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Clinician’s Corner: Grief Recovery with Individualized Evidence-Based Formulation (GRIEF) Approach – A Transdiagnostic Treatment Package for Traumatic Loss Survivors
StressPoints
Date posted: 12/15/2022
Topic: Clinical Issues and Treatment
Roughly half of the U.S. adult population has lost a close friend or family member to a violent, or traumatic, death, including deaths due to homicide, suicide, motor vehicle crashes, accidents, or disaster-related injury. Although many survivors of traumatic loss naturally adjust in adaptive ways to this profound and pervasive stressor, a substantial proportion contend with significant mental health challenges and impairment. Traumatic loss survivors are at increased risk for a range of bereavement-related mental health problems, including posttraumatic stress disorder (PTSD), depression, and prolonged grief disorder (PGD). These mental health problems can adversely impact multiple areas of physical and mental functioning among survivors, increasing risk for suicidal ideation and mortality. 
Does posttraumatic stress exacerbate pregnancy complications associated with violence exposure during pregnancy?
Date posted: 12/15/2022
Topic: Clinical Issues and Treatment
The concurrent experiences of violence and posttraumatic stress symptoms (PTSS) have a more severe impact on health than violence exposure alone, but little is known about how PTSS may be related to pregnancy complications for women experiencing intimate partner violence (IPV). This blog offers novel information on how IPV types and PTSS interact during pregnancy, including how they may contribute to the intergenerational transmission of trauma via the experience of pregnancy complications. Findings highlight the need for evidence-based prenatal interventions that successfully address both IPV exposure and mental health, including posttraumatic stress.
Time to Build the Evidence for Psychological First Aid
Date posted: 12/13/2022
Topic: Clinical Issues and Treatment
Communities affected by disasters—and resultant humanitarian crises—experience increased social, emotional, and psychological distress. Psychological First Aid (PFA) has become a widespread intervention of choice in such cases. We conducted a systematic review to find out the state of current evidence for PFA.
Gender Differences in PTSD and Relationship Functioning
Date posted: 10/7/2022
Topic: Clinical Issues and Treatment
Many clinicians are aware of the painful impact of posttraumatic stress disorder (PTSD) on individuals' lives, including disrupting sleep, interfering with work and hobbies, and damaging self-worth. A growing body of research shows that PTSD is also harmful for some of the most important relationships in people's lives, including relationships with family and intimate partners. This tends to be especially true for military veterans. 
Occupational posttraumatic stress disorder & workplace violence
Date posted: 10/3/2022
Topic: Clinical Issues and Treatment
There is growing evidence that workers at jobs that involve face-to-face interactions with distressed or constrained populations, such as health care, retail services, and prison systems, face significant risk for workplace violence (WPV). Experiencing traumatic violent events at work can have serious mental health consequences, including the development of posttraumatic stress disorder (PTSD).
Can a stellate ganglion block enhance prolonged exposure for PTSD?
Date posted: 09/5/2022
Topic: Clinical Issues and Treatment
Posttraumatic stress disorder (PTSD) is one of the largest mental health conditions affecting military and veteran service members. While there have been considerable improvements in the way we treat PTSD over the last two decades we still have a long way to go. We propose that pairing prolonged exposure therapy with a stellate ganglion block will synergistically enhance treatment outcomes.
Developmental Traumatology: Advancing the Knowledge Base on Childhood Bereavement by ‎Addressing Equity and Research Challenges
Date posted: 09/29/2022
Topic: Clinical Issues and Treatment
ISTSS members are likely aware that the death of a parent or caregiver in childhood can have lifelong impacts, though for context a few datapoints merit restating here. The COVID-19 pandemic put a spotlight on childhood loss around the world, highlighting areas of unmet need and knowledge gaps in bereavement care. Globally, the most recent estimates of excess COVID-19 deaths through May 1, 2022, are that 10,500,000 children are bereaved of parents and caregivers (Hillis et al. 2022). These staggering numbers have arisen against a backdrop of significant childhood bereavement even before the pandemic. For example, before 2019, estimates suggested that on average, about 4% of all youth in the U.S. had experienced the death of a parent by 18 years of age, with estimates varying widely by region (e.g. West Virginia, 11%, Colorado, 3%; Burns et al., 2020). Then, after 2019, the COVID-19 pandemic drove an estimated 17.5% to 20.2% rise in childhood parental bereavement (Kidman et al., 2021), raising alarm around what journalists have called a ‘grief pandemic’ (Szabo, 2021). This rising urgency corresponds to the emerging scientific consensus that ongoing structural inequity has driven a disproportionate burden of childhood bereavement in historically minoritized groups (Umberson et al., 2017; Cooper & Williams, 2020).
From Our Members: Death and Adverse Childhood Experiences: A Call to Action
Date posted: 09/29/2022
Topic: Clinical Issues and Treatment
According to the U.S. Centers for Disease Control and Prevention (CDC), one in six adults has reported at least one adverse childhood experience (ACE) with approximately 16% of the population endorsing four or more ACEs (2019). ACEs are associated with negative physical and psychological health issues, including early death, chronic disease, loneliness, revictimization, substance use, and both depressive and anxiety symptoms (Bryant et al., 2020; Hatton-Bowers et al., 2021; Kendall-Tackett, 2022; Kim et al., 2022; Thompson & Kingree, 2022). The risks associated with ACEs carry significant implications for health practitioners and emphasize the need for accurate screening and treatment. One such tool, the ACE screener, is among the most frequently used measures of the presence of ACEs (McLennan et al., 2020). Items are categorized according to three domains of adversity, namely:, childhood abuse, neglect, and household dysfunction (Holden et al., 2020; Felitti et al., 1998).  
Human Rights and Policy: Trauma-Informed Care: Policies to Promote Human Rights Among ‎Youth Involved in the Legal System
Date posted: 09/29/2022
Topic: Clinical Issues and Treatment
Upwards of 90% of legal system-involved youth report exposure to at least one potentially traumatic event (PTE; Abram et al., 2004), and the majority of these youth report exposure to multiple types of PTEs (i.e., community violence, physical abuse, sexual abuse; Abram et al., 2004; Dierkhising et al., 2013). Given these high rates of trauma exposure, the United States Department of Justice has recommended that the juvenile legal system implement trauma-informed care (TIC) throughout all aspects of the system (i.e., law enforcement, courts, probation departments, and detention/correctional facilities; Dierkhising et al., 2016; Report of the Attorney General’s National Task Force on Children Exposed to Violence, 2012). TIC is an approach that accounts for the consequences of trauma exposure in all organization functions (Branson et al., 2017); for example, one TIC practice may be to include standardized screenings for traumatic stress and subsequent referrals to evidence-based treatments. To aid juvenile legal systems in adopting a TIC approach, the National Child Traumatic Stress Network (NCTSN) has provided guidelines aimed to promote policies throughout the legal system that promote effective care and rehabilitation for youth, available here on their website.
Supporting MST survivors during disclosure: what is a therapist to do?
Date posted: 09/26/2022
Topic: Clinical Issues and Treatment
Survivors of military sexual trauma are faced with unique challenges when it comes to disclosure. After the assault they may be isolated from their typical social networks, and for many a disclosure to their military peers can be complicated.
Displaying results 1-10 (of 139)
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