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Beyond PTSD Helping and Healing Teens Exposed To Trauma Ebook Download

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253 views14 pages

Beyond PTSD Helping and Healing Teens Exposed To Trauma Ebook Download

Percivale

Uploaded by

ghuynhgho.angroongna.m
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Beyond PTSD Helping and Healing Teens Exposed to Trauma

Visit the link below to download the full version of this book:

https://medipdf.com/product/beyond-ptsd-helping-and-healing-teens-exposed-to-tra
uma/

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Jess P. Shatkin, M.D., M.P.H., Professor of Child and Adolescent
Psychiatry and Pediatrics, NYU School of Medicine, and author of Born
to Be Wild: Why Teens Take Risks, and How We Can Help Keep Them
Safe

“Over the past 20 years there has been a rapidly growing body of research
and increasing public and professional awareness of the critical role that
traumatic life experiences, especially those during childhood, play in
subsequent illness and behavioral problems. This book edited by Gerson
and Heppell provides a comprehensive overview of this accumulating
knowledge and how to integrate this new knowledge into care for children
and adolescents presenting with serious mental health crises. By listening
and addressing the stressors and life circumstances driving these
psychological crises, health care professionals can begin to treat sources of
pain rather than just focusing on symptoms. This trauma-informed approach
leads more often to healing than to the revolving door of psychiatric crises
and symptom-focused short-term interventions.”

David L. Corwin, M.D., Professor and Director of Forensic Services,


Pediatrics Department, University of Utah School of Medicine;
President, American Professional Society on the Abuse of Children;
Immediate Past Board Chair of the Academy on Violence and Abuse
BEYOND PTSD
Helping and Healing Teens Exposed to
Trauma
BEYOND PTSD
Helping and Healing Teens Exposed to
Trauma

Edited by

Ruth Gerson, M.D.


Patrick Heppell, Psy.D.
Note: The authors have worked to ensure that all information in this book is accurate at the time of
publication and consistent with general psychiatric and medical standards, and that information
concerning drug dosages, schedules, and routes of administration is accurate at the time of
publication and consistent with standards set by the U.S. Food and Drug Administration and the
general medical community. As medical research and practice continue to advance, however,
therapeutic standards may change. Moreover, specific situations may require a specific therapeutic
response not included in this book. For these reasons and because human and mechanical errors
sometimes occur, we recommend that readers follow the advice of physicians directly involved in
their care or the care of a member of their family.
Books published by American Psychiatric Association Publishing represent the findings, conclusions,
and views of the individual authors and do not necessarily represent the policies and opinions of
American Psychiatric Association Publishing or the American Psychiatric Association.
If you wish to buy 50 or more copies of the same title, please go to www.appi.org/specialdiscounts
for more information.
Copyright © 2019 American Psychiatric Association Publishing
ALL RIGHTS RESERVED
First Edition
Manufactured in the United States of America on acid-free paper
22 21 20 19 18 5 4 3 2 1
American Psychiatric Association Publishing
800 Maine Avenue SW
Suite 900
Washington, DC 20024-2812
www.appi.org
Library of Congress Cataloging-in-Publication Data
Names: Gerson, Ruth, editor. | Heppell, Patrick, editor. | American Psychiatric Association
Publishing, publisher.
Title: Beyond PTSD : helping and healing teens exposed to trauma / edited by Ruth Gerson,
Patrick Heppell.
Description: First edition. | Washington, DC : American Psychiatric Association Publishing, [2019]
| Includes bibliographical references and index.
Identifiers: LCCN 2018034928 (print) | LCCN 2018036187 (ebook) | ISBN 9781615372171
(ebook) | ISBN 9781615371105 (pbk. : alk. paper)
Subjects: | MESH: Stress Disorders, Traumatic | Psychological Trauma— therapy | Psychology,
Adolescent | Dangerous Behavior | Psychosocial Support Systems | Child Welfare
Classification: LCC RJ506.P55 (ebook) | LCC RJ506.P55 (print) | NLM WM 172.5 | DDC
616.85/2100835—dc23
LC record available at https://lccn.loc.gov/2018034928
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
With this book we honor those who have taught us so much,
especially Myer, Alexandre, Maggie, Ellie, Ayla, Callen, Vikram,
Sanjay, Rohan, Will, Meg, Aviva, Luis, Leila, Tiffani, Jeff, Tania,
Itzel, Lorenzo, Eleni, Mia, Jane, Mary, Brad, Blakely, Neko,
Sunhi, Max, Louise, Chloe, Audrey, and all of the children and
families we’ve had the privilege to work with.

