The Response Summer 2021 - 15

MAYSI-2 is normed for youth aged 12-17 involved with the
juvenile justice system.
This voluntary, self-report screen is
offered to every juvenile as part of the intake process with the
Berks County Juvenile Probation Office.
The Child Trauma Screen (CTS) is a brief screen of lifetime
traumatic event exposure and current trauma reactions.
This
ten-question screen allows our intake unit to determine whether
immediate intervention is required, a further assessment is
needed, or if a referral to a trauma-informed counseling agency
is appropriate.
The BCJPO is one of a handful of Pennsylvania juvenile
probation departments currently participating in a statewide
pilot project to take the results of the YLS, MAYSI-2 and CTS
and meld them into a trauma-informed case plan. The Trauma
Informed Decision Protocol (TIDP) is a document that assists
in the integration of the three risk and screening tools into a
framework for case planning. The TIDP is a 9-step decisionmaking
framework that facilitates consideration of traumaspecific
information and how they may impact on the needs
identified in the YLS. The use of the TIDP enhances the focus
on trauma-informed and trauma-responsive case planning.
Trauma and Trauma-Informed Care
Trauma results from an event " experienced by an individual as physically and emotionally harmful or threatening and that
has lasting adverse effects on the individual's physical, social, emotional, or spiritual wellbeing " (SAMHSA, 2014).
Over 90% of clients who
received public behavioral
health services have
experienced trauma.
Trauma is treatable
* Trauma-informed cognitive behavioral therapy
(TF-CBT)
Traumatic experiences can include:
* Childhood abuse or neglect
* Physical, emotional, or sexual abuse
* War or other violent experiences
* Grief and loss
* Medical procedures
* Accidents and natural disasters
* Witnessing violence
* Cultural or intergenerational violence
Symptoms of trauma
* Headaches, stomach pain, or back pain
* Sweating or heart palpitations
* Change in sleep habits
* Change in sex drive
*
*
Increase or decrease in appetite
Loss of interest in daily activities
* Gastrointestinal problems
*
*
Irritability, anger, jumpiness, easily startled
Increased substance use
* Panic, fearfulness, anxiety, depression
* Mood swings
* Nightmares or flashbacks
*
Isolation
* Self-blame, feeling guilt or shame
* Eye movement desensitization therapy (EMDR)
* Exposure therapy
* Traditional " talk " therapy
* Group therapy
* Neurolinguistic programming
* Hypnotherapy
* Pet and equine therapy
* Trauma and recovery peer support
* Wellness recovery action plan (WRAP)
Trauma-informed care means:
*
The organization has practices to recognize trauma in
clients and staff
* Each client is empowered and fully involved in their
treatment process
* Everyone is screened for trauma
*
All staff (clinical and non-clinical) are trained in trauma
and trauma-specific interventions
* Agencies partner with other agencies to provide a
continuum of trauma-informed care
Trauma is a risk factor for nearly all individuals
affected by behavioral health and substance use
disorders.
Sources:
Substance Abuse and Mental Health Services Administration.
(2014). Trauma-informed care
in behavioral
health
services.
Treatment improvement protocol (TIP) series 57. HHS publication
no. (SMA) 13-4801. Author. https://store.samhsa.gov/product
TIP-57-Trauma-Informed-Care-in-Behavioral-Health-Services/
SMA14-4816
The National Council for Behavioral Health. (n.d.).
How to manage trauma. https://www.thenationalcouncil.org
15

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The Response Summer 2021

Table of Contents for the Digital Edition of The Response Summer 2021