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Clinically Complex Children

Working with Clinically Complex Children and Families, Case-based Consultation

“My client has experienced multiple traumas, where do I start?” “My client is too anxious to come in. What’s the plan?” “When the client has learning disabilities and ADHD, how do we do exposures?” If you are struggling issues like these, then this workshop might be the answer for you. 

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Description

An explosion of trauma-focused research over the past two decades has contributed to a rich and dynamic knowledge base. The current challenge for both novice and experienced clinicians is knowing what to address first and how to intervene when faced with increasingly complex cases involving multiple services. 

Developed for clinicians in a variety of settings, this course “Working with Clinically Complex Children and Families” provides clinical consultation within a framework that is culturally sensitive and evidence-informed. Through case-based learning, participants will apply evidence-based trauma models and established and emerging techniques with real cases that address client’s emotion dysregulation, attention, substance use and behaviour, etc. in the context of the family and community. Participants will engage in discussion and receive practical feedback to build capacity to match interventions to the client diagnosis, presenting problem, age & developmental stage, family and community context. 

Participants are encouraged to bring a case for discussion – example cases should contain only non-identifying information. 

Learning Outcomes 

  1. Perform a thorough assessment of trauma and concurrent issues taking into consideration extensive knowledge of the individual, their family, and cultural context. 
  2. Identify evidence-informed interventions and treatment which are effective and appropriate for the trauma type, concurrent mental health issues, and the client’s family and culture. 
  3. Develop a viable treatment plan with input from the client and family and evaluate progress toward goals. 

Who Should Attend  

“Working with Clinically Complex Children and Families, Case-based Consultation” is recommended for clinicians treating various types of complex trauma in addition to concurrent, mood, anxiety, attention, substance use and acting out behaviours working with children (2-12 years), adolescents (12-18 years) and families in outpatient, inpatient/residential, in-home or crisis intervention programs. 

Course Dates & Format  

There are no scheduled dates for this course at this time, however in-service is available.

This is a 12-hour training.  

Instructor:  Niki Gomez-Perales, MSW, RSW 

Niki Gomez-Perales is a recognized expert in the areas of children’s mental health, complex trauma, attachment and dissociation. Niki completed her B.S.W. from McMaster University in 1986 and her M.S.W. from the University of Toronto in 1991. She has more than 30 years of experience in the fields of child welfare and children’s mental health. For the past 25 years Niki has worked as a therapist at a Children’s Mental Health clinic in Hamilton Ontario.  

Niki has lectured on Complex Trauma and Attachment with the ISST-D, the ESTD, the International Society for Traumatic Stress Studies, the European Society for Traumatic Stress Studies, Association for Training on Trauma and Attachment in Children, Safeguards Training for Children and Adult Services and the Ontario College of Social Workers and Social Service Workers. She has special interests in the areas of Interpersonal Neurobiology, Polyvagal Theory, Somatic Experiencing, Early and Pre-verbal Trauma and Attachment.   

Niki has advanced training in EMDR, Clinical Hypnosis, Dyadic Developmental Psychotherapy and Emotionally Focused Family Therapy.  She is an active member and Fellow of the International Society for the Study of Trauma and Dissociation and a winner of the ISSTD 2016 written media award for her book, “Attachment-Focused Trauma Treatment for Children and Adolescents: Phase-Oriented Strategies for Addressing Complex Trauma Disorders,” (2015. Routledge). 

Training Fee 

Group Registration: Save 20% off individual fees with a group registration of 4 or more participants. Download the group registration form HERE.

Continuing Education Information  

Licensing boards and professional organizations will grant Continuing Education credits for attendance at their discretion when participants submit the course outline and certificate.  

In-Service  

This is available as an in-person or virtual in-service training and customized to suit your needs. 

