Historical Trauma Case Study

While there is agreement that trauma informed care generally refers to a philosophical stance integrating awareness and understanding of trauma and its ongoing impact on patients’ health and lives, there is not yet consensus on a definition or clarity on how the model can be applied in a variety of settings. The philosophical underpinnings of trauma informed care trace to the feminist movements of the 1970s (Burgess & Holstrom, 1974), and the emergence of child-advocacy centers and awareness and response to child abuse in the 1980s. In combination with the growth of research in combat-related posttraumatic stress after the Vietnam War, the focus then expanded to mental health practice, especially in the context of traumatic events. By the late 1990s and early 2000s, social work and mental health professionals began to articulate organizational frameworks for delivery of trauma informed care, as well as conceptual models based on scientific evidence about how traumatic stress impacts brains and behavior (Bloom, 1997; Harris & Fallot, 2001; Covington, 2002; Rivard, Bloom, & Abramovitz, 2003; Ko, Ford, Kassam-Adams, et al. 2008; Bloom, 2010). In 1998, SAMHSA launched the Women, Co-Occurring Disorders and Violence study, a seminal study in 27 sites over five years that examined trauma-integrated services counseling. Following that, the National Child Traumatic Stress Network (NCTSN) began identification and distribution of empirically supported trauma-specific mental health

In a trauma informed agency, it’s important that all staff are frequently updated with the principles of trauma informed care (Trauma-Informed Care: A Sociocultural Perspective, 2014). Such principles would involve a collection of resources, evidence based research, academic findings, reports, and quality approaches used by collaborating agencies (Trauma-Informed Care: A Sociocultural Perspective, 2014). Resources are very valuable to staff when they are needing a new strategy, in the case of their clients not responding effectively to former methods (Trauma-Informed Care: A Sociocultural Perspective,

There are different types of trauma child welfare programs focus on. They typically focus on behavioral and emotional problems and ways to correct the child (Greeson et al. 94). However, it is not as simple as the welfare programs want it to be. One first must look at the trauma history of the child, or the “Trauma History Profile”, also known as THP (Greeson et al. 97). The THP addresses “lifetime exposure to trauma and contains a

Trauma-informed care refers to a strength-based framework that is based on an understanding of the impact of trauma. This practice emphasizes on psychological, physical, and emotional safety for the providers, the survivors, and it creates an opportunity for the survivors to rebuild themselves and get a sense of control and empowerment. This practice is based on the growing knowledge about several negative impacts that are brought by psychological trauma (Withers, 2017). To understand more about trauma-informed care, this excerpt will examine what the concept entails, how one can change his or her practice to be more trauma-informed and incorporate Eric's experience in the discussion.

Trauma is perceived as a physical or psychological threat or assault to a person’s physical integrity, sense of self, safety and/or survival or to the physical safety of a significant other; family member, friend, partner. (Kilpatrick, Saunders, and Smith, 2003). An adolescent may experience trauma from a variety of experiences, including but not limited to: abuse (sexual, physical, and/or emotional); neglect; abandonment; bullying; exposure to domestic violence and/ or community violence; natural disasters; medical procedures; loss/grief due to a death of a family member(s); surgery; accidents or serious illness; and war (Kilpatrick, Saunders, and Smith, 2003).

Isiah sharing that he is “less fortunate” speaks to not only the family’s economic status but also the stigma that goes with SODH. Would Isiah have heard this term at the foodbank perhaps or school? Isiah’s family is significantly impacted by current and historical trauma. The impacts of trauma are often overlooked by community agencies developed to support families. Elliott, Bjelajac, Fallot, Markoff & Reed (2005) reported that all staff from an organization need to be educated about a trauma-informed practice in order to ensure therapeutic interactions and minimize retraumatization. SODH are interconnected and I wonder how accessing social service supports are perpetuating trauma?

