While the do not give a clear hypothesis for their research study, it is implied that due to the indicators of the family being an important component to both the development of symptoms and the outcome of traumatized children as well as caregivers own distress from previous unresolved trauma, treating the caregiver first and then treating the child with the caregiver present may help the parental response pattern.
Intervention
For this study using the ITTM intervention, the researchers divided the treatment into three phases. Phase A invites the caregiver and any children over age 12 to six, 90 minute Trauma Informed sessions. These sessions provided pschoeducation on the effects of trauma on children, adults, and families, as well as providing …show more content…
To collect information during the assessment sessions, the clinician used sand tray techniques and then a treatment diagram for the child was created from these sand tray stories. This diagram explained the child’s thoughts, feelings, and actions as they dealt with their traumatic events. If other more predominant issues were present for the child, these issue were dealt with prior to exploring the traumatic events. The clinician then identified the child’s coping strategies, physical and emotional safety the child felt, and the symptoms the child exhibited. The clinician then explored that attachment relationship between themselves and their caregiver utilizing the same sand tray technique. The clinician also explored the child’s belief system about the people in their life and checked for distortions in the view to determine of the child appeared to be their chronological age. The study does indicate that the typical issues for treatment included: attachment relationship, loss of a significant relationship in the child’s life, shame or guilt for the history of problematic behaviors, an imbalance between affect and cognition, and the traumatic event itself. In the remaining four sessions, diagrams and sand tray techniques were used to explore issues and create a contained affective , cognitive, and behavioral experience. Once the child met the treatment gains the clinician was hoping for, then the Behavior Choice Program was introduced and practiced by the caregiver. The BCP was, for the most part, carried out for three to six months after the completion of the sessions so that the child may practice self-responsibility, impulse control, and obtain rewards for positive
Intervention
For this study using the ITTM intervention, the researchers divided the treatment into three phases. Phase A invites the caregiver and any children over age 12 to six, 90 minute Trauma Informed sessions. These sessions provided pschoeducation on the effects of trauma on children, adults, and families, as well as providing …show more content…
To collect information during the assessment sessions, the clinician used sand tray techniques and then a treatment diagram for the child was created from these sand tray stories. This diagram explained the child’s thoughts, feelings, and actions as they dealt with their traumatic events. If other more predominant issues were present for the child, these issue were dealt with prior to exploring the traumatic events. The clinician then identified the child’s coping strategies, physical and emotional safety the child felt, and the symptoms the child exhibited. The clinician then explored that attachment relationship between themselves and their caregiver utilizing the same sand tray technique. The clinician also explored the child’s belief system about the people in their life and checked for distortions in the view to determine of the child appeared to be their chronological age. The study does indicate that the typical issues for treatment included: attachment relationship, loss of a significant relationship in the child’s life, shame or guilt for the history of problematic behaviors, an imbalance between affect and cognition, and the traumatic event itself. In the remaining four sessions, diagrams and sand tray techniques were used to explore issues and create a contained affective , cognitive, and behavioral experience. Once the child met the treatment gains the clinician was hoping for, then the Behavior Choice Program was introduced and practiced by the caregiver. The BCP was, for the most part, carried out for three to six months after the completion of the sessions so that the child may practice self-responsibility, impulse control, and obtain rewards for positive