Categories: In Service, Trauma-Informed Practice, Online Tags: Assessment, Case Study, Complex Trauma, Interventions, Mental Health, Niki Gomez-Perales, Trauma, Treatment
Training Calendar
42 events found.
  • November 2025

Calendar of Events

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0 events, 26
1 event, 27
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
October, 27 @ 8:45 am - October, 31 @ 5:00 pm
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

Therapeutic Crisis Intervention (TCI) is a systems-based, trauma-informed crisis prevention and intervention model that assists organizations in preventing crises from occurring, de-escalating potential crises, managing acute crisis phases, […]

1 event, 28
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
1 event, 29
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
2 events, 30
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
1:00 pm - 4:00 pm
Compassionate Leadership: Fostering Self-Care and Well-Being in Staff Teams and Organizations
October, 30 @ 1:00 pm - 4:00 pm
Compassionate Leadership: Fostering Self-Care and Well-Being in Staff Teams and Organizations

Creating healthy supportive work environments is critical in growing a strong, positive and committed team and reducing personal leaves and turnover. This workshop is designed for leaders […]

1 event, 31
2025-10-27
Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)
0 events, 1
0 events, 2
0 events, 3
0 events, 4
0 events, 5
0 events, 6
0 events, 7
0 events, 8
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0 events, 10
0 events, 11
1 event, 12
1:00 pm - 4:00 pm
Addressing Trauma and Attachment in the Classroom Environment
November, 12 @ 1:00 pm - 4:00 pm
Addressing Trauma and Attachment in the Classroom Environment

Teaching children who come into our spaces with big stories can be challenging. When we do not know how to respond, we often fall back to unhelpful […]

1 event, 13
2025-11-13
Trauma-Informed Practice
Trauma-Informed Practice
November, 13 @ 1:00 pm - November, 14 @ 4:00 pm
Trauma-Informed Practice

The prevalence of childhood trauma in our communities is staggering, and the implications for mental health and substance use profound. It is estimated that around 3 in […]

1 event, 14
2025-11-13
Trauma-Informed Practice
0 events, 15
0 events, 16
1 event, 17
2025-11-17
Using the STAIR Model and Critical Race Theory when Working with Black Youth and Families
Using the STAIR Model and Critical Race Theory when Working with Black Youth and Families
November, 17 @ 1:00 pm - November, 18 @ 4:00 pm
Using the STAIR Model and Critical Race Theory when Working with Black Youth and Families

Do you work with racialized youth and families who have experienced trauma? In this training, participants will use the evidence-based STAIR model and apply the Critical Race […]

1 event, 18
2025-11-17
Using the STAIR Model and Critical Race Theory when Working with Black Youth and Families
0 events, 19
1 event, 20
2025-11-20
Confronting Suicidal Ideation and High Risk Behaviour
Confronting Suicidal Ideation and High Risk Behaviour
November, 20 @ 1:00 pm - November, 21 @ 3:00 pm
Confronting Suicidal Ideation and High Risk Behaviour

Suicide and high-risk behavior are increasingly common in individuals with a trauma history. At the same time, many professionals in the helping field report fear or state […]

1 event, 21
2025-11-20
Confronting Suicidal Ideation and High Risk Behaviour
0 events, 22
0 events, 23
0 events, 24
1 event, 25
2025-11-25
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking
November, 25 @ 1:00 pm - November, 26 @ 4:00 pm
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking

Indigenous girls, two-spirit and trans women are the most vulnerable population for human sex trafficking, they access mainstream services the least, and present with the most complex […]

1 event, 26
2025-11-25
In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking
1 event, 27
2025-11-27
Serving the Mental Health Needs of Persons with a Developmental Disability
Serving the Mental Health Needs of Persons with a Developmental Disability
November, 27 @ 9:30 am - November, 28 @ 9:30 am
Serving the Mental Health Needs of Persons with a Developmental Disability

Individuals with a developmental disability are at higher risk of experiencing mental health problems.  Often their mental health problems go undiagnosed because they are attributed solely to […]

1 event, 28
2025-11-27
Serving the Mental Health Needs of Persons with a Developmental Disability
0 events, 29
0 events, 30
1 event, 1
1:00 pm - 4:00 pm
Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues
December, 1 @ 1:00 pm - 4:00 pm
Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

