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affected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions. TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE This course utilizes skills-building components from mental health treatment that have been found helpful in a variety of post-trauma situations. Research suggests that a skills-building approach is more effective than supportive counseling. SPR is appropriate for developmental levels across the lifespan, and is culturally informed.Published
THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions. TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE This course utilizes skills-building components from mental health treatment that have been found helpful in a variety of post-trauma situations. Research suggests that a skills-building approach is more effective than supportive counseling. SPR is appropriate for developmental levels across the lifespan, and is culturally informed.Published
E-LEARNING COURSES
Type: e-Learning Course. Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as wellINTERVENTIONS
Risk Reduction through Family Therapy. RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Effects. Children who have been sexually abused may display a range of emotional and behavioral reactions, many of which are characteristic of children who have experienced other types of trauma. These reactions include: An increase in nightmares and/or other sleeping difficulties. Withdrawn behavior. Angry outbursts. TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergency WEBINARS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK The NCTSN has produced dozens of webinar series, comprised of virtual presentations by expert researchers and practitioners, on various topics in the field of child traumatic stress. Most webinars are from 60 to 90 minutes in length and are available for continuing educationcredit.
NCTSN CANS COMPREHENSIVE The NCTSN CANS provides a comprehensive assessment of the type and severity of clinical and psychosocial factors that may impact treatment decisions and outcomes. Notably, it includes domains measuring exposure to potentially traumatic experiences and levels of traumatic stress symptoms, as well as assessing for strengths. The NCTSN CANS can be used either as a prospective assessment USING THE CANS-TRAUMA COMPREHENSIVE Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well as links for training on the use of the CANS. USING THE SECONDARY TRAUMATIC STRESS CORE COMPETENCIES IN Discusses the importance of quality supervision that organizations can provide to staff members at risk for secondary traumatic stress (STS). This fact sheet identifies the core competencies for supervisors providing formal support to workers who are exposed to secondarytrauma.
ARC: ATTACHMENT, SELF-REGULATION AND COMPETENCY: A Discusses the Attachment, Self-Regulation, and Competency (ARC) model, a flexible intervention for children with complex trauma. This webinar describes how the intervention can address a continuum of exposures, including ongoing exposure, as well as how the intervention addresses individual, familial, and systemic needs and strengths. NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE In any given year, approximately one million children come to the attention of the U.S. child welfare system. Many are victims of abuse or neglect, live with caregivers who are impaired, and/or deal with school and community violence as a fact of life. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK The NCTSN offers both online and in-person training on a range of topics, from general trauma education, to assessment and intervention techniques, to Breakthrough NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Building Resilience in Families Contending With Intellectual and Developmental Disabilities This webinar will introduce the FOCUS Family Resiliency Program, a brief evidence-based intervention that is among the most widely disseminated family-based programs for military populations, and will discuss general issues in adapting it with families who have a child with intellectual and developmSANCTUARY MODEL
Sanctuary is a trauma-informed, evidence-supported template for system change based on the active creation and maintenance of a nonviolent, democratic, productive community to help people heal from trauma. It addresses the marginalization of specific cultural groups throughexposure to trauma.
