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Risk and Resiliency in Adverse Childhood Experiences: Implications for Prevention and Intervention

Speaker(s):

Welch, Tim, PhD, LMFT

Holguin, Julianna, BS

Hartenstein, Jaimee, PhD, CFLE

Presentation:

This presentation will first provide a definition of adverse childhood experiences (ACEs) and discuss relevant research on the association between exposure to multiple ACEs and numerous negative physical, emotional and mental health outcomes in adulthood. The presentation will examine exposure to ACEs through the lens of the Family Stress and Resilience theoretical framework. This approach highlights the role and value of enhancing protective factors to promote resiliency in the context of exposure to ACEs. This presentation will describe modern approaches to addressing the impact of adverse childhood experiences and discuss prevention and intervention implications for clinical and mental health practitioners.

Objectives:

  1. Define adverse childhood experiences (ACEs)
  2. Describe the negative effects of exposure to ACEs in adolescence and adulthood
  3. Identify relevant protective factors to the harmful effects of exposure to ACEs
  4. Describe approaches for addressing the effects of of ACEs 
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Escaping the Pain: Dissociation in Young Children with Trauma

Speaker(s):

Hanks, Rachel, MSW, LCSW, RPT

Presentation:

“I don’t know what happened. She seemed fine and then she just started screaming.”
   
Young children who have experienced early adverse events have few tangible defenses. While fight and flight may be easily pictured, dissociation is an overlooked and often misunderstood survival mechanism for these children. While we all dissociate at times, the child who has experienced overwhelming or chronic traumatic stress may struggle to leave their protective dissociative states, even after the danger has presumably passed. This can cause difficulties with day-to-day functioning, relationships, and emotional regulation, leaving the child and family confused, frustrated, and even frightened by the seemingly-erratic nature of dissociative behaviors.
   
In this presentation, we will explore the presentation and mechanisms of dissociative behaviors in young children with developmental trauma across settings. We will also discuss implications for treatment by using play therapy techniques to engage the dissociative child by moving them into a state of felt safety.


Objectives:

  1. Identify symptoms of dissociation in young children who have experienced adverse events
  2. Describe relational and environmental factors that impact a dissociative child’s functioning
  3. Apply play therapy techniques to help engage the dissociative child

 

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Parent Training: Treatment for Childhood Oppositional Behavior

Speaker(s):

Anderson, Andy, M.A., LPC, KPMT

Presentation:

Many high-quality and effective training programs for parents of children with oppositional behavior are available in the marketplace. These parent training programs go by many names, such as Parent Management Training, Behavioral Parent Sills Training, or just Parent Training. Without exception, though, empirically informed parent training programs utilize parents as the primary implementer to change their child’s behavior—the therapist-trainer trains parents to train the child to behave in an age-appropriate, socially acceptable manner.

Whether delivered in a family therapy without patient setting or class format, numerous studies have found that parent training is an effective treatment for children and adolescents with ODD, CD, and non-clinical behavior problems. This presentation will provide participants with an overview of a Behavioral Parent Skills Training treatment for childhood oppositional behavior.


Objectives:

  1. Describe a rationale for treating childhood oppositional behavior with parent training.
  2. Identify the treatment phases of Behavioral Parent Skills Training Therapy.
  3. Name four contributing factors of childhood oppositional behavior.
  4. List strategies parents can use to build an authoritative positive parent-child relationship.

 

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Welch, Tim, PhD, LMFT

Tim Welch is an assistant professor at the University of Central Missouri in the Human Development and Family Science program. He is a Licensed Marriage and Family Therapist (LMFT) who completed his doctorate in Couple and Family Therapy at Michigan State University. His dissertation focused on alcohol use and resiliency from adverse childhood experiences. He has published articles in scientific journals on the process of change in empirically supported couple and family therapy treatments and has presented at regional and national conferences on divorce, the transition to parenting, ACEs and family therapy interventions. He has experience working in an inpatient psychiatric hospital with children, a large outpatient non-profit for at-risk youths, delivering home-based family therapy services for families working towards family reunification and in private practice working with adult survivors of child abuse. Dr. Welch has received trainings in multiple evidence based practices including Emotionally Focused Couple Therapy (EFT) and Internal Family Systems (IFS).

Presentation(s):

Risk and Resiliency in Adverse Childhood Experiences: Implications for Prevention and Intervention

Adolescent Social Media: Myths Managing Risks and Maximizing Benefits

 

 

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Holguin, Julianna, BS

Julianna Holguin is a second year Master’s student at the University of Central Missouri in the Human Development and Family Science’s Marriage and Family Therapy program, graduating May of 2022. She is an intern with the Child Abuse Prevention Association and the President of the Council of Human Development and Family Science student organization on campus. Julianna received her Bachelor of Science degree in Child and Family Development with a minor in Psychology, also from the University of Central Missouri. She completed a Child Life Practicum at Children’s Mercy Kansas during her undergraduate education. Her primary areas of interest include the therapeutic treatment of children and families, childhood trauma and adverse childhood experiences, intimate partner violence, and children with illness and disabilities.


