Treating Traumatic Stress in Children and Adolescents: How to Foster Resilience through Attachment, Self-Regulation, and Competency

by Margaret E. Blaustein PhD, Kristine M. Kinniburgh LCSW

Overview

Tens of thousands of clinicians have used this book--now revised and expanded with 50% new material--to plan and organize effective interventions for children and adolescents who have experienced complex trauma. The Attachment, Regulation, and Competency (ARC) framework can be used with children, parents, and other caregivers in a wide range of settings. The volume guides the clinician to identify key treatment goals and intervene flexibly to strengthen child–caregiver relationships and support healthy development and positive functioning. In a large-size format for easy photocopying, it is packed with case vignettes and clinical tools, including 79 reproducible handouts and forms. Purchasers get access to a webpage where they can download and print the reproducible materials.

New to This Edition
*Reflects the ongoing development of ARC, including important refinements to foundational strategies and treatment targets.
*More than 30 additional handouts and worksheets; all reproducible tools are now downloadable.
*Greater attention to caregiver skill development throughout.
*Addresses ways ARC is being used in nontraditional settings (schools, day care, primary care practices) as well as diverse clinical contexts.

See also Treating Adult Survivors of Childhood Emotional Abuse and Neglect, by Elizabeth K. Hopper, Frances K. Grossman, Joseph Spinazzola, and Marla Zucker, which presents a complementary approach for adults.

Product Details

ISBN-13:	9781462537044
Publisher:	Guilford Publications, Inc.
Publication date:	11/15/2018
Edition description:	Second Edition
Pages:	528
Sales rank:	175,481
Product dimensions:	8.00(w) x 10.50(h) x 1.03(d)

About the Author

Margaret E. Blaustein, PhD, a practicing clinical psychologist, is Director of the Center for Trauma Training in Needham, Massachusetts. Her career has focused on the understanding and treatment of complex childhood trauma and its sequelae. Since 2004, Dr. Blaustein has worked with Kristine M. Kinniburgh on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. She has provided extensive training and consultation to providers in the United States and internationally.
 
Kristine M. Kinniburgh, LCSW, is Director of Trauma Services for Justice Resource Institute Connecticut. In this role, she focuses primarily on ensuring that trauma-impacted individuals and their families receive quality care that emphasizes the promotion of resilient outcomes. Since 2004, Ms. Kinniburgh has worked with Margaret E. Blaustein on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. They are coauthors of the foster parent curriculum ARC Reflections and the caregiver skill building curriculum ARC Grow.

Table of 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 Behavior
3. The Attachment, Regulation, and Competency Treatment Framework
II. The Integration of Traumatic Experiences
4. Trauma Experience Integration
III. Laying the Foundation
5. Foundational Strategies: Engagement and Education
6. Foundational Strategies: Routines and Rhythms
IV. Attachment
7. Caregiver Management of Affect
8. Attunement
9. Effective Response
V. Regulation
10. Identification
11. Modulation
VI. Competency
12. Relational Connection
13. Strengthening Executive Functions
14. Self-Development and Identity
VII. Model Integration
15. Trauma Experience Integration Revisited
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
References
 

Interviews

Clinical child/adolescent psychologists, counselors, social workers, and psychiatrists. May serve as a supplemental text in graduate-level courses.
 

Editorial Reviews

"A comprehensive, practical guide....I would highly recommend [it] to anyone interested in the field." (on the first edition)

Journal of Mental Health

"This is a comprehensive guide to effectively helping the innumerable children who have lost their way in the world as a result of terrifying experiences. Blaustein and Kinniburgh's highly practical methods for promoting self-regulation, safety, and competency make this book a landmark for understanding and treating traumatized children."—Bessel A.van der Kolk, MD, Medical Director, The Trauma Center at Justice Resource Institute; Professor of Psychiatry, Boston University School of Medicine
 "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 schemas, 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
 
"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, ABPP, Department of Psychiatry, University of Connecticut Health Center

From the Publisher