INTERVENTIONS
RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). CHILD ABUSE POTENTIAL INVENTORY The CAP Inventory is a caretaker-report measure developed to estimate the risk of a parent physically abusing a child. The test consists of 160 questions with a total of 10 standard scales and 2 special scales (added to the measure in 1990). EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Children who have been sexually abused may display a range of emotional and behavioral reactions, many of which are characteristic of children who have experienced other types of trauma. Thesereactions include:
TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THE Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
HELPING A TRANSGENDER YOUTH FIND SAFETY AND BELONGING In the midst of the pandemic, young people have faced increased isolation and disconnection. For Aiden, a transgender youth dealing with discrimination, ridicule, and exile from his peers, community, and family, being isolated at home for months has become almost unbearable. In this session Aiden talks with a therapist for the first time, desperate to find connection and hope for a more TARGET: TRAUMA AFFECT REGULATION: GUIDE FOR EDUCATION AND The National Child Traumatic Stress Network www.NCTSN.org 2 GENERAL INFORMATION TARGET: Trauma Affect Regulation: Guide for Education and Therapy Clinical & Anecdotal Evidence continued THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE In any given year, approximately one million children come to the attention of the U.S. child welfare system. Many are victims of abuse or neglect, live with caregivers who are impaired, and/or deal with school and community violence as a fact of life. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK The NCTSN offers both online and in-person training on a range of topics, from general trauma education, to assessment and intervention techniques, to Breakthrough NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Building Resilience in Families Contending With Intellectual and Developmental Disabilities This webinar will introduce the FOCUS Family Resiliency Program, a brief evidence-based intervention that is among the most widely disseminated family-based programs for military populations, and will discuss general issues in adapting it with families who have a child with intellectual and developmSANCTUARY MODEL
Sanctuary is a trauma-informed, evidence-supported template for system change based on the active creation and maintenance of a nonviolent, democratic, productive community to help people heal from trauma. It addresses the marginalization of specific cultural groups throughexposure to trauma.
INTERVENTIONS
RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). CHILD ABUSE POTENTIAL INVENTORY The CAP Inventory is a caretaker-report measure developed to estimate the risk of a parent physically abusing a child. The test consists of 160 questions with a total of 10 standard scales and 2 special scales (added to the measure in 1990). EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Children who have been sexually abused may display a range of emotional and behavioral reactions, many of which are characteristic of children who have experienced other types of trauma. Thesereactions include:
TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THE Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
HELPING A TRANSGENDER YOUTH FIND SAFETY AND BELONGING In the midst of the pandemic, young people have faced increased isolation and disconnection. For Aiden, a transgender youth dealing with discrimination, ridicule, and exile from his peers, community, and family, being isolated at home for months has become almost unbearable. In this session Aiden talks with a therapist for the first time, desperate to find connection and hope for a more TARGET: TRAUMA AFFECT REGULATION: GUIDE FOR EDUCATION AND The National Child Traumatic Stress Network www.NCTSN.org 2 GENERAL INFORMATION TARGET: Trauma Affect Regulation: Guide for Education and Therapy Clinical & Anecdotal Evidence continued EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THE Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
ABOUT CHILD TRAUMA
Children who suffer from child traumatic stress are those who have been exposed to one or more traumas over the course of their lives and develop reactions that persist and affect their daily lives after theevents have ended.
SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE Gives guidance on responding to disaster, violence, or terrorism events using the Skills for Psychological Recovery intervention.This approach helps to assist children, adolescents, adults, and families in the aftermath of disaster and terrorism. RESOURCE PARENT CURRICULUM (RPC) ONLINE Complements the Resource Parent Curriculum (RPC). This course is for resource families who are considering attending a RPC training to help them determine whether it would be worth their time to attend anentire workshop.
CHILD REPORT OF POST-TRAUMATIC SYMPTOMS The CROPS is a self-report measure for children and adolescents that assesses a broad range of post-traumatic symptoms, with or without an identified trauma, and can be used to measure changes in symptomatology over time. ENGAGING ADOLESCENTS IN TREATMENT (TIPS FOR MENTAL HEALTH Discusses ways to better engage adolescents who have experienced trauma in treatment. This fact sheet, a part of the Understanding the Links Between Adolescent Trauma and Substance Abuse: A Toolkit for Providers, contains information on identifying and encouraging youth to seek help, getting adolescents to come to treatment, engaging homeless youth, addressing practical barriers to care, USING THE SECONDARY TRAUMATIC STRESS CORE COMPETENCIES IN Discusses the importance of quality supervision that organizations can provide to staff members at risk for secondary traumatic stress (STS). This fact sheet identifies the core competencies for supervisors providing formal support to workers who are exposed to secondarytrauma.