Presentation(s): 

Risk and Resiliency in Adverse Childhood Experiences: Implications for Prevention and Intervention


 

 

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Hartenstein, Jaimee, Ph.D, CFLE

Dr. Jaimee L. Hartenstein is an associate professor in Child and Family Development at the University of Central Missouri. She currently serves as both the undergraduate and graduate coordinator. She is a Certified Family Life Educator. Dr. Hartenstein received her Bachelor of Science degree in Human Ecology and Mass Communications and her master’s and Ph.D. in Human Ecology with a specialization in Family Studies from Kansas State University. Prior to coming to UCM, Dr. Hartenstein taught at Eastern Illinois University in Charleston, Illinois. Dr. Hartenstein serves as the faculty advisor for the graduate student organization, Central’s Council of Human Development and Family Science. Her primary research interest is divorce and child custody as well as communication following the divorce or separation of parents.


Presentation(s): 

Diversity and Inclusion: Increasing Access to Services for Underserved Populations

Grief Process and Support Systems for Young Military Widows

Risk and Resiliency in Adverse Childhood Experiences: Implications for Prevention and Intervention

Women in Recovery – An Approach to Sustainable Empowerment


 

 

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Hanks, Rachel, MSW, LCSW, RPT

Rachel Hanks is a licensed clinical social worker and registered play therapist who has worked at the Therapeutic Preschool at FamilyForward in St. Louis, MO, for over five years. She focuses on play-based interventions for young children who have experienced significant developmental trauma. She is Phase 1 certified in the Neurosequential Model of Therapeutics and is currently seeking certification in Theraplay. She has presented on topics such as play therapy, neurobiology of play, and on the Therapeutic Preschool program. She has received extensive training on topics such as brain development, attachment, play therapy, and polyvagal theory.


Presentation(s): 

Escaping the Pain: Dissociation in Young Children with Trauma


 

 

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Anderson, Andy, M.A., LPC, KPMT

Andy is the founder and a co-owner of Parenting and Child Conduct Counseling in St. Charles, MO. PCCC opened in 2009 as a single practitioner counseling service, and the staff currently consists of four licensed therapists, two PLPCs, and graduate interns.
   
Andy has over 40-years of experience working with children and adolescents as a teacher, school counselor, and private practitioner. Since opening PCCC, Andy has specialized in counseling children and adolescents with Disruptive Behavior Disorders such as Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD).


Presentation(s): 

Parent Training: Treatment for Childhood Oppositional Behavior


 

 

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Treating Anxiety in Children and Adolescents

Speaker(s):

Justin Puch, M.A., LPC

Presentation:

Anxiety has increased significantly in children and adolescents over the past decade. A study found that our children have the level of anxiety that inpatient psychiatric patients had two decades ago. In this presentation you will learn how anxiety presents in children and adolescents, how to treat anxiety in your office, and how to help parents help their children cope more effectively.

Objectives:

  1. Learn what anxiety is and how it presents in children.
  2. Develop and learn counseling techniques to use in sessions.
  3. Learn about tried and true coping skills for children and how to teach them so they are utilized.
  4. Learn how to coach parents to help kids cope more efficiently.
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The Impact of Adverse Childhood Experiences and Depression on Black Males

Speaker(s):

Eddie McCaskill, MSW, EdD

Anthony Bass, MEd, MA, MSW, RADC, MARS, CCATP, AMTP, CCTP, CDBT, EMDR, LPC

Presentation:

This workshop will examine the impact of adverse childhood experiences and depression on Black males. Black males who are exposed to adverse childhood experiences before age eighteen may be at an increased risk for depressive disorders as adults. There is minimum research on the impact of adverse childhood experiences on the health and well-being of Black males. Adverse childhood experiences have shown to have a severe negative impact on children as well as poor outcomes in their adult lives (Salinas-Miranda et al., 2015). The victims are at increased risk of being homeless, misusing drugs, suicidal, post-traumatic stress, depression, and anxiety at a higher rate than the regular population (Al-Shawi & Lafta, 2015).   

The Center for Behavioral Health Statistics and Quality (2016) data analysis indicated that more than half of all adults in the United States have suffered from adverse childhood experiences. The exposures to adverse childhood experiences have been connected to health problems in adults. Adverse events experienced in childhood may impact the individual for a lifetime. Felitti et al., (1998) identified the ten indicators of adverse childhood experiences as; physical and emotional abuse; physical and emotional neglect; sexual assault; parent treated violently; substance misuse in the home; mental illness in the home; parental separation or divorce; and an incarcerated household member. The Philadelphia Urban ACE Study included additional experiences such as neighborhood violence and racial discrimination. Adverse childhood experiences have been linked to depression in adults (Crouch, Strompolis, Bennett, Morse, and Radcliff, 2017).

Objectives:

  1. Identify the ten indicators of adverse childhood experiences.
  2. Raise level of awareness regarding the impact of adverse childhood experiences and depression on Black males.
  3. Learn psychological, emotional and behavioral symptoms that may present in Black males who have experienced adverse childhood experiences.

Slides and Handouts:

MCCASKILL AND BASS_Bass Formatted DMH Presentation 2021 (2)