively, a gold mine of information on trauma….The information is easy to access and well presented….An excellent resource….If you work in the field, I think you need this book on your shelf.

BACP Children and Young People

"This second edition represents the growth of TST and its increased focus on the TST treatment team working within a much larger, multifaceted organizational system….The 10 years between the first and second edition of this book led to the creation of a more robust and encompassing treatment plan. This excellent book details the growth of TST and its expansion to include more than the population of traumatized children. Much was learned over those 10 years, and that learning is carefully laid out in a comprehensive, organized, and, to use the author’s expression, ‘real world’ manner. It is clear that Saxe, Ellis, and Brown have ‘walked the walk’ and have created an excellent, important, well thought out, and detailed text which can have a profound impact on both providers and those in need of services. The book can be a valuable tool for any student or trainee in social work, psychology, psychiatry, pediatrics, or law who wishes for a greater understanding of the fundamentals of traumatic stress and its proper and effective management….This book breathes a breath of fresh air into a very thorny issue and does provide hope by focusing on the system as a target of therapy as well as on individual therapy….It is highly recommended for anyone working in or with agencies and with challenging populations.

Child and Family Behavior Therapy

"This book would be extremely supportive to clinicians working in schools, homes, clinics, or the community….It is also extremely useful knowledge for any practitioner working with trauma, either in children or adults….The book is, effectively, a gold mine of information on trauma….The information is easy to access and well presented….An excellent resource….If you work in the field, I think you need this book on your shelf.

Children and Young People

I recommend this book, as it provides the basic elements and components of the TST approach in a clear and integrated way and, as a textbook or manual, it is easy to read and follow." (on the first edition)

Journal of Children's and Young People's Nursing

"This is an excellent volume, particularly for the front-line provider interested in a manualized hands-on introduction to interventions with traumatized children, teens, and their families." (on the first edition)

Archives of Pediatrics and Adolescent Medicine

"This book would be extremely supportive to clinicians working in schools, homes, clinics, or the community….It is also extremely useful knowledge for any practitioner working with trauma, either in children or adults….The book is, effectively, a gold mine of information on trauma….The information is easy to access and well presented….An excellent resource….If you work in the field, I think you need this book on your shelf.

BACP Children & Young People