abstract: A history of trauma can affect a child’s capacity to express emotions due to the neurological footprints left from neglect and abuse. Oftentimes, children do not have a caregiver as a protector which leaves them vulnerable to harm. In response, children use emotional survival strategies of either flight or fight to adapt to their stressful environment. Occupational Therapy Practitioners (OTP) are positioned to address social and emotional development; however, they often feel ill equipped to address the complexity of trauma and its impact on emotions. OTPs need to look at each sensory system from a nurturing/grounding perspective using movement-based strategies as inroads to address the child’s emotional capacity. A sensory integration intervention, Proprioceptive Activities to Lower Stress (PALS), was developed to study the effect on a six-year-old boy’s expressions of emotions using a single subject design. Three emotions were measured using a facial analysis system, Noldus FaceReader™. The emotions were happiness, sadness, and neutral. Neutral is defined as the level of emotional detachment. Results indicate a statistically significant improvement in the expressions of happiness and sad post the PALS program. / Dissertation/Thesis / Doctoral Dissertation Leadership and Innovation 2019

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The Attachment, Self-Regulation, and Competency (ARC) treatment framework is a “whole-systems” intervention which focuses on children and youth with complex trauma histories and attachment difficulties. ARC encourages intervention in layers to build a safe and secure caregiving system around a child. The layers include the child, caregivers, treatment providers, child welfare workers, teachers, and case managers. We developed an ARC Community Based Learning Collaborative (CBCL) to bring these layers together to create a safe andsupportive group experience and environment in which members of the child’s caregiving system can begin to build a common language and understanding of trauma that results in collaborated and coordinated trauma informed interventions to improve symptoms and decrease disrupted placement for youth in care. The overall goal of the ARC CBLC is to build highly functioning teams whose members have the knowledge and skills to apply the core principles of the ARC framework in accordance with their roles in the child’s caregiving system to promote healing and resiliency. This session will outline the development and implementation of the ARC CBLC, outcomes,and lessons learned.

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In recent years much effort has been dedicated to the purpose of combating commercial sexual exploitation yet there is a lack of concise and comprehensive information on the effectiveness of strategies and interventions to help this population. Research in this field has helped define and illuminate consequences of this lifestyle. The existing literature points to the complexity of the population's needs and the challenges faced when trying to leave 'the life' however there is a dearth of information on what works. The purpose of this project is to identify and summarize the findings of any empirical studies which evaluate interventions that target a successful exit for a life of sexual exploitation. Through a systematic review of results from search term combinations in two academic databases, peer-reviewed journal articles meeting selection criteria were analyzed and themes are presented. Results from the systematic review revealed only a small number of articles for inclusion and they are described in detail in this study. Recommendations for further research and review are also discussed.

Many studies have noted the detrimental impact adverse childhood experiences (ACEs) can have on individuals’ developmental trajectories and, as a result, the utilization of trauma-informed practices has been of increasing interest within the field of education. Most research on trauma-informed pedagogy is derived from samples of children in grades K-12, whereas research on trauma-informed teaching practices within higher education is comparatively scarce. The specific aims of the current investigation are two-fold. The first aim is to explore the effect of postsecondary instructors’ disciplinary specialization (i.e., person-thing orientation) on their receptivity to compassionate teaching practices. The second aim is to implement a brief (i.e., one hour, single session), asynchronous intervention to inform instructors about ACEs, subsequent effects on learning, and evidence-based, trauma-informed teaching practices. Results indicated that participants’ thing-orientation scores negatively predicted their post-intervention receptivity scores and that there was a significant increase in knowledge about compassionate teaching practices from pre-assessment to post-assessment. Future studies should seek to replicate these findings and continue to identify factors that may influence one’s receptivity to compassionate teaching practices.

We are only now coming to terms with how common trauma really is; a landmark Kaiser study that surveyed patients receiving physicals found that almost two-thirds had experienced at least one form of abuse, neglect, or other trauma as a child. Though originating in the fields of health and social services, trauma-informed care is a framework that holds great promise for application to library work. Empathetic service, positive patron encounters, and a more trusting workplace are only a few of the benefits that this approach offers. In this important book Tolley, experienced in both academic and public libraries, puts these ideas into the library context. Library administrators, directors, and reference and user services staff will all benefit from learning the six key principles of trauma-informed care; characteristics of a trusting and transparent library organization, plus discussion questions to promote a sense of psychological safety among library workers; how certain language and labels can undermine mutuality, with suggested phrases that will help library staff demonstrate neutrality to patron ideas and views during information requests; delivery models that empower patrons; advice on balancing free speech on campus with students’ need for safety; how proper furniture arrangement can help people suffering from PTSD feel safe; guidance on creating safe zones for LGBTQIA+ children, teens, and adults; and self-assessment tools to support change toward trauma-responsive library services. Using the trauma-informed approach outlined in this book, libraries can ensure they are empathetic community hubs where everyone feels welcomed, respected, and safe. / https://dc.etsu.edu/etsu_books/1222/thumbnail.jpg

Ethics are important in every aspect of our professional lives. Actions have consequences and in the Human Services field, decisions that we make will potentially directly impact our clients. A human services professional’s responsibility is to care for their clients and provide them with the appropriate resources needed to succeed in their daily lives. When a professional begins working with a trauma victim, they must be sure to assess their ethical behaviors and provide proper resources to the victim. This work is often referred to as trauma informed care which goes beyond the typical helping process of professionals. It is a unique kind of care that requires a great deal of time and dedication in order to help the client through the difficult experience of trauma.

This narrative inquiry study collected stories from parents and teachers to build a deep understanding of the lived experiences of raising or teaching children affected by traumatic grief. Research shows that children who experience adversity or loss as trauma, including childhood traumatic grief, may experience long- term disruptions to executive functions and present learning, behavioural and social challenges within school settings. Current research indicates that the adoption of trauma-informed care practices within schools can successfully support students who have experienced trauma and/or childhood traumatic grief. In particular, the development of strong family-school collaboration, understood recently as a form of working alliance, is key in effectively supporting students experiencing mental health issues, including childhood traumatic grief. Using a narrative inquiry approach, this study shares the stories of three women, a mother, a teacher by profession, and a mother who is a teacher by profession, to develop deep understanding of what is being experienced in supporting children affected by childhood traumatic stress and grief. The findings from this study affirmed the need for increased understanding and awareness of the ways that trauma can impact the education of children affected by trauma. The findings also confirmed that insecure attachments can be mitigated with consistent and attuned care. To do this effectively as educators, there is need for increased resources and supports within the schools. This study confirmed the need for increased collaboration to develop strong relationships between students, parents and teachers. The need for collaboration is essential for the successful support of students struggling with the affects of trauma and these findings affirm current conversations on the importance of trauma-informed approaches, relational schools and working alliances.

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