ARC: ATTACHMENT, SELF-REGULATION AND COMPETENCY: A Discusses the Attachment, Self-Regulation, and Competency (ARC) model, a flexible intervention for children with complex trauma. This webinar describes how the intervention can address a continuum of exposures, including ongoing exposure, as well as how the intervention addresses individual, familial, and systemic needs and strengths. CHILD BEHAVIOR CHECKLIST FOR AGES 6-18 The 2001 Child Behavior Checklist for Ages 6-18 (CBCL/6-18) is a standardized measure based on new national norms that were collected February 1999-January 2000. The CBCL is to be completed by the parent/caretaker who spends the most time with the child. The CBCL/6-18 provides ratings for 20 competence and 120 problem items paralleling the Youth Self-Report (YSR) and the Teacher’s Report THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions.E-LEARNING COURSES
Type: e-Learning Course. Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergencyINTERVENTIONS
Risk Reduction through Family Therapy. RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). SKILLS FOR PSYCHOLOGICAL RECOVERY Skills for Psychological Recovery. SPR is a manualized, evidence-informed intervention that is intended to foster short and long-term adaptive coping in disaster survivors who are exhibiting moderate levels of distress. It offers simplified, brief application of skills that are commonly related to improved recovery in post-disaster/emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THE Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions.E-LEARNING COURSES
Type: e-Learning Course. Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergencyINTERVENTIONS
Risk Reduction through Family Therapy. RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). SKILLS FOR PSYCHOLOGICAL RECOVERY Skills for Psychological Recovery. SPR is a manualized, evidence-informed intervention that is intended to foster short and long-term adaptive coping in disaster survivors who are exhibiting moderate levels of distress. It offers simplified, brief application of skills that are commonly related to improved recovery in post-disaster/emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THE Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
WEBINARS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK The NCTSN has produced dozens of webinar series, comprised of virtual presentations by expert researchers and practitioners, on various topics in the field of child traumatic stress. Most webinars are from 60 to 90 minutes in length and are available for continuing educationcredit.
EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Effects. Children who have been sexually abused may display a range of emotional and behavioral reactions, many of which are characteristic of children who have experienced other types of trauma. These reactions include: An increase in nightmares and/or other sleeping difficulties. Withdrawn behavior. Angry outbursts. DIRECTORY OF NCTSN CENTERS AND AFFILIATE MEMBERS SERVING Includes a directory of NCTSN centers and affiliate members serving immigrant and refugee popultions organized by state. LEARN: COURSE CATEGORIES Special Populations. Special Populations This section of the NCTSN Learning Center brings together resources focused on specific populations, including adolescents who have experienced trauma and substance abuse, homeless youth, and refugees. The courses in this section offer interactive online training modules, video LEARN: CONTINUING EDUCATION Continuing Education. This section of the NCTSN Learning Center provides free access to NCTSN experts and up-to-date, science-based information in the areas of assessment, treatment and services, training, research and evaluation, and organizational and systems change for traumatized children, adolescents, and their families. SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE Gives guidance on responding to disaster, violence, or terrorism events using the Skills for Psychological Recovery intervention.This approach helps to assist children, adolescents, adults, and families in the aftermath of disaster and terrorism.SCHOOL PERSONNEL
School Personnel. Research suggests that approximately 25% of American children will experience at least one traumatic event by the age of 16. A child's reactions to trauma can interfere considerably with learning and/or behavior at school. Schools serve as a critical system of support for children who have experienced trauma. FAMILY ASSESSMENT DEVICE Based on the McMaster Model of Family Functioning (MMFF), the FAD measures structural, organizational, and transactional characteristics of families. It consists of 6 scales that assess the 6 dimensions of the MMFF - affective involvement, affective responsiveness, behavioral control, communication, problem solving, and roles - as well as a 7th scale measuring general family functioning. AFFIRMING CARE FOR TRANSGENDER AND GENDER EXPANSIVE YOUTH Provides participants with a comprehensive understanding of the needs and challenges transgender and gender-expansive youth face. This webinar covers basic definitions surrounding gender, gender identity, and gender expression, while creating a learning environment for participants to examine their own perceptions of gender and reflect on the capacity of their role as a professional. THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions. TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergency SKILLS FOR PSYCHOLOGICAL RECOVERY Skills for Psychological Recovery. SPR is a manualized, evidence-informed intervention that is intended to foster short and long-term adaptive coping in disaster survivors who are exhibiting moderate levels of distress. It offers simplified, brief application of skills that are commonly related to improved recovery in post-disaster/emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. USING THE CANS-TRAUMA COMPREHENSIVE Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well as links for training on the use of the CANS. SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE Gives guidance on responding to disaster, violence, or terrorism events using the Skills for Psychological Recovery intervention.This approach helps to assist children, adolescents, adults, and families in the aftermath of disaster and terrorism. