Day 2 — Wednesday, May 1

Keynote Speaker 1:00 - 1:20 pm

Presenter: Dr. Heidi Ellis


B. Heidi Ellis, PhD, is an Associate Professor in Psychology and Psychiatry at Harvard Medical School and Boston Children’s Hospital, and a licensed clinical psychologist.  She is also the Director of the Refugee Trauma and Resilience Center at Boston Children’s Hospital, a partner in the National Child Traumatic Stress Network.  Dr. Ellis' primary focus is on understanding and promoting refugee youth mental health and well-being, with a particular emphasis on understanding how trauma exposure, violence, and social context impact developmental trajectories.  Over the past 15 years she has conducted a Community Based Participatory Research program with Somali youth; she is currently Principal Investigator of a multi-site, longitudinal research project examining developmental pathways to and away from violence, including ideological violence, gang involvement, and constructive civic engagement.  She is also co-developer of the nationally recognized trauma treatment model, Trauma Systems Therapy, and oversees the adaptation and dissemination of this model with refugee youth.   

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Workshop #31:20 - 2:20 pm

Collaborative Innovations: Building Racially Just, Trauma Responsive Resilient Cities

Presenters: Kay Connors, LCSW-C; Rebecca Vivrette, PhD; Michael Wills

Session Description:

Internalized racism, implicit biases and historical trauma impact service delivery and engagement in trauma services within communities of color. The Breakthrough Series Collaborative (BSC) methodology is a promising approach for bridging knowledge-practice gaps and building community capacity to address racial trauma. Following the death of Freddie Gray, a BSC was conducted with nine community teams in Baltimore.  In 2018-9, eight teams in Oakland, CA replicated the method.  This workshop explores the promises and challenges of the BSC methodology for improving program practices to support racial justice and healing from community trauma and discrimination.  The presenters will review how the BSC method was adapted for community based programs and outline lessons learned and recommendations for future efforts in applying this innovative application of the BSC methodology.

Presenters' Information:

Kay Connors, LCSW-C, Instructor, University of Maryland School of Medicine, Department of Psychiatry, Project Director of the Family Informed Trauma Treatment Center and Co-Director, Center of Excellence in Infant and Early Childhood Mental Health has over 34 years of experience as a clinical social worker working with children, families and communities impacted by trauma.  Ms Connors has provided evidence-based, trauma treatments to children and families in a variety of settings, has directed clinical and training programs, and has helped to lead four Breakthrough Series Collaborative and 8 Child Parent Psychotherapy Learning Collaboratives.

Rebecca Vivrette, PhD, is an Assistant Professor in the University of Maryland School of Medicine, Division of Child and Adolescent Psychiatry. Dr. Vivrette is a licensed clinical psychologist with expertise in psychological assessment and trauma-focused interventions for children and families. She has been trained in numerous evidence-based practices, including Trauma-Focused Cognitive Behavioral Therapy and Child-Parent Psychotherapy. Dr. Vivrette has extensive experience providing education, training, consultation, and mental health services to community-based agencies and early childcare settings. Dr. Vivrette also has a strong interest in perinatal traumatic stress and substance use.

Michael Wills is an artist, public ally and young entrepreneur. He has 10 brothers and sisters and was raised by his mother.  He grew up on the Westside of Baltimore City in Gilmore Homes.  Gilmore Houses in most known for the 2015 Uprising that happened after Freddie Gray died in police custody. Since the uprising Baltimore City’s homicides have skyrocketed.  While in middle school, Michael was an actor in the highly acclaimed TV Series, “The Wire” for two seasons. As high school student, Michael played on four sports team while attending Augusta Fells Savage Institute of Visual Arts.  Over the past two years he partnered with a non-profit organization named “New Lens” where he produced films and videos and participated in community organizing.  Through these efforts he reached over 700 youth to raise awareness around racial and social justice issues in Baltimore. Now he travels around the country to support youth and families impacted by domestic violence and lack of resources and low incomes. With odds against him, Michael still wakes up each day searching, striving and looking for answers to bring peace back to the city he calls home.

