International Society for Traumatic Stress Studies
ISTSS 31st Annual Meeting | November 5-7, 2015 | Pre-Meeting Institutes, Nov 4, 2015 | New Orleans, Louisiana, USA

Pre-Meeting Institutes

Institutes are full or half day sessions that provide opportunities for intensive training on topics integral to the conference program, presented by leaders in the field.


PMI – 1: Orienting Emergency Responders in Psychological First Aid: Techniques and Resources

PMI – 2: Four Leading Model Developers Address Complex Case Material and Real World Implementation Issues

PMI – 3: The Application of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for Youth with Complex Trauma 

PMI – 4: Military Culture: Core Competencies for Healthcare Professionals


8:30 a.m. – Noon

PMI – 5: Changing the Pathway to Delinquency: Mindfulness, Meaning-Making, and Relational Strategies Drawn from 3 Complex Trauma Treatments and Applied at 3 Time Points from Childhood through Young Adulthood

PMI – 6: Treating the Sleep Disturbances of Adults with PTSD: CBT for Insomnia and Imagery Rehearsal

PMI – 7: Dimensions of Dissociation in Trauma-Related Disorders 

PMI – 8: Targeting Techniques to Address Complex Trauma Presentations within Cognitive Processing Therapy 

PMI – 9: Introduction to Genetic and Epigenetic Research in Traumatic Stress Studies


1:30 p.m. – 5:00 p.m.

PMI – 10: Fostering Media Partnerships: Working with the Media Before, During, and After a Community Crisis or Disaster 

PMI – 11: Focusing the Military Cultural Lens: Evidence-Based Practices Addressing Child Trauma in Military and Veteran Families 

PMI – 12: STAIR Narrative Therapy: Flexible Applications

PMI – 13: Cognitive Processing Therapy: Common Pitfalls and Case Consultation



Wednesday, November 5, 2014
Full-Day Institutes
(8:30 a.m. – Noon and 1:30 p.m. – 5:00 p.m.)

PMI 01                                  

Orienting Emergency Responders in Psychological First Aid: Techniques and Resources

Keyword: Training/Education/Dissemination
Presentation Level: Introductory
Region: Global
Secondary Keywords: Culture/Diversity, Global Issues, Natural Disaster, War – Civilians in War

Snider, Leslie, MD MPH1; Kim, Yoshiharu, MD, PhD2; Izutsu, Takashi, PhD3; Tsutsumi, Atsuro, PhD4; Ohtaki, Ryoko, MSc5
1War Trauma Foundation, Diemen, Holland, Netherlands
2National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
3World Bank Tokyo , Tokyo, Chiyoda-ku, Japan
4United Nations University International Institute for Global Health, Kuala Lumpur, Cheras, Malaysia
5National Center of Neurology and Psychiatry, National Institute of Mental Health, Tokyo, Tokyo, Japan

When terrible things happen in our communities, countries and the world, we want to reach out a helping hand to those who are affected. The Psychological First Aid: Guide for Field Workers (WHO, WTF, WVI, Geneva: World Health Organization 2011) covers an approach which involves humane, supportive and practical help to fellow human beings suffering serious crisis events. it is written for people in a position to help others who have experienced an extremely distressing event. It gives a framework for supporting people in ways that respect their dignity, culture and abilities. Despite its name, psychological first aid covers both social and psychological support. The guide has been translated and is freely available in several languages and applied in various regions of the world - from Latin American and the Caribbean, to Africa, the Middle East, Asia and the Pacific.
For those interested in techniques and resources for orienting others in psychological first aid - be they medical personnel, other emergency responders, humanitarian aid staff, teachers, or community members - this pre-meeting institute offers techniques and resources for designing a participatory, skills-based orientation relevant to the socio-cultural context of participants, the crisis situation, available resources and stakeholders. It draws upon experience of PFA faciitators who have conducted orientations in many parts of the world, including national scale capacity building efforts in Japan and the east Asia region. Other resources include the PFA: Facilitator's Manual for Orienting Field Workers (WHO, WTF, WVI 2013) and all materials necessary for conducting an orientation. Participants will have the opportunity to learn how to adapt activities for comfort, safety and optimal learning of diverse participants and to design an orientation relevant to their context.

