1s t I n t e r n a t i o n a l C o n f e r e n c e
Pe d i a t r i c
Psychological
Trauma
in Infants and Young Children from Illness, Injury and Medical Intervention Exploring research and practice in the identification and treatment of trauma resulting from terrifying and disruptive medical experiences
February 27 and February 28, 2010 Davidson Conference Center University of Southern California K.J.S. ( ‘Sunny’) Anand, MBBS, D. Phil., FAAP, FCCM, FRCPCH, St. Jude Endowed Chair for Critical Care Medicine, Professor of Pediatrics, Anesthesiology & Neurobiology, Division Chief, Pediatric Critical Care Medicine, University of Tennessee Health Science Center, Memphis Stacy S Drury, MD, PhD, Assistant Professor of Pediatrics, Assistant Professor of Psychiatry and Neurology, Section of Child and Adolescent Psychiatry, Tulane University School Medicine
Helen Egger, MD, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina Theodore Gaensbauer, MD, Private practice; Clinical Professor of Psychiatry, University of Colorado Health Sciences Center, Denver, Colorado
Mark L. Howe, PhD, Professor of Psychology, Research Chair in Developmental Psychology at Lancaster University, Lancaster UK. Co-director of the Centre for Research in Human Development at Lancaster University
Zeev N. Kain, MD, MBA, Professor & Chair, Associate Dean for Clinical Research, Dept. of Anesthesiology & Perioperative Care, University of California, Irvine
Janet E. Rennick, RN, MScN, PhD, Nurse Scientist, The Montreal Children's Hospital of the McGill University Health Centre, and Assistant Professor, School of Nursing, McGill University, Montreal, Quebec, Canada Neil Schechter, MD, Professor and Head of the Division of Pain Medicine, Department of Pediatrics, University of Connecticut School of Medicine and Director, Pain Relief Program, Connecticut Children's Medical Center, Hartford, Connecticut Allan Schore, PhD, Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Editor, Norton Series on Interpersonal Neurobiology Suzi Tortora, EdD, ADTR, CMA, LCAT, LMHC, Private Practice, NewYork, Dance Therapist, New York
P re s e n te d by : Child Development Satellite Network with The Chase Foundation
S p o n s o re d by :
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Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles CA
Department of Anesthesiology & Perioperative Care, University of California, Irvine,
Developed by Margie Wagner, Child Development Media Conference web site: pediatricpsychologicaltrauma.org
1s t I n t e r n a t i o n a l C o n f e r e n c e
Pe d i a t r i c
Psychological
Trauma
in Infants and Young Children from Illness, Injury and Medical Intervention February 27 & 28, 2010 Day One - Saturday
Recognizing and Understanding the Significance of Early Childhood Experiences 1s t I n t e r n a t i o n a l C o n f e r e n c e
7:00 a.m. Registration & Continental Breakfast
Pediatric Psychological Trauma Conference
8:00
Sciences, Keck School of Medicine, University of Southern California
Margie Wagner, President, Child Development Satellite Network Robin Richards, President, The Chase Foundation
February 27 and 28, 2010 Davidson Conference Center University of Southern California
Welcome - Carlos N. Pato, MD, Chair, Department of Psychiatry and Behavioral
8:15
3415 South Figueroa Street, Los Angeles, CA 9007 Tel: 213-746-4141
Introduction - Zeev Kain, MD, Professor & Chair, Associate Dean for Clinical Research, Department of Anesthesiology & Perioperative Care, University of California, Irvine
8:30
Conference web site: pediatricpsychologicaltrauma.org
The Prevalence and Impact of Medical Illness and Injury on Young Children: Perspectives from Developmental Epidemiology and Infant Mental Health Helen Link Egger, MD, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina
Produced by Child Development Media, Inc. on behalf of Child Development Satellite Network, Inc., a 501-3c Corporation
Child Development Satellite Network, Inc. creates state-of-the-art instructional opportunities and an educational information distribution network to strengthen the efforts of professionals and parents to achieve the highest quality of care and services provided to young children worldwide. In 2006 and 2008 it hosted International Conferences on Signs of Autism in Infants.
