Tens of thousands of clinicians have used this book--now revised and expanded with 50% new material--to plan and organize effective interventions for children and adolescents who have experienced complex trauma, as well as their parents and other caregivers. The Attachment, Regulation, and Competency (ARC) framework can be used in a wide range of settings to strengthen child–caregiver relationships and support healthy development and positive functioning. Packed with case vignettes and user-friendly clinical tools, the volume identifies key treatment goals and provides flexible intervention strategies and skills. In a large-size format with lay-flat binding for easy photocopying, the book includes 72 reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials.
New to This Edition
*Reflects the ongoing development of ARC, including important refinements to foundational strategies and treatment targets.
*More than 30 additional handouts and worksheets; all reproducible tools are now downloadable.
*Greater attention to caregiver skill development throughout.
*Addresses ways ARC is being used in nontraditional settings (schools, day care, primary care practices) as well as diverse clinical contexts.
Margaret E. Blaustein, PhD, a practicing clinical psychologist, is Division Director for Trauma Training and Education at The Trauma Center at Justice Resource Institute in Brookline, Massachusetts. Her career has focused on the understanding and treatment of complex childhood trauma and its sequelae. Since 2004, Dr. Blaustein has worked with Kristine M. Kinniburgh on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. She has provided extensive training and consultation to providers in the United States and internationally.
Kristine M. Kinniburgh, LICSW, is Director of Children’s Services for Justice Resource Institute Connecticut. In this role, her primary focus is on ensuring that trauma-impacted individuals and their families receive quality care that emphasizes the promotion of resilient outcomes. Since 2004, Ms. Kinniburgh has worked with Margaret E. Blaustein on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. They are coauthors of the foster parent curriculum ARC Reflections and the caregiver skill building curriculum ARC Grow.
Introduction
I. Overview
1. The Developmental Impact of Trauma
2. Child Development, the Human Danger Response, and Adaptation: A Three-Part Model for Understanding Behavior
3. The Attachment, Regulation, and Competency Treatment Framework
II. Trauma Experience Integration
4. Trauma Experience Integration
III. Laying the Foundation
5. Foundational Strategies: Engagement and Education
6. Foundational Strategies: Routines and Rhythms
IV. Attachment
7. Caregiver Management of Affect
8. Attunement
9. Effective Response
V. Regulation
10. Identification
11. Modulation
VI. Competency
12. Relational Connection
13. Strengthening Executive Functions
14. Self-Development and Identity
VII. Model Integration
15. Trauma Experience Integration Revisited
A Postscript
Appendix A. Provider Materials
Appendix B. Caregiver Educational Materials and Worksheets
Appendix C. Group Activities
Appendix D. Youth Educational Handouts and Worksheets
Appendix E. Milieu–Systems Materials
References