PMI 02                                  

Four Leading Model Developers Address Complex Case Material and Real World Implementation Issues.

Keyword: Clinical Practice
Presentation Level: Intermediate
Region: Industrialized Countries
Secondary Keywords: Complex Trauma

Brown, Adam, PsyD1; Mannarino, Anthony, PhD2; Ford, Julian, PhD3; Saxe, Glenn, MD1; Blaustein, Margaret, PhD4
1New York University Langone Medical Center, New York, New York, United States
2Allegheny General Hospital/Drexel University College of Medicine, Pittsburgh, Pennsylvania, United States
3University of Connecticut Health Center, Farmington, Connecticut, United States
4Trauma Center at Justice Resource Institute, Brookline, Massachusetts, United States

This full day pre-meeting institute, endorsed by the Complex Trauma SIG, will feature a unique opportunity to hear from developers of four leading evidence-based models for complex trauma intervention developed by members of the NCTSN over the past decade: Trauma Focused Cognitive Behavioral Therapy (TF-CBT), ARC (Attachment, Self-Regulation and Competency), TARGET (Trauma Affect Regulation: Guide for Education, and Trauma Systems Therapy (TST).

The morning session will begin with each model developer presenting a brief overview of their model. The moderator will then present complex case material, and each model developer will discuss the case from the perspective of their intervention. Each discussion will take into account factors common to addressing child trauma, and will discuss the rationale for their approach, and why certain factors are or are not included in the model. Factors to be addressed include: child and family engagement; establishing safety; addressing emotional and behavioral regulation; integrating trauma history; facilitating future orientation; organizational factors; the role of the child’s social environment; partnering with community agencies, among others.

For the afternoon session, we will focus on how each model addresses real world implementation issues. We will invite participants to present brief case vignettes which highlight issues they have struggled with. Each model developer will respond regarding how they would approach such issues from the point of view of their model. These may include issues such as psychiatric emergencies, concerns about child abuse, hard-to-engage families, comorbid mental health and substance abuse problems, parental mental health issues, etc.

We will then invite audience members to present questions or specific issues to the model developers.

We will end with a moderated discussion of the relative applications of the different models to varying situations and clinical presentations.


PMI 03                                  

The Application of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for Youth with Complex Trauma

Keyword: Clinical Practice
Presentation Level: Intermediate
Region: Global
Secondary Keywords: Chronic/Repeated Trauma, Clinical Practice, Complex Trauma, Traumatic Grief

Griffin, Jessica, PsyD1; Cohen, Judith, MD2; Kliethermes, Matthew, PhD3; Mannarino, Anthony, PhD4
1University of Massachusetts Medical School, Worcester, Massachusetts, United States
2Allegheny General Hospital, Pittsburgh, Pennsylvania, United States
3University of Missouri St. Louis, St. Louis, Missouri, United States
4Allegheny General Hospital/Drexel University College of Medicine, Pittsburgh, Pennsylvania, United States

