The Philosophical Underpinnings Of Trauma Informed Care

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,

It is critical that clinicians be able to identify history of trauma in clients with psychotic disorders (Putts, 2014, p.83). Researchers reviewed the clients’ charts and found that in clients with at least one hospitalization related to psychiatric issues there was an 87.2% exposure to trauma identified by the researchers versus a 28% exposure to trauma identified by clinicians (Putts, 2014, p.83). The lack of recognition of exposure to trauma by clinicians has a significant impact in client’s experience during treatment because many of them lack the skills to bring up the topic for discussion during counseling, and many other clients are not even aware of the relationship between their traumatic experiences, and how those experiences have

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?

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

The term “Psychological trauma” refers to damage wrought from a traumatic event, which that damages one’s ability to cope with stressors. “Trauma” is commonly defined as an exposure to a situation in which a person is confronted with an event that involves actual or threatened death or serious injury, or a threat to self or others’ physical well-being (American Psychiatric Association, 2000). Specific types of client trauma frequently encountered by which therapists and other mental health workers frequently encounter in a clinical setting include sexual abuse, physical , or sexual assault, natural disasters such as earthquakes or tsunamis, domestic violence, and school or/and work related violence (James & Gilliland, 2001). Traumatic

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.

As children go through life, they will come upon stressful situations and experiences. Many children will work through the challenges that life brings, build resilience and move forward, however, some children may experience more extreme traumatic events that can result in life difficulties due to serious trauma symptoms that are much harder to manage. Trauma-Focused-Cognitive Behavioral Therapy is an evidence based treatment model designed to help youth who have experienced a significantly traumatic life event. TF-CBT uses skills and strength based therapy to address symptoms of post-traumatic stress disorder (PTSD), depression and anxiety (Cohen et al, 2006). This research is an examination of trauma focused cognitive behavior therapy as a model of practice including the areas of history and development of the model, its relationship with other models of practice, considerations of appropriate populations, methods and components for treatment, effectiveness of the intervention and relevance for social work practice.

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

An apartment complex in Denver, Colorado is testing out a new approach to addressing homelessness by introducing trauma-informed care principles into housing.

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.

Military Sexual Trauma (MST) impacts a Veteran’s quality of life as well as their physical health. Longitudinal studies demonstrate that Veterans’ experiencing MST have seven times the likelihood of co-existing post-traumatic stress disorder (PTSD), social phobia, depression and generalized anxiety. Moreover, Veterans suffering from MST are at higher risk for intimate partner violence (IPV), substance use, suicidal behavior and self-inflicted injury. Accordingly, alterations in emotional and cognitive functioning due to traumatic experience impair a Veteran’s ability to adhere to prescribed treatments impacting their physical and emotional well-being. The evidence regarding a need to provide comprehensive supports to help Veterans understand

Whether or whether not women speak up, doesn’t change the fact that it is happening in the military. Women in general deal with the effects of sexual trauma, but military women may have to re-live it on a day to day basis. As quoted in the article, perpetrators are typically other military personnel, and victims often must continue to live and work with their assailants daily (para. 5). Because of the seriousness of MST, each VA hospital now has a designated coordinator to oversee MST screening and treatment (para. 5). The authors purpose is ultimately to study the VHA’S MST program. It provides the opportunity to investigate the screenings for sexual violence (para. 2). It is very important that women with MST are able to get some type of help, and medication for the after effects of the traumatic experiences they endured while in the

This treatment approach is based on cognitive and learning theories, tackling-misleading beliefs related to the traumatic events of acknowledgments related to the abuse and provides a supportive environment of which individuals are encouraged to talk about their traumatic experience. A numerous amount of research has been carried out to investigate into how effective CBT really can be for PTSD. (Resick et al, 2002) carried out an investigation comparing CBT with strong cognitive restructuring focus and CBT with a strong exposure focus and to a waiting-list control of rape survivors. Prior to this experiment approximately 80% of patients who completed either form of CBT no longer met the criteria for PTSD. Once this investigation was complete a follow up treatment took place of which it was noted 2% of the waiting list group had lost the PTSD diagnoses. Only a year after this investigation Bryant, Moulds, Guthrie, Dang & Nixon, (2003) restructured the experiment comparing exposure alone, exposure plus cognitive restructuring, and supportive counselling in civilians with PTSD resulting from various traumatic events. At this particular follow up 65-80% of participants who either completed either form of CBT were now clear of PTSD diagnosis, compared to less than 40% of those who completed supportive counselling.

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.

While pursuing my Master’s degree, I completed my field experience at Family Continuity Mental Health Clinic located in Whitinsville, Massachusetts, where I was able to work with adults, children, families, and groups of low socioeconomic status who have experienced trauma of some sort at one point or another throughout their lives. Moreover, the individuals I worked with were largely disempowered, lacked insight on their psychological distress, were victims of social injustice and were mostly