The Children's Advocacy Center of Grand Traverse and Leelanau counties and the

Grand Traverse Band of Ottawa and Chippewa Indians is dedicated to the

identification, treatment, awareness and prevention of the sexual and physical abuse of children. Our mission is to protect children

by providing prevention and multi-disciplinary intervention in investigation, assessment and treatment of child sexual

and physical abuse in an environment that is child-sensitive, supportive and safe.

Resources

• Midwest Regional Children's Advocacy Centers

http://www.mrcac.org/• Contacts for Trauma Focused CBT

Trainings: Mary Ludtke- State of MI : ludtkem@michigan.gov Erin Skinner- State Coordinator for TF-CBT: skinnere@ceicmh.org

2

The TBCAC is….

“Comprehensive, child-focused program in a facility that allows law enforcement, child protection, prosecution, mental health and medical providers to work together to most effectively handle child sexual abuse cases.”

• One interview witnessed by MDT• Family friendly, non-intimidating

setting• Specially trained forensic

interviewers• Reduced trauma to child/family• Coordination of services for

children/families• More effective investigations• Higher prosecution success rates

The TBCAC is….

Who do we serve?

• Victims of sexual and other severe physical abuse and neglect– Children ages 3 through 17– Vulnerable adults 18 years and older

• Referrals from Law Enforcement & CPS• Non-offending family members of

victims• Greater Grand Traverse region

– Grand Traverse County– Leelanau County– Grand Traverse Band of Ottawa &

Chippewa Indians

“Help” begins when victims are empowered to “tell”…

• A Multi-Disciplinary Team (MDT) works to provide victims and their families:– A coordinated approach to Law

enforcement and Protective Services investigations

– Skilled forensic interviewing of victims

– Trauma-informed medical and mental health interventions

– Court preparation and support– On-going follow-up throughout

the criminal prosecution and healing processes

What is TF-CBT?

A hybrid treatment model that integrates:

• Trauma sensitive interventions• Cognitive-behavioral principles• Attachment theory• Developmental neurobiology• Family therapy• Empowerment therapy• Humanistic therapy

Treatment Research

• TF-CBT is the most rigorously tested treatment for traumatized children– 12 randomized trials, numerous follow-

ups– Current RCT for DV

• Improved PTSD, depression, anxiety, shame and behavior problems compared to supportive treatments

• PTSD improved more with direct child treatment

• Improved parental distress, parental support, and parental depression compared to supportive treatment

Core Values of TF-CBT

CRAFTSComponents-BasedRespectful of Cultural ValuesAdaptable and FlexibleFamily FocusedTherapeutic Relationship is

CentralSelf-Efficacy is emphasized

Cultural Sensitivity & Competence

• Essential to understand family’s values related to religion, ethnicity & culture

• Previous treatment outcome studies found TF-CBT to be successful with diverse ethnic and racial populations

(Cohen et al., 2001)

TF-CBT COMPONENTS

PRACTICEPsychoeducation and Parenting Skills

RelaxationAffective ModulationCognitive Processing – I & II Trauma NarrativeIn Vivo DesensitizationConjoint Parent-Child SessionsEnhancing Future Safety and Development

Trauma-Focused Cognitive Behavioral Therapy – TF-CBT

Overlapping Process

Joint Sessions

Family Sessions

Child’s TreatmentEducation

Skill buildingExposure/Processing

Preparation for Joint Sessions

Parent’s Treatment Education Skill buildingExposure/ProcessingBehavior Management

Preparation for Joint Sessions

Thank You!