Children who have experienced complex trauma benefit from a phase-based treatment approach (Cook et al, 2003). This workshop will provide in-depth information related to the application of Trauma-Focused Cognitive Behavioral Therapy for Youth with Complex Trauma, with an emphasis on phase-based treatment. The objective for this PMI is to provide practitioners with an increased knowledge base, including theoretical understanding, clinical tools and techniques, as well as research support related to the application of TF-CBT for youth with complex trauma. This session will begin with a brief overview of the TF-CBT model (Cohen, Mannarino, & Deblinger, 2006) as well as an overview of complex trauma and the impact of complex trauma on children and adolescents (Cook et al, 2003), including the impact of complex trauma on multiple domains of functioning (e.g., Attachment, Physical Health/Biology, Affect Regulation/Emotional Responses, Dissociation, Behavior, Cognition, Self-Concept and Future Orientation). As TF-CBT continues to be the most widely disseminated evidence-based treatment for children who experience trauma, with 13 Randomized Controlled Clinical Trials (including with youth with complex trauma), the application of TF-CBT has evolved over the last decade in order to best meet the needs of special populations (e.g., youth with complex trauma) and to improve sustainability in diverse settings (e.g., residential treatment, juvenile justice, in-home therapy), while still maintaining fidelity to the treatment model. This training seeks to improve sustainability of TF-CBT for agencies, clinicians, and stakeholders providing TF-CBT in diverse settings or in settings that largely include youth with complex trauma. This workshop will address prevalent misconceptions regarding the TF-CBT model, particularly as it relates to youth with complex trauma. Multiple considerations in the application of TF-CBT for youth with complex trauma will be discussed including the phase-based delivery of TF-CBT including three phases: 1) Safety and Stabilization; 2) Trauma Processing; and 3) Integration and Consolidation. This workshop will address how the components of TF-CBT can effectively address the multiple domains of functioning impacted by complex trauma. Data regarding TF-CBT with youth with complex trauma will be presented. Throughout the institute presenters will encourage interactive discussion about how to implement TF-CBT for youth with complex trauma. Clinical vignettes, video, and demonstration of techniques will be utilized in an interactive discussion between the TF-CBT developers and national trainers.


PMI 04                                  

Military Culture: Core Competencies for Healthcare Professionals

Keyword: Clinical Practice
Presentation Level: Introductory
Region: Industrialized Countries
Secondary Keywords: Assessment/Diagnosis, Culture/Diversity, War – Military/Peacekeepers/Veterans

Watson, Patricia, PhD1; Brim, William, PsyD2; Ermold, Jenna, PhD3; Nash, William, MD4;  Westphal, Richard, RN PhD5; Kudler, Harold, MD6
1National Center for PTSD, Executive Division, White River Junction, Vermont, United States
2Center for Deployment Psychology & Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States
3Center for Deployment Psychology, Rockville, Maryland, United States
4Boston VA Research Institute, Boston Massachusetts, United States
5 Richard Westphal Consulting, Gordonsville, Virginia, United States
6VISN 6 MIRECC and Duke University Medical Center, Chapel Hill, North Carolina, United States

This PMI will teach the core competencies for military cultural competence for those who work with with Service members, Veterans, and their families. It will be based on a recently released integrated VA/DOD online full day course. The focus will be on how to improve assessment and treatment planning for those patients with trauma-related conditions who are or have been in the military. Participants will be educated about the military culture and how that culture may affect the self and world views of their clients and therefore the patient/provider relationship. They will be invited to assess their own bias, beliefs and assumptions about the military which may inadvertently contribute to the stigma associated with seeking mental health care. Even VA and DoD providers who believe they have a good understanding of military culture from having been in the service themselves, or from having served as a healthcare professional in the system for many years, may not have a broad understanding of all branches of service, of different eras of Veterans, and of the many subcultures and subtleties inherent in military culture. The goal of this PMI is to educate providers interacting with traumatized Service members, Veterans and their families about aspects of the military culture such as military ethos and core values, stressors associated with military life, and resources and tools that are available to patients and their providers working together to address these issues. This PMI aims to additionally increase understanding of the various ways that the impact of military culture can differ across patients. Military ethos will be defined, as well as some of the more tangible or material elements and behaviors associated with military service such as customs, structure, organization and roles. Information will be given on common stressors experienced by Service members and their families as a result of demands distinctive to military life as well as resources that are available in an effort to promote adaption and adjustment to challenges. Finally, treatment resources and tools will be reviewed with a focus on how to apply cultural knowledge in patient care. The PMI will include videotape vignettes; assessment and treatment planning tools for health care professionals; lists of resources; and interviews with dozens of Service members, Veterans, family members and healthcare provide



Wednesday, November 5, 2014
Half-Day Institutes
(8:30 a.m. – Noon)


PMI 05        

Changing the Pathway to Delinquency: Mindfulness, Meaning-Making, and Relational Strategies Drawn from 3 Complex Trauma Treatments and Applied at 3 Time Points from Childhood through Young Adulthood

