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 (October 2020)
Treating preverbal trauma in infants, children and adults with EMDR
By Arianne Struik

Who should attend?
This webinar is intended for clinicians who are trained in EMDR, experiences in the use of the EMDR basis protocol and have knowledge of the Storytelling EMDR protocol.

Workshop Description
To process traumatic memories with the EMDR basic protocol clients need to be able to tell you about their experiences. However, clients can also experience traumatizing situations at a very young age, such as abuse, domestic violence, sexual abuse, neglect but also painful medical procedures, hospitalization, accidents. Those traumatizing experiences are then stored in a different way and can be expressed in physical and sensory sensations, feelings, sounds, smells or images. When these experiences cannot be consciously recalled and verbalized, this is called preverbal trauma. Also, clients with an intellectual disability, who function at a lower developmental level, can store trauma preverbally.

Clients who experienced preverbal trauma can display symptoms, such as anger, oppositional behavior, depression, emptiness, anxiety and hypervigilance, pain, sexualized behavior, and dissociation. Young children and infants can have problems with sleeping or eating or their attachment can be disturbed.

These symptoms can be related to those preverbal experiences and when that is suspected, those experiences need to be processed in order to overcome those symptoms. In 1999 Joan Lovett developed the Storytelling protocol to access and process these preverbal memories with EMDR. Over the years Storytelling has been widely used and further developed. Arianne Struik has been using EMDR with infants, children and adults for twenty years and she will share her experiences in this workshop.

This workshop will address the use of EMDR with preverbal trauma in infants and young children, in older children and in adults. Arianne Struik will discuss topics such as:

  • What is known about preverbal trauma and about the use of EMDR?
  • What is the impact of preverbal trauma?
  • How to decide whether to use EMDR for preverbal traumatic memories and deal with dilemma’s?
  • What are prerequisites for this treatment?
  • How to structure the sessions, who is present?
  • How can EMDR be used with very young children and infants with preverbal trauma and how can parents become co-therapists
  • Can this be done online?
  • How to choose a target and process chronic preverbal trauma
  • How to develop the narrative and what if it is unclear what the client has experienced?
  • Which form of bilateral stimulation can be used?
  • How to assess if the preverbal trauma is activated, what to expect?
  • What to do when clients have strong (physical) abreactions or dissociate?
  • How often is the same narrative used?
  • How can understanding the steps from the basic EMDR protocol be helpful in processing preverbal trauma in clients?

This webinar is an interactive presentation and participants are encouraged to ask questions and share topics for discussion.

Duration: 5,5 hours

Learning Objectives

  • Participants will have an understanding of the state of the art on preverbal trauma
  • Participants will be able to identify potential preverbal trauma in clients
  • Participants will be able to process preverbal trauma with EMDR
  • Participants will learn to handle situations where clients have strong (physical) abreactions or dissociate?

Practical things
Costs (AUD): 100 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): 110 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): 60 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.
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. 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.


Recorded webinar
Troubleshooting when using EMDR online
From 21 April 2020

 

Webinar description
In the past months many clinicians have 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, 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. 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.

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
The Sleeping Dogs method is a trauma treatment 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 Sleeping Dogs method is always combined with a treatment to process traumatic memories such as EMDR or TF-CBT.

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 but to wait until the child starts talking about his traumatic memories out of fear to ‘wake up sleeping dogs’. However, children rarely do and the child’s ‘sleeping dogs’ (traumatic memories) damage the child’s development in all areas.

These children, who are called ‘resistant’ or ‘not motivated’ usually have good reasons not to engage, such as unsafety, instability in daily life, unsafe attachment relationships, lack of emotion regulation skills and negative core beliefs. The Sleeping Dogs method analyses these barriers systematically and then draw up a treatment plan with interventions to remove these barriers so the child becomes able to engage in EMDR or TF-CBT. The Sleeping Dogs method describes interventions to support the child and prevent it from dropping out and afterwards address the consequences of developmental trauma. Interventions can be done with the child, caregivers or biological parents and because the child is reluctant to engage, the interventions can even be done by caregivers, residential staff, parents, foster care workers, or child protection workers to try and engage the child.

The Sleeping Dogs methods also guides 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 and participants practice the use of the method their own cases.

Duration: 10 hours

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.
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. 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. If COVID-19 restrictions on travel are still in place, this training could be changed into an online training or a hybrid training as Arianne Struik lives in Australia.
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

For who is this workshop?
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.

Workshop Description
The Sleeping Dogs method is a trauma treatment 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 Sleeping Dogs method is always combined with a treatment to process traumatic memories such as EMDR or TF-CBT.

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 but to wait until the child starts talking about his traumatic memories out of fear to ‘wake up sleeping dogs’. However, children rarely do and the child’s ‘sleeping dogs’ (traumatic memories) damage the child’s development in all areas.

These children, who are called ‘resistant’ or ‘not motivated’ usually have good reasons not to engage, such as unsafety, instability in daily life, unsafe attachment relationships, lack of emotion regulation skills and negative core beliefs. The Sleeping Dogs method analyses these barriers systematically and then draw up a treatment plan with interventions to remove these barriers so the child becomes able to engage in EMDR or TF-CBT. The Sleeping Dogs method describes interventions to support the child and prevent it from dropping out and afterwards address the consequences of developmental trauma. Interventions can be done with the child, caregivers or biological parents and because the child is reluctant to engage, the interventions can even be done by caregivers, residential staff, parents, foster care workers, or child protection workers to try and engage the child.

The Sleeping Dogs methods also guides 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 one-day workshop the Sleeping Dogs method is explained and illustrated with case examples and video material. The theory will be explained in straightforward language and participants practice the use of the method their own cases.

Practical issues
Date: Wednesday the 10th of March 2021 (9.00 am till 4.00 pm)
Location: To be determined Wellington. The trainer lives in Australia, and due to changing COVID-19 (travel) restrictions this workshop could be changed into an online workshop.
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
Upon registration you will receive an email with the invoice. This may take a few days.
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. 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. Arianne Struik, who lives in Australia, will be hosting this training. If COVID-19 restrictions on travel are still in place, this training could be changed into an online training or a hybrid training.
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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