Conradi and Stern-Ellis Trauma Assessment Pathway Chadwick

6th Annual Early Childhood Mental Health Conference, San Diego, CA

Lisa Conradi, PhD and Heidi Stern-Ellis, LCSW 2015 1

TraumaAssessmentPathway(TAP)andYoungChildren:TheChadwickModel

Heidi Stern‐Ellis, LCSW and Lisa Conradi, PsyD

Chadwick Center for Children and Families

Rady Children’s Hospital, San Diego

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SessionObjectives Attendees will be able to outline the components of the

Trauma Assessment Pathway model and how it can be used for children zero to five.

Attendees will be able to identify at least two ways they can incorporate principles from the TAP Model into their work.



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TAPModel• A treatment manual for traumatized children ages 2 to 18 years

• Incorporates assessment data, clinical interview, and observation to create a Unique Client Picture

• Includes specific components of trauma‐specific treatment described by the Trauma Wheel

• Online version of TAP Training available at www.taptraining.net, includes a manual for download, videos, worksheets, etc.



ThreeComponentsofTAP

Assessment Triage Treatment

ClinicalPathways



Assessment

Standardized Measures

Clinical “Gut”

Behavioral Observations

Clinical Interview

Collateral Information

ProceduresforAssessmentwithStandardizedMeasures

Treatment Planning

Interpretation

Client Feedback

Assessment



Treatmentgoalsarewrittenatthisstageandwillreflect:

Symptoms to be reduced or eliminated

Safety and risk issues

Treatment objectives

Trauma resolution

Clinical Hypotheses



TreatmentTriage• Therapist selects the treatment modality that is best for a client based upon the unique client picture and the evidence‐based practices available

• See www.cebc4cw.org for more information on other modalities that exist

On‐goingRe‐Assessment

• Weekly interviews/updated goals

• Progress notes• Supervision • Follow‐up standardized measures

• Must use the same measures for each time period (to measure change over time)

• Can add measures over time (once added must continue to administer added measure to assess change over time).



AdaptingTAPforYoungChildren

• Identifying why this adaptation is necessary

• Specific components of adaptation• Added assessment tools and processes

• Caregiver TAP Model

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TAPEarlyChildhoodandCaregiverModel

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Referral for Child meets Criteria Refer out to the

community

Case is assigned and therapist reviews documentation/record

Session 1

Child does not attend*Child intake appointment

*Orient to program*Engagement

*Provide Caregiver Wellness Pamphlet*Begin BHA



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Session 2*Child and caregiver attend*Dyadic Play Assessment*Video when possible

Session 3*Child does not attend

*Child measures and adult screeners

*Give child and adult ACE

Session 4Create the Unique Client/Dyad

Picture*Review Caregiver Criteria Sheet

If client does not meet medical

necessity then refer out if needed

Refer caregiver to formal assessment if indicated.

If caregiver declines

assessment continue dyadic work

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Child and Caregiver begin EBT or TAP

Treatment

Session 5,6 or 7Meet with Caregiver and complete

Adult TAP Assessment

Continue dyadic work and bring in natural supports as clinically

indicated

Refer parent to Parent Care

Coordinator

By the 8th

to 10th

session hold CST meeting

Refer out to individual and Parent Care Coordinator

And/or refer to Caregiver Wellness group



Resources• www.ChadwickCenter.org (Chadwick Center)

• www.nctsn.net (National Child Traumatic Stress Network)

• www.musc.edu/tfcbt/ (TF‐CBT on‐line)

• www.cebc4cw.org (California Evidence‐Based Clearinghouse for Child Welfare)

• www.taptraining.net (TAP On‐line training website)



ContactInformation Lisa Conradi, Psy.D.

Director of Clinical Operations

Chadwick Center for Children

and Families

[email protected]

Heidi Stern‐Ellis, LCSW

Clinical Improvement Coordinator

Chadwick Center for Children

and Families

Hstern‐[email protected]

January 23-24 2016InstitutesJanuary 25-28, 2016 Diego Conference

Sheraton San Diego Hotel and Marina, San Diego, CA

Join us at our bayside venue!Sheraton San Diego Hotel & Marina

Special rates available until January 4, 2016

The San Diego Conference offers a terrific agenda of evidence and research-based topics, as well as current issues and new ideas. The

conference is presented by international experts and practitioners in the field. Our top notch faculty will impart strong science-based

interventions with practical experience and real world solutions.

This multi-disciplinary program offers courses in medicine, mental health, trauma treatment, child welfare, law, investigations, forensic

interviewing, research, early childhood mental health, technology, child welfare, secondary traumatic stress & resilience, domestic violence, prevention, and global perspectives topics for professionals working

with children and families involved in maltreatment.

Register online before November 20, 2015 for early bird registration

www.sandiegoconference.org

Presented by Chadwick Center for Children and Families, Rady Children’s Hospital-San Diego

Leading the Way in Preventing Child and Family Maltreatment



January 23-24 2016InstitutesJanuary 25-28, 2016 Diego Conference

Sheraton San Diego Hotel and Marina, San Diego, CA

Register online before November 20, 2015 for early bird registration

www.sandiegoconference.org

Presented by Chadwick Center for Children and Families, Rady Children’s Hospital-San Diego

Leading the Way in Preventing Child and Family Maltreatment

Conradi and Stern-Ellis Trauma Assessment Pathway Chadwick

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