Keyword: Clinical Practice 
Presentation Level: Intermediate 
Region: Industrialized Countries 
Secondary Keywords: Child Physical Abuse/Maltreatment, Community Violence, Complex Trauma, Developmental Processes/ Interventions

Habib, Mandy, PsyD1; Lanktree, Cheryl, PhD2; Kagan, Richard, PhD3; Jaworski, Jennifer, PsyD4; Labruna, Victor, PhD1; Briere, John, PhD5
1Adelphi University, Garden City, New York, United States
2University of Southern California, Torrance, California, United States
3Parsons Child and Family Center, Albany, New York, United States
4Illinois Department of Juvenile Justice, St. Charles, Illinois, United States
5University of Southern California, Los Angeles, California, United States

Analyses of the National Child Traumatic Stress Network (NCTSN) Core Data Set found that youth exposed to ongoing and/or multiple types of traumas often display a broad range of “challenging” or problematic behaviors, many of which place youth at-risk for juvenile justice involvement. As an official submission of the Complex Trauma Workgroup of the NCTSN, this pre-meeting institute will highlight how techniques and approaches from 3 empirically-based treatment models can prevent or reduce the development of emotional, behavioral, and cognitive dysregulation associated with complex trauma Building on the core components of NCTSN-recommended complex trauma treatment, each of the three models, Real Life Heroes, ITCT (Integrative Treatment of Complex Trauma), and SPARCS (Structured Psychotherapy for Adolescents Responding to Chronic Stress), will present a range of approaches to reduce behavioral and relational difficulties and risk-taking, develop self-regulatory skills, support adaptive attachments, and facilitate trauma-processing and meaning-making. Model developers will illustrate activities and strategies, with an emphasis on the use of mindfulness, and meaning-making in the treatment of a child with a history of physical abuse, witnessing domestic violence, community violence, and intergenerational transmission of trauma. Each model will be matched to a specific developmental stage with the same child presented at 3 separate time points: RLH (childhood-6 yrs), ITCT (early adolescence- 14yrs), and SPARCS (young adulthood- 20yrs). Each developer will begin with a brief overview of their respective model (including a review of the emerging evidence-base), followed by a brief description of the child’s evolving trauma history, present circumstances, and current functioning. The majority of each presentation will describe ways in which mindfulness and/or meaning-making can be used in treatment at the given time point, and will illustrate the application of specific techniques and strategies to engage children, caregivers and services to work together to address client symptoms, and ameliorate factors leading to high risk behaviors. Following the 3 model presentations, participants will hear from the Chief of Mental Health Services from the Illinois Department of Juvenile Justice and learn about the prevalence of trauma among youth in juvenile justice centers, the shifting culture of detention facilities, and policy implications and service gaps for at-risk/delinquent youth. This intermediate-level PMI, will conclude with a synthesis of the overlapping and unique features of model components, practical application by practitioners, and next steps for research with a moderated audience discussion led by an expert in the field of complex trauma.


PMI 06                                  

Treating the Sleep Disturbances of Adults with PTSD: CBT for Insomnia and Imagery Rehearsal

Keyword: Clinical Practice 
Presentation Level: Introductory 
Region: Not Applicable 
Secondary Keywords: Clinical Practice, Sleep, War – Military/Peacekeepers/Veterans

Harb, Gerlinde, PhD1; Gehrman, Philip, PhD2
1Philadelphia VA Medical Center, Philadelphia, Pennsylvania, United States
2University of Pennsylvania, Philadelphia, Pennsylvania, United States