On Wednesday, September 7, 2016 at about 1541 hours while represent at Brooklyn Special Victim Unit, located at 653 Grand Ave, Brooklyn, Sgt. Smolarsky, SVU and I interviewed Ms. Ryan-Mary Roberts. The following is a detail description of what transpired;

There is a growing field of research for impact of secondary trauma the effects, and how to mitigate the impacts of trauma. However, within social work trauma is often understudied. This paper will examine what secondary trauma is, how it impacts social workers, and how we manage it. This paper will explore the taxonomy of trauma, and types of traumatic growth, to set a clear definition of the multiple concepts of secondary trauma. Then it \will examine coping and support strategies for social workers to decrease the impact of secondary trauma. Lastly, its will explore how systems can best educate and manage of secondary trauma

JCC realizes the impact of trauma on staff, families and children; It recognizes the signs and symptoms of trauma in clients, and JCC takes action to respond adequately and integrate the knowledge of trauma into their practice. GA and JCC seek to help their staff and clients from traumatization (Substance Abuse and Mental Health Service Administration [SAMHSA], 2015). For example, R. Paul (personal communication, April 25, 2015) stated that GA lack trauma professionals to help and support the youth. Therefore, GA works together with the Uplift Little Haiti and professional clinical social workers who help the children to address their trauma issues. JCC has a program for staff and employees where they come together to discuss and share about what is going on in their personal life and work environment. Also, JCC analyzes and evaluates what is life-giving through peer support environment. Furthermore, JCC has a special program every year, of trauma training for their case managers, T. Gaynor (Personal Communication, April 25, 2017). Therefore, GA and JCC are “sensitive to the reality of traumatic experiences” in the lives of the children, parents, staff, administration, youths, families and the community. (Bloom & Sreedhar, 2008, p.50). GA and JCC have an organizational system and treatment framework that includes recognizing, understanding, and responding to the impacts of all forms of trauma. They provide fundamental principles of trauma: “safety, peer support, trustworthiness, collaboration, mutuality, empowerment, voice, choice, and cultural(SAMHSA,

In the second instance, and in a more systematic fashion, it is critical that Canada work to bring about anti-poverty endeavors to improve the quality of life of First Nations. In this regard, Gone (2013) proposes that because much of the poverty which runs rampant in First Nations communities is the product of decades of isolation and abuse by the Canadian government, it is critical that the latter engage in far more significant poverty alleviation programs, in line with CHNC (2011)’s standard of health restoration, throughout the country’s First Nations communities all the while enhancing the funding which it provides to healthcare institutions within these communities. In combining these two solutions, it thus becomes possible to attack the problems associated with disproportionately high mental health pathologies in these communities from all available angles.

Better Way of Miami (BWOM) treatment center has made it a priority to make sure that its administrative staff and therapists have knowledge about trauma and how it has played a significant role in disrupting clients' ability to have healthy interpersonal dynamics, interpersonal relationships, and life- management. Further, BWOM appears to be a trauma-informed organization that integrates “best practice” trauma-informed therapy in IC’s sessions and therapeutic intervention groups in order impact to educate clients how to set boundaries, seek safety, and coping skills against triggers that can otherwise be hazardous to their overall well-being.

In previous sections, the report described trauma, trauma-specific services, and trauma symptoms on a broad basis. Additionally, it's important to explicate what a trauma-informed organization (TIO) looks like. At their core, TIOs demonstrate a commitment to having every facet of their organization, including all personnel, executing services through a trauma-informed lens. In TIOs, all staff have a basic knowledge about trauma and its complexities, broadly understand how trauma makes their clients vulnerable, how to provide services that avoid retraumatization, and deliver services that facilitate client participation.1 Trauma-informed organizations typically share five key characteristics: cultural competency, client-centric services and

‘The politics of Trauma’ by Richards J. McNally talks about trauma and how it affects its victims. Scientists that tried going deep to find out more about trauma of rape victims and mostly war veterans who suffered from post traumatic stress disorder (PTSD)  got in trouble with the political forces because to them it is anti war and no one should talk about it. He talks about the terms ‘victim’ and ‘survivor’ and what they imply. The traditional form is victim as it means someone who suffered from a crime or accident. However some people does not like the term victim but rather survivor because to them survivors hold more of a positive connotation than victim but there are some who doesn't like that term either because it usually refers to

When most of us stop and think about treatment of trauma survivors, the majority of us think on an individual bases. This is not necessarily wrong, but what about the families? What about the care-takers, parents, children, families, and spouses? Working with the families can be just as important as working with the trauma survivors. When the leave the therapeutic environment, where do they go? Most go home to their families. If the families are not included in treatment, even for psychoeducation, what is that doing at home? Are the families being affected, are they affecting the trauma survivors and in turn the trauma survivor affecting the families there in causing a domino effect? Creating a home environment where understanding what is going on, how everyone can and might be affected is important to treating trauma survivors so secondary trauma is not created.

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