This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cebc4cw.org/
This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cebc4cw.org/
Type of Maltreatment: Emotional abuse, Exposure to domestic violence, Physical abuse, Physical neglect, and Sexual abuse
Target Population: Youth ages 10-18 with Post-Traumatic Stress Disorder (PTSD).
Brief Description:(The information in this program outline is provided by the program representative and edited by the CEBC staff.)
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) has been reviewed by the CEBC in the area of Trauma Treatment for Children, but lacks the necessary research evidence to be given either a Scientific Rating or a Child Welfare Relevance Rating. TARGET is an educational and therapeutic approach for the prevention and treatment of complex Post-Traumatic Stress Disorder (PTSD). TARGET provides a practical skill-set that can be used by trauma survivors and family members to de-escalate and regulate extreme emotional states, to manage intrusive trauma memories in daily life, and to restore the capacity for information processing and autobiographical memory. TARGET teaches a sequence of seven skills described as the FREEDOM steps. The focus in TARGET is on shifting the way a person processes information and emotions so that s/he is able to live life and make sense of memories they are experiencing.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) is designed to address the primary personal issues that are related to trauma, such as PTSD symptoms, rage, traumatic grief, survivor guilt, shame, interpersonal rejection, and existential/spiritual alienation. The FREEDOM steps are the seven core TARGET skills taught through repeated coaching and guided practice.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) was designed to be conducted in a group.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) has not been tested for use in a group setting.
The recommended group size is: between 5 and 9 clients.
Recommended intensity: One or two sessions per week.
Recommended duration: A session typically lasts 50-90 minutes. The group intervention ranges from 3-10 sessions; the individual intervention is 12 sessions.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) includes a homework component.
Description: "Personal Practice Exercises" have been designed in a manualized form for participants to use at home. Using these exercises, participants practice and record the use of the FREEDOM steps.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) is typically conducted in a(n): Birth Family Home, Community Agency, Foster Home, Hospital, Outpatient Clinic, Residential Care Facility, and School.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) was designed with a Parent Component.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) addresses the following presenting problems and symptoms: Taking care of children with Post-Traumatic Stress Disorder (PTSD), other anxiety disorders, depression, Oppositional Defiant Disorder (ODD), and Reactive Attachment Disorder symptoms plus their own stress reactions and PTSD symptoms.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) was designed with a Child Component.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) addresses the following presenting problems and symptoms: PTSD and other anxiety disorders, depression, ODD, Reactive Attachment Disorder
Age range(s): 10-18
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) was not developed for children with developmental delays.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) has not been tested for children with developmental delays.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) does not have materials available in a language other than English.
There is a manual that describes how to implement this program.
There is training available for Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET).
Training contact: Judith Ford, MA, Advanced Trauma Solutions, Inc., 406 Farmington Avenue, Farmington, CT 06032, Phone: 860-751-9072, Email: Ford1223@comcast.net
Number of days/hours: Introductory: 2-3 days. On-going consultation: 75 hours
Training is obtained: On-site for agencies, on a regional basis for non-agency affiliated professionals (e.g., private practice) currently in New England and Florida.
There currently are additional qualified resources for training.
List of additional qualified resources: Marisol Cruz (University of Connecticut) and Eileen Russo (Connecticut Trauma Center of Excellence)
The typical resources for implementing Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) are: Group leaders (1-2 per group) or one-to-one counselor/therapist/case manager (depending on type of implementation), handouts for children and parents (in manual) and art supplies (crayons/colored markers, picture magazines, etc.) for Lifeline.
Bachelor's level mentors, case managers, or advocates with supervision by Master's of Arts, Master's of Social Work, or PhD level professionals.
Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET) has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for scientific rating of 1 – 5 . Therefore, the program has been given the classification of "NR - Not able to be Rated. " It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR – Not able to be Rated" classification, please see the Scientific Rating Scale.
There are currently no published, peer-reviewed research studies for Trauma Affect Regulation: Guidelines for Education and Therapy (TARGET).
Ford, J. D., Russo, E., & Mallon, S. (2007). Integrating post-traumatic stress disorder and substance use disorder treatment. Journal of Counseling and Development, 85, 475-490.
Contact name: Julian Ford
Affiliation/Agency: University of Connecticut Health Ctr., Dept. of Psychiatry
Email: ford@psychiatry.uchc.edu
Phone: 860-679-8778
Fax: 860-679-4326
Website: http://www.advancedtrauma.com