The Institute for Chronically Traumatized Children

The Institute for Chronically Traumatized Children (ICTC), located in Perth, Australia, provides training, supervision, consultation, and research on the treatment of chronically traumatized children and their families. The ICTC provides fly-in-fly-out trauma treatment for chronically traumatized children in Australia and New Zealand.
The director of the ICTC, Arianne Struik, developed the Sleeping Dogs® method, an award-winning treatment to engage resistant children who are not motivated and difficult to engage. The Sleeping Dogs method is described in Treating Chronically Traumatized Children (Struik, 2019).

 

The second edition of Treating Chronically Traumatized Children has lots of new materials, free download. Some are translated into Danish and Swedish.

The Sleeping Dogs method is a treatment to engage resistant and not motivated children into trauma-focused treatment. It consists of tools to analyse the child’s circumstances and possible barriers to treatment. The customised treatment plan consists of practical interventions to overcome the identified barriers, support trauma processing and integration. Sleeping Dogs treatment can consist of work with the child’s biological family, caregivers, residential staff, foster care workers, the child protection worker and therapists. Sessions with the child are reduced to the minimum.

Training Calendar
Click on workshop for info

Recorded webinar
Troubleshooting when using EMDR online
From 21 April 2020

Over the last weeks everyone has been trying to deliver EMDR therapy from home and online. Many webinars have covered the basics of how to do that, but the reality can be more challenging. This webinar addresses more advanced questions such as: What if a client does not want to continue with EMDR online, how can I convince them? What to do when a client has an abreaction? How to manage risk of dissociation during EMDR? How can we do EMDR online with children? Can we do EMDR with preverbal trauma and very young children and infants online? The presentation is illustrated with video’s demonstrating EMDR online.

Arianne Struik is a clinical psychologist and accredited as an EMDR consultant with EMDR-Europe, EMDR-NZ and EMDRAA and Convener of the Australian Psychological Society EMDR Interest Group. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides trauma treatment with EMDR for chronically traumatized children and adults online and in a fly-in-fly-out model, as well as workshops, training, supervision and research.

Practical things
Costs: 49,99 AUD incl GST
Duration: 2 hours
Registration: Registration form
Upon registration you will receive an email with the invoice. This may take a few days. After payment you will receive a link to the recorded webinar and handouts. This link is valid for 1 month.

Recorded Webinar

Treating Chronically Traumatized Children.
The Sleeping Dogs method
By Arianne Struik


Who should attend?

This workshop is intended for mental health professionals who work with children and their family (private practitioners or clinicians working in organizations, child protection workers, residential staff or foster care workers). This workshop can assist organizations such as residential facilities, Foster Care, Child Protection or Mental Health Services with implementing trauma-informed and trauma-focused treatment. Although the use of EMDR (Eye Movement Desensitization and Reprocessing) therapy will be discussed, training in EMDR is not required. Other forms of therapy to use with this method will also be discussed (play therapy, CBT, art therapy,....).

Workshop Description
Many chronically traumatized children do not receive adequate treatment. They can refuse to participate in therapy or become very aggressive or dissociate when the trauma is mentioned. Clinicians do not know where to start because the child is so severe and chronically traumatized. It is often then advised to focus on symptom management and behaviour and not ‘wake up sleeping dogs’ but to wait until the child starts talking about his traumatic memories. However, children rarely do and the child’s ‘sleeping dogs’ (traumatic memories) damage the child’s development in all areas. But how to help these children?

The Sleeping Dogs method is for children ages zero to 18 who were severely and chronically traumatized in early childhood, for whom ‘standard’ trauma treatment is not possible and every other therapy fails or the child refuses to participate or is not motivated. The word resistant or not motivated implies wrongly that there is fault in the child. The barriers to engage in therapy are created by the child’s current social environment and by what has happened to him in the past. Unsafety, instability in daily life, unsafe attachment relationships, lack of emotion regulation skills and negative core beliefs can form barriers for children to process trauma. The goal of this method is to help children who were chronically traumatized in early childhood overcome their barriers, so they can participate in trauma processing and integrate their trauma. This will relieve their symptoms instead of only managing them.

