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RE: Treating Kids with PTSD

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<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff size=2>Hi 
Rob,</FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff size=2>I'd be 
interested to understand the source of the question re: level systems and 
treating kids with PTSD?!?!? </FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff size=2>I know 
of no research that suggests that level systems are inappropriate.&nbsp; 
However, after 12 years&nbsp;of practical experience working with children and 
adolescents in residential, day treatment, and inpatient treatment settings I 
can say with some confidence that even the most well thought out point / level 
system can be mutilated, misused, and/or distorted by the staff who implement 
the system and supervise the children / adolescents.&nbsp; </FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2>This&nbsp;depends on a variety of&nbsp;factors related to systemic 
dysfunction, poor / inadequate&nbsp;/ misguided / non-existent clinical 
supervision, poor staff training&nbsp;schedules,&nbsp;a "criminal justice" 
philosophical orientation (which tends to be highly punitive),&nbsp;staff 
burn-out and/or staff psychopathology.&nbsp; </FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff size=2>Bottom 
line: point / level behavior management systems MAY become insidiously malignant 
when left unattended for any period of time.&nbsp;&nbsp;Dysfunctional people / 
systems&nbsp;tend to engage functional mechanisms in dysfunctional ways.&nbsp; 
This is why parents,&nbsp;staff, and/or systems that are "issue laden" have 
difficulty implementing ANY system in a healthy and functional 
manner.</FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN><SPAN class=968170801-28052004><FONT face=Arial 
color=#0000ff size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff size=2>Best 
Wishes,</FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2>Ken</FONT></SPAN></DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004><FONT face=Arial color=#0000ff 
size=2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=968170801-28052004>
<DIV><STRONG><EM>Kenneth H. Little, MA</EM></STRONG></DIV>
<DIV>Mad River Behavioral Health </DIV>
<DIV>PO Box 190, Campton, NH 03223&nbsp; USA</DIV>
<DIV>603-726-7400&nbsp; </DIV>
<DIV><A href="http://www.hyper-kid.com/";><FONT 
color=#800000>www.hyper-kid.com</FONT></A></DIV>
<DIV>&nbsp;</DIV>
<DIV>Campton Candle Company; New Hampshire's Ski Way;</DIV>
<DIV><A href="http://www.honeybeecandle.com/";><FONT 
color=#800000>www.HoneyBeeCandle.com</FONT></A>; <A 
href="http://www.ski93.net";><FONT color=#800000>www.ski93.net</FONT></A></DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV><FONT face=Arial color=#0000ff size=2></FONT></SPAN></DIV>
<DIV><FONT face="Times New Roman"><FONT size=2><SPAN 
class=968170801-28052004><FONT face=Arial 
color=#0000ff></FONT></SPAN></FONT></FONT>&nbsp;</DIV>
<DIV><FONT face="Times New Roman"><FONT face=Arial color=#0000ff size=2><SPAN 
class=968170801-28052004></SPAN></FONT></FONT>&nbsp;</DIV>
<DIV><FONT face="Times New Roman"><FONT size=2><SPAN 
class=968170801-28052004></SPAN></FONT></FONT>&nbsp;</DIV>
<DIV><FONT face="Times New Roman"><FONT size=2><SPAN 
class=968170801-28052004></SPAN></FONT></FONT>&nbsp;</DIV>
<DIV><FONT face="Times New Roman"><FONT size=2><SPAN 
class=968170801-28052004>&nbsp;</SPAN>-----Original Message-----<BR><B>From:</B> 
owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu 
[mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu]<B>On Behalf Of</B> 
Longo, Robert<BR><B>Sent:</B> Wednesday, May 26, 2004 1:15 PM<BR><B>To:</B> 
Child Maltreatment Researchers<BR><B>Subject:</B> Treating Kids with 
PTSD<BR><BR></DIV></FONT></FONT>
<BLOCKQUOTE dir=ltr 
style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff 2px solid; MARGIN-RIGHT: 0px">
  <DIV><FONT face=Arial size=2><SPAN class=676411217-26052004>Does anyone know 
  of any research that suggests that using a "Level System" with Children who 
  are diagnosed with PTSD is 'inappropriate'</SPAN></FONT></DIV>
  <DIV><FONT face=Arial size=2><SPAN 
  class=676411217-26052004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2><SPAN 
  class=676411217-26052004>Thanks,</SPAN></FONT></DIV>
  <DIV><FONT face=Arial size=2><SPAN 
  class=676411217-26052004></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2><SPAN class=676411217-26052004>Rob 
  Longo</SPAN></FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>
  <DIV><FONT face=Arial size=2><STRONG>This email and any files transmitted with 
  it are confidential and intended solely for the use of the individual or 
  entity to whom they are addressed. If you have received this email in error 
  please notify the sender by email, delete and destroy this message and its 
  attachments.</STRONG></FONT></DIV>
  <DIV><STRONG></STRONG>&nbsp;</DIV></FONT></DIV>
  <DIV><FONT face=Arial size=2>Robert E. Longo, MRC, LPC</FONT></DIV>
  <DIV><FONT face=Arial size=2>Corporate Director of Special </FONT></DIV>
  <DIV><FONT face=Arial size=2>Programming </FONT><FONT face=Arial size=2>and 
  Clinical Training</FONT></DIV>
  <DIV>&nbsp;</DIV>
  <DIV><FONT face=Arial size=2>Acting Director of Clinical Services</FONT></DIV>
  <DIV><FONT face=Arial size=2>New Hope For Children</FONT></DIV>
  <DIV>
  <DIV><SPAN class=190502920-28102003><FONT face=Arial size=2>430 North 
  Lane</FONT></SPAN></DIV>
  <DIV><SPAN class=190502920-28102003><FONT face=Arial size=2>Summerville, SC 
  </FONT></SPAN></DIV>
  <DIV><SPAN class=190502920-28102003><FONT face=Arial 
  size=2>29483</FONT></SPAN></DIV>
  <DIV><SPAN class=190502920-28102003><FONT face=Arial size=2>Phone: 
  843.5.577.4329</FONT></SPAN></DIV>
  <DIV><SPAN class=190502920-28102003><FONT face=Arial size=2>Fax: 
  843.577.3069</FONT></SPAN></DIV></DIV>
  <DIV><FONT face=Arial size=2>Mobile 843.345.5445</FONT></DIV>
  <DIV><FONT face=Arial size=2>E-mail: <A 
  href="mailto:robl@newhopetreatment.com";>robl@newhopetreatment.com</A></FONT></DIV>
  <DIV><FONT face=Arial size=2>Web: <A 
  href="http://www.newhopetreatment.com/";>www.newhopetreatment.com</A></FONT></DIV>
  <DIV><FONT face=Arial size=2></FONT>&nbsp;</DIV>
  <DIV>&nbsp;</DIV></BLOCKQUOTE></BODY></HTML>

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