Assessing and Treating Youth Exposed to Traumatic Stress
Assessing and Treating Youth Exposed to Traumatic Stress is a cogent, caring, and comprehensive response to the reality that many children live lives of constant threat, fear, and confusion while lacking opportunities for positive social interactions, stimulation, and empowerment. Although the book is written for mental health clinicians, teachers and others who support traumatized youth will find this book an essential addition to their professional libraries. Identifying these children is the first step, and the importance of careful assessment through use of the clinical interview—in both individual and group settings—is emphasized. In addition, the population with posttraumatic stress disorder (PTSD) is highly diverse in terms of presentation and target symptoms, and the book explores differences in type, duration, and accumulation of trauma; age of insult; stress vulnerability; family history; and other individual factors. Nearly a dozen of treatment options are presented in the book, and they are distinguished by setting, such as clinic, home, or school, and modality, such as psychotherapy or pharmacology. Attention is also paid to preventive measures, most of which are school- or group-based, to increase resiliency where possible.
The book addresses critically important issues in treating young people with PTSD in chapters that are articulate, accessible, and actionable:
- Because PTSD rarely exists alone, suggestions on how to manage the challenging issues surrounding common comorbidities, such as mood and anxiety disorders, are examined in depth. Even when individuals do not meet the full clinical criteria for PTSD, elevated rates of mood and anxiety disorders have been identified.
- A separate posttraumatic diagnosis for preschool children was introduced in DSM-5, and the book highlights the special sensitivity and careful questioning necessary to elicit detailed histories and contextualize trauma in the very young because of their limited vocabulary and concrete thinking.
- Although psychosocial treatments are the first line of intervention when treating youth with PTSD symptoms, there is a role for pharmacological treatment, and a separate chapter is devoted to the use of medications.
- Whenever appropriate, the chapters take a developmental approach to illustrate how treatment techniques are applied to preschoolers, school-age children, adolescents, and transitional-age youth.
- In today's era of mass shootings and natural disasters, there is great need for effective interventions for large groups of young people. The chapters on school-based assessment and interventions present information on screening; disaster prevention, response, and recovery programs; and evidence-based targeted trauma intervention across developmental levels.
The editor, Director of the Stanford University Early Life Stress Research Program in Child and Adolescent Psychiatry, has assembled a list of contributors who are at the forefront of clinical research in this important area of focus, and Assessing and Treating Youth Exposed to Traumatic Stress reflects the authors' belief that society, as a whole, must ensure that children who face adversity have the opportunity to develop to their full potential.
- Part I: Assessment
- Chapter 1. The Clinical Interview
- Chapter 2. Assessment in Schools or Other Large Groups
- Chapter 3. Assessment of Individuals
- Chapter 4. The Forensic Evaluation
- Part II: Treatment
- Chapter 5. General Principles of Psychotherapy
- Chapter 6. Play Therapy
- Chapter 7. School-Based Interventions
- Chapter 8. UCSF Healthy Environment and Response to Trauma in School (HEARTS)
- Chapter 9. Trauma-Focused Cognitive-Behavioral Therapy
- Chapter 10. Cue-Centered Therapy
- Chapter 11. Child-Parent Psychotherapy
- Chapter 12. Eye Movement Desensitization and Reprocessing and Dialectical Behavior Therapy
- Chapter 13. Mindfulness and Yoga
- Chapter 14. Psychopharmacology
- Chapter 15. Addressing Comorbidity
- Part III: Associated Clinical Issues
- Chapter 16. Dissociation
- Chapter 17. Sleep
- Chapter 18. Self-Injurious Behaviors and Suicidality
- Chapter 19. Substance Use
- Part IV: Systems of Care
- Chapter 20. Full Spectrum of Care
- Chapter 21. Integrated Models
- Chapter 22. Global Mental Health and Trauma
- Chapter 23. Technology-Facilitated Interventions
- Brian Allen, Psy.D.
Antra Bami, M.D.
Heather Bensman, Psy.D.
Daniel W. Capron, Ph.D.
Stephanie Clarke, Ph.D.
Michael De Bellis, M.D.
Miriam Hernandez Dimmler, Ph.D.
Craig L. Donnelly, M.D.
Joyce Dorado, Ph.D.
Flint M. Espil, Ph.D.
Chelsea N. Grefe, Psy.D.
Jessica L. Griffin, Psy.D.
David S. Grunwald, M.D.
Laura D. Heintz, Psy.D.
Sara Blythe Heron, M.D.
Chandra Ghosh Ippen, Ph.D.
Sheryl H. Kataoka, M.D.
Michael Kelly, M.D.
Moira Kessler, M.D.
Christina Tara Khan, M.D., Ph.D.
Hilit Kletter, Ph.D.
Alicia F. Lieberman, Ph.D.
Roy Lubit M.D., Ph.D.
Rachel L. Martin
Ryan B. Matlow, Ph.D.
Anne B. McBride, M.D.
Martha Merchant, Psy.D.
Kate B. Nooner, Ph.D.
Michelle Primeau, M.D.
Nicole Quiterio, M.D.
Shayne Ragbeer, Ph.D.
John P. Rettger, Ph.D.
Jared T. Ritter, M.D.
Chad Shenk, Ph.D.
Pamela J. Shime, J.D.
Karen Smith, Ph.D.
Bradley D. Stein, M.D., Ph.D.
Steven Sust, M.D.
Elizabeth Weiss, Psy.D.
Jessica Wozniak, Psy.D.
Sanno E. Zack, Ph.D.
About the Authors
Victor G. Carrion, M.D., is John A. Turner, M.D. Endowed Chair of Child and Adolescent Psychiatry; Professor and Vice-Chair, Department of Psychiatry and Behavioral Sciences; and Director, Early Life Stress and Pediatric Anxiety Program, at Stanford University.
In this era of advances in neuroscience and epigenetics, latest knowledge in assessment and evidence-based best practices is essential. Savvy clinicians, both seasoned and fresh, who work with children of all ages, will find this book to be an invaluable resource with everything needed to get up-to-speed on a wealth of techniques, research and theories, supplemented by fascinating discussion of cases.—Laura C. Strom, MS, LMFT, Trauma and Disabilities Specialist, Doctoral Candidate, California Southern University Doctorate of Psychology (PsyD) program, 2015-2016 President, California Association of Marriage and Family Therapists
This textbook quality, comprehensive volume provides up-to-date academic standards and evidence-based interventions for working with youth exposed to trauma. It makes exemplary use of clinical material and case vignettes, labeling key concepts and providing discussion questions to offer the full scope of assessment, case conceptualization, and state-of-the-art treatment models.—Lisa Amaya-Jackson, M.D., M.P.H., UCLA-Duke National Center for Child Traumatic Stress, Duke University School of Medicine, Durham, North Carolina
This is a high-quality book with great utility for any providers managing pediatric trauma. Compared to other books of a similar genre, this one stands out for its inclusion of commonly overlooked aspects of trauma, such as global health crises, foster care and juvenile detention, and upcoming technology facilitated interventions. It encourages a big picture approach, making it appealing to multiple disciplines, and highlighting the need for integrated care. Because it is inclusive of so many treatment modalities, the only downfall is that certain chapters, like pharmacology, may lack the depth necessary for some providers. However, it should be noted that each chapter lists suggested readings, making it very easy to find these additional resources, if one is seeking them.—Shayna Bailey, M.D., Doody's Book Review
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