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SPARCS

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I fee like I'm in a dream or don't know myself. I feel like I'm watching myself from outside, ... Feel Safe/In Control. I won't let myself eat. I make myself ... – PowerPoint PPT presentation

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Title: SPARCS


1
SPARCS Structured Psychotherapy for Adolescents
Responding to Chronic Stress A Guide for
Trauma-Focused Groups
SM
Mandy Habib, Psy.D. Ruth DeRosa, Ph.D.
North Shore-Long Island Jewish Health System
Adolescent Trauma Treatment Development Center
Manhasset, New York mhabib_at_nshs.edu
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Still in the Middle of the Hurricane
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Complex PTSD
SPARCS
Complex PTSD
Complex PTSD
Complex PTSD
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Complex PTSD
  • Problems with
  • Regulation of Affect Impulses
  • Cognitive Functioning/
  • Dissociation
  • Somatization
  • Sense of Self
  • Relationships
  • Systems of Meaning

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Development of the Manual
Adapted From
  • Dialectical Behavior Therapy
  • for Adolescents
  • Miller, Rathus Linehan, in press
  • TARGET
  • Ford Russo, 2006
  • UCLA Trauma/Grief
  • Group Psychotherapy
  • Layne, Saltzman, Pynoos, et al., 2000

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SPARCS Collaborations
  • Outpatient Clinics
  • Childrens Institute Incorporated, LA, CA
  • The Village Family Services, North Hollywood, CA
  • Mental Health Center of Dane County, Madison, WI
  • Open Arms, Albany, GA
  • New York Foundling, NYC
  • Adolescent HIV Clinic, North Shore LIJ
  • Dept. of Children Family Services, (foster
    care), Chicago, Illinois
  • Residential Day Treatment
  • Madonna Heights RTC RTF, Dix Hills, NY
  • Andrus Childrens Center, Yonkers, NY
  • Dane County Group Home, Madison, WI
  • St. Marys Group Home, Boston, MA
  • Adolescent Substance Abuse Program, North Shore
    LIJ
  • School-based groups
  • St. Vincents, NYC
  • Safe Horizon, NYC
  • Center for Child and Family Health, Durham, NC
  • Teenage Parenting Program, Seaford, NY

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SPARCS Group Members
  • For adolescents between 12-19 years old
  • History of chronic (interpersonal) trauma
  • Designed for adolescents who may be living with
    significant ongoing stressors
  • May or may never have met full criteria for PTSD
  • Exhibit functional impairment

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SPARCS
  • 16 Sessions (60 minutes per session)
  • Present-focused
  • No systematic exposure component included
  • Strength-based

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Broad Goals of the ProgramEnhance Resilience
  • The Cs
  • Connect with others (communicate)
  • Cope more effectively in the moment
  • Cultivate awareness
  • Create meaning

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SPARCS Core Skills
  • MAKE A LINK
    communication connecting with others
  • Let M Go problem-solving and creating
    meaning
  • Distress Tolerance coping more
    effectively in the moment
  • Mindfulness cultivating awareness

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Session Structure
  • Check In
  • Mindfulness practice
  • Review of application of previous weeks topics
  • Session-specific content
  • Activities role plays, movie clips, projects
  • Snack
  • Check-out

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Bottle About to Burst
Psychoeducation re Stress Reactions
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Reactions to Trauma
Mental Shutdown (Dissociation) People tell me Im
spacing out a lot. I fee like Im in a dream or
dont know myself. I feel like Im watching
myself from outside, Its like separate parts of
me take control of my life.
Trying to Feel Safe/In Control I wont let myself
eat. I make myself throw up because I am afraid
of losing control of my eating and gaining
weight. I eat to feel better. I drink or drug to
try to forget.
Extreme Risk-Taking or Self-Harm I do dangerous
things, hanging out where I could get hurt. I get
relief by cutting, punching, or hurting my body.
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Preliminary SPARCS Outcome Data
  • All subjects
  • Completed SPARCS group treatment
  • Had previous trauma
  • Had pre-treatment Youth Outcome Questionnaire
    total scores in clinical range, i.e.gt47
  • Were female, mean age 15.46 years

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YOQ (n20)

Community norm total 10.6-37.2


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