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 …show more content…
Unfortunately, my office setting does not vary from those classic lyrics. The text calls the grapevine informal, yet important source of information (Robbins & Judge, 2009). There are two misconceptions I had about the grapevine idea: essentially 75% of information received by the grapevine is true information (Robbins & Judge, 2009) and gossip is rarely the source of rumors (Robbins & Judge, 2009). The interesting part of the grapevine that is particularly applicable to the situation I described is that “rumors emerge as a response to situations that are important to us, when there is ambiguity, and under conditions that around anxiety,” (Robbins & Judge, 2009). The mid-shift change of staff announcement was particularly ill-timed because the project was not approved, nor were dates set for the approval; the pilot project announcement was ambiguous. This set a motion for anxiety. The common theme with my co-workers was rumors around who was keeping his/her job and who was being let go, with many people speculating who was being fired. This rumor was damaging not only to my co-workers who were considered “the outgroup” (Robbins & Judge, 2009), but also to respect for the
Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.
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.
The intervention model that will be used for therapy session is Cognitive Behavioral Therapy (CBT). According to Rabinowitz and Cochran (2002), “CBT is a psychotherapeutic approach that addresses dysfunctional emotions, maladaptive behaviors and cognitive processes and
A major public health concern is the exposure of children in the child welfare system to potentially traumatic events. These children require trauma-informed care so as to prevent further trauma and to mitigate the effects of the traumatic effects the child is already experiencing. Both the welfare system and the parent under whom the child is placed have a role to play in ensuring this. This essay reviews two research articles that research on the impact of educating the staff in the child welfare system and the parents on trauma-informed care and how this impacts the well-being of the child.
A trauma informed model of practice should centre upon a perspective that asks the client user ‘what happened to you’ rather than ‘what is wrong with you’ (Bloom and Farragher). This approach promotes the base line for which the service should be impliemented; an approach which enable to cliet to connect how their trauma has influence their behaviour, feelings, coping mechanisim and general perspective (Felitti et al. 1998). Staff within the home should have a good degree of trauma informed care as this enable for a deeper understanding of how the trauma can impact upon the individual and allow for holistic care (Harris and Fallot, 2001) and enables better support and help reduce to protential for re-tramatisation via triggers and uncousious re-enactment of trauma (SAMHSA, 2010). Implementing the above approach the client can receive the holistic carer they require in order to begin to overcome the trauma they have experienced.
Human rights and trauma informed care must be taken into consideration when initiating any plan. The main human rights issue to consider in an education non-profit is Article 26, which states “Education shall be directed to the full development of the human personality and to the strengthening of respect for human rights and fundamental freedoms“ (National Association of Social Workers, 2016). The focus of an organization within the non-profit education sector is to improve the safety and enhance the effectiveness of schools. Article 23, which states “Everyone has the right to work, to free choice of employment, to just and favorable conditions of work and to protection against unemployment” (National Association of Social Workers, 2016), is also relevant in this sector, which often has high expectations of parental involvement
In the third case study, Sarah suffered from sexual assault when a stranger broke into her home. Like physical abuse, sexual abuse is an interpersonal trauma, which causes the most severe outcomes because the trauma is intentional. Sarah feels ashamed and guilty about the assault. She questions whether she should have resisted the attacker more when he began advancing at her. She also feels as though it is her fault for playing her music to loud which caused her to not be able to hear the intruder. After the attack, she has felt stupid and dirty and she has begun withdrawing from others including her husband and children. She thinks about the event constantly and imagines different scenarios happening. She has started experiencing intrusive
The priority population is the staff of a school where I am introducing a trauma informed care program based on a prepared program based on A.C.E.S training. All of the school staff is included in this cultural shift. This is to insure that students will be consistently treated the same way whether they have an encounter with a cafeteria worker, a paraprofessional, or a teacher. The adults in the school will be the example and the leadership that models the program to the students and it will be important to involve in them implementation process.
Realigning the Trauma Services Department to incorporate a Trauma Services Coordinator is a cost effective and innovative way to expand the injury prevention program at St. Anthony North Health Campus. Shifting the scope of the Trauma Registrar to that of a Trauma Coordinator will enhance the current outreach program with the improved job description. Furthermore, there will be better compliance with regulatory agencies, as well as an active pursuit to attain national goals to improve the health of all Americans, fulfill the mission of Centura, and realize the visions of the hospital. Most importantly, there will improved attention to the ever-growing needs of the community in regard to injury and violence prevention.
On Saturday, August 22, 2015, at approximately 1220 hours Blue Ridge Parkway Communication Center notified me of a motor vehicle collision with injuries located in Virginia at milepost 180 along the Blue Ridge Parkway. A single motor cycle operator had applied brakes, skidded and laid the motorcycle down in an effort to avoid colliding into a truck. The operator was transported by ambulance to Northern Hospital of Surry County, NC. The operator suffered a broken left humerus, broken left rib, punctured left lung and possible spleen damage. The operator was then transported to the Baptist Trauma Center in Winston Salem, NC.
The National Association of Trauma Specialists (NATS) understands that there is a magazine article circulating making claims that emergency medical care is “the most expensive operation in hospitals.” The blatant inaccuracy of this article ignores certain facts about emergency medical care. First, the magazine failed in informing its readers that emergency room physicians work for more than 70 hours a week on average. The service they render to people who need it the most is not only physically demanding and debilitating, but also they are taken away from their families. NATS continues to record higher levels of divorce, alcohol and substance use more than the other segments of the medical profession. Second, there is a high demand for emergency
The mental and physical health issues surrounding survivors of human trafficking (HT) are as complex as their trauma. With a disturbingly high occurrence of exaggerated levels of post-traumatic stress (PTSD) and other coexisting mental and physical disorders, past research illustrates how many professionals fear their training may be inadequate to treat the complexities of trauma present in adult and youth survivors. The authors also highlighted the fact that “trafficked survivors are seeking and receiving mental health services (Domoney et al., [2,4]). A lack of established, system-wide, Trauma-Informed Approach resources and training to provide survivors with the consistency in care required to heal has been recorded through two different research papers. Researchers have found assessment and treatment measures for complex trauma problems,
Total hours completed in Children’s Hope Foster Agency 28:45 hours. As I begin my internship, I notice the importance of what a social worker is. A social worker has an important role in a child new life. It’s important to know the boundaries and my professional roles.
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.
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).