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Break2:20 - 2:25 pm

Take a quick 5 minute break or spend time connecting with your peers in chat!

image  "Ignite" Mini-Session C2:25 - 2:40 pm

The Affiliate Top 10- Bringing Funded Sites and Affiliates Together

Presenter: Gwen Downing, LPC

Session Description: 

Funded?  Wondering "Why would I need to know about the affiliate program now??"  This is the mini-workshop for you!! Come learn the top 10 things the affiliate program can do for you!!!  The affiliate program can provide a wealth of skills, knowledge, and support to funded programs as well as being an integral part of the ongoing sustainability and implementation of the NCTSN Strategic Plan.  Comprised of both organizational and individual affiliates, hear us share how the affiliates are the resource you need to know about.  And how we put the "Net" in "Network".   Cause as the song says, sometimes we all need someone to lean on.  #AffiliateTop10

Presenter's Information:

Gwendolyn Downing, LPC, is the Manager of Hope and Resilience for the Oklahoma Department of Mental Health and Substance Abuse Services.  With both professional and lived experience, Gwen works to change culture and expand trauma informed and trauma specific services across systems and within communities.  Under her leadership at the ODMHSAS, trauma services in the state of OK have grown from a few pilot sites to a fully integrated state-wide trauma-informed system. She currently sits on the National Child Traumatic Stress Network’s Steering Committee and Affiliate Advisory Group.  She is a national CE-CERT trainer, and a passionate presenter, who believes that hope is the core message regardless of the material.

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Workshop #42:40 - 3:40 pm

Toward “Best Practice” Disaster Response: Lessons Learned and Future Directions

Presenters: Joy Osofsky, PhD; Julie B. Kaplow, PhD, ABPP; Dr. Robin Gurwitch 

Session Description: 

Children are increasingly exposed to major natural and technological disasters. Both weather-related and mass casualty events cause disruption in lives that can result in traumatization of children of all ages and their families.  The purpose of this workshop is to bring together experts who have participated in disaster and crisis response efforts including implementing assessments and interventions, providing trauma-informed education and clinical services, and conducting research on behalf of children in these extreme situations. Experiences include Hurricanes such Katrina and Harvey, tornadoes in Alabama, Oklahoma, and Joplin, wildfires in Tennessee, the Deepwater Horizon Oil Spill, and mass casualty events such as the school shootings at Chardon, OH, Santa Fe, TX, and Sandy Hook in Newtown, CT and the Boston Marathon and Oklahoma City bombings.
Our observations and experiences have shown the important role of cultural contexts, community stakeholder involvement, developmental issues, and health disparities that can impact on children’s well-being post-disaster, and also on the time needed for recovery. Using qualitative and quantitative evidence as well as clinical anecdotes, the presenters will discuss “best practice” approaches to support those exposed to disasters, including the importance of addressing pre-existing adversities (e.g., prior traumas and losses, existing mental health problems), to build resilience. We will also describe the impact of disasters on first responders, the reality of vicarious traumatization, and the importance of self-care. This work can help to inform future efforts to address preparation, response, and recovery from disasters to support health, mental health and well- being when disasters strike and the effects over time.

Presenters' Information:

Dr. Robin Gurwitch, a Clinical Psychologist, is a Professor at Duke University Medical Center and the Center for Child & Family Health. Dr. Gurwitch specializes in work with children considered at-risk. Serving on state and national committees and task forces focusing on trauma, disaster, terrorism, and resilience, she provides training and consultation to agencies, schools, and organizations across the country and internationally. A leader in the evidence-based treatment, Parent-Child Interaction Therapy (PCIT), Dr. Gurwitch is one of only 21 PCIT Master Trainers world-wide certified by PCIT-International; she provides training, service, and consultation. She is a co-developer of Child-Adult Relationship Enhancement (CARE); she is involved in the dissemination of CARE across populations and settings throughout the US, including with foster families, in schools, and following disasters. Dr. Gurwitch is the lead in adapting both PCIT and CARE for military families.