The Sleeping Dogs method is used to plan trauma-focused treatment for the child, support the parents and caregivers as well as to guide decision-making by child protection services around disclosures, safety, contact arrangements with biological parents, contact between foster parents and biological parents, and reunification. Child protection or youth care workers can assess the child’s development, health and wellbeing and plan interventions for improvement with the Sleeping Dogs method.

In this practical workshop the Sleeping Dogs method is explained and illustrated with case examples and video material. The theory will be explained in straightforward language; the same language that participants can use with their own clients. Participants will practice the use of the method with case examples and their own cases. Several interventions are explained in more detail so participants have a thorough understanding of the method and are confident to start using it with their own clients.

Learning Objectives
Participants will learn about the Sleeping Dogs Method and will be able to apply it to their clinical cases.
Participants will be able to identify when the use of the Sleeping Dogs Method is appropriate.
Participants will be able to identify all potential barriers for chronically traumatized children to commence with therapy.
Participants will be able to make a structured assessment of the potential barriers for their cases with the Sleeping Dogs method.
Participants will learn to analyze cases by using the Barriers Form to discover possible reasons why the child is resistant.
Participants will be able to identify the necessary elements of the treatment plan to overcome the barriers for their cases.
Participants will learn how to stabilize children and adolescents as quickly as possible so they can start processing those traumatic memories.
Participants will learn how to involve family members, even when they have abused or neglected the child and may have little or no contact with them, and when reunification is no option.

Practical things
Costs (AUD): Including the e-book Treating Chronically Traumatized Children (Struik, 2019) 250 AUD ex GST
Registration: Registration form
Upon registration you will receive an email with the invoice. This may take a few days. After receiving the payment you will receive a link to the recorded webinar and handouts. This link is valid for 1 month.

Costs (NZD): Including the e-book Treating Chronically Traumatized Children (Struik, 2019) 250 NZD
Registration: Registration form
Upon registration you will receive an email with the invoice. This may take a few days. After receiving the payment you will receive a link to the recorded webinar and handouts. This link is valid for 1 month.

Costs (Euros): Including the e-book Treating Chronically Traumatized Children (Struik, 2019) 149,99 Euro
Registration: Registration form
Upon registration you will receive an email with the invoice. This may take a few days. After receiving the payment, which currently takes up to a week due to Brexit, you will receive a link to the recorded webinar and handouts. This link is valid for 1 month.

Duration: 10 hours

Information/inquiries:

Arianne Struik is a clinical psychologist, family therapist and EMDR practitioner and consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research from the Institute for Chronically Traumatized Children. She developed the award-winning Sleeping Dogs method, described in the second edition of the book Treating Chronically Traumatized Children (Struik, 2019) and teaches internationally on the treatment of trauma and dissociation in children. She is member of the European ISSTD Child and Adolescent Committee and convener of the Australian Psychological Society EMDR Interest Group

Training 8 and 9 March 2021 Wellington NZ

EMDR Child and Sleeping Dogs Booster

Program EMDR Child Training
In this two-day training program, Arianne Struik and Carlijn de Roos will address topics to strengthen you in the treatment of children having been traumatized chronically by interpersonal trauma within the family. Participants will be asked to nominate topics, bring video recordings of EMDR sessions and cases to illustrate the learning process.
Last years topics were:

  • Resistance, avoidance and refusal to do EMDR
  • Recognizing and dealing with dissociative reactions
  • Building affect regulation
  • Case conceptualisation for EMDR
  • Procedures for target selection
  • Trouble shooting
  • Cognitive Interweaves
  • Storytelling and engaging young children in EMDR

