Friday, March 3, 2017

ReFresh: FINDING A THERAPIST WHO GETS IT




First you need to know when….

Some reasons you may need to seek professional support:

Helping your child unpack their adoption story, no matter the age.

Nurturing a positive relationship with your child’s birthparent(s), birth family or former foster families.

Advocate for any special needs for your child within an academic setting.

Addressing reoccurring trauma triggers (such as monthly caseworker visits) in your child.

Meet any special medical, learning, behavioral, emotional, or mental health needs of your child, especially if early childhood trauma was experienced.

You especially want to consider intervention if these are impacting more than one domain of their live (school, home, church, peer relationships).

Providing you (as parents) the tools to provide your child a safe and open environment where they can express some of the painful emotions or questions that can come with adoption.

Processing your own feelings of loss, grief or rejection. It is important to find a way to work through these and still be available and engaged to help your child.

There are so many……


Where do you begin the search?

Finding a good therapist can be challenging, but utilizing other resources you know can be really helpful:



oPost adoption Service Agencies

oSupport Group Participants

oOrphan Care Leaders/Ministries

oPediatric Adoption Medicine Clinics

oState/County Case Workers

oPrivate Agency Case Workers

oProfessional Organizations (listed in Resources)

oPediatricians

oSchool Special Education Dept.

oOccupational Therapist

oOther adoptive/foster Families

oReFresh Resource List

oPost Graduate Cert Programs in Adoption Therapy*

o*Portland State University, University of Denver, City University of New York, Rutgers University



Effective Evidence Based Treatments for Trauma:

oTrauma Focused Cognitive Behavioral Therapy (TF-CBT)

oAddressing Post Traumatic Stress in Adopted Children (ADOPTs)

oParent Child Interaction Therapy (PCIT)

oFunctional Family Therapy (FFT)



Other Evidence Based and Promising Practices are Listed on the Traumatic Stress Network Website (see resources for links).

Do your homework-  your time has value so take the time to research

Find a licensed mental health therapist in your area—be sure they are fully licensed (not in training/associate). Psychologist, Social Worker, LMFT, LMHC

Research their web page.  What does it say?

Do they specialize in children? Do they appear to have certification in what your child needs?

What is their treatment approach or training in?  Does it say?

Are they convenient enough that you will be able to get their in your busy life and make it work for your family?

Do they take your insurance?






Contact Therapists who have promise-ASK

What type of therapeutic intervention do they offer and where were they trained? In what evidence-based treatments have they been trained?

What is your experience with complex trauma in children (or what ever it is your child’s needs are).

Who do you do clinical supervision or consultation with?

What will be expected of me for the treatment to work the best?

How long should we plan the treatment to take?

How do you decide when the treatment has worked or has been successful or when it may need to be changed because there is not enough progress?

What are your fees and how to you take payment?

How long is your waitlist?


Intervention

According to Dr. Judith Cohen, MD Medical Director, Center for Traumatic Stress in Children & Adolescents at Allegheny General Hospital in Pittsburgh, Pennsylvania, Any form of child intervention related to anxiety/trauma need to involve parent—the best interventions include the following: PRACTICE

·         Psycho-education of parents-increase parents knowledge/awareness

·         Relaxation Skills-for child and family.

·         Affect Modulation-Identification of feeling using words to describe emotions

·         Cognitive Coping Skills-understanding the thoughts behind the behavior

·         Trauma Narrative-having the child share their story

·         Invio-Mastery of Trauma Reminders

·         Conjoint Sessions with Parents

·         Enhancing Safety



Resources

Adoption Medicine Clinics Search Tool:


Selecting and Working with a Therapist who is Skilled in Adoption  


Choosing Therapy for Adopted Children and Youth 


Finding and Using Post Adoption Services  




  







Professional Organizations:












District branches of the American Psychiatric Association (APA) : Click here to find your APA district branch online.

The psychiatry or psychology department at a teaching hospital or medical school in your community.

National Association of Social Workers' Register of Clinical Social Workers.

American Psychological Association (APA) for a list of psychologists in your area: Call 1-800-964-2000 or access APA's list online.


American Academy of Child & Adolescent Psychiatry (AACAP) Child and Adolescent Psychiatrist Finder.



National Child Traumatic Stress Network Evidence Based and Promise Practice Treatment Models





License Search

Washington State:    Provider Credential Search







Paulette Caswell, LICSW
Director, Bethany Christian Services 
Serving children and families throughout the Pacific Northwest
1501 N. 200th St. Ste. 103 Shoreline, WA 98133 
O – (206) 367-4604 x7972  F – (206) 367-1860

www.bethany.org/washington
pcaswell@bethany.org