Joy D. Osofsky, PhD is Paul J. Ramsay Endowed Chair of Psychiatry and Barbara Lemann Endowed Professor of Child Welfare and Professor of Pediatrics and Psychiatry at Louisiana State University Health Sciences Center (LSUHSC) in New Orleans. She is Co-Principal Investigator for the NCTSN Category II Terrorism and Disaster Coalition for Child and Family Resilience and Site Director for LSUHSC for the Early Trauma Treatment Network. Previously she was co-PI for the NCTSN Cat III Louisiana Rural Trauma Services Center. She has published widely and authored or edited five books related to understanding and treating children impacted by trauma including those affected by disasters and maltreatment. She played a leadership role in the Gulf Region following Hurricane Katrina and the Deepwater Horizon Oil Spill and was Clinical Director for Child and Adolescent Initiatives for Louisiana Spirit following Hurricane Katrina. She also served as Co-Director of the Mental and Behavioral Health Capacity Project, part of the Gulf Region Health Outreach Program following the Gulf Oil Spill. Dr. Osofsky and the LSUHSC team has implemented PFA, PFA-S, SPR, ARC,  and CPP.

Julie Kaplow, PhD, ABPP, is a licensed clinical psychologist and board certified in Clinical Child and Adolescent Psychology. She holds primary appointments as Associate Professor, Chief of Psychology, and Vice Chair of Behavioral Health in the Department of Pediatrics at Baylor College of Medicine in Houston. Dr. Kaplow also serves as Director of the Trauma and Grief (TAG) Center at Texas Children’s Hospital, a designated Treatment and Service Adaptation Center of the National Child Traumatic Stress Network specializing in child and adolescent trauma and bereavement. In this role, she oversees evidence-based assessment, treatment, and research with traumatized and bereaved youth and families, and develops and disseminates trauma- and bereavement-informed “best practices” to community providers nationwide. Following Hurricane Harvey, Dr. Kaplow established the Harvey Resiliency and Recovery Program, housed within the TAG Center, to provide evidence-based risk screening and interventions to children and families adversely affected by Hurricane Harvey and its aftermath. She also helped to establish the Santa Fe Strong Resiliency Center following the Santa Fe High School shooting, where her TAG Center staff provide evidence-based assessment and treatment to families who were impacted by the shooting.
Dr. Kaplow received her PhD in Clinical Psychology from Duke University and completed her internship at Boston Children’s Hospital/Harvard Medical School. She then received specialized training in childhood trauma during her postdoctoral fellowship at the Center for Medical and Refugee Trauma, Boston Medical Center. A strong proponent of a scientist-practitioner approach, Dr. Kaplow’s primary research interests focus on the biological, behavioral, and psychological consequences of childhood trauma and bereavement, with an emphasis on therapeutically modifiable factors that can be used to inform psychosocial interventions. Dr. Kaplow has published widely on the topics of childhood trauma and bereavement including articles focusing on the psychological and behavioral consequences of sexual abuse in youth, age-specific manifestations of grief, grief- and trauma-related methodological issues, and developmental models of bereavement-related risk and resilience. Dr. Kaplow is lead author of the award-winning children’s book, Samantha Jane’s Missing Smile: A Story About Coping with the Loss of a Parent, co-author of Collaborative Treatment of Traumatized Children and Teens: The Trauma Systems Therapy Approach, and co-author of Trauma and Grief Component Therapy for Adolescents. She has also served as a consultant to the DSM-5 Sub-Work Group on Persistent Complex Bereavement Disorder as well as the ICD-11 Work Group on Disorders Associated with Stress (PTSD and Prolonged Grief).

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Break 3:40 - 3:45 pm

Take a quick 5 minute break or spend time connecting with your peers in chat!

image  "Ignite" Mini-Sesson D3:45 - 4:00 pm

Pediatric Perspectives: Resilience and Trauma Training for the Medical Provider

Presenters: Heather C. Forkey, MD; Moira Szilagyi MD, PhD

Session Description: 

Pediatric medical care providers are likely to be the first, and sometimes only, professionals with the opportunity to assess the myriad symptoms demonstrated by children experiencing trauma.  For many children, the issues that bring them to pediatric attention are trauma related.  For instance, 68% of children seen in a pediatric health care setting have experienced exposure to traumatic events, and as many as 90% of children in urban pediatric clinics have had a traumatic exposure. Yet, many children do not benefit from early recognition and intervention because symptoms of child trauma are often missed by the pediatric provider.

Simply transferring the mental health model of care and approach to trauma has not resulted in pediatric competency. In a recent study, few pediatric providers recognized that responding to trauma was a pediatric responsibility. Thus, the challenge of training the pediatric medical provider to recognize and respond to trauma requires another approach. Specifically, the Pediatric Approach to Trauma Treatment and Resilience (PATTeR) Project identified the following training key takeaways, which were used to inform the design and implementation of an ongoing training curriculum for pediatric medical providers.

