Trauma Treatment in Young Children with Developmental Disabilities: Applications of the Child-Parent Psychotherapy (CPP) Model to the Cases of "James" and "Juan"

Abstract

This case study series investigates the application of the Child-Parent Psychotherapy (CPP) model for young children with developmental disabilities who were exposed to trauma. Two Latino clients and their families were selected for systematic write-up: "James," 14 months old who, following medical trauma (surgery and stroke) showed global developmental delays; and "Juan," 6 years 2 months old with autism in the context of early exposure to domestic violence and a history of physical and emotional abuse. Utilizing the CPP model, we addressed the families’ histories of traumatic events, including domestic violence, medical trauma, and attachment concerns associated with parental adjustment to diagnosis. The CPP model was selected with the goal of strengthening the relationship between each child and his caregivers; restoring the child’s sense of safety, attachment, and appropriate affect; and improving the child’s behavioral and social functioning. Clinical insights regarding the application of the CPP model for young children with developmental disabilities who were exposed to trauma are offered. In addition, cultural applications for Latino families are explored.