This pre-meeting institute will provide attendees with an overview over the treatment of the sleep disturbance associated with PTSD in Veterans. Veterans often present for treatment with complaints of disturbed sleep associated with their PTSD, and both insomnia and nightmares are contained within diagnostic criteria for PTSD. There is mounting evidence that cognitive behavioral therapy is efficacious in treating the insomnia associated with many mental health problems including PTSD. This seminar will focus on the application of CBT for insomnia (CBT-I) to the treatment of Veterans with PTSD. In addition, we will review a cognitive-behavioral treatment for posttraumatic nightmares, which has received increased research attention, namely Imagery Rehearsal therapy. A review of research evidence and an overview of important techniques as applicable to Veterans with PTSD will be provided. Specifically, the following topics will be included in this pre-meeting institute:
1. Review of nature of the sleep disturbance in the context of PTSD: What is insomnia in PTSD and phenomenology of nightmares.
2. Explanatory models of insomnia: 3 Ps model, circadian processes
3. Therapeutic strategies: Elements of CBT-I: Stimulus control, sleep restriction, cognitive strategies (worry time), relaxation training (PMR), sleep hygiene
4. Review of Imagery Rehearsal: research base, explanatory models
5. Elements of Imagery Rehearsal: Rationale, nightmare selection, nightmare write-out, changing nightmare story, creating a new dream script, rehearsal, fine-tuning
6. Integrating CBT-I and Imagery Rehearsal


PMI 07                                  

Dimensions of Dissociation in Trauma-Related Disorders

Spanish Track: This will be presented in English with simultaneous translation to Spanish

Keyword: Assessment Diagnosis 
Presentation Level: Intermediate 
Region: Not Applicable 
Secondary Keywords: Assessment/Diagnosis, Biological/Medical, Clinical Practice, Complex Trauma

Frewen, Paul, PhD; Lanius, Ruth, MD, PhD
University of Western Ontario, London, Ontario, Canada

In this workshop we will review assessment and intervention methodology relevant to addressing dissociative symptomatology in individuals with PTSD. A dissociative subtype of PTSD has been defined by the presence of self-reported experiences of depersonalization and/or derealization. On the basis of neurophenomenological studies, Frewen and Lanius (in press a,b) recently proposed a four-dimensional framework (“4-D model”) that theoretically differentiates states of posttraumatic distress that they argue intrinsically exemplify dissociative trauma-related altered states of consciousness (TRASC) from those that exemplify normal waking consciousness (NWC). In brief, the 4-D model classifies: 1) dissociative flashbacks as a TRASC of a person’s sense of time-memory, considered distinct from other NWC forms of intrusive recall of traumatic events that fail to provoke a marked sense of reliving; 2) thoughts that occur in second-person perspective, akin to voice-hearing (e.g., experiencing a voice inside one’s head screaming “I hate you” as a TRASC of thought demarcated from the NWC experience of having distressing thoughts in first-person perspective (e.g., having the thought: “I hate myself”); 3) experiences of depersonalization as a TRASC of the body, theoretically differentiated from embodied experiences of distress (i.e., as occur in NWC; e.g., psychophysiological arousal, panic attacks without depersonalization/derealization experiences); and 4) marked cases of emotional numbing and affective shut-down as a TRASC of emotion (akin to a feeling of “being numb” or “emotionless”), considered unique as such relative to other pervasive negative emotional states that commonly occur within NWC (e.g., experiences of fear, anxiety, sadness, guilt, or shame, etc).
In this workshop, we will review research supporting the predictions of the 4-D model in people with PTSD, BPD with or without PTSD, and within the general population. We will review assessment scales for measuring the dimensions of the 4-D model, and treatment approaches, focusing particularly on mindfulness-based therapy. The workshop will be both didactic and experiential in nature.


PMI 08                                  

Targeting Techniques to Address Complex Trauma Presentations within Cognitive Processing Therapy

Keyword: Clinical Practice 
Presentation Level: Intermediate 
Region: Global 
Secondary Keywords: Child Sexual Abuse, Clinical Practice, Cognitive Processes/ Interventions, Complex Trauma

Monroe, J., PhD1; Maieritsch, Kelly, PhD2
1Department of Veteran Affairs, Cincinnati, Ohio, United States
2Hines VA Hospital, Chicago, Illinois, United States

The primary objective of this intermediate Pre-Meeting Institute is to provide attendees with specific techniques for successfully utilizing Cognitive Processing Therapy (CPT) with adult patients presenting with a history of childhood trauma (e.g., childhood physical/sexual abuse or assault, domestic violence, school-related violence, and gang activity). CPT is an evidence-based cognitive therapy for PTSD and trauma-related disorders. Two variations of the treatment (with or without written trauma narrative) have demonstrated robust effects in reducing the frequency and intensity of PTSD symptoms in multiple randomized clinical trials. The treatment may also be delivered in group, individual, or combined formats, allowing for flexible implementation in a variety of clinical settings.