Dedicated to the beloved memory of Dr. Fadi Haddad, who


taught many of us, and countless others, how to listen and how
to love.
Traumatic events of the earliest years of infancy and childhood
are not lost but, like a child’s footprints in wet cement, are often
preserved life-long. Time does not heal the wounds that occur in
those earliest years; time conceals them. They are not lost; they
are embodied.
Vincent J. Felitti (2010)
Contents

Contributors
About the Editors
Foreword
Bruce D. Perry, M.D., Ph.D.

1 Teens and Traumatic Stress: A TOXIC


COMBINATION
Ruth Gerson, M.D.

2 Recognition and Treatment


Patrick Heppell, Psy.D., and Ruth Gerson, M.D.

PART 1
Working With Symptoms of
Traumatic Stress

3 Aggression
Jennifer Cabrera, M.D., and Jessica Linick, Ph.D.
4 Suicide and Self-Injury
Gabrielle Carson, Ph.D.

5 Risky Behavior and Substance Use


Sophie de Figueiredo, Psy.D., and Moises Rodriguez, Ph.D.

6 School Refusal and Other Behavioral and


Academic Problems at School
Rachel Mandel, M.D.

7 Trauma and Psychosis


Ruth Gerson, M.D.

8 Implications of Trauma for Sexual and


Reproductive Health in Adolescence
J. Rebecca Weis, M.D., Aron Janssen, M.D., and Jeremy A.
Wernick, L.M.S.W.

9 Trauma and Teens With Developmental and


Physical Disabilities
Karen C. Rogers, Ph.D.

PART 2
Working With Systems and
Traumatic Stress

10 Acute Psychiatric Services


Schuyler W. Henderson, M.D., M.P.H., and Blake Phillips,
M.D.

11 School Systems and Trauma


Patrick Heppell, Psy.D., and Komal Bhasin

12 Child Welfare and Juvenile Justice


Patrick Heppell, Psy.D.

13 Medical Providers
Alexis K. Yetwin, Ph.D.

14 Families and Caregivers Caring for Teens


Exposed to Traumatic Stress
Fadi Haddad, M.D., and Gabrielle Carson, Ph.D.

15 Advocacy and Systems Change: MAKING


SERVICES WORK FOR YOUTH EXPOSED TO
TRAUMA AND THEIR FAMILIES
Jeanette M. Scheid, M.D., Ph.D., and Sin Chu, M.D.