Applicants
Participants need to have participated in the EMDR Child training with Carlijn de Roos or Renee Beer and have built experience with the application of the Dutch EMDR Child protocol with children. Preferably participants have already participated in the workshop Treating Chronically Traumatized Children with Arianne Struik. If not, this workshop is available for purchase online through

Practical issues
Location: to be determined Wellington
Dates: 8 and 9 March 2021 (9.30 am till 4.30 pm)
Costs: 800 NZD no GST including lunch and materials. A minimum number of registrations is needed for this training.
Registration: Registration form
Information:

Carlijn de Roos is a clinical psychologist/psychotherapist and an EMDR Europe approved Child & Adolescent Trainer. Together with Renée Beer she developed the Child & Adolescent EMDR training in the Netherlands. Carlijn is specialised in the treatment of infants, children, adolescents and adults with trauma-related and somatoform disorders. She conducted and participated in several RCT’s to investigate the efficacy and efficiency of EMDR and CBT for traumatized patients and has published on these topics. Furthermore, she was president of the Dutch EMDR Association and is currently chair of the Child and Adolescent Committee EMDR Europe.

Arianne Struik is a clinical psychologist, family therapist and EMDR practitioner and consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research from the Institute for Chronically Traumatized Children. She developed the award-winning Sleeping Dogs method, described in the second edition of the book Treating Chronically Traumatized Children (Struik, 2019) and teaches internationally on the treatment of trauma and dissociation in children. She is member of the European ISSTD Child and Adolescent Committee and the Australian Psychological Society EMDR Interest Group National Committee.

10 March 2021 Wellington NZ

Workshop: Treating Chronically Traumatized Children. The Sleeping Dogs method

By Arianne Struik

Many chronically traumatized children do not receive adequate treatment. They can refuse to participate in therapy or become very aggressive or dissociate when the trauma is mentioned. Clinicians do not know where to start because the child is so severe and chronically traumatized. It is often then advised to focus on symptom management and behaviour and not ‘wake up sleeping dogs’ but to wait until the child starts talking about his traumatic memories. However children rarely do and the child’s ‘sleeping dogs’ (traumatic memories) damage the child’s development in all areas. But how to help these children?

The Sleeping Dogs method is for children ages zero to 18 who were severely and chronically traumatized in early childhood, for whom ‘standard’ trauma treatment is not possible and every other therapy fails or the child refuses to participate or is not motivated. The word resistant or not motivated implies wrongly that there is fault in the child. The barriers to engage in therapy are created by the child’s current social environment and by what has happened to him in the past. Unsafety, instability in daily life, unsafe attachment relationships, lack of emotion regulation skills and negative core beliefs can form barriers for children to process trauma. The goal of this method is to help children who were chronically traumatized in early childhood overcome their barriers, so they can participate in trauma processing and integrate their trauma. This will relieve their symptoms instead of only managing them.

The Sleeping Dogs method is used to plan trauma-focused treatment for the child, support the parents and caregivers as well as to guide decision-making by child protection services around disclosures, safety, contact arrangements with biological parents, contact between foster parents and biological parents, and reunification. Child protection or youth care workers can assess the child’s development, health and wellbeing and plan interventions for improvement with the Sleeping Dogs method.

This is a practical one-day workshop in which the Sleeping Dogs method is explained and illustrated with case examples and video material. The theory will be explained in straightforward language; the same language that participants can use with their clients. Participants practice the use of the method their own cases. This workshop can be valuable for, for example private practitioners or clinicians working in organisations, child protection workers, residential staff or foster care workers.

