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              October 2014 Newsletter



BRIEF: eBOOK by Dr. Perry 
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With over 35 organizations currently in either Training or having completed the NMT Certification Training Process, the ChildTrauma Academy and its partners are actively expanding our "catalog" of experience and our body of outcome data.  We formally established a Site Certification Training Process only 7 years ago.  New partners continue to join and old partners continue to innovate. This month's newsletter features two of our NMT Parter Sites: CEP, a new Phase I site from Kansas City, and Hull Services, one of our Flagship Sites from Calgary.   Stay tuned in the months to come for more about new groups we are working with and the strides that our fully-trained Sites are making in program development, practice innovation and clinical research. 
Application for the 2015-2016 Napa Infant-Parent Mental Health Fellowship Now Available
The Napa Infant-Parent Mental Health Fellowship (NIPMHF) in Napa, CA, directed by CTA Fellow Dr. Kristie Brandt, is pleased to announce both its 2015-2016 application release and a new affiliation with the University of California, Davis Extension. This remarkable program is unlike any in the U.S., and provides working professionals the opportunity to engage in an outstanding 15-month specialty training program through classes offered on weekends in California's Napa Valley. This state and national award winning program was developed in Napa, CA in 2002 where it has operated continuously since its inception. 
The 2015-2016 Fellowship year marks the start of a newly forged partnership with the University of California, Davis Extension and the ability for Fellows to receive 23 academic quarter units in the graduate professional series upon completion of the program.  We highly recommend this amazing learning experience; Dr. Perry serves as one of the Faculty and as a curriculum advisor to the program.  

     The NIPMHF is a 15-month intensive interdisciplinary program designed for professionals working with children 0-5 and their families, and meets in Napa, CA for 3 days each month, typically Friday-Sunday. The NIPMHF is committed to inter-disciplinary training with a philosophical belief that young children and their families are best served in the context of existing professional relationships where referral and consultation are used to address specific issues while maintaining a comprehensive, collaborative, and continuing approach to care. The training is based on a practice model encompassing promotion, prevention, early intervention, pan-disciplinary services, and discipline-specific services. The goal of the NIPMHF is to support professionals in understanding relationship-oriented therapies and to focus therapeutic efforts on the infant-parent and other important relationships in infancy and early childhood. To explore current theoretical thinking, research findings, and models of care, the NIPMHF has engaged some of the most recognized luminaries in their fields as faculty for the program. The opportunity to think with these experts and explore models of care for an extended period of time and in a small group is not only rare, but places the NIPMHF graduates on the leading edge of the infant-parent and early childhood mental health field.

To learn more and to view the complete application, click here.
CTA Welcomes CommCare to NMT Site Certification Group

The ChildTrauma Academy recently welcomed The Children's Enhancement Project (CEP), one program operated by CommCare, based in Kansas City, MO, to our cadre of NMT Training Certification Sites.  The Children's Enhancement Project (CEP) is a major initiative of the Missouri Department of Mental Health and the eight Community Mental Health Centers of the Northwestern Region and is designed to allow children affected by serious mental, emotional or behavioral disorders to stay in their own communities while receiving mental health services.

     CEP's mission is to support children and youth by enhancing the services and supports available, discussing and acting on issues affecting children, developing community partnerships, and promoting communication between child-serving organizations, families, and supports systems. CEP develops and implements services designed to allow children with serious mental illness to stay in their own communities, and where possible, in their own homes, while simultaneously improving the child's well-being.  At least half of the children that CEP reaches have remained at home while CEP provided wrap-around services.  In the case, though, that it is not possible for a child to remain at home, CEP utilizes Professional Parent Homes run by "professional parents" who are trained in trauma, positive behavioral support methods, and person-centered planning. The "professional parents" work closely with the child's family and a team of professionals, led by an Enhanced Behavioral Specialist to create a care plan and assesses the child's progress. Professional Parent Homes are also utilized when a child is in the custody of Children's Division and needs help to be able to function safely in a foster home.  They are further utilized as a "step-down" from residential so parents can learn the needed skills to work successfully with their child.

