Center for the Treatment and Study of Traumatic Stress (CTSTS)

Patrick A. Palmieri, Ph.D.Director, CTSTS

Trauma Informed Care Advisory Committee MeetingFebruary 27, 2014

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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

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The mission of the CTSTS is to be a Center of Excellence for the treatment and investigation of trauma and its consequences

Mission

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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

Mission

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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

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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

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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

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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

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Education/Training

Training next generation of providers Clinical trainees from Psychology, PC, MFT, and other programs Postdoctoral fellows receiving advanced clinical and research training 3rd 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

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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, ObGyn,

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

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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

Center for the Treatment & Study of Traumatic Stress

Summa St. Thomas Hospital4th Floor Ambulatory Building, Suite 420

444 North Main StreetAkron, OH 44310

Ph: (330) 379-5094Fax: (330) 379-5095

ctsts@summahealth.org