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THETRAUMA INFORMED CARE CERTIFICATION PROGRAMTRAUMA INFORMED CARE PRINCIPLES PDFSAMHSA TRAUMA INFORMED CARESAMHSA TRAUMA INFORMED CARETRAUMA INFORMED CHILD CARETRAUMA INFORMED TRAINING FOR PROFESSIONALS Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
FINAL REPORT OF THE SANDY HOOK ADVISORY COMMISSION Reports on recommendations from the Sandy Hook Commission that was established by the Connecticut governor following the December 2012 shooting at Sandy Hook Elementary School in Newtown, Connecticut. The commission focused its work in three areas: Safe School Design and Operation; Law Enforcement, Public Safety, and Emergency Response; and THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions. TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergency SKILLS FOR PSYCHOLOGICAL RECOVERY Skills for Psychological Recovery. SPR is a manualized, evidence-informed intervention that is intended to foster short and long-term adaptive coping in disaster survivors who are exhibiting moderate levels of distress. It offers simplified, brief application of skills that are commonly related to improved recovery in post-disaster/emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. USING THE CANS-TRAUMA COMPREHENSIVE Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well as links for training on the use of the CANS. SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE Gives guidance on responding to disaster, violence, or terrorism events using the Skills for Psychological Recovery intervention.This approach helps to assist children, adolescents, adults, and families in the aftermath of disaster and terrorism. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THETRAUMA INFORMED CARE CERTIFICATION PROGRAMTRAUMA INFORMED CARE PRINCIPLES PDFSAMHSA TRAUMA INFORMED CARESAMHSA TRAUMA INFORMED CARETRAUMA INFORMED CHILD CARETRAUMA INFORMED TRAINING FOR PROFESSIONALS Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
FINAL REPORT OF THE SANDY HOOK ADVISORY COMMISSION Reports on recommendations from the Sandy Hook Commission that was established by the Connecticut governor following the December 2012 shooting at Sandy Hook Elementary School in Newtown, Connecticut. The commission focused its work in three areas: Safe School Design and Operation; Law Enforcement, Public Safety, and Emergency Response; andINTERVENTIONS
Risk Reduction through Family Therapy. RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Effects. Children who have been sexually abused may display a range of emotional and behavioral reactions, many of which are characteristic of children who have experienced other types of trauma. These reactions include: An increase in nightmares and/or other sleeping difficulties. Withdrawn behavior. Angry outbursts. DIRECTORY OF NCTSN CENTERS AND AFFILIATE MEMBERS SERVING Includes a directory of NCTSN centers and affiliate members serving immigrant and refugee popultions organized by state. NCTSN CANS COMPREHENSIVE The NCTSN CANS provides a comprehensive assessment of the type and severity of clinical and psychosocial factors that may impact treatment decisions and outcomes. Notably, it includes domains measuring exposure to potentially traumatic experiences and levels of traumatic stress symptoms, as well as assessing for strengths. The NCTSN CANS can be used either as a prospective assessment NCTSN TRAUMA-INFORMED ORGANIZATIONAL ASSESSMENT The NCTSN Trauma-Informed Organizational Assessment (TIOA) is a tool created by the National Center for Child Traumatic Stress (NCCTS) to help organizations assess their current practices in the context of serving children and families who have experienced trauma. Results from the assessment can drive organizational change that facilitatesthe
ATTACHMENT AND BIOBEHAVIORAL CATCH-UP Attachment and Biobehavioral Catch-up. ABC is a parent/child treatment approach designed to help caregivers provide nurturing care and engage in synchronous interactions with their infants. ABC helps caregivers re-interpret children's behavioral signals so that they can provide nurturance through parent coaching sessions. FAMILY ASSESSMENT DEVICE Based on the McMaster Model of Family Functioning (MMFF), the FAD measures structural, organizational, and transactional characteristics of families. It consists of 6 scales that assess the 6 dimensions of the MMFF - affective involvement, affective responsiveness, behavioral control, communication, problem solving, and roles - as well as a 7th scale measuring general family functioning. USING THE SECONDARY TRAUMATIC STRESS CORE COMPETENCIES IN Discusses the importance of quality supervision that organizations can provide to staff members at risk for secondary traumatic stress (STS). This fact sheet identifies the core competencies for supervisors providing formal support to workers who are exposed to secondarytrauma.
