Trauma-Informed Care Consortium 
Central Texas
"Building a Community of Care for Children, Families and Providers"
February 2015
Table of Contents
Spotlight on Care Options for Kids
TICC Assessment Results
Special Issues in Trauma Cases
TICC Members
Spotlight on 
Care Options for Kids


Care Options for Kids (COFK) was founded in 1999 by the mother of a child with special needs in order to ensure that all Texas children in need could receive access to therapy in their homes and communities.  COFK continues to fulfill this mission by providing children ages 0-21 across Texas with Occupational, Speech, and Physical therapy services.  COFK partners with many agencies, including the Helping Hand Home, foster care agencies, Child Protective Services, Head Start Programs, shelters, and medical providers in order to identify and serve children with developmental issues. COFK therapists interact with children and families exposed to trauma and work closely with each child's team to coordinate care and ensure that they are provided the right interventions based on each child's unique circumstances.  The behavioral competency program created by COFK's OT/ST staff was informed by knowledge of children's mental health and trauma. Services are provided in the home or least restrictive environment in order to allow therapists to educate and work alongside parents and caregivers. 

COFK has also initiated staff training in the management of feeding and swallowing issues, bilingual language, and sensory behavioral issues through competency based training in order to help parents and families manage children with these unique needs.


Please click here to learn more.

Upcoming Trainings
*Please check our website ( for on-going updates and additions to our trainings calendar!



2/20/2015 - 2/21/2-15









Next TICC Meeting




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The Trauma-Informed Care Consortium is funded by:

St. David's Foundation
Lexus of Austin

Register Now for 

Cross-Discipline Trauma Conference of Central Texas

One day tickets available for March 30 

featuring Dr. Bruce D. Perry, MD, PhD

March 30th-31st, 2015

The Westin Austin at the Domain




Bruce D. Perry, M.D., Ph.D

Senior Fellow of the ChildTrauma Academy


Vincent Felitti, M.D.

Clinical Professor of Medicine at University of California, Co-Principal Investigator of Adverse Childhood Experiences (ACE) Study


Erica Miller, Ph.D.

Clinical Psychologist and Holocaust Survivor


Ginny Sprang, Ph.D.

Executive Director, University of Kentucky Center on Trauma and Children; Co-Chair of National Child Traumatic Stress Network Secondary Traumatic Stress Collaborative

Details: This two-day conference on trauma and trauma-informed care will provide expert guidance and education on the effects of trauma, as well as evidence-based practices in recognizing and treating trauma.

Two Day Tickets: SOLD OUT!
One Day Tickets: $225

CEUs will be provided for social workers, psychologists, LPCs, LMFTs, OT/PT/ST, LCDC and teachers. CEUs are pending for nurses.

Nursing contact hours have been applied for through the Texas Nurses Association, an accredited approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

For more information, including schedule of events, hotel reservations and updates on CEUs, click here.

The Cross-Discipline Trauma Conference of Texas is provided by the Austin Child Guidance Center through generous support of St. David's Foundation, and is sponsored in part by the Texas Network of Youth Services in collaboration with the Statewide Seclusion and Restraint Reduction Leadership Group and Texas Department of State Health Services. Special thanks to the Hogg Foundation for expert guidance and support. 
St. David's Foundation 
Featured Articles
Trauma-Informed Agencies: How "Ready" Are Organizations in Central Texas?

Seanna Crosbie, LCSW

Austin Child Guidance Center

 In 2014, TICC developed The Trauma-Informed Organizational Readiness Survey to gain a sense of the strengths and needs within organizations that support survivors of trauma.  The survey focused on areas including screening of suicide and trauma, support for providers, evidence-based treatments, trauma-informed evaluations, cultural competency and policy. For the full report, click here.  Over 75 agencies responded, and highlights include:

  • 28% screen for trauma
  • 32% screen for suicide
  • 48% have a policy against restraint and seclusion
  • TF-CBT is the primary treatment used; however, less than 5% of clinicians are certified in this treatment
  • 58% consider their organization to be TI; however, only 25% have a specific TI policy
 Special Issues in Trauma Cases


Julia A. Speir, LCSW-S



    Working through the healing process with traumatized clients can be challenging, and we often encounter special issues that must be dealt with along the way. Some of these issues are quite complicated, and can dramatically impact how we proceed in treatment. It is important to have clear ideas and strategies in mind for working through these before proceeding. The following is a list of common issues that co-occur in trauma cases, and things to consider when addressing them.
  • Dissociation - Client must be able to stay present in order to be treated. Therapist must be able to employ strategies to keep client present and to help client learn to recognize/prevent dissociation
  • Personality disorders - These clients are less likely to come to therapy voluntarily, may lack insight and engage in therapy-interfering behaviors. Personality issues are common in clients with early life complex trauma, and are linked to attachment. Therapist may dislike client, and client may need to resolve personality issues first.
  • Physical disabilities or permanent scarring & injuries from trauma - Physical injuries and scarring serve as a constant reminder of trauma and add to injury in general. Client must find a way to accept the physical change in order to feel peaceful.
  • Intellectual challenges/general low functioning - Client may have difficulty grasping concepts and may not keep safe. Therapist may have to use techniques designed for children. Client must be able to understand concepts, recall concepts outside of therapy office and apply/utilize concepts - if client is unable to do this, then may not be appropriate for many types of therapy.

