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Evaluation ViewAttendees 5

Clinical Round Table

Treatment - Other

Clinical Round Table 9 - Skills Training in Affective and Interpersonal Regulation (STAIR): Diverse Applications of a Transdiagnostic Trauma Treatment

Saturday, November 16, 2024
8:30 AM – 10:00 AM EST
Location: Liberty A, Level 3, Downtown Marriott
Earn 1.5 Credit
Keywords: Trauma, Treatment, Clinical Utility
Recommended Readings:

Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074. https://doi.org/10.1037/0022-006x.70.5.1067 


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Jain, S., Ortigo, K., Gimeno, J., Baldor, D. A., Weiss, B., & Cloitre, M. (2020). A randomized controlled trial of brief skills training in Affective and Interpersonal Regulation (STAIR) for veterans in primary care. Journal of Traumatic Stress, 33(4), 401–409. https://doi.org/10.1002/jts.22523


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Lorbeer, N., Knaevelsrud, C., & Niemeyer, H. (2023). STAIR and STAIR/NT as a Treatment for Posttraumatic stress: A Systematic review. Verhaltenstherapie, 33(2–3), 53–63. https://doi.org/10.1159/000526592


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This clinical round table provides an informative discussion regarding the application and effectiveness of a transdiagnostic, evidence-based trauma-focused treatment. STAIR (Skills Training in Affective and Interpersonal Regulation) and STAIR Narrative Therapy are interventions for trauma-exposed individuals across a range of identities and experiences due to their adaptability to various populations and delivery modalities (Cloitre et al., 2020). Cultural acknowledgment, adaptation capabilities, and delivery of modality play a role in the likelihood of decreased trauma symptomatology (Cloitre et al., 2023; Ennis et al., 2020; Sloan et al., 2011). Clinicians are better prepared to offer effective and personalized skills to increase positive outcomes by acknowledging and processing both latent and visible experiences of various cultural groups in treatment (Bernal et al., 2009). Seven presenters across various career stages (graduate school to late career), treatment settings, and identities will discuss their experiences in adapting STAIR and STAIR Narrative Therapy. Themes of identity affirmation, cultural exploration, and meaning-making connected the presentations. Presenter one will moderate the discussion and describe applications of STAIR with LGBTQIA+ populations. Presenter two will represent applications of STAIR in group therapy settings. Presenter three will highlight applications of STAIR with adolescent populations. Presenter four will discuss applications of STAIR via telehealth and, relatedly, rural populations with diminished access to treatment. Presenter five will speak on applications of the app version of STAIR (STAIR Coach) among veteran populations, including LGBTQ+ identified veterans (Rainbow STAIR Coach). Presenter six will highlight applications of STAIR via web-based interventions (webSTAIR). Lastly, presenter seven will discuss applications and adaptations of STAIR with BIPOC communities. It is our hope that this round table will increase the breadth and depth of knowledge on this integral treatment method, offering a more effective outcome for all clients who are seeking treatment for expressions of traumatic stress.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Explain the clinical utility of STAIR and STAIR Narrative Therapy across a diverse range of identities and delivery modalities.
  2. Describe clinical applications of STAIR and STAIR Narrative Therapy with minority populations.
  3. Assess the thought process underpinning the determination of fit for STAIR and STAIR Narrative Therapy with specific symptom expressions.
  4. Analyze the barriers and unique opportunities of treatment for clients who utilize STAIR and SNT with an alternative treatment delivery method.
  5. Discuss considerations for adaptations to treatment with a range of client populations and delivery methods.