Assessment-Based Treatment for Traumatized Children: A Trauma Assessment Pathway Model (TAP). Presented by: Alicia Gilbert, PhD Robyn Igelman, PhD. Chadwick Center for Children and Families . Chadwick Center Programs Trauma Counseling Forensic and Medical Services Family Support
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Alicia Gilbert, PhD
Robyn Igelman, PhD
Chadwick Center Programs
Forensic and Medical Services
Child & Adolescent Services Research Center
(funded by the NIMH)
Development of clinical assessment-based treatment refers to the “development of an integrated plan of prioritized interventions, that is based on the diagnosis and psychosocial assessment of the client, to address mental, emotional, behavioral, developmental and addictive disorders, impairments and disabilities, reactions to illnesses, injuries, and social problems.” (Social work, consolidated laws, effective Sept. 1, 2004)
Creating a Unique Client Picture
Is the client appropriate for your Center and for the TAP Model?
Psychometric Properties information via:
Reliability and Validity
Sensitivity to Change
Time to administer
Costs of using measures
Multiple vs. Single Informants
Real World Validity
Clinical UtilityMeasurement Considerations
Core measures administered
Problem areas identified
Other measures are administered to probe more deeply
Guiding Therapists via Assessment information via:
Pathways integrated into assessment measures
Guiding the assessment and providing feedback.
Critical Items Don’t Agree?
The Trauma Wheel Don’t Agree?
Addressing Maladaptive Cognitions
Interview with Child & Family
Standardized Assessment Results
Consider family buy-in & needs before making treatment decisions
Symptom Change Don’t Agree?
Trauma Assessment Pathway Model (TAP): At a Glance Don’t Agree?
Initial Screening Process
Clinical Interview and Standardized Measures
Integrate Assessment Information
Form Unique Client Picture
Narrow the Clinical Focus Select Symptom Domains Hypotheses/Prioritize
Refer to a specialized program if needed
Establish Treatment Goals
Guides treatment decisions and the use of the Trauma Wheel
Weekly interviews, update goals
Follow-up standardized measures
Following the Treatment Pathway