9:45
David Geffen School of Medicine, Editor, Norton Series on Interpersonal Neurobiology
11:00
break
11:15
Consciousness, Cortical Function, and Pain Perception in Non-Verbal Humans K.J.S. ('Sunny') Anand, MBBS, D. Phil., FAAP, FCCM, FRCPCH, St. Jude Endowed Chair for Critical Care Medicine, Professor of Pediatrics, Anesthesiology, & Neurobiology, Division Chief, Pediatric Critical Care Medicine, University of Tennessee Health Science Center at Memphis
Developed with The Chase Foundation The Chase Foundation creates therapeutic environments with professional staff who provide structured play and activities that support children, infants through adolescents, in their efforts to understand and manage the severe distress of hospitalization.
Sponsors: Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles CA
Neurobehavioral Development of Young Children: Neuroscience and Early Trauma Allan Schore, PhD, Department of Psychiatry and Biobehavioral Sciences, UCLA
12:30 1:30
lunch Children's Memory Development and Trauma: Advances in Early Memory Research Mark L. Howe, PhD, Professor of Psychology, Research Chair in Developmental Psychology at Lancaster University, Lancaster UK. Co-director of the Centre for Research in Human Development at Lancaster University
2:45
Department of Anesthesiology &Perioperative Care, University of California, Irvine
How Young Children Communicate Distress Nonverbally: A Developmental Perspective Suzi Tortora, EdD, ADTR, CMA LCAT, LMHC, Private Practice, NY, Dance Therapist, New York
Luncheon performance:
4:00
break
Professor Alice Schoenfeld Master Class Virtuoso Strings
4:15
Panel - Barriers to Discovery: What We Know, What We Need to Learn about the Needs and Delivery of Care to Young Children
Johny Torres, Urban Bodies, will provide opportunities to stretch and refocus between sessions.
Conference Faculty
February 27 & 28, 2010
CONTINUING EDUCATION UNITS OFFERED
Day Two - Sunday
Learning from Models and Outcomes of Intervention
Continuing Education is pending and will be posted at
7:00 a.m. Registration & Continental Breakfast 8:00
Welcome- Barbara Korsch, MD, Professor of Pediatrics, Department of Pediatrics,
www.pediatricpsychologicaltrauma.org as soon as the information is available.
Keck School of Medicine, University of Southern California
8:15
Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery Zeev Kain, MD, Professor & Chair, Associate Dean for Clinical Research, Department of Anesthesiology & Perioperative Care, University of California, Irvine
9:30
Certificates of Completion A certificates indicating the number of hours of training will be provided to every participant
Children's Psychological Outcomes Following Critical Illness: How Do We Measure the Impact of High Tech Care? Janet E. Rennick, RN, MScN, PhD, Nurse Scientist, The Montreal Children's Hospital of the McGill University Health Centre, Montreal, Quebec, Canada
10:45
break
11:00
Knowing is Not Enough: Promoting Change to Reduce Pain in Pediatric Healthcare Institutions Neil Schechter, MD, Professor and Head of the Division of Pain Medicine, Department of Pediatrics, University of Connecticut School of Medicine and Director, Pain Relief Program, Connecticut Children's Medical Center, Hartford, Connecticut
12:15 1:15
lunch Telling their Stories: Representation and Reenactment of Early Traumatic Experiences Theodore Gaensbauer, MD, Private Practice, Professor of Psychiatry, University of Colorado Health Sciences Center, Denver
2:30
Using Neurobiology to Prevent Psychological Trauma and Shape Early Intervention Stacy S. Drury, MD, PhD, Assistant Professor of Pediatrics, Assistant Professor of Psychiatry and Neurology, Section of Child and Adolescent Psychiatry, Tulane University School of Medicine
3:45
break
4:00
Panel - How Do We Achieve Developmentally Aware Care of Infants, Toddlers and Preschoolers: What needs to be done? Conference Faculty
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T H E 1st I N T E R N A T I O N A L C O N F E R E N C E
Psychological Trauma
in Infants and Young Children from Illness, Injury and Medical Intervention
K.J.S. ('Sunny') Anand,
Stacy S. Drury, MD, PhD,
MBBS, D. Phil., FAAP, FCCM, FRCPCH, St. Jude Endowed Chair for Critical Care Medicine, Professor of Pediatrics, Anesthesiology & Neurobiology, Division Chief, Pediatric Critical Care Medicine, University of Tennessee Health Science Center, Memphis
Assistant Professor of Pediatrics, Assistant Professor of Psychiatry and Neurology, Section of Child and Adolescent Psychiatry, Tulane University School Medicine
Consciousness, Cortical Function, and Pain Perception in Non-verbal Humans
Using Neurobiology to Prevent Psychological Trauma and Shape Early Intervention
Postulating the subcortical organization of human consciousness provides a critical link for pain in patients with impaired cortical function or cortical immaturity during early development. Practical implications of this proposal include: redefining pain, improved pain assessment in non-verbal humans, and advocating the benefits of adequate analgesia for these patients, and certainly justify the rigorous scientific efforts required to investigate it.
