Programs

Vermont Child Trauma Collaborative

Type of Approach:

  • Individual
  • Mixed

Provider Education Level:

Length:

  • Greater than 12 weeks
  • Less than 12 weeks

Trauma Type:

  • Child Abuse
  • Community Violence
  • Domestic Violence
  • Multiple
  • Substance Abusing Caregiver

Trauma Symptom:

  • PTSD

Setting:

  • Hospital-based
  • Other
  • Other Community Settings

Notes:

Type of services:

System/state-wide training and consultation on trauma-informed care and trauma-specific care using ARC (Attachment, Self-Regulation, & Competency: A Comprehensive Framework for Intervention with Complexly Traumatized Youth). ARC is designed as an adaptable treatment framework for service providers working with traumatized children.

Program setting:

Local community mental health centers

Length of program/number sessions:

Variable

Type(s) of trauma addressed:

Chronic trauma such as child abuse and/or exposure to domestic violence

Additional Information:

Practitioners select appropriate interventions from a menu of options based on a child’s strengths and needs.
Therapeutic options include psychoeducation, relationship strengthening, social skills, and parent-child education as well as other techniques including relaxation, art/expressive, and movement therapy.

Unique/Innovative Characteristics

The Vermont Child Trauma Collaborative has implemented a standardized trauma assessment and empirically-based trauma treatment in 12 community treatment programs in 14 counties.
Objectives of the Vermont Trauma Collaborative include:

  • Establishing aninfrastructure at state and local level to oversee and coordinate implementation of ARC
  • Creating a Trauma-Informed Interagency Referral Network among child and family-serving state and community programs (child welfare, education, domestic violence) to ensure consistent screening and referral for treatment of children exposed to trauma
  • Establishing systematic data collection and evaluation to improve the quality and quantity of services and treatment being provided through the Collaborative

Information about ARC was abstracted from the NCTSN publication, Trauma-Informed Interventions: Clinical and Research Evidence and Culture-Specific Information Project.

Date Added/Updated:

6/15/12

Age:

  • 0-5 (Early Childhood)
  • 13-17 (Adolescent)
  • 6-12 (Childhood)

Language:

  • English

Ethnic Racial Group:

  • Unspecified

Caregivers Included:

  • Extended Family
  • Foster Parent
  • Mother
  • Other
  • Step Parents

Population Adaptations:

Age range of children:

Children/adolescents

Parent/adult caregiver included in intervention:

Yes

Ethnic/racial and other groups served:

Children of parents with co-existing substance abuse and domestic violence; inner city children who are also exposed to high levels of community violence.

Specific cultural adaptations:

None specified

Languages available:

English

Foundation:

Theoretical basis:

The three areas of focus for ARC (attachment, regulation, and competency) are grounded in trauma-informed interventions.

Outcome indicators:
  • Number and consistency of referrals for ARC trauma treatment services from child-serving programs will increase
  • Number of children and families receiving ARC trauma treatment will increase
  • Children and families receiving ARC will experience improved clinical outcomes, including:
    • Reduction of trauma-related symptoms
    • Increased child competency
    • Reduction of caregiver parenting stress
    • Reduced need for intensive services (psychiatric hospital and long-term residential)
  • Develop a cohort of trainers who can educate community partners about the impact of trauma to build a trauma-informed system

Evaluation Studies:

Evaluation studies:

A multi-site pilot trial of the Vermont Child Trauma Collaborative is in progress. The study sample includes Alaska Native, foster/adoptee, African American, Latino, and Asian children.
Preliminary results for one site (see NCTSN publication referenced below), indicated a significant reduction in children’s post-traumatic stress disorder symptoms after treatment.

Other Publications:

Kinniburgh K, Blaustein M, Spinazzola J, Van Der Kolk B. Attachment, self-regulation, competency. Psychiatric Annals. 2005; 35(5):424-430.

Rated/Reviewed by Evidence Based Registries:

This is a community-based program that offers a variety of interventions and as such would not be reviewed as an individual intervention/model in the registries or databases reviewed for this project.

Training Contact:

Margaret Blaustein; e-mail: mblaustein@jri.org

Training Notes:

Training manuals/protocols:

Yes

Training available:

Yes

Contact:
Languages:

Caregiver materials for ARC are being translated into Spanish

Program Contact