IS IT ADHD OR CHILD TRAUMATIC STRESS? A GUIDE FOR Provides definitions of child traumatic stress and Attention-Deficit Hyperactivity Disorder (ADHD) and explains how symptoms can overlap, as well as summarizes some of the differences between the two. THE IMPACT OF DEVELOPMENTAL TRAUMA IN COMMUNITIES OF COLOR Features Andrew Woods, a clinician with over two decades of experience working with boys and men of color. Speakers interview Mr. Woods and discuss the impact of developmental trauma in communities of color during the pandemic. THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions.E-LEARNING COURSES
Type: e-Learning Course. Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergencyINTERVENTIONS
Risk Reduction through Family Therapy. RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). SKILLS FOR PSYCHOLOGICAL RECOVERY Skills for Psychological Recovery. SPR is a manualized, evidence-informed intervention that is intended to foster short and long-term adaptive coping in disaster survivors who are exhibiting moderate levels of distress. It offers simplified, brief application of skills that are commonly related to improved recovery in post-disaster/emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THETRAUMA INFORMED CARE CERTIFICATION PROGRAMTRAUMA INFORMED CARE PRINCIPLES PDFSAMHSA TRAUMA INFORMED CARESAMHSA TRAUMA INFORMED CARETRAUMA INFORMED CHILD CARETRAUMA INFORMED TRAINING FOR PROFESSIONALS Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. THE NATIONAL CHILD TRAUMATIC STRESS NETWORKRESOURCESLEARNING CENTERWHAT IS CHILD TRAUMATREATMENTS AND PRACTICESTRAUMA-INFORMED CARE Child-Parent Psychotherapy. CPP is an intervention model for children aged 0-5 who have experienced at least one traumatic event and/or are experiencing mental health, attachment, and/or behavioral problems, including posttraumatic stress disorder. view. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA Tailoring Trauma-Focused Cognitive Behavior Therapy for Children with IDD. In this webinar, speakers Daniel Hoover and Peter D’Amico discuss the tailoring of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for use with children and caregivers with significant limitations in cognitive, language, and other executive functions.E-LEARNING COURSES
Type: e-Learning Course. Offers providers ways to use the CANS-Trauma Comprehensive, a tool designed to support individual service, treatment planning, and evaluation of service systems. This course contains demonstration videos, PowerPoints, helpful resources, as well TRAUMA-INFORMED SCHOOL STRATEGIES DURING COVID-19 Provides trauma-informed school strategies in response to COVID-19. This fact sheet offers information on the physical and emotional well-being of staff, creating a trauma-informed learning environment, identifying and assessing traumatic stress, addressing and treating traumatic stress, trauma education and awareness, partnerships with students and families, cultural responsiveness, emergencyINTERVENTIONS
Risk Reduction through Family Therapy. RRFT is an integrative approach to addressing the heterogeneous symptoms experienced by trauma-exposed adolescents. It targets a broad range of trauma-related psychopathology (e.g., PTSD, depression) and risk behaviors (substance use/abuse, risky sexual behavior, non-suicidal self injury). SKILLS FOR PSYCHOLOGICAL RECOVERY Skills for Psychological Recovery. SPR is a manualized, evidence-informed intervention that is intended to foster short and long-term adaptive coping in disaster survivors who are exhibiting moderate levels of distress. It offers simplified, brief application of skills that are commonly related to improved recovery in post-disaster/emergency RESOURCE PARENT CURRICULUM (RPC) ONLINE Resource Description. Is a centralized resource for providers and resource parents who are using or interested in using Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents in their communities. Published in 2011. view on the learning center. Printer-friendly version. TRAUMA-INFORMED CARE: UNDERSTANDING AND ADDRESSING THETRAUMA INFORMED CARE CERTIFICATION PROGRAMTRAUMA INFORMED CARE PRINCIPLES PDFSAMHSA TRAUMA INFORMED CARESAMHSA TRAUMA INFORMED CARETRAUMA INFORMED CHILD CARETRAUMA INFORMED TRAINING FOR PROFESSIONALS Covers the impact of trauma on children during all phases of their migration journey. In this webinar series, nationally recognized speakers from NCTSN are joined by experts from the Irving Harris Foundation’s Professional Development Network to provide best practices for culturally responsive and trauma-informed provision ofservices.