This presentation will focus on redefining what is known about the impact of early trauma from injury and medical illness, in terms of modalities to prevent and/or alter this trajectory through the use of early treatment and preventative strategies. We will focus on evidenced based methods, such as CBT, and other less well studied approaches to minimize initial distress, improve children's coping strategies, and work within the parent-child dyad to improve long term and short term outcomes. This presentation will end with a discussion of the importance of these early intervention strategies to alter early neurobiological trajectories and thus improve long term outcomes.
At the completion of this presentation, the participant will: 1) Learn about the epidemiology of pain in early life. 2) Understand the early development of cortical function and consciousness. 3) Explore the links between consciousness, pain, and long-term development.
K.J.S. (“Sunny”) Anand received medical education from University of Indore (India) and D.Phil. from University of Oxford (UK). Post-doctoral fellowship and residency training occurred at Children's Hospital Boston and fellowship training at Massachusetts General Hospital. He received the Dr. Michael Blacow Award from British Paediatric Association (1986), Pediatric Resident Research Award from American Academy of Pediatrics (1992), Young Investigator Award in Pediatric Pain from International Association for the Study of Pain (1994), Jeffrey Lawson Award from American Pain Society (2000), Windermere Honorary Lectureship at Royal College of Paediatrics and Child Health (2004), and the 2009 Nils Rosén von Rosenstein Medal from the Swedish Pediatric Society. For community service in Arkansas, he received the Father Joseph Biltz Award (2007) and the Dr. Martin Luther King “Salute to Greatness” Award (2008). He has published 140 peer-reviewed articles, edited multiple books and journal issues on neonatal pain. He held the Morris & Hettie Oakley Chair in Critical Care Medicine at University of Arkansas (2001-2009) and currently holds the St. Jude Chair of Pediatric Critical Care Medicine, as Professor of Pediatrics, Anesthesiology, & Neurobiology at University of Tennessee Health Science Center in Memphis.
At the completion of this presentation, the participant will gain:
Helen Link Egger, MD, Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina
The Prevalence and Impact of Medical Illness and Injury on Young Children: Perspectives from Developmental Epidemiology and Infant Mental Health Dr. Egger will review the epidemiology of medical injury, illness, and trauma in young children and their associations with children's emotional and behavioral problems, parental distress and psychiatric symptoms, as well as child and family impairment in functioning during and after these medical traumas. Dr. Egger re-examined the data from her large community study of mental health in preschoolers to assess the prevalence of medical illness and injury in these young children, following her experience with a life threatening illness with her son. At the completion of this presentation, the participant will:
1) Increased understanding of the impact of early medical trauma.
1) Recognize the prevalence of pediatric medical trauma and the impact on infant and early childhood mental health.
2) Increased understanding of different treatment and intervention modalities to decrease distress and improve coping in very young children.
2) Understand the need to expand assess ment measures of the etiology of psychopathology in young children to include the first years of life.
3) Understanding of the relation between early medical stress and the potential lasting neurobiological changes.
3) Reflect on why pediatric illness and injury have not previously been in the purview of infant mental health research and intervention.
Dr. Drury's clinical interest focuses on children with cancer and other life threatening illnesses and the psychiatric and adjustment issues associated with medical illness and medical traumatic stress. In addition she is the medical director for a camp for children, and their siblings with cancer and other blood disorders. Current collaborative clinical research projects include validation of a rating instrument for the psychosocial assessment of pediatric solid organ transplant patients and exploring the utility of a screening instrument for psychosocial stressors in recently diagnosed pediatric cancer patients. Her basic research interest lies in understanding the impact of a early life stress as a result of a variety of sources including single incident trauma, hurricane Katrina, social deprivation due to institutional care, and cancer treatment on brain development. She is exploring gene x environment interactions, epigenetic modifications, and immune changes in this process. The overall goal of her research is to understand how early life stress results in neurobiological changes that interact to create a lasting vulnerability to psychological illness.
