week 3 matrix 672

1 Interview Matrix and Interview Brian Fazio College of Humanities and Social Science, Grand Canyon University PCN 672 Childhood and Adolescent Trauma Dr. Cindy Smith December 6, 2023

2 Interview Matrix and Interview Four Required Questions Related to Trauma Four Free Choice Topics (Attachment, Trauma, Coping Skills, and Theory) Four Resources for Your Practice Four Concepts about Abuse and Attachment What is an effective coping tool or strategy you have in your toolbox? Rainbow Around the Room Common types of attachment disorders are: Attachment avoidance, in which a person rejects connections and prefers to be alone. Attachment anxiety is hypervigilant and believes people are going to leave them (Castellini et al., 2022). Attachment- PCIT is an evidence-based program, but most of the tenets conform to attachment theory. The effectiveness of this program has been highly successful, and the bonds between children and parents have significantly increased. It is not uncommon for those who have been abused to form attachments to their abusers (Ravi et al., 2021). How do you identify children and adolescents who may be experiencing abuse or neglect? Observing their behavior( crying, not eating, not taking care of hygiene), Screening questions Sexual Trauma can lead to repeat occurrences, PTSD, and depression. Sexual Trauma affects men and women (Baca et al., 2023). With older patients, it is crucial to give special attention as their trauma may be hidden and could receive incorrect level of care (Ferrah et al., 2022) Trauma: CATS, which is a child and adolescent trauma screen, is one of the screens used in our assessment of teens and children for trauma. Sexual Abuse and Attachment Insecurity- abused children with no support system had significantly more PTSD and trauma symptoms than sexually abused children with a support system (Ensink et al., 2021) . What are some commonly overlooked stressors children and adolescents experience? Stressors that primarily affect Covert stressors include changes in routine, too much success, and watching too much TV. Some kids like stability, and when things change, it Coping Skills: The creation of a coping skill/trauma box in a trauma emergency can be utilized to help. Much like a first aid kit, this is a first aid kit for Too much stress exposes the body to cortisol, which can cause damage to a variety of the body's systems if ongoing ( How Stress Affects Your Health , 2013).

4 have, especially when you have children and adolescents as clients. When many of the clients suffer from a multitude of traumas, take as many of the trauma classes that can fit into my program as possible. Jamie discussed some coping skills she uses, such as 5-4-3-2-1 and Rainbow around the room, as elementary but helpful skills every client should have. One of the biggest obstacles to successful counseling with children can be the parents. Jamie has a parenting class that helps parents communicate and discipline their children more effectively and consistently. This is one of the reasons why she utilizes PCIT, as it is an evidence-based program that works with parents and children. Jamie wanted to make sure I did self-care and, if I did not, start doing it regularly. She explained that we will see and hear sometimes terrible and heart-breaking things, that it can be overwhelming, and that I need to make sure I take the time to relax and decompress at work. We concluded by discussing our work environment, why she wanted to work here, and why she stayed. Many counseling places are more independent contractors or pay-for-fee; you only get paid if the client shows up. The administration provides support, several benefits, and training and educational reimbursement or direct payment. I thank Jamie for her time in helping with my assignment.

5 References Baca, S. A., Crawford, J. N., & Allard, C. B. (2023). Ptsd, depression, and suicidality among survivors of childhood sexual trauma (cst), military sexual trauma (MST), and sexual revictimization (cst + mst). Psychological Trauma: Theory, Research, Practice, and Policy , 15 (8), 1271–1279. https://doi.org/10.1037/tra0001149 Canfield, J. (2005). Secondary traumatization, burnout, and vicarious traumatization. Smith College Studies in Social Work , 75 (2), 81–101. https://doi.org/10.1300/j497v75n02_06 Castellini, G., Tarchi, L., Cassioli, E., Rossi, E., Sanfilippo, G., Innocenti, M., Gironi, V., Scami, I., & Ricca, V. (2022). Attachment style and childhood traumatic experiences moderate the impact of initial and prolonged covid-19 pandemic: Mental health longitudinal trajectories in a sample of italian women. International Journal of Mental Health and Addiction , 21 (5), 3393–3412. https://doi.org/10.1007/s11469-022-00798-x Ensink, K., Fonagy, P., Normandin, L., Rozenberg, A., Marquez, C., Godbout, N., & Borelli, J. L. (2021). Post-traumatic stress disorder in sexually abused children: Secure attachment as a protective factor. Frontiers in Psychology , 12 . https://doi.org/10.3389/fpsyg.2021.646680 How stress affects your health . (2013, January 1). https://www.apa.org. https://www.apa.org/topics/stress/health Radcliffe, Susan & Pollack, Daniel. (2021). Why some children want to stay with their abusive parents. Ravi, A., Gorelick, J., & Pal, H. (2021). Identifying and Addressing Vicarious Trauma. American family physician , 103 (9), 570–572.