NCTSN LEARNING CENTER FOR CHILD AND ADOLESCENT TRAUMA The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. TRAINING | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Through linkages to experts, consultation on training and implementation initiatives, and training resources on child trauma, the Training and Implementation Program at the National Center for Child Traumatic Stress (NCCTS) guides professionals, agencies, and systems to increase their capacity to treat children and familiesaffected by trauma.
WEBINARS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK The NCTSN has produced dozens of webinar series, comprised of virtual presentations by expert researchers and practitioners, on various topics in the field of child traumatic stress. Most webinars are from 60 to 90 minutes in length and are available for continuing educationcredit.
EFFECTS | THE NATIONAL CHILD TRAUMATIC STRESS NETWORK Effects. Children who have been sexually abused may display a range of emotional and behavioral reactions, many of which are characteristic of children who have experienced other types of trauma. These reactions include: An increase in nightmares and/or other sleeping difficulties. Withdrawn behavior. Angry outbursts. DIRECTORY OF NCTSN CENTERS AND AFFILIATE MEMBERS SERVING Includes a directory of NCTSN centers and affiliate members serving immigrant and refugee popultions organized by state. LEARN: COURSE CATEGORIES Special Populations. Special Populations This section of the NCTSN Learning Center brings together resources focused on specific populations, including adolescents who have experienced trauma and substance abuse, homeless youth, and refugees. The courses in this section offer interactive online training modules, video LEARN: CONTINUING EDUCATION Continuing Education. This section of the NCTSN Learning Center provides free access to NCTSN experts and up-to-date, science-based information in the areas of assessment, treatment and services, training, research and evaluation, and organizational and systems change for traumatized children, adolescents, and their families. SKILLS FOR PSYCHOLOGICAL RECOVERY (SPR) ONLINE Gives guidance on responding to disaster, violence, or terrorism events using the Skills for Psychological Recovery intervention.This approach helps to assist children, adolescents, adults, and families in the aftermath of disaster and terrorism.SCHOOL PERSONNEL
School Personnel. Research suggests that approximately 25% of American children will experience at least one traumatic event by the age of 16. A child's reactions to trauma can interfere considerably with learning and/or behavior at school. Schools serve as a critical system of support for children who have experienced trauma. FAMILY ASSESSMENT DEVICE Based on the McMaster Model of Family Functioning (MMFF), the FAD measures structural, organizational, and transactional characteristics of families. It consists of 6 scales that assess the 6 dimensions of the MMFF - affective involvement, affective responsiveness, behavioral control, communication, problem solving, and roles - as well as a 7th scale measuring general family functioning. AFFIRMING CARE FOR TRANSGENDER AND GENDER EXPANSIVE YOUTH Provides participants with a comprehensive understanding of the needs and challenges transgender and gender-expansive youth face. This webinar covers basic definitions surrounding gender, gender identity, and gender expression, while creating a learning environment for participants to examine their own perceptions of gender and reflect on the capacity of their role as a professional. * __What is Child Trauma? * __Treatments and Practices * __Trauma-Informed Care* __Resources
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HOMEPAGE
OUR MISSION is to raise the standard of care and improve access to SERVICES FOR TRAUMATIZED CHILDREN, THEIR FAMILIES AND COMMUNITIES throughout the United States. DEFINING CHILD TRAUMATIC STRESSThe Latest
Sexual Health and Trauma Evidence-Based Practice: NCTSN Position Statement Trauma-Informed Juvenile Court Self-Assessment Trauma-Informed Care: Understanding and Addressing the Needs of Unaccompanied ChildrenMajor Events