      Enhanced Behavioral Specialists from CEP also work with children in other environments, such Children's Division, Juvenile Court or KCRO placement, to ensure that therapy (and other resources) are available and accessible to each child.  Further, CEP is part of a continuum of care provided by the Community Mental Health Centers.  When it is determined that a child no longer requires the intensive level of care provided by CEP, trained professionals will continue to work with the family to determine what on-going services are still needed, and they will assist in connecting the family with those resources.

     CEP's goals for NMT are two-fold: to enhance the therapeutic services for  children with a history of complex trauma in their history, and to shift the general perspective that many adults, both professionals and care-givers, regarding dysegulated children.  "One of my greatest challenges is getting the school or parents (or professional parents) or Children's Division or even sometimes the case worker to understand that what they are seeing is a dysregulated child, not a manipulative, oppositional one.  When you ask a child why they did something and they say "I don't know", it is because they really don't know - and NMT explains this.  If we can get our teams moving with this same understanding, we then have a better treatment plan, a better IEP, a better and different experience for the child and a much greater chance for a positive outcome," says Terry Cunningham, CEP Coordinator.  CTA is thrilled to have CEP starting Certification Training.  Their relationship-centered approach aligns well with core NMT principles, and we're very exciting to begin working with them.  

Recent Grants Help Hull Services Further Develop NMT Programming

Due to increasing demands for their clinical and academic expertise, NMT Flagship Site Hull Services is proud to be adding to their original 11 NMT Certified clinicians by training seven more clinicians across both residential and community programs.  In addition, the agency has embarked on training in the Neurosequential Model in Education (NME), investing in a NME Trainer for the agency as well as an Trainer for the Family and Education Services program, a school-based community service to support identified children and families.  The increasing demand for training in core NMT concepts, for consultation regarding implementation, and for individual consultation using the NMT metric have provided a catalyst for the development of 1.5 new positions in the agency in August 2013, generously funded by Cenovus for a two-year period.  More recent financial support was provided by an equally generous donation from the Shaw Charity Classic, thus allowing Hull to add an additional 1.6 positions to support the NMT initiative.

     Internally, trauma-informed care training is being provided for all agency employees with focus on ways in which traumatic experiences may have altered the developing brain.  The treatment programs focus on ensuring that all the waking time of the child in care is therapeutic and that all adults involved in the child's life are creating an environment that is moving the brain in a positive trajectory towards healing and healthier development.  Treatment decisions are frequently made using the NMT metric as a means of targeting interventions in the functional areas of the brain that require more attention.  Thus, the NMT model is being incorporated into all 28 of Hull's programs, including the demonstration project to support the needs of Aboriginal families experiencing transgenerational trauma (Braiding the Sweetgrass).  

     In addition to an increased focus on internal NMT training and capacity building, Hull is seeing an increase in external requests for training in the NMT core concepts and implementation include speaking engagements at teacher's conventions, children's service programs, and health service programs in Alberta and other parts of Canada, as well as specific school districts on reserves and other special education settings such as a charter school for gifted students.   Speaking engagements about NMT implementation are being provided based on the knowledge gained through the agency's pilot projects at William Roper Hull School and The Preadolescent Treatment Program.  

     In the last three years, outcomes in the pilot projects have shown significant decreases in critical incidents, improvements in targeted behaviors, and greater staff wellness and job satisfaction (based on lower staff turnover and staff self reports) as a direct result of NMT and trauma-informed care training.  Further research and collaboration with the University of Calgary regarding specific changes in the brain (including cortisal levels and responsivity/impulsivity) is in early stages, with goals to begin measuring above mentioned brain changes in 2015.   

Interested in seeing where our NMT Sites are located?  Check out our NMT Trained Providers Geo-Map!
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Bruce D. Perry, M.D., Ph.D.
The ChildTrauma Academy