This advanced course will enhance the knowledge and skills of mental health professionals practicing Brief/Short-Term Therapy with clients who are managing complex circumstances, including trauma, risk, grief, […]

1 event, 2
1:00 pm - 4:00 pm
Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues
December, 2 @ 1:00 pm - 4:00 pm
Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

This advanced course will enhance the knowledge and skills of mental health professionals practicing Brief/Short-Term Therapy with clients who are managing complex circumstances, including trauma, risk, grief, […]

1 event, 3
1:00 pm - 4:00 pm
Ambiguous Loss: A Framework to Understand and Respond
December, 3 @ 1:00 pm - 4:00 pm
Ambiguous Loss: A Framework to Understand and Respond

Ambiguous loss often leads to complicated grief that is overlooked or invalidated by society. Three primary types of ambiguous loss include: physical absence with psychological presence (e.g., […]

0 events, 4
0 events, 5
0 events, 6
Notice
There are no events on this day.
October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

October, 30 @ 1:00 pm - 4:00 pm

Compassionate Leadership: Fostering Self-Care and Well-Being in Staff Teams and Organizations

October, 27
October, 27 @ 8:45 am - October, 31 @ 5:00 pm

Therapeutic Crisis Intervention (TCI): Trainer Certificate (7th Edition)

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There are no events on this day.
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There are no events on this day.
November, 12
November, 12 @ 1:00 pm - 4:00 pm

Addressing Trauma and Attachment in the Classroom Environment

December, 1
December, 1 @ 1:00 pm - 4:00 pm

Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

December, 2
December, 2 @ 1:00 pm - 4:00 pm

Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

December, 3
December, 3 @ 1:00 pm - 4:00 pm

Ambiguous Loss: A Framework to Understand and Respond

Notice
There are no events on this day.
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November, 12
November, 12 @ 1:00 pm - 4:00 pm

Addressing Trauma and Attachment in the Classroom Environment

November, 13
November, 13 @ 1:00 pm - November, 14 @ 4:00 pm

Trauma-Informed Practice

November, 13
November, 13 @ 1:00 pm - November, 14 @ 4:00 pm

Trauma-Informed Practice

Notice
There are no events on this day.
Notice
There are no events on this day.
November, 17
November, 17 @ 1:00 pm - November, 18 @ 4:00 pm

Using the STAIR Model and Critical Race Theory when Working with Black Youth and Families

November, 17
November, 17 @ 1:00 pm - November, 18 @ 4:00 pm

Using the STAIR Model and Critical Race Theory when Working with Black Youth and Families

Notice
There are no events on this day.
November, 20
November, 20 @ 1:00 pm - November, 21 @ 3:00 pm

Confronting Suicidal Ideation and High Risk Behaviour

November, 20
November, 20 @ 1:00 pm - November, 21 @ 3:00 pm

Confronting Suicidal Ideation and High Risk Behaviour

Notice
There are no events on this day.
Notice
There are no events on this day.
Notice
There are no events on this day.
November, 25
November, 25 @ 1:00 pm - November, 26 @ 4:00 pm

In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking

November, 25
November, 25 @ 1:00 pm - November, 26 @ 4:00 pm

In Between the Missing and Murdered: The Need for Indigenous Led Responses to Human Trafficking

November, 27
November, 27 @ 9:30 am - November, 28 @ 9:30 am

Serving the Mental Health Needs of Persons with a Developmental Disability

November, 27
November, 27 @ 9:30 am - November, 28 @ 9:30 am

Serving the Mental Health Needs of Persons with a Developmental Disability

Notice
There are no events on this day.
Notice
There are no events on this day.
December, 1
December, 1 @ 1:00 pm - 4:00 pm

Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

December, 2
December, 2 @ 1:00 pm - 4:00 pm

Advanced Skills for Brief Therapy Practitioners: Managing Complex and High-Risk Issues

December, 3
December, 3 @ 1:00 pm - 4:00 pm

Ambiguous Loss: A Framework to Understand and Respond

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