Dr. Egger, a child psychiatrist and epidemiologist, graduated from Yale Medical School and completed her residencies and post-doctoral research training at Duke University Medical Center. She is currently an Assistant Professor at the Center for Developmental Epidemiology in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center. Dr. Egger's research focuses on presentation, course, and biological and environmental causes of psychiatric disorders, particularly anxiety disorders, in preschool children. She is lead author of the Preschool Age Psychiatric Assessment (PAPA), the first comprehensive structured parent interview for assessing psychiatric symptoms and disorders in preschool children. Her current research uses functional neuroimaging to examine dysfunctions of the neural circuitry in children with early onset anxiety disorders. She is leading the development of an early childhood neuroimaging program within the Center for Developmental Epidemiology and Brain Imaging and Analysis Center (BIAC) at Duke. Dr. Egger is clinical director of the Duke Preschool Psychiatric Clinic. She serves in leadership positions for the American Academy of Child and Adolescent Psychiatry and is a Board member for Zero to Three.
Theodore J. Gaensbauer,
Mark L. Howe, PhD, Professor of
Zeev N. Kain, MD, MBA,
MD, Private Practice; Clinical Professor of Psychiatry, University of Colorado Health Sciences Center, Denver, Colorado
Psychology, Research Chair in Developmental Psychology at Lancaster University, Lancaster UK. Co-director of the Centre for Research in Human Development at Lancaster University
Professor & Chair, Associate Dean for Clinical Research, Department of Anesthesiology & Perioperative Care, University of California, Irvine
Telling their Stories: Representation and Reenactment of Early Traumatic Experiences
Children's Memory Development and Trauma: Advances in Early Memory Research
Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery
Using clinical examples, Dr. Gaensbauer will illustrate the various ways in which very young children's internal representations of a trauma can be expressed. A particular focus will be on reenactment behavior, with discussion both of the neuropsychological underpinnings of such behavior as well as the disruptive effects that such behavior can have on children's development. Therapeutic implications of the growing understanding of the impact of trauma experienced in early childhood will be examined.
In this presentation, the nature of early memory is outlined. Key changes in children's memory are highlighted, including the onset of autobiographical memory. The impact of stress and trauma on memory development, as well as memory for trauma itself, is discussed. Finally, differences between acute (e.g., a single hospitalization) and chronic traumatic experiences (e.g., child maltreatment) is examined, both in terms of memory development and memory for events themselves.
More than 5 million children undergo surgery in the United States every year, and it is reported that up to 65% of these children develop significant behavioral stress and anxiety before their surgery. Preoperative anxiety in young children undergoing surgery is associated with a more painful postoperative recovery and can lead to significant psychological and clinical adverse affects. This presentation examines biopsychosocial perioperative interventions for young children including behavioral, physiological and psychoneuroimmunological outcomes and interventions and outcomes for perioperative pain.
At the completion of this presentation, the participant will: 1) Demonstrate the degree to which young children, even under the ages of two years, can remember a traumatic experience. 2) Demonstrate the various ways that the memories of a trauma can be expressed, including through verbalization, emotional reliving, avoidance of stimuli associated with the trauma, and behavioral reenactment. 3) Provide information on the neurological underpinnings of reenactment behavior, including a discussion of recent findings on “mirror neurons� and their likely role in traumatic reenactments. 4) Outline therapeutic approaches to the treatment of early trauma. Dr. Gaensbauer has been actively involved in research and clinical work with infants and toddlers for over 30 years. Currently in full-time private practice, he is a Clinical Professor of Psychiatry at the University of Colorado Health Sciences Center and is also on the faculty of the Irving Harris Program in Child Development and Infant Mental Health within the Division of Child Psychiatry. He is board certified in Child and General Psychiatry and a Fellow of both the American Academy of Child and Adolescent Psychiatry and the American Psychiatric Association. He is the co-author of the book Emotional Expression in Infancy: A Biobehavioral Study and has published over 50 articles and book chapters on various aspects of infants' and toddlers' social and emotional development. His particular areas of interest have been emotional regulation and attachment in infancy and the impact of early trauma on children's social/emotional development.
At the completion of this presentation, the participant will gain: 1) Knowledge of how early memory works and the limitations of children's autobiographical memory.
At the completion of this presentation, the participant will:
2) Knowledge of how stress associated with acute and chronic trauma affects memory development.
1) Identify the risk factors that affect a young child's perioperative experience and behavioral and physiological measures of distress.
