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RE: Treating Kids with PTSD
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<TITLE>RE: Treating Kids with PTSD</TITLE>
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<P><FONT SIZE=2>We are using a CBT based program and model in working with sexually reactive and abuse-reactive children ages 5-12. We are also using Trauma-based CBT. </FONT></P>
<P><FONT SIZE=2>Our program uses both a daily point system (to track behavior and behavioral trends) as well as a level system. At a recent case staffing someone suggested that using a Level System with PTSD children was inappropriate which is what spawned my question to the list serve. </FONT></P>
<P><FONT SIZE=2>We try to use evidence-based treatment models, modalities and designs in our programming as well as "best practice"</FONT>
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<P><FONT SIZE=2>I am not willing to change our points and levels systems unless there is good strong research to suggest that they are counterproductive and/or inappropriate for these populations. </FONT></P>
<P><FONT SIZE=2> </FONT>
<BR><FONT SIZE=2>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.</FONT></P>
<P><FONT SIZE=2> </FONT>
<BR><FONT SIZE=2>Robert E. Longo, MRC, LPC</FONT>
<BR><FONT SIZE=2>Corporate Director of Special </FONT>
<BR><FONT SIZE=2>Programming and Clinical Training</FONT>
<BR><FONT SIZE=2> </FONT>
<BR><FONT SIZE=2>Acting Director of Clinical Services</FONT>
<BR><FONT SIZE=2>New Hope For Children</FONT>
<BR><FONT SIZE=2>430 North Lane</FONT>
<BR><FONT SIZE=2>Summerville, SC </FONT>
<BR><FONT SIZE=2>29483</FONT>
<BR><FONT SIZE=2>Phone: 843.5.577.4329</FONT>
<BR><FONT SIZE=2>Fax: 843.577.3069</FONT>
<BR><FONT SIZE=2>Mobile 843.345.5445</FONT>
<BR><FONT SIZE=2>E-mail: robl@newhopetreatment.com <<A HREF="mailto:robl@newhopetreatment.com";>mailto:robl@newhopetreatment.com</A>> </FONT>
<BR><FONT SIZE=2>Web: www.newhopetreatment.com <<A HREF="http://www.newhopetreatment.com"; TARGET="_blank">http://www.newhopetreatment.com</A>> </FONT>
<BR><FONT SIZE=2> </FONT>
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<P><FONT SIZE=2>-----Original Message-----</FONT>
<BR><FONT SIZE=2>From: plummerc@umich.edu [<A HREF="mailto:plummerc@umich.edu";>mailto:plummerc@umich.edu</A>]</FONT>
<BR><FONT SIZE=2>Sent: Thursday, May 27, 2004 10:54 PM</FONT>
<BR><FONT SIZE=2>To: Child Maltreatment Researchers</FONT>
<BR><FONT SIZE=2>Subject: Re: Treating Kids with PTSD</FONT>
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<P><FONT SIZE=2>I think that several truths are being seen as opposed here, which probably can</FONT>
<BR><FONT SIZE=2>be accomplished in tandem. First, research does show that traumatized abused</FONT>
<BR><FONT SIZE=2>children benefit from trauma-specific treatment. Second, a structure and</FONT>
<BR><FONT SIZE=2>clarity are helpful in and out of the therapeutic setting so that children feel</FONT>
<BR><FONT SIZE=2>safe enough to do the work, and improve in functioning. Carol Plummer</FONT>
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<P><FONT SIZE=2>Quoting "Hannah K. Galvin" <hannah_galvin@student.hms.harvard.edu>:</FONT>
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<P><FONT SIZE=2>> Perhaps it helps the practitioners, but I wonder if it really helps the kids?</FONT>
<BR><FONT SIZE=2>> I'm going into pediatrics, so I don't have the psychology training that many</FONT>
<BR><FONT SIZE=2>> of you do, but it seems to me that a Level system promotes behavioral</FONT>
<BR><FONT SIZE=2>> modification, but does not really address the kids' problems. A child can</FONT>
<BR><FONT SIZE=2>> very easily figure out that the way to get out of the hospital is to say and</FONT>
<BR><FONT SIZE=2>> do the right thing...but this does not help them deal with their symptoms -</FONT>
<BR><FONT SIZE=2>> it just makes them more manageable to maintain in an inpatient setting. I</FONT>
<BR><FONT SIZE=2>> worry that if we make behavioral modification the goal, many of these</FONT>
<BR><FONT SIZE=2>> patients are going to direct their symptoms further inwards. It just seems</FONT>
<BR><FONT SIZE=2>> that instead of allying ourselves with the kids, we are setting up all sorts</FONT>
<BR><FONT SIZE=2>> of rules and regulations. Sure, they need a structured environment, but are</FONT>
<BR><FONT SIZE=2>> we sending the message that we only care about their outward behaviors and</FONT>
<BR><FONT SIZE=2>> not what is really bothering them? When I've rotated through psych wards, I</FONT>
<BR><FONT SIZE=2>> have often thought that maybe we are doing these kids an injustice...maybe we</FONT>
<BR><FONT SIZE=2>> are encouraging them to go into hiding? I've known patients who, after being</FONT>
<BR><FONT SIZE=2>> dropped a level for telling a staff member about self injury, etc., have said</FONT>
<BR><FONT SIZE=2>> that they won't tell anyone again. This is what concerns me. I have no</FONT>
<BR><FONT SIZE=2>> knowledge of research on the issue, but I'd be interested in others'</FONT>
<BR><FONT SIZE=2>> thoughts....</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> Hannah Galvin, HMS-III</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> ><><><><><><><><><><><><><><><><><><</FONT>
<BR><FONT SIZE=2>> Hannah K. Galvin</FONT>
<BR><FONT SIZE=2>> Vanderbilt Hall Box #330</FONT>
<BR><FONT SIZE=2>> 107 Avenue Louis Pasteur</FONT>
<BR><FONT SIZE=2>> Boston, MA 02115-5750</FONT>
<BR><FONT SIZE=2>> (617) 780-5797</FONT>
<BR><FONT SIZE=2>> hannah_galvin@student.hms.harvard.edu</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> ----- Original Message -----</FONT>
<BR><FONT SIZE=2>> From: psychling@att.net</FONT>
<BR><FONT SIZE=2>> To: Child Maltreatment Researchers</FONT>
<BR><FONT SIZE=2>> Cc: Longo, Robert ; Child Maltreatment Researchers</FONT>
<BR><FONT SIZE=2>> Sent: Wednesday, May 26, 2004 2:18 PM</FONT>
<BR><FONT SIZE=2>> Subject: Re: Treating Kids with PTSD</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> Robert ...</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> Quite the contrary. I used to be the clinical director of a psychiatric</FONT>
<BR><FONT SIZE=2>> hospital for children and adolescents. Most of our clients were from DCFS</FONT>
<BR><FONT SIZE=2>> and had extensive hx of abuse and neglect. The Point and Level system, in</FONT>
<BR><FONT SIZE=2>> fact, established a basis on which we were then able to make important</FONT>
<BR><FONT SIZE=2>> individual therapeutic accomplishments.</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> Best to you.</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>> Daniel Fallon, Psy.D.</FONT>
<BR><FONT SIZE=2>> www.licensed-psychologists.com</FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>></FONT>
<BR><FONT SIZE=2>></FONT>
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