Practical issues
Date: Wednesday the 10th of March 2021 9.00-4.00 pm
Location: to be determined Wellington
Costs: 275 NZD no GST including the book Treating Chronically Traumatized Children (Struik, 2019) and morning tea, lunch and afternoon tea).
Registration/inquiries: Registration form
Information:

Arianne Struik is a clinical psychologist, family therapist and EMDR practitioner and consultant, originally from the Netherlands. She worked in Child and Adolescent Mental Health for twenty-two years as a clinical psychologist and program director. She moved to Australia and became director of The Institute for Chronically Traumatized Children (ICTC) from which she provides specialized trauma treatment in remote areas, as well as workshops, training, supervision and research from the Institute for Chronically Traumatized Children. She developed the award-winning Sleeping Dogs method, described in the second edition of the book Treating Chronically Traumatized Children (Struik, 2019) and teaches internationally on the treatment of trauma and dissociation in children. She is member of the European ISSTD Child and Adolescent Committee and a member of the Australian Psychological Society EMDR Interest Group national committee.

11 and 12 March 2021 Wellington NZ

EMDR Child Training for minimum level I trained EMDR therapists

What is EMDR?
EMDR is internationally widely used and recommended in international guidelines as one of the evidence-based treatments for traumatized children with PTSD. EMDR can be used for consequences of single event trauma, but also for chronic traumatization like domestic violence, (sexual) abuse, neglect, drug- and alcohol-abuse by parents, attachment-issues, parents with mental health issues and medical trauma. EMDR can be used when bad memories from the past are linked to present symptoms, like depression, anxiety or a negative self-image. Since EMDR requires very little verbal abilities, it can be used also for (Indigenous) children for whom English is a second language, children with an intellectual disability, FASD and for young children (0-6).

The use of EMDR with children
Therapists who have been trained in EMDR for adults lack information on adaptations, necessary for using EMDR with children. In the Netherlands, the EMDR Europe accredited Child & Adolescent Trainers Carlijn de Roos and Renee Beer offer child level l trainings, competency-based consultation and child level ll trainings. Since 2000 Carlijn and Renee have trained many child therapists successfully. In New Zealand and Australia there is a great need of specialized training for EMDR therapists working with children. After having organized five successful EMDR Child trainings in Australia and New Zealand, the Institute for Chronically Traumatized Children (ICTC) is organizing another Child level I training in New Zealand.

Program EMDR Child Training
In this two-day training program, Carlijn de Roos will teach the modifications to the standard EMDR-protocol for all age groups (0-3, 4-5, 6-11, 12-18) and the treatment of preverbal trauma, illustrated with video fragments. Participants will practice with the Child Protocol. After this training therapists will be able and (hopefully) confident enough to use EMDR with children of all ages with PTSD related symptoms. This training is EMDRAA and EMDRNZ accredited.
EMDR-consultation by an accredited EMDR Child Consultant afterwards for over a period of a year is strongly recommended to build on skills and confidence in dealing with complex situations.

Complex cases and stabilization
For the use of EMDR within a phased treatment with complex traumatized and dissociative children, often in foster or residential care, it is recommended to attend the workshop Treating Chronically Traumatized Children previous to the EMDR training. In this workshop the Sleeping Dogs method (Struik, 2019) is used to work on for example issues around resistance, lack of motivation, safety, stability in daily life, attachment, denial or lack of acknowledgement from the parents. This one-day workshop is planned on Wednesday the 10th of March 2020 (costs 275 NZD including book).

Applicants
Participants need to work with children and be trained and certified in EMDR level I Adults.

Practical issues
Location: to be determined in Wellington
Costs: 890 NZD no GST including lunch and materials. There is an early bird discount of 40 NZD upon registration before 1 November 2020!
Registration: Registration form
Information:

Carlijn de Roos is a clinical psychologist/psychotherapist and an EMDR Europe approved Child & Adolescent Trainer. Together with Renée Beer she developed the Child & Adolescent EMDR training in the Netherlands. Carlijn is specialised in the treatment of infants, children, adolescents and adults with trauma-related and somatoform disorders. She conducted and participated in several RCT’s to investigate the efficacy and efficiency of EMDR and CBT for traumatized patients and has published on these topics. Furthermore, she was president of the Dutch EMDR Association and is currently chair of the Child and Adolescent Committee EMDR Europe.

Results of implementation Sleeping Dogs
Kompaan and de Bocht 2016

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