general overview of ctac assessment

Western Michigan University SW MI Children’s Trauma Assessment Center

WHO?WHAT?

WHEN?

WHERE?

WHY?

History

• 1999: A Perceived Need Is Verified

• Started with only $25,000 from two small grants and University resources

• First child in March 2000

Mission

To provide comprehensive assessment of traumatized children ages birth to 18

years and share recommendations to caretakers and responsible persons.

Address the impact of trauma and subsequent changes in the child’s behavior, development, and

relationships

Philosophy

Children who are traumatized are often found to have significant

developmental delays in all domains. These children can

effectively be treated when delays are identified at an early age.

Services Education and Training

Research

CTAC COMPONENTS

Education and Training

SLP

OT

SW

Transdisciplinary Approach

Referrals

• Primary Referrals via Foster Care Case

• Worker Court referrals

• Community Mental Health

• Foster Parent Self Referral

Services

• Comprehensive Medical, Developmental, Pyschosocial Assessment

• Recommendations for services

• Medical consultation

Assessments

• Physical Exam: Emphasis on FASD Profile

3 Salient Features

FAS Diagnostic Grid (Univ. of Washington, 1999) 4 Digit Diagnostic Code Grid

Growth Deficiency

FAS Facial Features

Brain Dysfunction

______ _______ _______

Gestational Alcohol Exp

_______ ______

Significant

Moderate

Mild

None

Severe

Moderate

Mild

Absent

Definite 4

Probable 3

Possible 2

Unlikely 1

High

Some

Unknown

No risk

Growth Face Brain Gestational Alcohol

Exposure

4444=FAS---1111=WNL

PHYSICAL EXAM DEVELOPMENTAL DIAGNOSTIC CODE HISTORY

Assessments

• Hearing Evaluation

Assessments

Developmental Assessments (Team Based)– Infant and Preschool Inventories (0-6)

– Neurodevelopmental Examinations (Ages 4-15) (PEER….PEEX 2…..PEERAMID 2)

Assessments

– Kaufmann Brief Intelligence Test (KBIT)

– Clinical Observations/Sensory Profile

Neurodevelopmental Examinations

Gross Motor

Sensory Processing

Cognition

Graphic/Fine Motor

Speech/Language

Social Communication

Psychosocial Assessments…

CBCL: Child Behavior Checklist Play Based Interview

Trauma Symptom Checklist for Children (TSCC)

Draw a Person Test

Reactive Attachment Disorder Questionnaire (RADQ)

Child Sexual Behavior Inventory (CSBI)

Post Assessment

• Report to Case Manager and Caregiver

• Report to Court

• Recommendations for Services

Research Projects

CTAC in the National Child Traumatic Stress Network (NCTSN)

www.nctsn.org

Research

Major Research Funding2003-2012

• Trauma Informed Child Welfare Systems Change (SAMHSA)

• Development and Study of School-Based Intervention Project (SAMHSA and OJJ-Safe Start)

Total: 4 million

Research Projects• Development and Study of School-Based

Intervention Project

PreSchool…Elementary…..Middle…Secondary…

• Creating Trauma Informed Communities