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Childhood Trauma Case Study

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SC had several admissions to psychiatric units with similar psychotic presentations. Multiple contextual factors preceded her substance dependence and subsequent illness, particularly her social history. SC was one of five siblings (one full and three half siblings) living with a single mother on income assistance in rural BC. Consequently, her family had a low SES and limited resources. Furthermore, throughout her teenage years, her mother’s partner was physically abusive to SC. Finally, the client’s son was removed to foster care due to the instability of the family. This loss removed a significant protective factor for SC. Both family volatility and abuse tie into the theory of childhood adversity. Childhood Trauma Patterson, Moniruzzaman and Somers (2014) looked at childhood adversity as a predictor for homelessness and drug use. The correlation is evident for SC. The article describes how “childhoods of homeless people with mental illness have been described as a “double dose” of disadvantage in the form of poverty as well as violence and family instability” (Patterson, Moniruzzaman and Somers, 2014, p.1). The negative experiences of abuse and volatility in SC’s childhood increased her risks for street-involvement. This instability then creates a negative trajectory for mental health. Moreover, …show more content…

Homelessness “increases the likelihood that an individual will witness or experience trauma, and homelessness itself is considered as a traumatic experience that interrupts routines and damages social networks” (Patterson, Moniruzzaman & Somers, 2014, p. 8). Whilst homelessness is a negative contextual factor, SC’s lack of connections in Vancouver, or “social capital” also limited her options and health trajectory (Haden, 2016). SC had no other social supports in Vancouver. However, she was then connected with Crisis Housing at Covenant

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