This institute will involve an overview of social cognitive theory and Socratic dialogue, followed by demonstrations of specific CPT techniques, examination of case vignettes, and role play exercises to provide opportunities for attendees to hone their skills. Throughout the institute, presenters will address techniques for working with patients with complex clinical presentations (e.g., multiple traumas, dissociation, comorbid personality disorder, substance use, current involvement in a violent relationship). Additional topics will include working with beliefs related to punishment, blame/guilt, reactions to authority, love of family, justice, religion, sexuality, and aggression. Presenters will address special considerations for working with patients of varied socioeconomic, cultural, and education backgrounds. Finally, the presentation will also review methods for enhancing collaboration between the patient and therapist and maintaining engagement in treatment.

The target audience for this PMI is clinicians with a working knowledge of CPT and an interest in augmenting existing cognitive therapy skills. Although the presenters are CPT Trainers, this is not an introductory training to the CPT protocol. Attendees who have not previously received formal training in CPT may benefit from completing an online CPT course ( prior to attending the workshop.


PMI 9                        

Introduction to Genetic and Epigenetic Research in Traumatic Stress Studies

Keyword: Biological/Medical 
Presentation Level: Introductory 
Region: Not Applicable 
Secondary Keywords: Biological/Medical, (Epi)Genetic Processes/ Interventions, Research Methodology

Nugent, Nicole, PhD1; Uddin, Monica, PhD2; Yehuda, Rachel, PhD3; Amstadter, Ananda, PhD4
1Brown Medical School, Providence, Rhode Island, United States
2Wayne State University, Detroit, Michigan, United States
3J. J. Peters Veterans Affairs Medical Center; Mount Sinai School of Medicine, Bronx, New York, United States
4Virginia Institute for Psychiatric and Behavioral Genetics, VCU, Richmond, Virginia, United States

The field of genetic and epigenetic research has made impressive advances in the past few decades, catalyzing considerable excitement about the ways that genomics can inform our understanding of critical questions in the field such as why some trauma-exposed individuals are resilient while others develop posttraumatic stress disorder (PTSD), depression, and substance abuse. Given this growing literature, along with commercially available high-throughput genomic platforms, it is increasingly incumbent on researchers and clinicians to be familiar with the basics of genomically-informative designs. Further, researchers are increasingly interested in considering ways that genetic and epigenetic methods can be incorporated into their work. The purpose of this pre-meeting institute (PMI), targeted at researchers, clinicians, and students with little familiarity with genetic methods, is to provide an introduction to genetic and epigenetic methodology. State-of-the-science findings in genomics of trauma research will be reviewed, and the strengths and limitations as well as design considerations of these approaches will be discussed.
This half-day PMI will address:
(1) Family and Twin Studies in Trauma: Basic methods and findings related to understanding the contributions of genetic and environmental influences on behavior will be described, including traditional approaches such as twin and family modeling.
(2) Molecular Genetic Approaches: We will review candidate gene research, genome wide association studies (GWAS), whole genome methods, and gene-environment interplay. Important research considerations with each of these methods will be discussed.
(3) Epigenetics: We will provide a brief overview of epigenetic modifications, which involve chemical modifications that regulate chromatin structure and/or DNA accessibility, which in turn alter the transcriptional activity of the surrounding loci.
(4) Novel Approaches: Researchers have begun to explore new and innovative approaches to the incorporation of genetic research into a range of scientific queries, such as examinations of genetic and epigenetic predictors of treatment response (both pharmacological and behavioral treatments) or epigenetic modifications that are altered through treatment involvement.


Wednesday, November 5, 2014
Half-Day Institutes
(1:30 p.m. – 5:00 p.m.)