3) Knowledge of how stress can affect children's memory as well as the subsequent reporting of traumatic experiences.
2) Determine what periopreative interventions are useful, measurable and clinically important to postoperative outcomes.
Mark L. Howe is a Professor of Psychology and a Research Chair in Developmental Psychology at Lancaster University, Lancaster UK. Dr. Howe is also Co-director of the Centre for Research in Human Development at Lancaster University. His research concerns children's memory development including children's false memories, autobiographical memory, and long-term retention of information. His current work includes studies of developmental changes and invariances in memory and forgetting from infancy to adulthood; infantile amnesia and the development of autobiographical memory; children's memory for distinctive (e.g., traumatic) events; changes in basic memory development due to childhood stress and maltreatment; the use of heart rate variability (and other neurophysiological measures) to investigate neurological and behavioral indices of long-term memory; dynamic modeling of cognitive development, and working memory analyses of the development of reasoning skills. He is a Fellow of the American Psychological Association as well as the Association for Psychological Science.
3) Recognize barriers to the identification of pain in young children and to adequate analgesic medication. Dr. Kain received his medical education at the Ben-Gurion School of Medicine, Beer-Sheba, Israel followed by an MBA at Columbia University, New York, NY. He held Clinical and Research Fellowships at The Children's Hospital, Boston, Massachusetts Pediatric Anesthesia and Yale University, New Haven, Connecticut. In 1993 he joined the faculty at Yale University and the Yale-New Haven Children's Hospital where he became Professor, Anesthesiology & Pediatrics & Child Psychiatry and Executive Vice-Chair, Department of Anesthesiology. He is currently Professor & Chair, Associate Dean for Clinical Research, Dept. of Anesthesiology & Perioperative Care, UC Irvine. Dr. Kain is recognized as an international expert in the clinical management of perioperative fear and anxiety, and management of children undergoing invasive medical procedures. His research addresses major dilemmas encountered in the management of affected children and has revolutionized the care of children in preoperative settings. By promoting the conceptual importance of this field and continuing to develop associated empirical findings, Dr. Kain intends to markedly improve the quality of evidence available to anesthesiologists, pediatricians and surgeons making clinical decisions regarding management of children's distress and pain during the perioperative period.
Janet E. Rennick, RN, MScN,
Neil Schechter, MD, Professor
Allan Schore, PhD, Department
PhD, Nurse Scientist, The Montreal Children's Hospital of the McGill University Health Centre, and Assistant Professor, School of Nursing, McGill University, Montreal, Quebec, Canada
and Head of the Division of Pain Medicine, Department of Pediatrics, University of Connecticut School of Medicine and Director, Pain Relief Program, Connecticut Children's Medical Center, Hartford, Connecticut
of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Editor, Norton Series on Interpersonal Neurobiology
Children's Psychological Outcomes Following Critical Illness: How do We Measure the Impact of High Tech Care? The past few decades have witnessed tremendous developments in technologies and treatment regimes to treat critically ill children; yet there is mounting evidence to suggest these children can suffer significant psychological repercussions following Pediatric Intensive Care Unit (PICU) hospitalization. This presentation will focus on what is known about children's psychological outcomes following PICU hospitalization, and provide an overview of our research in developing child self-report measures to assess psychological distress in this population. At the completion of this presentation, the participant will: 1
Demonstrate a general understanding of research findings regarding children's psychological outcomes following PICU hospitalization.
2) Demonstrate an understanding of the complexities of measuring psychological outcomes in children following PICU hospitalization. 3) Identify the challenges in developing self-report measures of psychological distress for young children post-critical illness. Dr. Janet Rennick is a Nurse Scientist in the Department of Nursing at the Montreal Children's Hospital, an investigator with the Montreal Children's Hospital site of the Research Institute of the McGill University Health Centre, and an Assistant Professor in the School of Nursing at McGill University. She holds a Chercheur-boursier clinicien (Clinical Research Fellowship Award) from the Fonds de la recherche en sante du QuĂŠbec, and a New Investigator Award from Sick Kids Foundation and the Institute of Human Development, Child and Youth Health of the Canadian Institutes of Health Research National Grants Program. Her research focuses on (1) the impact of severe illness and exposure to highly invasive, technological care on the child and family; and (2) innovations in care to enhance child comfort and parent involvement during pediatric intensive care unit hospitalization, and promote healthy recovery following critical illness.
