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Conference for Providers of
Child, Adolescent and Family Services,
Parents and Caregivers
Trauma Informed Care
Dr. Joyanna Silberg, Ph.
D.
May 2, 2008
Crown Plaza Hotel
Pittsburgh South
164 Fort Couch Road
Across from South Hills Village
This conference is offered free of charge
Sponsored by:
Allegheny County Department of Human Services,
Office of Behavioral Health
Allegheny County Health Choices, Inc.
Conference of Allegheny Providers
Continued Education Co-Sponsored by:
Community Care Behavioral Health Organization
Western Psychiatric Institute & Clinic
Morning Session
Keynote Speaker: Joyanna Silberg, Ph.D.
HEALING THE CHILD SURVIVOR
How Trauma Hurts Children’s Brains and
What We Can Do
This presentation begins with a look at trauma and dissociation in
children and adolescents from a historical perspective, and then
covers the physiological effects of trauma on the brain and related
impairments in chronically traumatized children. Dr. Silberg will
discuss the primary neurological deficits in traumatized children
that affect their ability to regulate arousal and affect, to inhibit
impulsivity, to plan and take action, to develop a cohesive sense of
self, to maintain positive
attachments, and to maintain appropriate self-awareness. Dr. Silberg
will highlight how these areas of deficit can be addressed by
intervention aimed at the individual and the milieu.
CONFERENCE SCHEDULE
8:00AM - 9:00AM REGISTRATION / CONTINENTAL BREAKFAST
9:00AM - 9:15AM WELCOME
9:15AM - 10:30AM KEYNOTE PRESENTATION: DR. JOYANNA SILBERG
HEALING THE CHILD SURVIVOR
10:30AM - 10:45AM BREAK
10:45AM - 12:00PM HEALING THE CHILD SURVIVOR
12:00PM - 1:00PM LUNCH PROVIDED
1:15PM - 3:30PM WORKSHOPS
ABOUT THE KEYNOTE SPEAKER
Joyanna Silberg, Ph.D.
Dr. Silberg is the coordinator of Trauma Disorder Services For
Children and Adolescents at Sheppard
Pratt Health System and the Executive Vice-President of the
Leadership Council on Child Abuse &
Interpersonal Violence. Her psychotherapy practice specializes in
children and adolescents suffering
from dissociative symptoms and disorders, and her forensic practice
specializes in child sexual
abuse. She is past-president of the International Society for the
Study of Dissociation (ISSD) and
contributing editor to the society’s journal, The Journal of Trauma
and Dissociation. She is the recipient
of the 1992 Walter P. Klopfer Award for her research, and the 1997
Cornelia Wilbur Award for clinical
excellence. Dr. Silberg is the editor of The Dissociative Child and
co-editor of Misinformation
Concerning Child Sexual Abuse and Adult Survivors. She has written
numerous articles on trauma and
dissociation in children and adolescents and has presented
nationally and internationally on child abuse,
psychotherapy, and protecting abused children in family court.
ABOUT THE FACILITATORS
Angela D. Collins, M.S.,N.C.C.,L.P.C.
Angela received her B.A. from the University of Pittsburgh and her
graduate degree from Chatham University.
She is a psychotherapist specializing in the field of trauma. Angela
worked with adult survivors of rape and
childhood sexual abuse at Pittsburgh Action Against Rape (PAAR) from
2001-2007, providing individual therapy,
assessment,and group therapy. Angela has also provided education and
training for professionals and
community members.
Nancy Fair, M.A.
Nancy is currently the Supervisor of Adult Counseling Services at
Pittsburgh Action Against Rape (PAAR) where
she has worked as a therapist since 1998. Prior to working at PAAR,
Nancy provided education/training and
therapy services at the C.A.R.E. Rape Crisis Center in Washington
County, PA. Nancy received her BS in
Psychology from the University of Pittsburgh and her M.A. in
Psychology from Duquesne University. She is a
member of the International Society for the Study of Trauma and
Dissociation (ISSTD) and has presented
several papers at the organization’s annual conference as well as
numerous professional trainings in Pittsburgh.
Lorraine M. Whalen M.Ed.
Lorraine is a Pittsburgh native. She began her work in health care
as a congressional staffer, seeing the unmet
needs across all areas of health care. After leaving her staff
position, Ms. Whalen continued her work focusing on
Behavioral Mental Health. She worked for several years with Northern
Communities MH/MR/D&A programs,
establishing community education and training programs, working with
families and consumers in promoting their
needs to the State of Pennsylvania. Lorraine worked for Allegheny
County Community Mental Health as a
member of the Administrative Team. Following the completion of her
graduate studies at Penn State University,
she was the Executive Director of a newly funded program for
children, youth and families where Ms. Whalen
and her staff successfully developed and implemented service
programs that incorporated the Trauma Model in
programs/services to children and families in Somerset County,
Maryland. Lorraine has also provided private
counseling and consultation in Maryland and Western Pennsylvania.
Dawn Scher, B.A.
Beginning in 1998, Dawn pioneered a movement to focus on young
children in her community with a small
group of dedicated, like- minded individuals. While she was educated
in political science she soon found her
calling in providing support and encouragement for change with
families and children. As a child and family
advocate she has brought money and services into the community
introducing the importance of early childhood
development and effecting significant changes in service systems.
The growing emphasis on young children has
placed her community on the cutting edge of services in Maryland.
Through Dawns efforts to bring a positive
family-focused model to services in Maryland, there are significant
decreases in child abuse and neglect,
increased school readiness, and more fuller functioning families.
