Trauma informed care forms

These forms are a preliminary draft/template based upon the information that the group provided during the tabletop discussion at the Assembly, Friday morning Forum. This information will help us all be able to complete a comprehensive Trauma Informed Assessment in order to provide our clients with the best and most appropriate interventions possible. Your comments and feedback are welcome! Please direct your correspondence to Cae Kuban.

We are working on answers to the questions from the brief survey. Those will be available by mid-September.

• Admission Form
• 30-Day Assessment Form
• 60-Day Assessment Form
• 90-Day Assessment Form

 assembly Handout pdfs for downloaD for assembly attendees only

Wednesday, July 18

• Workshop 1B – Writing as an Intervention for Complicated Grieving & Traumatized Youth with Tana Bridge LMSW, ACSW
• Workshop 2B – Zero to Three: Trauma Interventions with Caelan Kuban, LMSW, CTC
• Workshop 3B – Suicide Prevention for School and Community Personnel with Dave Opalewski, MA
• Workshop 1C – Graphic Art Indicators Differentiating Grief and Loss from Trauma with Cynthia O’Flynn
• Workshop 2C – Theory and Practical Interventions with Young Children Who Have Experienced a Trauma with Lija Ditmar MSW, DWS
• Workshop 3C – Suicide Prevention/Education Part 2 with Dave Opalewski, MA
• Workshop 4C – A Look at the Top Ten Loss and Grief Therapy Models as a Guide to Incorporating an Evolving Process into Practice with Toni Griffith, MSA, MSW, LCSW, BCD, CT

Thursday, July 19

• Workshop 1D – Reaching and Teaching Stressed Students with Barbara Oehlberg, BS
• Workshop 2D – Developmental Therapeutic Responses to Accumulations in Violent Crime Aftermath with Dr. Caramela-Miller
• Workshop 4D – School-Wide Implementation of TLC within a School District with co-presenters, Kristin Kennett, Greg Hobbs, Kathleen Sue Long Ritchie and Jim Pipkin
• Workshop 1E – Understanding and Responding to the Sexual Behavior of Children with Ann Muczynski
• Workshop 2E – Traumatic Grief Intervention in Schools with co-presenters, Virginia Ulch and Carlotta Clink
• Workshop 3E – Ready...Set...R.E.L.A.X. with Roger J. Klein, Psy.D.
• Workshop 4E – Two Unique School Programs: The 10-Minute Club & The Grandmother’s Club with Mitch Lesperance

Friday, July 20

• Workshop 1G – Adventure Healing: Trauma, Resiliency and the Search for Meaning with co-presenters, Florence Ernzen and Ruby Lewis, M.A.
• Workshop 2G – Sandtray and Trauma Healing: Inside a Safe and Protected Play Space with Diane Kukulis
• Workshop 3G – A Healing Journey Through Complex Cumulative Trauma with Gloria J Rouleau, M. Ed., LMSW, CSW

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