PMI 10                                  

Fostering Media Partnerships: Working with the Media Before, During, and After a Community Crisis or Disaster

Keyword: Journalism and Trauma
Presentation Level: Introductory
Region: Not Applicable
Secondary Keywords: Community-Based Programs, Natural Disaster, Public Health, Terrorism

Houston, J. Brian, PhD1; Reyes, Gilbert, PhD2; Brymer, Melissa, PhD, PsyD3; Gurwitch, Robin, PhD4; Reed, Katherine, MA5; Shapiro, Bruce6
1University of Missouri - Columbia, Columbia, Missouri, United States
2Fielding Graduate Institute, Santa Barbara, California, United States
3National Center for Child Traumatic Stress at UCLA, Los Angeles, California, United States
4Duke University Medical Center, Durham, North Carolina, United States
5University of Missouri, Columbia, Missouri, United States
6Dart Center for Journalism and Trauma, New York, New York, United States

When a crisis or disaster occurs, the media will create and disseminate stories of what happened, why it happened, and what should be done in the future so it doesn’t happen again. Those working with children, families, and communities have the ability to help media tell stories that can promote (instead of impede) recovery and resilience. This PMI session will help participants develop these skills and will include the following components:

1. Discussion of how local and national media work, including an examination of the roles, functions, and goals of the media, and a discussion of what to expect from the media if a community crisis or disaster were to occur.

2. Examination of strategies for working with the media at all phases of a community crisis or disaster (before, during, and after). Strategies covered will include: creating partnerships with local media before an event occurs, establishing a public information office or plan during an event, understanding “how” to talk with media, understanding “what” to say to media, and a review of one’s own media image.

3. Viewing and discussion of recent examples of media coverage of community crises and disasters.

4. Role playing activity in which presenters and audience members practice the process of being interviewed by a member of the media following a community crisis or disaster.

5. Exploration of novel and emerging approaches to communicating with the public about trauma, disasters, and community crises. This will include the use of social media (e.g., Twitter, blogs) and digital storytelling.


PMI 11                                  

Focusing the Military Cultural Lens: Evidence-Based Practices Addressing Child Trauma in Military and Veteran Families

Keyword: Training/Education/Dissemination
Presentation Level: Intermediate
Region: Industrialized Countries
Secondary Keywords: Child Physical Abuse/Maltreatment, Clinical Practice, Community-Based Programs, War – Military/Peacekeepers/Veterans

Leskin, Gregory, PhD1; Cohen, Judith, MD2; Gurwitch, Robin, PhD3; DeVoe, Ellen, PhD MSW4
1UCLA Semel Institute, Los Angeles, California, United States
2Allegheny General Hospital, Pittsburgh, Pennsylvania, United States
3Duke University Medical Center, Durham, North Carolina, United States
4Boston University School of Social Work, Boston, Massachusetts, United States

Providing direct treatment services for military and veteran families is a major goal for the National Child Traumatic Stress Network (NCTSN). Many NCTSN programs have now implemented treatment services for military families through outreach and partnership with active duty bases, National Guard, and local VA hospitals. In order to prepare their staff to serve military families, many programs have engaged in programs to increase their knowledge of military cultural characteristics to understand the types of stressors faced by military families and the potential impact on the children. Further, these programs are now extending their knowledge to include veteran families and children transitioning to civilian life.
During this PMI, participants will be provided with information and resources to learn about the specific cultural and contextual issues that serve as the framework for delivery of evidence based practice delivery for military and veteran families and children. Participants will learn about current and updated prevalence levels of behavioral health issues negatively impacting military and veteran families, including PTSD, TBI, suicide, and other risk behaviors. Next, three program developers will present overviews of major interventions adapted or developed for military and veteran families and children including TF-CBT, PCIT & Strong Families Strong Forces. Speakers will identify the major military characteristics, risk factors, and organizational issues (military and community partnerships) that have informed development and adaptation of their evidence based practices (EBP) and interventions for military families. Each presenter will describe their EBP from the framework of addressing and overcoming issues and problems commonly faced by military and veteran families through education, prevention and delivery of interventions. Each program developer will illustrate how the intervention objectives of each EBP have been adapted to address particular issues related to deployment and combat stress, transition issues, parental psychological and physical injury, as well as child maltreatment. Strategies that highlight training at-risk military families to utilize resilient skills and approaches will be highlighted through the work of Strong Families Strong Forces. Programs that emphasize improvement in parenting skills (PCIT) will be presented. The program will include a presentation and discussion about the adapted TF-CBT program for military families where the child has experienced a traumatic stressor. Outcome data with military populations will be presented to support further implementation of these interventions for military and veteran families at risk for the negative impact of military experiences.


