{"id":7307,"date":"2024-09-18T15:25:14","date_gmt":"2024-09-18T15:25:14","guid":{"rendered":"https:\/\/georgehullcentre.ca\/institute\/?page_id=7307"},"modified":"2024-12-12T14:44:58","modified_gmt":"2024-12-12T14:44:58","slug":"trauma-informed-speech-language-pathology-practice","status":"publish","type":"page","link":"https:\/\/georgehullcentre.ca\/institute\/research\/trauma-informed-speech-language-pathology-practice\/","title":{"rendered":"Trauma-Informed Speech-Language Pathology Practice"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7307\" class=\"elementor elementor-7307\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f9bbb02 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"f9bbb02\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-38a4d50\" data-id=\"38a4d50\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2340db elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"e2340db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The link between <a href=\"https:\/\/developingchild.harvard.edu\/resourcetag\/toxic-stress\/\" target=\"_blank\" rel=\"noopener\"><strong>trauma exposure and development<\/strong><\/a> in young children is undeniable. It has been well established through research that experiences of trauma in the early years can manifest themselves in social, emotional, cognitive, physical, and communication difficulties and differences, especially without the presence of strong protective factors, such as secure attachment relationships with primary caregivers.\u00a0\u00a0<\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">Communication, which includes our expression and understanding of language, how and why we use language to interact with other people, and speech production, is a particularly impactful area of development associated with trauma exposure. <\/span><\/p><p><span data-contrast=\"auto\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">A child\u2019s communication skills:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><ul><li><span data-contrast=\"auto\">facilitate <\/span><a href=\"https:\/\/developingchild.harvard.edu\/resourcetag\/serve-and-return\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">serve and return interactions<\/span><\/b><\/a><span data-contrast=\"auto\"> that form the basis of all development\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">enable relationship building (establishment, maintenance, and repair) and can impact relationships,\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">are tied to academic success, employment, and mental health outcomes,\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">are relied upon for most mental health and trauma interventions, and<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">to facilitate healing from trauma.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"><br \/><\/span><\/li><\/ul><p>\u00a0<\/p><p><span data-contrast=\"auto\">Communication begins at birth and signs of differences or difficulty with communication are often apparent very early. Consequently, speech-language pathologists are often the first professionals to provide assessments of young children and their families when there are developmental concerns.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">There is a growing need to involve speech-language pathology (SLP) practitioners in the area of childhood trauma, to support early identification and early access to mental health services, and to tailor communication and mental health services to best support children and families.<\/span><\/p><p><span data-contrast=\"auto\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fca60b0 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"fca60b0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f856566\" data-id=\"f856566\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7e9906f elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"7e9906f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-f8c370f\" data-id=\"f8c370f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a3b061 elementor-widget elementor-widget-heading\" data-id=\"0a3b061\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What do SLP practitioners have to say? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc37cba elementor-widget elementor-widget-text-editor\" data-id=\"cc37cba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">In 2019 we surveyed SLP practitioners about their knowledge, beliefs, and practices regarding trauma in working with children from birth to six years old. What <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34763532\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">they told us was clear<\/span><\/b><\/a><span data-contrast=\"auto\">: they are working with children who have experienced trauma and adapt their practice in response, (when they are aware of the history) but their professional training did not include trauma nor do they adapt their practice in consistent ways. The results of this research showed they want to understand how trauma is related to communication development and the relevance to their work, and how to adapt practice. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">In response, we developed a training to provide the needed foundational knowledge, guidance, and practice support SLP practitioners told us they needed. More information on this training can be found on our <strong><a title=\"Trauma Informed Training\" href=\"https:\/\/georgehullcentre.ca\/institute\/training\/\">Institute Training webpage<\/a>.