Welcome to The Clinical Director’s View
The purpose of this forum is to promote thought and conversations among professionals about the implications of a complex trauma perspective on child welfare service practices. We hope to challenge the status quo by highlighting what is most important when making decisions on behalf of maltreated and traumatized children. We hope this will be helpful and stimulate joint learning. And we trust that this will lead to change for those who suffer from the effects of complex developmental trauma.
Research indicates that over 90% of children in foster care have suffered complex trauma. And children from international private adoptions and child welfare adoptions suffer at the same rate. Many have experienced more than five different types of trauma. The evidence is clear that complex trauma often causes changes in brain integration and organization and results in delays in development in many areas. Our own evidence is that these children can heal IF our therapeutic interventions are more than just trauma-informed, but trauma-focused.
Addressing Complex Behaviour
A tremendous amount of time, effort, and funding is allocated to helping children with complex behavioural presentations. These services include a range of medical, psychiatric, mental health, social work, youth probation, and youth care; along with more specialized services such as FASD behavioural supports. In addition, children displaying a range of emotional, behavioural, and social problems often undergo a range of thorough and costly assessments. Yet, many of the children who receive these intensive services do not seem to benefit markedly, continuing to exhibit highly challenging behaviour, and continuing to show dramatic developmental lags when compared with their peers. In observing this same phenomenon across North America, Dr. Bruce Perry shared the concern that, “Our efforts are well intended but developmentally misinformed” (Perry and Hambrick, 2008; p. 39).
In the Clinical Director’s View, Dr. Chuck Geddes will add insights into the use of a neurodevelopmental perspective and the possible implications for current practice.
Some topics may include:
- Complex trauma as a central common fact for kids in foster care
- Best practice for children that suffer from complex trauma
- Policy regarding child’s plan of care
- Brain science and family court
- Diagnosis and assessment
- Length of time from warning to removal to permanent removal during key developmental time
- Policies regarding a parent’s multiple chances to parent during key developmental years
- Evidence-based therapies and trauma
- Promising Practices: NMT, ARC, CCI
Watch Dr. Chuck Geddes reflect on how he got started with CTR and why his life was forever changed working with traumatized kids.
Learn how Dr. Chuck Geddes entire practice and philosophy was changed as he applied new ideas to his understanding of complex trauma.
Learn how Dr. Chuck Geddes developed a deeper clarity for the vision of Complex Trauma Resources and how this vision brings hope to children and families who are struggling.
Kids, Complex Trauma, and Medication – The Great Debate Continued. by Chuck Geddes, Ph.D. This post will offer some thoughts on the use of psychotropic medications for children and youth with complex trauma histories. This post is a follow-up on my previous post on this topic https://www.complextrauma.ca/complex-trauma-medications/. I’ve had a chance to speak to some child …
CCI in a Cross-Cultural Setting by: Dr. Kirk Austin Baako cried incessantly at the orphanage, where he was a resident. When Jake and Sarah stepped off the plane in Zimbabwe, thrilled to adopt this little 3-year-old boy, they were excited, curious and a tad bit anxious. They arrived home to Canada and after a number …
In my previous post, I talked about the Adverse Childhood Experiences Study (ACEs) and how this is beginning to shake the foundation of how we view mental health problems. Take the ACEs test here The ACEs study points to a powerful connection between stressful childhood experiences and how it can create lifelong difficulties for people …