- The topic must be addressed in a resilience and child development framework
- Trauma care cannot be “layered over” pediatric practice, but rather the recognition and response has to become embedded in the work already being done.
- Pediatric patients often present when trauma symptoms are “preclinical” from a mental health standpoint, but it is in the early presentation that the pediatric provider can intervene to the greatest effect.
- Pediatric providers are not familiar with the patterns of behavior and responses common for children who have been exposed to trauma, thus emphasis on pattern recognition and familiarity with presentation was needed.
- Practical case based training is how medical education is achieved.

The PATTeR project is intended to catalyze a culture change in pediatrics so that pediatricians will approach patient care through a developmental trauma-resiliency framework.
The goal of this mini-session is to provide an overview of the PATTeR training curriculum and preliminary findings regarding the curriculum’s feasibility and acceptability. Implementation of the curriculum began in March 2018 and is ongoing. A total of four Level 1 (Trauma-Aware) trainings and one Level 2 (Trauma-Responsive) trainings have been offered via the Extension for Community Healthcare Outcomes (ECHO) on-line learning collaborative format. Trainings have been offered bi-weekly or weekly for one hour- combining a 20-minute brief lecture presentation by a trauma expert, followed by participants presenting de-identified cases for discussion and guidance.  
To date, the PATTeR project has trained 170 providers in our Level 1, 6-week trauma course, and 31 providers in our Level 2, 12-week trauma course. We will present our data on participant demographics and practice characteristics. We will also present qualitative and quantitative findings demonstrating improved competencies, growth of knowledge base, and change in practice.

Presenters' Information:

Heather C. Forkey, MD, is an Associate Professor of Pediatrics and The Joy McCann Professor for Women in Medicine at the University of Massachusetts Medical School. In her institutional roles as Division Director for the Child Protection Program and as Director of the Foster Children Evaluation Service (FaCES) of the UMass Memorial Children’s Medical Center, Dr. Forkey leads programs to address the needs of children who are victims of abuse, neglect and emotional trauma.  In addition to her clinical work, Dr. Forkey has been the recipient of local and federal grants to address issues of children in foster care and to translate promising practices to address physical and mental health needs of children who have been traumatized.   Dr. Forkey is the Project Coordinator for the Pediatric Approach to Trauma Treatment and Resilience Category II grant, staffs the Child Trauma Training Center Category III grant, chairs the Integrated Care Committee and serves on the Steering Committee for the National Child Traumatic Stress Network, and provides leadership for the American Academy of Pediatrics on issues related to foster care and child trauma.  She is a nationally recognized leader in the field of child trauma and foster care medicine, has published and presents nationally on the topic, and her work has been highlighted in the popular press as well, including Forbes, The Boston Globe and The Atlantic.   

Moira Szilagyi MD, PhD is Professor of Pediatrics at the University of California, Los Angeles. Dr. Szilagyi’s professional career has been devoted to the care of children in foster and kinship care for over 30 years In Rochester NY, she led a team that developed and implemented an integrated care medical home, Starlight Pediatrics, for children in foster care.  Dr. Szilagyi received a NYS grant to construct a combined Starlight Pediatrics and a Visitation Center followed by federal and local grants to integrate mental and developmental health services, parenting education and visitation into this site.   Other federal, state, and local grants have supported programs to promote the healthy development of high-risk inner city pre-teens, evidence-based parenting education, a Legacy for ChildrenTM Training and Technical Assistance Center at UCLA, and research on developmental and mental health screenin.  As past chair of the American Academy of Pediatrics’ Council on Foster Care, Adoption and Kinship Care, Dr. Szilagyi led the development of the national health guidelines for children in foster and kinship care and continues to work closely with the AAP’s Washington Legislative Office on national level issues related to child welfare and trauma prevention.   Dr. Szilagyi serves as an advisor to the Casey Family Foundation’s project, 21st Century Child Welfare Transformation, and to Los Angeles County on health care systems for children in foster care.  She continues to provide clinical care for children in foster care at a county medical hub. Dr. Szilagyi is the Principal Investigator for the NCTSI Pediatric Approach to Trauma, Treatment and Resilience Category II grant and a member of NCTSN’s I-CARE group.  She is a nationally recognized expert on child welfare, child trauma and resilience, and advocacy and has published numerous articles on these topics.  Her work has been highlighted by National Public Radio and she is delighted to intermittently advise Sesame Street in Communities about children in foster care.

