Development and Implementation of Trauma-Informed Programming in Youth Residential Treatment Centers Using the ARC Framework

This project describes application of an evidenced-based, trauma-informed treatment framework, Attachment, Regulation and Competency (ARC), with complexly traumatized youth in residential treatment. The processes of implementing the ARC model into clinical and milieu programming at two residential treatment programs are described. Particular attention is paid to system-level processes and strategies for embedding ARC in a sustainable manner.

Development and preliminary validation of a screen for interpersonal childhood trauma experiences among school-going youth in Durban, South Africa

This paper describes the development and preliminary validation of the Developmental Trauma Inventory (DTI), which is a 36-item, retrospective, self-administered screen for interpersonal childhood trauma experiences developed specifically for the South African context. Preliminary validation of the inventory was conducted using a sample of 720 school-going adolescents attending a high school in the Durban Metropolitan area (South Africa).

Cumulative trauma and symptom complexity in children: A path analysis

Multiple trauma exposures during childhood are associated with a range of psychological symptoms later in life. In this study, we examined whether the total number of different types of trauma experienced by children (cumulative trauma) is associated with the complexity of their subsequent symptomatology, where complexity is defined as the number of different symptom clusters simultaneously elevated into the clinical range.

Critical incidents among intensive care unit nurses and their need for support: explorative interviews

This article aims (a) to get insight into intensive care nurses' most critical work-related incidents, (b) their reactions and coping and (c) perceived support, in a Dutch intensive care unit. Research about the impact of critical incidents has largely been aimed at ambulance and emergency nurses, knowledge about intensive care nurses in this respect is scarce. Persistent stress reactions after critical incidents may cause symptoms of post-traumatic stress disorder, depression and anxiety. Unresolved problems may also cause poor behaviour towards patients.

Cultural Psychiatry in Tel Aviv: How relevant!

The First Mediterranean Conference on Cultural Psychiatry took place in Tel Aviv, Israel. This conference was a great success. With about 200 participants, mostly from Israel but with also 46 participants coming from 13 other countries: Mediterranean countries, Europe, North America and Australia. It contained three intensive days of plenary lectures and symposia, and a very impressive film, Waltz with Bashir.

Concurrent validity of the Structured Interview for Disorders of Extreme Stress (SIDES-SR) in a non-clinical sample of South African adolescents

The concurrent criterion-related validity of the Structured Interview for Disorders of Extreme Stress (SIDES-SR) was examined in a cross-sectional study of 719 secondary school students attending a high school in Durban, South Africa. For purposes of analysis, exposure to complex developmental trauma was defined as exposure to either chronic (>1 month) and/or multiple incidents (5+ types) of interpersonal victimisation prior to the age of 18 years.

Cortisol and PTSD Symptoms Among Male and Female High-Exposure 9/11 Survivors

Only a few studies have examined cortisol response to trauma-related stressors in relation to posttraumatic stress disorder (PTSD). We followed a sample of high-exposure survivors of the attacks on September 11, 2001 (9/11, 32 men and 29 women) and examined their cortisol response after recalling the escape from the attack, 7 and 18 months post-9/11. PTSD symptoms and saliva cortisol levels were assessed before and after trauma recollection. Hierarchical regression analyses revealed that PTSD symptoms and male sex predicted increased cortisol response following recollections.

Cost-effectiveness of trauma CT in the trauma room versus the radiology department: the REACT trial

ObjectiveTo determine the cost-effectiveness of trauma room CT compared with CT performed at the radiology department.MethodsIn this randomised controlled trial, adult patients requiring evaluation in a level 1 trauma centre were included. In the intervention hospital the CT system was located within the trauma room and in the control hospital within the radiology department. Direct and indirect medical costs of the institutionalised stay and diagnostic and therapeutic procedures were calculated.ResultsA total of 1,124 patients were randomised with comparable demographic characteristics.

Complex Histories and Complex Presentations: Implementation of a Manually-Guided Group Treatment for Traumatized Adolescents

It is consistently recognized that children and adolescents who have repeatedly experienced or witnessed violence are at significant risk for a multitude of lasting difficulties across many domains of functioning. Adolescents in residential settings often have extensive trauma histories and experience profound behavioral, emotional, and interpersonal difficulties. Unfortunately, there are few structured trauma-informed treatments that have been implemented in residential settings, and even fewer that have been evaluated.

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