Mass Violence ResourcesWildfire Resources
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Trauma Types
COMMUNITY VIOLENCE
Community violence is exposure to intentional acts of interpersonal violence committed in public areas by individuals who are not intimately related to the victim.* view
COMPLEX TRAUMA
Complex trauma describes both children’s exposure to multiple traumatic events—often of an invasive, interpersonal nature—and the wide-ranging, long-term effects of this exposure. These events are severe and pervasive, such as abuse or profound neglect.* view
SEXUAL ABUSE
Child sexual abuse is any interaction between a child and an adult (or another child) in which the child is used for the sexual stimulation of the perpetrator or an observer. Sexual abuse can include both touching and non-touching behaviors.* view
TERRORISM AND VIOLENCE Families and children may be profoundly affected by mass violence, acts of terrorism, or community trauma in the form of shootings, bombings, or other types of attacks.* view
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Trauma Treatments
ALTERNATIVES FOR FAMILIES - A COGNITIVE BEHAVIORAL THERAPY AF-CBT is a trauma-informed, evidence-based treatment designed to improve the relationships between children and caregivers.* view
TRAUMA SYSTEMS THERAPY TST is a model of care for traumatized children that addresses both the individual child’s emotional needs as well as the social environment in which he or she lives.* view
ATTACHMENT, SELF-REGULATION, AND COMPETENCE: A COMPREHENSIVE FRAMEWORK ARC is a framework for intervention with youth and families who have experienced multiple and/or prolonged traumatic stress.* view
FAMILY CENTERED TREATMENT FCT provides a holistic approach with families in their homes. It emphasizes all areas of family functioning relevant to treatment needs, as based on families’ identification of both their needs, and barriers to their functioning well as a family system.* view
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Trauma-Informed CareSCHOOLS
Children's reactions to trauma can interfere considerably with learning and behavior at school. Schools serve as a critical system of support for children who have experienced trauma.* view
FAMILIES AND TRAUMA
All families experience trauma differently. Some factors such as a child’s age or the family’s culture or ethnicity may influence how the family copes and recovers from a traumatic event. Trauma changes families as they work to survive and adapt to their circumstances andenvironment.
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SECONDARY TRAUMATIC STRESS Secondary traumatic stress is the emotional duress that results when an individual hears about the firsthand trauma experiences of another.* view
JUSTICE
Children who come to the attention of the juvenile justice system are a challenging and underserved population, with high rates of exposureto trauma.
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NCTSN Resources
CHILDHOOD TRAUMATIC GRIEF: INFORMATION FOR PEDIATRIC PROVIDERS RESOURCE DESCRIPTION Offers information on why pediatric providers are important forgrieving children.
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TRAUMA-INFORMED JUVENILE COURT SELF-ASSESSMENT RESOURCE DESCRIPTION Provides a juvenile justice system with a framework to examine, review, and rate day-to-day operations with a set of benchmarks to evaluate to what extent court operations reflect the content, process, and systems-level procedures reflected in each essential element.* view
DATA AT A GLANCE: COMPLETING TREATMENT VS. ENDING EARLY IS BETTER FOR KIDS - WHAT CAREGIVERS SHOULD KNOW RESOURCE DESCRIPTION Offers parents and caregivers information about the importance of treatment completion.* view
INTERVENCIONES CON NIÑOS MUY PEQUEÑOS, INFORMADAS EN APEGO, DESARROLLO, TRAUMA Y CULTURA RESOURCE DESCRIPTION Para los niños migrantes pequeños, la separación de los padres, puede peligrosamente agravar y exacerbar estresores traumáticos previos y tener efectos devastadores a corto y largo plazopara ellos.* view
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