Knowing is Not Enough: Promoting Change to Reduce Pain In Pediatric Healthcare Institutions
Neurobehavioral Development of Young Children: Neuroscience and Early Trauma
Despite the fact that we now know that unrelieved pain has short and long term consequences in children and have the tools to relieve most pain, pain from disease and from its treatment continues to be a major source of psychological trauma in pediatric healthcare facilities. This talk will highlight the current status of pain relief in children, review current efforts to improve it, and offer additional strategies to enhance the compassionate medical care of children.
A large body of experimental and clinical data now indicates that early trauma specifically impacts the later capacities of the right brain and its connections into the limbic and autonomic nervous system to implicitly regulate an array of affective and motivational states, including pain states. Dr. Schore will describe the mechanisms by which overwhelming experiences impact the developing brain and mind, including the characterological use of the bottom-line defense of dissociation.
At the completion of this presentation, the participant will:
At the completion of this presentation, the participant will understand:
1) Demonstrate an increased understanding of the history and present status of pain management in children.
1) How current neuroscience is exploring relational trauma and its enduring impact on right brain functions.
2) Identify the gaps in knowledge and implementation.
2) How this data is being incorporated into updated models of psychopathogenesis and defense mechanism.
3) Gain strategies to alter pain-related practice patterns in health care providers and institutions. Dr. Schechter received his medical degree from the University of Connecticut . He completed pediatric training at the University of Connecticut and fellowships in psychosomatic pediatrics and developmental pediatrics at Children's Hospital and Harvard University in Boston. He has authored over 80 articles and is the senior editor of Pain in Infants, Children, and Adolescents, the major multi-disciplinary textbook in the area of pediatric pain, and serves on a number of editorial boards. Dr. Schechter served on a number of expert and scientific committees including the World Health Organization Committee on Pediatric Pain and Palliative Care and the Agency for Healthcare Policy and Research Panel on Acute Pain. He chairs the Special Interest Group on Pain in Children of the Academic Pediatrics Association and is co-director of ChildKind, a global initiative to reduce pain in children's healthcare institutions. Dr. Schechter's initial research focus was on documenting the undertreatment of pain in children and attempting to understand its origin. He then became involved in issues of pain associated with chronic disease where his research focused on sickle cell disease and on painful procedures in children with chronic disease. Most recently, he has become interested in the more common pains associated with pediatric practice such as injection pain and functional pain syndromes as well as developing strategies to alter pain-related practice patterns in health care providers and institutions.
3) The interpersonal neurobiology of pathological dissociation. Dr. Allan Schore is on the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine. He is author of three seminal volumes, Affect Regulation and the Origin of the Self, Affect Dysregulation and Disorders of the Self, and Affect Regulation and the Repair of the Self, as well as numerous articles and chapters. He is Editor of the acclaimed Norton Series on Interpersonal Neurobiology, and a reviewer or on the editorial staff of 35 journals across a number of scientific and clinical disciplines. Dr. Schore's activities as a clinicianscientist span from his theoretical work on the enduring impact of early trauma on brain development, to neuroimaging research on the neurobiology of attachment and studies of borderline personality disorder, to his biological studies of relational trauma in wild elephants, and to his practice of psychotherapy over the last 4 decades.
1s t I n t e r n a t i o n a l C o n f e r e n c e
Pe d i a t r i c
Psychological
Trauma
in Infants and Young Children from Illness, Injury and Medical Intervention
Suzi Tortora, EdD, ADTR, CMA, LCAT, LMHC, Private Practice, New York, Dance Therapist, New York
Location
Registration:
Davidson Center, University of Southern California 3415 South Figueroa Street, Los Angeles, CA 9007 Tel: 213-746-4141
Link for online registration - Click here http://www.childdevelopmentmedia.com/conferencesand-workshops/pediatric-psychological-trauma.html
How Young Children Communicate Distress Nonverbally: A Developmental Perspective This presentation will discuss the nonverbal signs and signals the young child uses to communicate distress. The important role qualitative aspects of nonverbal expression and the nonverbal exchange will be highlighted. A nonverbal nomenclature that can be used across disciplines to support the assessment and treatment of the mental health needs of young children affected by medical illness will be discussed. This method supports both the child and family to manage the multiple stress factors of medical illness in the young child. At the completion of this presentation, the participant will: 1) Understand the nonverbal signs and signals a young child uses to communicate stress. 2) Understand the role nonverbal communication plays in the assessment and treatment of stress and trauma in the young child. 3) Learn how to read the qualitative elements of the nonverbal exchange to support the mental health of families and young children with medical illness.
