
23251d3f50774321d233baa78f3b2566.ppt
- Количество слайдов: 12
Center for the Treatment and Study of Traumatic Stress (CTSTS) Patrick A. Palmieri, Ph. D. Director, CTSTS Trauma Informed Care Advisory Committee Meeting February 27, 2014
CTSTS Staff § Patrick Palmieri, Ph. D. – Director, CTSTS § Joseph Varley, M. D. – Chair, Psychiatry § Ellen Harrington, Ph. D. – Staff Psychologist § Brittain Lamoureux, Ph. D. – Staff Psychologist § Erin Farrer, Ph. D. – Staff Psychologist § Amanda Shea, Ph. D. – Postdoctoral Fellow § 4 Graduate Student Clinical Trainees § 6 Undergraduate Research Assistants 2
Mission § The mission of the CTSTS is to be a Center of Excellence for the treatment and investigation of trauma and its consequences 3
Mission § The mission of the CTSTS is to be a Center of Excellence for the treatment and investigation of trauma and its consequences § Clinical Services § Education/Training § Research We are the only integrated traumatic stress center in our region 4
Community Partners § § § § Community Mental Health Centers Primary Care clinics Battered Women’s Shelters OHIOCARES / Ohio National Guard Law enforcement community / CIT Kent State University, University of Akron Summit County Sexual Assault Coalition And others § As well as emerging collaborations (e. g. , via telehealth) § Also national partners 5
Example Types of Traumatic Events § § § Physical or sexual assault (e. g. , being beaten, shot, or raped) Military combat Terrorist attacks Natural disasters (for example, earthquakes, floods, or hurricanes) Serious accidents (for example, car or workplace accident) Sudden or violent loss of a loved one Childhood abuse Domestic violence War & other forms of political violence Bullying in schools School shootings Gang-related violence 6
Common Symptoms of Traumatic Stress § Emotions § § § Fearfulness or Anxiety Mood swings Overly sensitive/Over-reactive Anger Depression Thoughts § Irrational beliefs/Guilt § Trust issues § Suicidal thoughts § Behaviors § § § Poor coping skills Sleep problems/Nightmares Social withdrawal Aggression Suicidal behavior Avoidance 7
Clinical Services § Referrals from numerous sources… § Assessment/Evaluation § Inpatient consults § Screening (primary care, inpatient psych, outpatient psych, elsewhere) § Comprehensive evaluations (including some forensic evaluations) § Individual Psychotherapy § Prolonged Exposure Therapy § Cognitive Processing Therapy § Other empirically supported interventions § Group Psychotherapy § § § Dialectical Behavior Therapy Cognitive Processing Therapy Sleep and Nightmare Treatment Psychoeducation (inpatient and outpatient) Trauma Intensive Outpatient Program (IOP) Pharmacotherapy § As an adjunct to psychotherapy 8
Education/Training § Training next generation of providers § § Clinical trainees from Psychology, PC, MFT, and other programs Postdoctoral fellows receiving advanced clinical and research training 3 rd year Psychiatry Residents completing 3 -month rotations Clinical and research courses for medical students and psychiatry residents § Training current professionals § Inpatient psychiatry; primary care; medical departments; TIC initiatives § And in outside organizations § Conducting and sponsoring educational events § Grand Rounds, Half- and Full-Day conferences/workshops § Participation, consultation, collaboration on local/state/national initiatives, policies, and other community or system efforts § Over 50 undergraduate and graduate psychology students and Summa summer research fellows have had research training and experience 9
Research § Over 25 intra- and inter-institutional research teams have been established and supported § Over 60 research faculty involved from Summa, KSU, U of Akron, and other local, state, national, and international institutions § Summa: Psychiatry, Emergency Medicine, Trauma Medicine, Surgery, Ob. Gyn, Internal Medicine, Family Medicine, Oncology, Nursing, Women’s Health, Bariatrics, Pain Management, Cardiac Rehabilitation § KSU: Psychology, Nursing, Sociology, Philosophy, Criminal Justice, Family and Consumer Studies, Human Development Center, Institute for Study and Prevention of Violence § National Centers for PTSD – Boston and Palo Alto § Local/state/federal govt grants; Private grants; Internal grants § Professional presentations at local, regional, state, national, and international venues § Publications in high-impact, peer-reviewed professional journals 10
Example Research Projects/Topics § PTSD risk screening for returning military personnel § PTSD risk screening for hospitalized children § PTSD treatment development for battered women residing in shelters § Trauma and disordered eating § Impact of trauma on physical health § Integrated care; Service delivery; Healthcare reform; ACOs § Integrated trauma and substance use treatment § Early diversion programs § Trauma-focused telehealth services § Virtual reality-based PTSD treatment § Treatment outcome; Program evaluation; QA/QI 11
Center for the Treatment & Study of Traumatic Stress Summa St. Thomas Hospital 4 th Floor Ambulatory Building, Suite 420 444 North Main Street Akron, OH 44310 Ph: (330) 379 -5094 Fax: (330) 379 -5095 ctsts@summahealth. org