Through collaboration with communities and
service providers, Dawn developed and implemented Healthy Families,
a home visiting program for families
with newborn children Today Dawn leads the innovative Healthy
Families Lower Shore program providing
support, education and training in order to ensure child safety,
development and strengthen parent-child
attachment. Dawn lives on Maryland’s Eastern Shore with her husband
and two young daughters.
Barbara Peck, Ed. D., NCC, LPC
Barbara is currently a therapist at Chestnut Ridge Counseling Center
in Uniontown, PA, as well as serving clients
through private practice in Bridgeville, PA. Barbara is a graduate
of Ashland University and completed her
graduate work at Duquesne University. Barbara has been practicing
trauma work for over seventeen years. She
was an active participant in the development of Lakewood Hospital’s
Survivor of Trauma Program and
coordinated that program providing staff training and supervision,
as well as providing individual and group
therapy for clients. Barbara is also an Adjunct Instructor at
Waynesburg University, Southpointe.
Marsha Frank, Ph.D. , L.C.S.W.
Dr. Marsha Frank has been working in the field of trauma for many
years. She is co-founder and past-president
of the Pittsburgh Chapter of the International Society for the Study
of Trauma and Dissociation. She has been
in private practice since 1981 and she is also teaches at Carlow and
Chatham Universities as well as The
University of Pittsburgh.
WORKSHOPS
A. Management of Dissociative Symptoms in Children and Adolescents
Facilitator – Dr. Joyanna Silberg
This workshop will highlight three complex and unique case
presentations in which dissociative
symptoms were addressed in traumatized children and adolescents. By
focusing in on these cases, the
participants will learn how to address many difficult symptoms such
as rage reactions, oppositional behavior,
and unmodulated affect. Dealing with self-injury and managing trance
states will also be addressed in this
treatment oriented workshop that focuses on children and adolescents
with severe dissociative symptoms.
Who should attend: This workshop is designed for Therapists.
B. Working with Adult Caregivers of the Traumatized Child
Facilitator – Angela Collins
Trauma is increasingly being recognized as a pervasive problem in
our society, as well as in the world
at large. Since trauma does not occur in a vacuum, caregivers and
loved ones are also affected. This
workshop will provide a forum to discuss both the roles and the
needs of the caregivers.
Learning Objectives:
- Identify how contemporary culture, familial, social, and economic
realities shape our attitudes about trauma
- Recognize and understand our own limitations while managing
traumatic stress, and integrate that information into more
effectively being with the traumatized child
- Discuss trauma-informed responses
Who should attend: This workshop is designed for Service Providers,
Caregivers.
C. The Impact of Trauma on Attachment: Implications for Treatment
Facilitator – Nancy Fair
The quality of a person’s early attachment has a direct impact upon
his or her ability to process
traumatic events across the lifespan. Traumatic event that occur in
the context of that attachment
relationship can have especially far reaching consequences. This
workshop examines the importance of
understanding the interconnectedness of trauma and attachment so
that caregivers may provide more
effective intervention for children and families.
Learning Objectives:
- Gain a basic understanding of how trauma and attachment are linked
- Understand what makes an event/experience traumatic
- Recognize how threats to a child’s attachment system creates
problems
- Be able to identify and respond to attachment difficulties in
traumatized individuals
Who should attend: This workshop is designed for Service Providers,
Caregivers
D. Child Trauma Prevention and Early Intervention Programs – What
Works
Facilitator – Dawn Rea Scher and Lorraine Whalen
This session will present an operational model of infant and early
childhood trauma interventions. This
model uses principles and tools developed through the Healthy
Families Lower Shore Program, a program based
in Somerset County, Maryland, designed in collaboration with
families and service providers. This presentation
focuses on child abuse prevention and early intervention with an
understanding of the physiological
developmental impact of childhood trauma.
Learning Objectives:
- Applicable understanding of Healthy Families Model
- The effects of trauma on brain development in children
- The effects of the caregiver’s traumatic history on parenting (a
generational understanding of trauma)
Who should attend: This workshop is designed for Service Providers
E. More Tools for Your Tool Box
Facilitator – Barbara Peck
Wake up that brain and get the body moving! Learn some hands on
activities and exercises that get the
body moving. Exercises that integrate movement and learning will be
demonstrated, some from Brain Gym that
help calm the body down. Creative expression activities that open
neuro-pathways for self expression will be
included. This is an interactive session and your ideas are welcome.
Learning Objectives:
- Participants will learn three activities that can be used
immediately with children
- Participants will have an understanding of the way some exercises
activate left and right hemispheres to improve information
processing in the brain
- Participants will have increased awareness of the mind-body
connection through movement and creative expression that calms the
body down
Who should attend: This workshop is designed for Service Providers
F. Parents and Children after Trauma Facilitator – Marsha Frank When a child has experienced trauma, parents frequently do not know
what action to take to help their
child. Many people still believe that if something is not talked
about it will simply go away, on the other hand
the parent may be triggered from their own trauma and be unable to
meet their child’s needs. The most well
meaning parent may be fearful of doing the “wrong thing” for their
child. Early intervention for the entire family
can help the parents to help the child work through the trauma. This
workshop will focus on family and
individual work to help the traumatized child.
Learning Objectives:
- To gain an understanding of traumatic stress and the possible impact
on the child
- To gain an understanding of how symptoms are displayed in children
and the possible developmental impact
- To learn how different treatment approaches may be effective for
different children
- To learn how to talk to the child about the trauma
Who should attend: This workshop is designed for Service Providers
PARTICIPANTS MUST REGISTER INDIVIDUALLY
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