PMI 12                                  

STAIR Narrative Therapy: Flexible Applications

Spanish Track: This will be presented in English with simultaneous translation to Spanish

Keyword: Training/Education/Dissemination
Presentation Level: Intermediate
Region: Not Applicable
Secondary Keywords: Affective Processes/Interventions, Chronic/Repeated Trauma, Training/Education/ Dissemination

Cloitre, Marylene, PhD1; Jackson, Christie, PhD2; Weiss, Brandon, PhD3
1National Center for PTSD-Dissemination and Training Division, Menlo Park, California, United States
2VA, New York, NY , New York, United States
3NCPTSD-Dissemination & Education Div, Palo Alto Healthcare System, Menlo Park, California, United States

Individuals exposed to sustained or multiple forms of trauma often experience not only PTSD symptoms but also disturbances in self-regulation functions particularly in emotion management and relational capacities. These difficulties contribute significantly to overall impairment and yet very few therapies routinely address them as part of the recovery plan. Skills Training in Affective and Interpersonal Regulation (STAIR) Narrative Therapy is an evidence-based therapy that has successfully integrated skills training with narrative work to address both the specific disturbances related to trauma (e.g., re-experiencing symptoms) as well as a range of transdiagnostic affective and interpersonal problems. This workshop will review the flexible use of and evidence for the treatment as adapted for group modality and as formulated for the individual client to create a "patient centered" program. Case examples and strategies for effective implementation will be provided, with a special emphasis on male and female veterans and women who have experienced military sexual trauma (MST). Examples of implementation of the program using telemental health (videoconferencing) will also be inlcuded.


PMI 13                                  

Cognitive Processing Therapy: Common Pitfalls and Case Consultation

Keyword: Clinical Practice
Presentation Level: Intermediate
Region: Industrialized Countries
Secondary Keywords: Clinical/Intervention Research, Cognitive Processes/ Interventions, Training/Education/ Dissemination

Resick, Patricia, PhD1; Dondanville, Katherine, PsyD2
1Duke University Medical Center, Durham, North Carolina, United States
2University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States

This half day institute is designed for practitioners trained in Cognitive Processing Therapy (CPT/CPT-C) for posttraumatic stress disorder (PTSD). The institute aims to enhance practitioners’ skills in adapting the protocol to various patient presentations and populations. The institute will focus on Common Pitfalls that practitioners come across when implementing CPT or CPT-C (without trauma account) either individually or in a group context. Institute participants will have an opportunity to guide the material based on their personal interests and clinical consultation needs. Institute participants are encouraged to present their own difficult PTSD cases for consultation.

Though there will be some didactic materials presented, most of this session will be “hands-on.” The Institute leaders will model techniques, integrate up-to-date research, and share personal case experiences. Brief video clips will be shown to demonstrate ways to address common pitfalls. Most importantly, institute participants will be asked to take part in partially scripted and unscripted role plays where they will practice and evaluate their use of the skills.

The institute will address when to start the protocol with your patients and address concerns about implementing the protocol with common comorbidities. Once practitioners are using the protocol effectively, confronting avoidance and enhancing patient engagement is an important skill. How to flex the protocol and varying the length of treatment will be explored with regard to decision making when to stop early or add sessions. When to use emergency sessions or stop the protocol will also be discussed. The institute will also focus on sharpening Socratic Questioning skills and working with patients who stay stuck. How to identify and challenge Just World Stuck Points will be addressed. This is an Intermediate-Advanced level institute. Participants are expected to have previous training and experience implementing CPT.