According to the U.S. Department of Health and Human Services, in 2005, Child Protection Services substantiated 267,479 victims of abuse and/or neglect who were 3 years old or under and 212,383 that were between the ages of 4 and 7. Of these children, 251,847 were reported as abused or neglected again within a 5-year period. The Third National Incidence Study of Child Abuse and Neglect reports that three times as many children are maltreated as are reported to CPS agencies.
Multiply domains are
addressed in treatment including emotional, physical, sensory, social and
neurological. Treatment is individualized, based on the clients needs,
strengths, abilities, age, etc. The pace of treatment is provided in
accordance to the tolerance of the client and has no time limits. I always
refer clients to their doctor for a complete physical and address nutrition,
physical activity, support systems and other self-care areas.
Trauma treatment involves 3 phrases:
1) Safety and emotional regulation – Evaluating the safety of the person and then assisting the child or adult to learn to “feel” and “think” safe. Education about trauma and it’s effects, awareness of feelings, tolerance of feelings and thoughts, awareness of body sensations, the causes of behaviors and moods and cognitive restructuring of false or inaccurate beliefs are addressed.
2) Directly address and resolve the traumatic memories. Although trauma memories are introduced in the first stage of treatment and continues to be dealt with throughout the therapeutic process, it is in this stage that the core trauma-processing work is explicitly addressed. This is primarily done through writing, drawings and verbalizations.
3) Helping the child or adult use what s/he has learned and further develop and solidify the skills and strengths needed to live a healthy and productive life. Life skills, social skills, communication techniques, problem solving techniques, developing boundaries and values are some of the common tasks addressed in this stage of treatment.