Lee's Trauma Case Study

Treatment goals: Client's anxiety has been identified as an ongoing problem in need of treatment. It is primarily manifested by Anxiety Disorder - with excessive worrying - with minimal impairment in everyday functioning. PTSD- exposed to traumatic event loss of her mother and other people.

What is the impact of historical trauma on a particular client population? How can Trauma Informed principals be used to reduce the impact of historical trauma on specific clients?

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.

It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the 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

In my position at a Level II Trauma Center as a Transfer Center Coordinator, communication has been a key theme over the last year in particular. As I have previously mentioned, the Transfer Center and our office cohort has a new Director and the growing pains have been great. Before our new Director, gossip was rampant. With the new director, the group is learning a lot about communication, the value of downward and upward communication and the form that communication is received. The most recent source of growing pains was from the change of the type of staff for the mid-shift; staff was changing from non-licensed staff to registered nurses. The Director announced the changes to the group in June, however the pilot project was not yet approved

The client name is Johnny. He is an eight-year-old, low SES African American male. He identified himself as Black. He lives with a seven-year-old stepbrother and mother in an independent home in inner city of Milwaukee. The client was referred to intensive outpatient unit by his mother due to suicidal / homicidal ideations (almost daily), impulsive / disruptive behaviors and mood instability both at home and school. Mother was also worried about his sexualized behaviors towards brother, cousin and peers. The client’s behavioral and emotional problems started at the age of four. He has multiple inpatient admissions over the past three years (Mom believes at least five admissions). The client had a multiple trauma history including sexual and

The Golden hour. In the field this is a term that was created by R Adams Cowley, MD, meaning that if a critical patient receives medical care within an hour, their chance of survival rises substantially. Within that hour a trauma patient will interact with several people, one of them being a Trauma Doctor, which is the career choice that I have chosen for myself. Trauma doctors evaluate, diagnose, stabilize and manage patients who have experienced some type of physical traumatic injury. Trauma doctors are usually trauma surgeons who have specialized critical care surgery training. The Trauma surgeon is a vital part of the golden hour, because within that hour if the patient can receive surgery the likelihood of the patient living heightens. The responsibilities of

Receiving blunt trauma to the head is a very a dangerous situation and can often lead to critical conditions and death. This essay will be taking an in depth look at a patient who has received trauma and their possible outcome. Utilizing knowledge of mechanisms and patterns of injury, vital signs and patient presentation, a diagnosis of the patient’s condition will be made. Once diagnosed, the pathophysiology of the condition will be explained and also possible injuries from this condition will be explored.

Trauma is a risk factor in the development of both posttraumatic stress disorder and psychosis. Trauma exposure is commonly reported in individuals that had psychotic disorder, and it may be one factor that plays a key role in child abused. However, exposure to childhood abuse is the risk factor for developing psychotic disorder. There are studies that shown the relationship between PTSD and psychotic disorder and how if affect many people.

Full title: The confusion continues: results from an American Association for the Surgery of Trauma (AAST) survey on massive transfusion practices among United States trauma centers.

Trauma is an experience copious amounts of people have encountered or will encounter within their lifetime. As many think about various traumatic experiences, one may think solely of victims of the trauma. As we think of the victims of traumatic experience, it is easy for the general public population to overlook the professionals who respond to traumatic incidents such as natural disasters, accidents, and intentional acts of harm or terror are not always brought to mind. According to the Wisconsin EMS Association statistics provided on their website, during the year 2011, Emergency Medical Services (EMS) reported to 598,416 emergency calls. Just in the state of Wisconsin, EMS workers as a whole were exposed to thousands of potentially traumatizing incidences. Exploring the impacts of trauma and different treatments for workers who are impacted through their job of saving lives and responding to often devastating situations is essential to maintain a healthy mental health state.

Dr. Jeanne Brooks (2015) stated that there are large amounts stress that is continuous and can become a traumatic experience to a child. Stressful reaction produce chemicals that can negatively impact neurological development. Some events that can traumatize a person some of these are: divorce, death, abuse/neglect, disasters, accidents, and illness (Brooks, 2015). There are many factors concerning how trauma affect a person and there spirituality can help in managing them along with some other form of therapy. According to Brooks (2015), children are said to be resilient and they are able to overcome traumatic events with little and sometime no impact. Traumatic events that occur early in a person’s life has an important impact on the development

Thompson and colleagues (2009): Physical and sexual abuse was moderately positively correlated with positive symptom severity (especially grandiosity) among ethnic minority participants (N=17), while general trauma was positively correlated with affective symptoms among Caucasian participants (N=13).