Complex Care Intervention CCI OVERVIEW Complex Trauma exposure

Complex Care & Intervention (CCI) OVERVIEW

Complex Trauma “…exposure to multiple traumatic events, often of an invasive, interpersonal nature, and the wide-ranging, longterm impact of this exposure”. National Child Traumatic Stress Network Children exposed to complex trauma have developmental difficulties

Developmental Trajectories: Effects of Maltreatment &Trauma Typical Level of Functional Development

Developmental Trajectories: Effects of Maltreatment &Trauma Typical Level of Functional Development Delayed trauma

Developmental Trajectories: Effects of Maltreatment &Trauma Level Typical of Simple Trauma Functional Early/Persistent Maltreatment Development Pre-natal Infancy Early Child Teen Adult © Dr. Chuck Geddes, 2012

7 CCI Developmental Domains 1) Neurological & Biological Maturity 2) Over-reactive Stress Response 3) Emotional Regulation 4) Attachment and Relationships 5) Identity Development 6) Behavioural Regulation 7) Cognitive & Language Development No One Eats Apples In BC

Complex Care & Intervention Program �A program designed to help children and youth affected by Complex Trauma. �Child-specific assessment integrating 7 functional domains. �Implementation of developmentally appropriate interventions plan. �Builds capacity with the child’s Care Team in a collaborative and inclusive approach.

CCI Calms Goals Consistent and Safe Attachment Security Low Stress Environment Meet Developmental Age Strength Focused

What will be required? CCI evaluates the Functional Developmental profile of the child and considers interventions specific to their needs. o You will help us to understand how the child functions based on your experiences with the child. CCI works with the child’s Care Team in a collaborative and inclusive fashion o o o We will work with Care Team Members to create consistency across systems. We will apply interventions aimed at helping the child. We will participate in monthly meetings to ensure the effectiveness of the Care Team plan.

CCI Process & Stages Preparation Stage Working Stage • Identification of the Youth & Referral to the CCI Program • Trauma education for the Care Team. • Functional Developmental Assessment. • Intervention planning for the youth • Transition Planning & Exit; Up to 18 months Exit Stage

Preparation Stage Working Stage Steps ü Youth Screening & Referral ü Suitability of Current Planning & Care Team ü Care Team Overview & Agreement • Baseline Data Collection Steps • Theoretical Overview of Trauma & Development (1. 5 hrs) • Functional/ Developmental Assessment (2. 5 hrs) • • Exit Stage Intervention Planning (1. 5 hrs) Support & Monitoring (monthly- 1. 5 hrs)