\u00a0<\/strong>\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-37c52f5 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"37c52f5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2e5e72d\" data-id=\"2e5e72d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f59a66a elementor-widget elementor-widget-spacer\" data-id=\"f59a66a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-51e6ddf elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"51e6ddf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6f91397\" data-id=\"6f91397\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bab7031 elementor-widget elementor-widget-heading\" data-id=\"bab7031\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">   What does trauma-informed speech-language pathology practice look like? <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03fc687 elementor-widget elementor-widget-text-editor\" data-id=\"03fc687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">What exactly does trauma-informed SLP practice look like? We know it includes the integration of trauma knowledge, and trauma-informed assumptions and principles across individual, program, organization, and system-level practice, for example as established by <\/span><a href=\"https:\/\/www.samhsa.gov\/resource\/dbhis\/infographic-6-guiding-principles-trauma-informed-approach\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"auto\">SAMHSA.<\/span><\/b><\/a><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><\/p><p><span data-contrast=\"auto\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">Our research aims to complement and advance the field\u2019s current understanding of trauma-informed SLP practice, by exploring trauma-responsive adaptations to practice.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">In November of 2022, a universal trauma screening protocol was implemented within the George Hull Centre\u2019s <\/span><a href=\"https:\/\/georgehullcentre.ca\/services\/prevention-early-intervention\/preschool-speech-and-language-services\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\"><strong>Preschool Speech and Language (PSL) Program.<\/strong><\/span><\/a><span data-contrast=\"auto\"> All program speech-language pathologists received <strong><a href=\"https:\/\/georgehullcentre.ca\/institute\/training\/\">specialized trauma training<\/a> <\/strong>through the Institute, and training in a specially designed screening protocol.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">Our research surrounding universal trauma screening aims to investigate:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><ul><li><span data-contrast=\"auto\">The <\/span><strong><a href=\"https:\/\/agesandstages.com\/\" target=\"_blank\" rel=\"noopener\">Ages &amp; Stages <\/a><\/strong><span data-contrast=\"auto\">&amp; <\/span><strong><a title=\"CASTER\u2122 (Child and Adolescent Screener for Traumatic Events and Response)\" href=\"https:\/\/georgehullcentre.ca\/institute\/research\/child-and-adolescent-screener-for-traumatic-events-and-response\/\">CASTER 0-5\u2122<\/a><\/strong><span data-contrast=\"auto\"><strong>\u00a0<\/strong>profiles of children in the PSL program who participated in the research<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">Caregiver feedback about their trauma screening experience<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">Practitioner perceptions of caregiver responses to being asked about trauma<\/span><span data-ccp-props=\"{&quot;134233279&quot;:false,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">Practitioner impressions of children\u2019s needs for trauma screening and additional mental health services, and sources of disclosure\u00a0 <\/span><span data-ccp-props=\"{&quot;134233279&quot;:false,&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">Practitioner perceptions of the family\u2019s involvement in the program after having been asked about trauma in PSL initial assessment, about the potential importance and benefits of universal screening in PSL services, and the ways in which trauma screening may impact formulation and care in PSL services<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li><li><span data-contrast=\"auto\">Supports needed by PSL practitioners to facilitate universal screening, barriers to execution, and changes in practitioner comfort discussing trauma\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li><\/ul><p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">We are excited to share what we learn! We have plans to publish our research findings, and you can also look out for updates by <strong><a href=\"https:\/\/georgehullcentre.ca\/institute\/pzx6\" target=\"_blank\" rel=\"noopener\">signing up to our Institute Newsletter <\/a><\/strong><\/span><span data-contrast=\"none\">here<\/span><span data-contrast=\"auto\">. If you are interested in learning more about Trauma-Informed Training, <strong><a href=\"https:\/\/georgehullcentre.ca\/institute\/training\/\"><span style=\"text-decoration: underline;\">more information may be found here<\/span><\/a><\/strong><\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">What we learn will guide us towards new research endeavors and the refinement of collaborative care to best support children and families impacted by trauma and attachment disruption.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36693f5 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"36693f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/georgehullcentre.ca\/institute\/training\/a-trauma-lens-to-speech-language-pathology-practice\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Learn More About Our Current Trauma-Informed Speech Language Practitioner Training!<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The link between trauma exposure and development in young children is undeniable. It has been well established through research that experiences of trauma in the early years can manifest themselves in social, emotional, cognitive, physical, and communication difficulties and differences, especially without the presence of&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":996,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7307","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/pages\/7307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/comments?post=7307"}],"version-history":[{"count":5,"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/pages\/7307\/revisions"}],"predecessor-version":[{"id":7900,"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/pages\/7307\/revisions\/7900"}],"up":[{"embeddable":true,"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/pages\/996"}],"wp:attachment":[{"href":"https:\/\/georgehullcentre.ca\/institute\/wp-json\/wp\/v2\/media?parent=7307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}