  • Head trauma - Client may have difficulty processing/focusing or have mood instability and other symptoms that don't respond well to therapy. Therapist may need to consult with a neurologist.



Seanna Crosbie

Austin Child Guidance Center



Renee Calder Price

Caring Family Network


Organizational Members



Allies Against Slavery - John Nehme

Any Baby Can - Katie Ryan 

Austin Child Guidance Center - Seanna Crosbie, Stephen Kolar,

Mary Klingensmith, Andrea Ciceri

Austin ISD - Kathy Palomo, Kate Wegler 

Austin ISD Campus Based Counseling Referral Centers - Melissa Acosta

Austin Children's Shelter - Maren Strachan

Austin Oaks Hospital - Angelica Reyes
Austin PD Victim Services - Robin Foreman

Austin Recovery - Trish Rivera 

Austin State Hospital - Jennifer Swinton

Austin Travis County Integral Care - Melody Palmer-Arizola, Amanda Davidson

Big Brothers Big Sisters of Central Texas - Sharlene Eaton-Landis

Care Options For Kids - Kevin Schoenberger

Caring Family Network - Renee Calder Price

Casey Family Programs - Michael Martinez

Cenpatico - Karen Rogers

Center for Child Protection - Barbara Jefferson, Addie Wieland

Communities in Schools of Central Texas - Kris Downing

Communities for Recovery - Kate Jones & Kanisha Denmon

Community Advancement Network (CAN) - Hannah Brown

CommunitySync/Project HOPES - Suzanne Hershey

Community Yoga Austin - Shawn Kent

Court Appointed Special Advocates - Charron Sumler

Dell Children's Medical Center - Sally Freeman

Department of Family & Protective Services - Sheila Brown

Easter Seals - Jessica Moore

El Buen Samaritano - Donna Shanor

Highland Lakes Family Crisis Center - Kifferie Corley

Helping Hand Home - Micki Marquardt

Juvenile Support Network - UT Austin - Wanda Nelson

Kids in a New Groove - Karyn Scott

KIPP Austin Collegiate High School - Vanessa Marie Flores

LifeWorks - Rob Thurlow

NAMI Austin - Karen Ranus

OutYouth - Keisha Martinez

Pflugerville ISD - Vicky Esparza-Gregory

Planned Parenthood of Greater Texas - Kristin McDuffie

People's Community Clinic - David Burrows

Refugee Services of Texas - Kay Mailander

Rock Springs - Kelli Wright, Damien Robinson

Safe Place - Linda Herbert, Barbara Ball

Samaritan Center for Counseling and Pastoral Services - Gretchen Johnson

Southwest Key Programs - Hillary England

Spirit Reins - Rhonda Smith

Texas Department of State Health Services - Emily Parks

Texas Network of Youth Services - Lara O'Toole

Texas NeuroRehab Center - Meg Haden

Texas System of Care Consortium - Texas Family Voice Network - Candace Aylor

The Settlement Home - Bronwyn Seay

Travis County Collaborative for Children - Katy Bourgeois

Travis County Health & Human Services & Veteran Services - Christina Kuehn & Corie Cormie

Travis County Juvenile Probation - Erin Foley

United Way for Greater Austin - Alison Bentley

UT Child and Family Research Institute - Beth Gerlach

YWCA Greater Austin - Laura Gomez-Horton 




Website Committee

Stephen Kolar - Website Liaison

Mary Klingensmith - Coordinator

Kevin Schoenberger, Laura Gomez-Horton, Trish Rivera


Newsletter Committee

Andrea Ciceri - Newsletter Liaison

Bronwyn Seay, Micki Marquardt, Angelica Reyes, Gretchen Johnson


Strategic Planning Committee

Rhonda Smith - Strategic Planning Committee Liaison

Sheila Brown, Lara O'Toole, Hannah Brown, Amanda Davidson,   Michelle Spikes, Holly Gursslin, Alison Bentley, Marilyn Waters, Rachel Astorga, Candace Aylor


Membership and Marketing Committee

Mary Klingensmith - Marketing Committee Liaison 

Joe Dias, Barbara Jefferson, Kathy Paloma, Kate Amerson, Cristina Guerrero, Julie Guirguis, Jina Sorensen, Donald "Doc" Shuffield, Kathleen Doherty