Enhancing Resilience: Group Treatment for Adolescents with Complex PTSD

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Enhancing ResilienceGroup Treatment for
Adolescentswith Complex PTSD
Ruth DeRosa, David Pelcovitz, Sandra Kaplan Jill
Rathus, Julian Ford, Chris Layne, Bill Saltzman
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Living In the Middle of the Hurricane
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Complex PTSD

• Problems with

• Regulation of Affect Impulses
• Cognitive Functioning/
• Dissociation
• Somatization
• Sense of Self
• Relationships
• Systems of Meaning

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Development of the Manual

• Dialectical Behavior Therapy
• for Adolescents
• Rathus, Miller, Linehan, in press

Freedom Skills
DBT

• FREEDOM Skills
• Ford, Kasimer, MacDonald
• Savill, 2001

Trauma Focus

• School-Based Trauma/Grief
• Group Psychotherapy Program
• Layne, Saltzman, Pynoos, et al., 2000

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Woven Throughout the Treatment
Mindfulness
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25 Week Group

• Adolescents between 12-19 years old
• Living with significant ongoing stressors
• Present-focused
• Eight joint, multi-family sessions

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Current Collaborations

• Safe Horizon, NYC
• Middle School in the South Bronx
• High School near Ground Zero
• Childrens Institute International, LA
  Domestic Violence Program
• School-based Teenage Parenting Program
• Residential Treatment Center
• HIV Adolescent Medicine Clinic
• DSS Adolescents leaving foster care

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Consultants

• Fellow Clinicians
• Colleagues with Experience Writing Manuals
• Experts in Adolescence
• Group Participants

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Color Handouts
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Early Stages of Manual Development
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Creating Modules
Tension between content process
Creating Shorter Modules

• Change long-term adaptations to chronic trauma
  when chaos still exists in fewer sessions

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Setting, Gender, Culture Developmental Needs

• Bronx, NY Los Angeles, CA
• Inner city
• Chaotic school setting
• Community Domestic Violence
• Different immigrant populations with different
  resources level of educational backgrounds

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Treatment Adherence

• Making the Manual Flexible in a Predictable Way

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Data Farming
vs. Data Mining
Naihua Duan, 2002