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Workshop #54:00 - 5:00 pm

Secondary Traumatic Stress Core Competencies for Trauma Informed Supervision

Presenters: Ginny Sprang PhD; Brian Miller, PhD; Alison Hendricks LCSW

Session Description:

Quality supervision is an important resource that organizations can provide to staff members at risk of developing secondary traumatic stress, yet there is limited information on what constitutes best practice in the context of secondary trauma support, until now!  The STS Supervisory Competencies is a tool that individuals and organizations can use as a benchmark of the knowledge and skills needed to provide effective STS supervision, and a map to resources that can help address gaps in those competencies.  As one of the most downloaded NCTSN resources, it is offered as a developmental assessment to identify areas of need and the resources to strengthen those areas of supervisor competency.  This presentation will describe the role of supervision in addressing secondary traumatic stress, provide an overview of the competencies and supporting resources, and share examples and strategies for using this tool at network sites.

Presenters' Information:

Alison Hendricks, LCSW, is a trainer and consultant who specializes in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), trauma-informed systems, and Secondary Traumatic Stress.  She is a National Trainer for TF-CBT and the Child Welfare Trauma Training Toolkit, a product of the National Child Traumatic Stress Network (NCTSN) that she helped to revise in 2012.  Alison is an Affiliate Member of the NCTSN.  She worked with the Chadwick Center of Rady Children’s Hospital for nine years, first as a trauma therapist and then as Operations Manager of the Chadwick Trauma-Informed Systems Project.  She provides training and consultation on TF-CBT, trauma-informed care, and Secondary Traumatic Stress to programs across the country.  Alison is the lead author on two workbooks on TF-CBT.  She also specializes in Culturally Modified TF-CBT with a focus on Latino children and families.  She has presented at numerous conferences and has published several journal articles on a wide variety of topics related to childhood trauma.  Alison graduated Summa Cum Laude with a BA in Psychology from Columbia University and completed her MSW at Hunter College School of Social Work.  She lives in San Diego with her husband and daughter.

Brian Miller, PhD provides training and consultation on topics of secondary trauma, trauma informed supervision, and implementation processes nationally and internationally.  He is an individual member of the National Child Traumatic Stress Network, and chaired the NCTSN Secondary Trauma Supervision Workgroup. He is the developer of the CE-CERT model for intervening with secondary trauma in service providers and the Shielding model of trauma-informed supervision, both of which have been published and disseminated across mental health and child welfare systems. Dr. Miller’s experience includes tenure as Director of Children’s Behavioral Health at Primary Children’s Hospital, Director of Mental Health Services for Salt Lake County; Director of the Trauma Program for Families with Young Children at The Children’s Center in Salt Lake City; Clinical Director of Davis Behavioral Health, Associate Director of the Utah State Division of Mental Health; and as a psychotherapist in private practice. He holds a PhD from Case Western Reserve in Cleveland, Ohio, where he was a Mandel Leadership Fellow. He is the past board president for the National Alliance on Mental Illness, Utah Chapter, and serves on the editorial review boards for the journals Traumatology and Contemporary Psychotherapy.

Ginny Sprang, PhD, is a Professor in the College of Medicine, Department of Psychiatry at the University of Kentucky, and the Executive Director of the UK Center on Trauma and Children. Dr. Sprang is the Principal Investigator of multiple federal and state grants that examine child traumatic stress, treatment effectiveness, and best practices protocols for a wide range of trauma survivors.  Dr. Sprang serves as a Steering Committee member for the National Child Traumatic Stress Network, and is a chair emeritus of the Secondary Traumatic Stress Committee for the National Child Traumatic Stress Network. She served as a Special Interest Group Chair for the International Society for Traumatic Stress Studies for 13 years.  Dr. Sprang currently serves as a consultant to the Department of Justice, Office of Victims of Crime. Dr. Sprang has published extensively in the area of child traumatic stress, commercial sexual exploitation of minors, victimization, and secondary traumatic stress.

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