How to register:
Telephone: 800-405-8942 or 818-989-7221 Fax: 818-989-7826 Online: www.childdevelopmentmedia.com Mail: Child Development Media, Inc. 5632 Van Nuys Blvd, Suite 286 Van Nuys, CA 91401 U.S.A.
Registration Fees
Early Bird:
Regular:
(cut-off 2-1-’10)
Webcast: (password protected )
One-day
$280
$300
$300
Two-day
$460
$500
$500
Fees for on-site participants include a bound conference manual with PowerPoint presentations, relevant articles and pages for note-taking. Continental breakfast, luncheon and snacks with be provided each day. Payment can be made by credit card, check or agency purchase order. Make checks payable to Child Development Media, Inc.
Cancellation Policy: All cancellations must be in writing and received by Child Development Media ten (10) days prior to the conference. Refunds will not be granted after that date. Refunds will be issued minus a $50.00 processing fee.
Confirmation: Registration confirmations will be sent by email. You may also call 800-405-8942 to confirm registration. If you have not received confirmation by Feb 18 please call 800-405-8942 or 818-989-7221 for the confirmation number. Late registrants should call to confirm space availability. Last Name _____________________________________________________________ First Name ______________________________________ Occupation _________________________________________________________________________
Degree __________________________
Organization______________________________________________________________________________________________________________________ Address__________________________________________________________________________________________________________________________ City ____________________________________________________________________ State _________________________ Zip ________________ Daytime Telephone ______________________________________________ Cell Phone _________________________________________
Dr. Tortora has over 25 years experience working as a dance/movement psychotherapist with infants, young children and their families. Dr. Tortora provides training programs nationally and internationally including at the Zero to Three National Training Institute and the World Association for Infant Mental Health (WAIMH), and has been featured on NPR radio; Good Morning America, ABC-TV; Eyewitness News WABC-TV; Woman's Day Magazine and the New Yorker magazine. She is on the faculty of the postgraduate Institute for Infants, Children & Families of the Jewish Board of Family and Children's Services, the graduate dance therapy Faculty of Pratt Institute, and The New School. Dr. Tortora recently published a book titled The Dancing Dialogue: Using the communicative power of movement with young children.
Email (confirmation will be sent here)________________________________________________________________________________________ Credit Card ______________________________________________________________________________________________________________________ Cardholder Name ___________________________________________________________________________________________________________ Cardholder Signature ____________________________________________________________________________________________________________ Card Number _____________________________________________________________________
Expiration Date _____________________
Cardholder Address (if different from above) _____________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________
Accomodations:
Radisson Hotel Los Angeles Midtown at USC 3540 South Figueroa Street, Los Angeles, CA 90007 Hotel: 213-748-4141 FAX: 213-763-2223
Room rates include complimentary high-speed internet access and complimentary access to hotel fitness center and business center (Special conference cut-off date Feb.1, 2010) Rates: $139 plus tax, standard room, one king bed or two double beds. Transportation to and from Los Angeles International Airport is available with Super Shuttle for $23 each way.
1s t I n t e r n a t i o n a l C o n f e r e n c e
Pe d i a t r i c
Psychological
Trauma
in Infants and Young Children from Illness, Injury and Medical Intervention Davidson Center, University of Southern California February 27 & 28, 2010
“He's too young to remember!� How often have you heard that?
Child Development Media 5632 Van Nuys Blvd., Suite 286 Van Nuys, California 91401
The aim of this conference is to bring specific attention to the biological and psychological consequences of severe distress and pain that are commonplace in pediatric medicine and to improve the quality of care that young children birth to five receive throughout the health care system. The interdisciplinary focus of the conference is unique, with distinguished contributors from epidemiology, neuroscience, medicine, nursing, psychiatry, and psychology who will address key questions, identify barriers to change, and illuminate opportunities for research. Recognizing and understanding the scope of work to be accomplished will be addressed in conference presentations and panel discussions. The conference is designed to appeal to a wide audience: pediatricians, nurses, physical and occupational therapists social workers, psychologists, psychiatrists, researchers child life specialists and others interested in the medical experience, science, and clinical care of the developing young child.
Š 2009 Child Development Satellite Network, Inc.
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Organized and produced by Child Development Media on behalf of Child Development Satellite Network, Inc. a non-profit corporation