Index
Contributors
Komal Bhasin
Building Principal, Leonard School, Lawrence Public Schools, Lawrence,
Massachusetts
Jennifer Cabrera, M.D.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, New York University School of Medicine, New York, New York
Gabrielle Carson, Ph.D.
Clinical Psychologist and Clinical Instructor, Department of Child and
Adolescent Psychiatry, New York University School of Medicine, New
York, New York
Sin Chu, M.D.
Resident (PGY-3), Department of Psychiatry, Michigan State University,
East Lansing, Michigan
Sophie de Figueiredo, Psy.D.
Licensed Clinical Psychologist, Division of Adolescent and Young Adult
Medicine, Children’s Hospital Los Angeles, Los Angeles, California
Ruth Gerson, M.D.
Assistant Professor, Department of Child and Adolescent Psychiatry, New
York University School of Medicine, New York, New York
Fadi Haddad, M.D.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, New York University School of Medicine, New York, New York
Schuyler W. Henderson, M.D., M.P.H.
Associate Professor, Department of Child and Adolescent Psychiatry, New
York University School of Medicine, New York, New York
Patrick Heppell, Psy.D.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, Hassenfeld Children’s Hospital at NYU Langone School of
Medicine, New York, New York; Clinical Director, ACS/Bellevue Mental
Health Team at the New York City Administration for Children’s Services
Nicholas Scoppetta Children Center
Aron Janssen, M.D.
Clinical Associate Professor, Department of Child and Adolescent
Psychiatry, Hassenfeld Children’s Hospital at NYU Langone, New York,
New York
Jessica Linick, Ph.D.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, New York University School of Medicine, New York, New York
Rachel Mandel, M.D.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, New York University School of Medicine, New York, New York
Bruce D. Perry, M.D., Ph.D.
Senior Fellow, The Child Trauma Academy, Houston, Texas; Adjunct
Professor, Department of Psychiatry and Behavioral Sciences, Feinberg
School of Medicine, Northwestern University, Chicago, Illinois
Blake Phillips, M.D.
Medical Director, Bellevue Home-Based Crisis Intervention Program;
Attending Psychiatrist, Bellevue Child and Adolescent Partial
Hospitalization Program, New York University School of Medicine Medical
Center/Bellevue Hospital Center, New York, New York
Moises Rodriguez, Ph.D.
Clinical Director, Homeless Adolescent Wellness Center, Division of
Adolescent and Young Adult Medicine, Children’s Hospital Los Angeles,
Los Angeles, California
Karen C. Rogers, Ph.D.
Associate Professor of Clinical Pediatrics (Clinician Educator) and Program
Area Leader, Project Heal, USC University Center for Excellence in
Developmental Disabilities, Children’s Hospital Los Angeles, Los Angeles,
California
Jeanette M. Scheid, M.D., Ph.D.
Associate Professor, Department of Psychiatry, Michigan State University,
East Lansing, Michigan
J. Rebecca Weis, M.D.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, New York University School of Medicine, New York, New York
Jeremy A. Wernick, L.M.S.W.
Clinical Assistant Professor, Department of Child and Adolescent
Psychiatry, Hassenfeld Children’s Hospital at NYU Langone, New York,
New York
Alexis K. Yetwin, Ph.D.
Pediatric Psychologist, USC University Center for Excellence in
Developmental Disabilities, Department of Pediatrics, and Division of Pain
Management, Department of Anesthesiology and Critical Care Medicine,
Children’s Hospital Los Angeles, Los Angeles, California
About the Editors

Dr. Gerson is an assistant professor of child and adolescent


psychiatry at the NYU School of Medicine. She is the director of the
Children’s Comprehensive Psychiatric Emergency Program (CCPEP), a
specialized emergency room for children and adolescents in psychiatric
crisis. The CCPEP serves youth suffering from acute or complex mental
health symptoms, referred from schools, therapists, pediatricians, child
welfare, juvenile justice, and family members. Dr. Gerson has lectured
nationally on assessment and treatment of youth with acute, complex
psychiatric symptoms such as suicidality or aggression, and on the impact
of trauma on such symptoms in youth. She has won two teaching awards
for her work training child and adolescent psychiatry and psychology
students in how to connect with and evaluate youth in crisis and how to
work effectively within complex systems of care. She is co-editor of
Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and
Adolescents, which won the Medical Book of the Year award in psychiatry
from the British Medical Association in 2015. She has worked in
psychiatric emergency, inpatient, outpatient, state hospital, and day-
treatment programs for children, adolescents, and adults.

Dr. Heppell is a clinical assistant professor of child and adolescent


psychiatry at the NYU School of Medicine. He currently serves as the
clinical director for the Bellevue Hospital–ACS Mental Health Team
(MHT) at the Administration for Children Services’ Children’s Center. Dr.
Heppell and MHT provide clinical evaluation, support, and treatment to

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