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          November 2012 Newsletter
NME: Neurosequential Model in Education




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Over the past five years, CTA has seen nearly a dozen organizations complete their NMT Training Certification Programs.  These programs and the CTA are now able to begin systematically examining and reporting on outcomes associated with the use of the NMT approach.  The preliminary analysis of various outcomes is very encouraging - with all sites reporting improvements in client-related outcomes as well as subjective and objective reports of improved staff satisfaction.  One of the most pervasive findings is a very significant decrease in incidents and restraints.  The CTA's Director of Research, Dr. Christine Dobson, is spearheading our Research and Outcomes Collaborative and we will report on the activities and findings of this group periodically.    We are very pleased to have these opportunities with our many partner organizations and look forward to sharing some of these findings in future newsletters and publications. 

Introduction to the Neurosequential Model in Education: NME

Over the last ten years, the ChildTrauma Academy has been developing the Neurosequential Model of Therapeutics (NMT).  All during this time it has been clear that the application of developmentally informed and trauma-sensitive practices would be very useful in educational as well as therapeutic settings.  Indeed, children in mainstream educational and special education settings have very high rates of exposure to violence, trauma and other adverse events (e.g., in the state of Washington's Public Health survey of the rates of adverse experiences in "typical" classrooms, over 1/3 of the children had more than three adverse experiences: see the Washington State Family Policy Council for many excellent resources). 

Several programs in schools have demonstrated the positive effects of integrating trauma-awareness and trauma-informed practices into the regular classroom; one of these is in Walla Walla HS in Washington where they were able to reduce suspension rates by 85% (see this link): another is an alternative high school in North Carolina associated with Alexander Youth Network, one of the NMT Flagship Programs, where in the first year of introduction to the Neurosequential Model, a dramatic drop in incidents and suspensions was observed.

To this end, the CTA has been developing a set of curricular elements and educational program supports which will help educators create developmentally informed and trauma sensitive classrooms.  We are labeling this array of training and program elements the Neurosequential Model in Education.  This Winter, the CTA is pleased to announce the first in an ongoing NME Case-based Training Series.  This series is targeting educators and caregivers and will use the same combination of didactic and case-based learning that we use in our long-running NMT Case-based Training Series (see below). 


Winter 2013 NMT Case-Based Training Series Begins January 11th - Register Today!
Registration is now open for the Winter 2013 NMT Training Series which begins Friday, January 11th. Choose to participate LIVE or via RECORDINGS ONLY.  Presentation slots are open to LIVE participants and do fill quickly.  
This training experience is part of an ongoing clinical care conference series offered by the CTA, and our teaching model has been useful for helping clinicians and front-line staff better understand the neurodevelopmental principles involved in many of the primary symptoms as well as strengths in the children they serve.  This practical teaching model provides an opportunity for ongoing capacity building within an institution or for individuals and can serve as a good introduction to viewing maltreated and traumatized children through the "lens" of neurodevelopment. 

There are TWO WAYS to participate in our NMT Case-Based Trainings:  Live or Recordings Only (viewable via the Internet).

     1. ATTEND LIVE - via the Internet.  All sessions take place on Fridays at 11:30am CST.
     2. WATCH RECORDINGS of the live sessions - via the Internet.  View whenever you wish. Stop, pause and/or replay each session. Recorded sessions are available the very same day that each live session is conducted.  This method is a COST SAVING option --  and ideal for groups working at more than one location as well as participants with hectic schedules or residing in different time zones (we're CST)!


St. Aemilian-Lakeside Seeing Improved Outcomes Associated with NMT Implementation 
St. Aemilian-Lakeside, headquartered in Milwaukee, WI, is a non-profit, non-sectarian child welfare agency providing foster care, education and mental health services for Southeast Wisconsin and beyond - having served their region for over 160 years.  St. Aemilian has been a regional and national leader in the development and implementation of Trauma-Informed Care.  A component of that process has included NMT Certification.

St. Aemilian began NMT Training Certification in 2009, and today have more NMT-certified users than any site in the United States.  They have been using a variety of standardized psychometrics within their many programs including the CAFAS and the NMT Metrics.  Since starting the NMT certification process, they have seen a significant improvement in the percentage of clients who demonstrate a decrease in CAFAS Score during their treatment (77 % in 2010; 89% in 2011 and 100% in 2012) and a significant increase in the "Initial-Last" CAFAS Score during treatment at St. Amelian (44 in 2010; 59 in 2011 and 83 in 2012).   Congratulations to the leadership and staff of the programs at St. Amelian-Lakeside; these results reflect a tremendous amount of time, energy and care dedicated the the children and families they serve. The CTA is proud to be working with you.  
In addition to our current research on outcomes related to the NMT, we are also currently in the process of conducting our second NMT Metric Tool Fidelity Exercise.  The purpose of this bi-annual, month-long process is to ensure scoring consistency among all users of the NMT Metric Tool and fidelity to the scoring model.  These exercises are another example of the strides that we have made in our Training Certification programs over the past year. We look forward to further progress in 2013!
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Bruce D. Perry, M.D., Ph.D.
The ChildTrauma Academy