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Presenting state-of-the-art knowledge and treatment approaches for working with very young children affected by trauma, this book fills a crucial need for mental health professionals and child welfare advocates. Readers gain an understanding of the impact of severe stress on infants, toddlers, and preschoolers; how trauma disrupts crucial early relationships; and ways to collaborate with parents, other caregivers, and broader support systems to facilitate healing and prevent further traumatization. Guidelines are provided for conducting effective assessments and intervening with vulnerable children and families in traditional mental health contexts and in pediatric, legal, and community settings. Giving particular attention to the needs of children who have been neglected or abused, the book also addresses other forms of trauma, including illness, injury, exposure to domestic and community violence, and parental loss.
CONTENTS
I. Background and Perspectives: Providing the Foundations for Understanding
Introduction: Different Ways of Understanding Young Children and Trauma
1. Rainbows of Tears, Souls Full of Hope: Cultural Issues Related to Young Children and Trauma, Lewis and Ippen
2. Trauma and Attachment: The Case for Disrupted Attachment Disorder, Hinshaw-Fuselier, Heller, Parton, Robinson, and Boris
3. "Hidden Trauma" in Infancy: Attachment, Fearful Arousal, and Early Dysfunction of the Stress Response System, Schuder and Lyons-Ruth
II. Assessment, Diagnosis, and Treatment
Introduction: What Are We Assessing for, and Why?
4. Assessment and Treatment of Young Children Exposed to Traumatic Events, Lieberman and van Horn
5. Diagnostic and Treatment Issues in Cases of Childhood Trauma, Klapper, Plummer, and Harmon
6. Relationship Assessment for Young Traumatized Children, Larrieu and Bellow
7. Identification, Assessment, and Intervention for Young Traumatized Children within a Pediatric Setting, Groves and Augustyn
8. Traumatized Young Children: Assessment and Treatment Processes, Gaensbauer
III. How to Reach Seriously Traumatized Children Earlier
Introduction: Collaborations for Young Children with Juvenile Courts, Law Enforcement, and Child Welfare
9. Healing the Child in Juvenile Court, Osofsky and Lederman
10. Partnerships for Young Children in Court: How Judges Shape Collaborations Serving Traumatized Children, van Horn and Hitchens
11. Working with Traumatized Infants and Toddlers in the Child Welfare System, Smyke, Wajda-Johnston, and Zeanah
12. How Law Enforcement and Mental Health Professionals Can Partner to Help Traumatized Children, Osofsky, Hammer, Freeman, and Rovaris
IV. Directions for the Future
13. How Research Informs Clinical Work with Traumatized Young Children, Bosquet
14. Perspectives on Work with Traumatized Young Children: How to Deal with Feelings Emerging from Trauma Work, Osofsky
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