Sensory Motor Arousal Regulation Treatment (SMART): A Bottom-Up Treatment for Children and Adolescents with Complex Trauma

A Two Day Intensive Training and Optional Third Day

Dates: March 30 - 31, and April 1, 2017


Days 1 & 2: (Foundational SMART Workshop):9:00 a.m. - 4:30 p.m. each day.
Day 3: (Optional - SMART Applications Workshop): 9:00 a.m. - 1:00 p.m.

Location: Holiday Inn, Brookline, MA


Days 1 & 2: Anne Westcott, LICSW and Heather Finn, LICSW

Day 3 (Optional): Workshop participants may choose one of the following options:

  • a) SMART in Residential Treatment: Amy Fingland, PsyD
  • b) SMART and In-Home, Community-Based Treatment: Tiffany Naste, LICSW with Jaclyn Winer, LICSW
  • c) Integrating the Caregiver into a SMART Treatment: Elizabeth Warner, PsyD


2-day SMART workshop: Individual / Regular: $370
2-day SMART workshop: Group / Student^: $333

3 day SMART workshop + Optional Third Day: Individual / Regular: $470
3 day SMART workshop + Optional Third Day: Group / Student^: $423

Third day only*: Individual / Regular: $100
Third day only*: Group / Student^: $90

^ Group rate applies to 3+ individuals from the same institution registering at the same time. Student rate applies to degree-seeking students able to provide proof of enrollment.

*Third day only registration is available ONLY to individuals who have previously attended SMART training.


SMART (Sensory Motor Arousal Regulation Treatment) was developed to expand the repertoire of regulating experiences for children, adolescents and their caregivers with the aim of nurturing healing and growth. For children with complex trauma in their background, regulation of emotional, behavioral and interpersonal life is exceedingly difficult. Thus, they find it difficult to live peacefully with their families, to make friends, and to learn in school. By adding a new array of strategies, using a sensory motor approach and knowledge from sensory integration occupational therapy to the standard mental health therapy repertoire, we can better help children become more organized, flexible, expressive and playful in their everyday lives. Adolescents learn new ways of accepting help and of self-regulating, which allows them to engage in individual trauma therapy and family therapy more readily. Caregivers can learn these strategies in the context of the therapy, while they work in tandem with the therapist.

In the SMART room, which was developed in collaboration with a sensory integration occupational therapist, children can playfully use big pillows, weighted blankets, balance beams, and other equipment that call for full engagement of the whole body and mind. Adolescents explore self-regulation with the same equipment with the goal of fuller engagement in their lives.

Caregivers often have their own needs to learn how to be present and grounded as parents because of personal history or current stressors. Strategies learned with their children are useful to adults. Either through participation in the child's therapy, or through private parent guidance work, caregivers can benefit from this approach.

SMART is now listed in the National Registry of Evidence-based Programs and Practices / SAMSHA as a promising practice.

SMART has been adapted for use in residential treatment and for in home and community-based services, and these adaptations will be offered for the first time as an optional third day of training. In addition, work with caregivers will be elucidated in a third optional workshop. Individuals who have previously received SMART training may sign up for the third day alone; all others must attend the full SMART workshop to be eligible for this third day option.

Overarching Course Objectives

  • Participants will be able to describe a model for identifying and understanding difficulties in arousal regulation, a psychoneurobiological legacy of trauma, in children and adolescents with complex trauma.
  • Participants will demonstrate early proficiency with an easily accessible framework and practical tools that help regulate the arousal of children such that the child is better able to regulate, socially engage, and integrate affect.
  • Participants will be able to utilize skills that equip the therapist to better use the self as a tool of co-regulation for the child, an essential first step to helping traumatized children develop effective self-regulating capacity.

About the Trainers:

Anne Westcott, LICSW is a licensed clinical social worker, psychotherapist and trainer with over 25 years of mental health experience in direct practice, supervision, consultation and program development. She is a member of the SMART development team at the Trauma Center in Boston and a faculty member of the Sensorimotor Psychotherapy Institute. Anne trains regularly in the United States and Canada on the impact and treatment of trauma and attachment disturbance on children, adolescents, adults, and the surrounding caregiver systems. She has worked in outpatient clinics, public schools, home and community based programs in both multicultural, urban centers as well as affluent, suburban communities. She maintains a private practice in Concord, MA.

Heather Finn, LICSW is the Assistant Clinical Director, clinician, supervisor and trainer at the Trauma Center. Heather is a trainer and consultant for the SMART and ARC programs at the center. She specializes in the treatment of children, adolescents, adults and families whose lives have been impacted by complex trauma, and has particular interest in the areas of adoption/foster care, attachment and resiliency. She is trained in EMDR (level 2), Sensorimotor Psychotherapy (level 1), Attachment, Regulation and Competency (ARC), Sensory Motor Arousal Regulation Therapy (SMART) and Parent Child Interaction Therapy (PCIT-A) approaches to treatment.

Elizabeth Warner, Psy.D. is a Senior Clinical Supervisor, Training Faculty, and member of the Research Team at the Trauma Center. She is the SMART Project Director, and co-author of SMART: Sensory Motor Arousal Regulation Treatment Manual, a manual for therapists working with children and adolescents - a "Bottom Up" approach to treatment of complex trauma. Her special clinical interests are in adoption, trauma in families, and attachment building. Her research interest is in identifying mechanisms of action in the SMART treatment context. She has a private practice for adults and children in Brookline, MA.

Amy Fingland, Psy.D. is currently a staff clinician at the Trauma Center and Director of trauma-informed services at the van der Kolk Center at Glenhaven Academy and Pelham Academy, two JRI residential treatment programs for traumatized youth. Dr. Fingland received her Master's degree and her doctorate in Clinical Psychology from William James College. She specializes in the integrative treatment of Complex trauma and dissociation and her clinical experience includes work with trauma-impacted children, adolescents, and adults in school, day, residential, outpatient, and inpatient treatment settings. She believes that healing, recovery, and post-traumatic growth is possible through the integration of psychological and body-based treatment approaches. Dr. Fingland provides clinical treatment and training in the Sensory Motor Arousal Regulation Therapy (SMART) and Attachment, Regulation and Competency (ARC) treatment frameworks.

Tiffany M. Naste, LICSW is the Director of Clinical Support and Training for JRI’s Community-Based Services (CBS) Division. She has collaborated in developing an In Home adaptation to SMART (Sensory Motor Arousal Regulation Treatment), and provides training and consultation to support implementation for home-based services. She is also a national ARC (Attachment, Regulation, and Competency) trainer for the Trauma Center and a member of JRI’s Trauma Response Network (TRN). She has worked in residential treatment, schools, and hospital settings providing therapy, teaching, supervision and consultation.

Jaclyn Winer, LICSW is an in-home child and family therapist for JRI’s Boston-area Community-Based Services (CBS) Team. She has experience serving vulnerable youth and their caregivers in residential treatment center, school-based and camp settings.

Hotel Information:

The Trauma Center has arranged for a special discounted room rate for Sensory Motor Arousal Regulation Treatment (SMART): A Bottom-Up Treatment for Children and Adolescents with Complex Trauma workshop attendees. Please follow the special link below and use code TC3 when booking. You may also call the Holiday Inn – Brookline directly at 855-813-9839 and give them the booking code to get a discounted rate.

To enroll in this workshop, please be sure to submit both the Registration form as well as payment.

If you are registering for one of the third-day workshops, please indicate which one on your registration form.

This workshop is full. If you would like to be waitlisted, please email the Training Division Administrative Staff.