PATHWAYS: TRAUMA INFORMED CARE
Stephen L. Brown, M.D. - Medical Director
Dr. Stephen Brown is board certified in General and Child/Adolescent Psychiatry. He directs the private practice in child and adolescent psychiatry in Casper. He also is the Medical Director of Wyoming Behavioral Institute. He received his Doctor of Medicine degree at the University of Southern California and trained at Washington University in St. Louis' Barnes and St. Louis Children's Hospital where he received the Award for Clinical Excellence.
Extensively involved in Wyoming medicine since 1990, Dr. Brown is presently serving on the executive committee of the Wyoming Medical Society and the Wyoming Association of Psychiatric Physician's, alternate delegate to the American Medical Society, and the Western States Deputy Representative to the American Psychiatric Association. He is also on the Assembly Executive Committee of the APA. Dr. Brown has been honored with the Distinguished Fellow of the APA designation. He also teaches psychiatry for the University of Washington and the University of Wyoming to WWAMI students and family practice residents. http://www.mentalhealthwyoming.com/
Matthew Bertagnole, Program Director
Matthew Bertagnole is a professional counselor who has a master's degree in counseling and a bachelor's degree in psychology from the University of Wyoming, as well as an associates degree in psychology from Casper College. His previous experience includes spending several years as a case manager supervisor at the Casper Re-Entry Center, where he counseled people facing addiction and mental illness and collaborated with local treatment provides to increase successful discharge rates.
Barb Ralph, LPC
Barb Ralph completed her education at the University of Wyoming, obtaining her bachelor's degree in psychology and master's degree in counseling with substance abuse as a specialty. She has worked for more than 20 years as a licensed counselor in residential and outpatient treatment programs, substance abuse and mental health facilities, and in private practice. In 2014, Barb joined the treatment team working with teens receiving care in the Pathways program.
Tammy Michael, PCSW
Tammy obtained her master's degree in social work and bachelor's degree in pre-law with a minor in psychology at the University of Wyoming. Her associate's degree was completed in the paralegal program at Casper College. Tammy has several years of experience at WBI working with patients of all ages while preparing to become a licensed therapist. She also has worked with community partner agencies treating children who have experienced abuse. Her areas of expertise include discharge planning and group therapy.
Amy Brus, LCSW
Amy was raised in Wyoming. She obtained her bachelor's degree in social sciences from Washington State University and her master's degree in social work from the University of Arkansas in Little Rock. She has several years of social work experience, in juvenile corrections, mental health and medical settings. Amy's clients have included children, adolescents and adults. She joined WBI's Pathways unit clinical team in 2014.
Margie Grant, Special Education
Margie obtained her doctorate degree in Education Leadership and master's in Clinical Social Work from the University of Denver, and Special Education and general education degrees from the University of Wyoming. Before joining the Wyoming Behavioral Institute team in 2015, Margie taught special education for five years in Wyoming schools and spent 13 years serving on the roles of special education teacher, director, curriculum director, and administrator in Far North Alaska schools. She was born and raised on a ranch in Wheatland, Wyoming.
Connie Rodgers obtained degrees in elementary education from Casper College and the University of Wyoming, and was the first recipient of the Maggie Murdock Scholars Award as well as being on the President's Honor Roll for four consecutive years. She taught children with challenges in local pre-schools and elementary schools for several years prior to joining WBI's educational services team in 2014.
Justin Wollerman, Hospital Chaplain
Justin Wollerman comes to Wyoming Behavioral Institute from College Heights Baptist Church in Casper where he has been a member since 2007, has served in ministry since 2008, and has served as the Youth Pastor since 2013. He started leading adolescent Bible studies at WBI on the Pathways psychiatric residential treatment unit in 2013. Pastor Justin is working toward a degree in Christian Ministries and Theology from Golden Gate Theological Seminary. He graduated from Kelly Walsh High School and started his academic career at Casper College seeking an engineering degree before determining that he had a different calling. Pastor Justin came to know Christ in September of 2007. He was born and raised in Casper and enjoys time with family and friends. He and his wife, Sumer, are raising their two children in Casper. Pastor Justin makes regular rounds during the week at Wyoming Behavioral Institute, introducing himself to patients requesting spiritual support. In addition to the spiritual counsel provided to patients by Pastor Justin, a group of volunteers from College Heights offers Bible studies on the adult, child and Pathways units.
Download the Pathways Program Handbook and Guidelines.
Program philosophy and goal: Welcome to Pathways/Trauma Informed Care, a treatment model for those who have experienced a traumatic life event, may struggle with substance abuse, and whose emotional and mental health have been affected by these experiences. Acute trauma is exposure to a one-time event. Complex trauma often occurs in the context of a child's early care giving system; complex trauma exposures may include the following experiences:
Children who have experienced trauma often present with complex clinical symptoms beyond Post Traumatic Stress Disorder (PTSD) such as:
- Behavioral Difficulties
- Trouble with relationships
- Increased rates of academic failure
- High-risk behaviors, such as substance abuse and sexual risk taking
Many people who have had traumatic experiences don't realize it. They may think that everyone goes through the same things and that it's no big deal. But trauma is a big deal. If one can understand trauma, what it is, what it does to girls and boys as they are growing up, then one can understand how these experiences have affected a child. Your child can learn to keep him/herself safe. He or she won't be at risk for being a victim or a victimizer.
Treatment of trauma is specialized care. This care focuses on building skills in six key areas. The six core components for treating complex trauma include:
- Safety - learning how to keep self safe
- Self-Regulation - learning how to keep behavior and emotions in balance
- Self-reflective information processing - learning how to think about ones behavior, experiences and actions
- Traumatic experience integration - learning how to manage the life events that have been experienced, how to accept and take these experiences into ones life story
- Relational engagement - learn how to have safe healthy relationships with others
- Positive affect enhancement - learning skills to help with mood regulation