Treating Traumatic Stress in Children and Adolescents, Second Edition

Margaret E. Blaustein, PhD, a practicing clinical psychologist, is Director of the Center for Trauma Training in Needham, Massachusetts. Her career has focused on the understanding and treatment of complex childhood trauma and its sequelae. Since 2004, Dr. Blaustein has worked with Kristine M. Kinniburgh on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. She has provided extensive training and consultation to providers in the United States and internationally. Kristine M. Kinniburgh, LCSW, is Director of Trauma Services for Justice Resource Institute Connecticut. In this role, she focuses primarily on ensuring that trauma-impacted individuals and their families receive quality care that emphasizes the promotion of resilient outcomes. Since 2004, Ms. Kinniburgh has worked with Margaret E. Blaustein on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. They are coauthors of the foster parent curriculum ARC Reflections and the caregiver skill building curriculum ARC Grow.

Introduction
I. Overview
1. The Developmental Impact of Trauma
2. Child Development, the Human Danger Response, and Adaptation: A Three-Part Model for Understanding Behavior
3. The Attachment, Regulation, and Competency Treatment Framework
II. The Integration of Traumatic Experiences
4. Trauma Experience Integration
III. Laying the Foundation
5. Foundational Strategies: Engagement and Education
6. Foundational Strategies: Routines and Rhythms
IV. Attachment
7. Caregiver Management of Affect
8. Attunement
9. Effective Response
V. Regulation
10. Identification
11. Modulation
VI. Competency
12. Relational Connection
13. Strengthening Executive Functions
14. Self-Development and Identity
VII. Model Integration
15. Trauma Experience Integration Revisited
A Postscript
Appendix A. Provider Materials
Appendix B. Caregiver Educational Materials and Worksheets
Appendix C. Group Activities
Appendix D. Youth Educational Handouts and Worksheets
Appendix E. Milieu–Systems Materials
References