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SM
Complex PTSD
Problems with
Dialectical Behavior
Therapy
for Adolescents
DBT
TARGET
TARGET
UCLA Trauma/Grief
UCLA
PROGRAM
Group Psychotherapy
Layne, Saltzman, Pynoos, et al., 2000
5
SPARCS
Outpatient Clinics:
Collaborations
School-based groups
SPARCS:
Group Members
SPARCS
Present-focused
Strength-based
The Cs:
Connect with others
(communicate)
Cope more effectively in the
moment
Cultivate awareness
Create meaning
Distress Tolerance =
effectively in the moment
Mindfulness =
coping more
cultivating awareness
1
0
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
1
1
Psychoeducation
re: Stress
Reactions
Bottle About to
Burst
1
2
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.
1
3
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.>47
Were female, mean age 15.46 years
1
4
YOQ (n=20)
Community
norm total:
10.6-37.2
*
*
*p<.05
1
5