Philosophy of Care : Trauma-Informed Care. What is Trauma? Trauma is. What is Trauma? Types of trauma OBJECTIVES
|
|
- Gwen Allison
- 7 years ago
- Views:
Transcription
1 OBJECTIVES Philosophy of Care : Trauma-Informed Care A training presented by the (MHRI) for the Supportive Housing Providers Association (SHPA) Develop a common language to understand and discuss trauma and signs of trauma Explore the key components of trauma-informed care Review the importance of professional boundaries and self-care Explore feelings, attitudes and challenges of supporting trauma-informed services What is Trauma? Trauma is An event may be experienced as traumatic when it is sudden, unexpected, and perceived as dangerous An event may be experienced as traumatic when the individual feels overwhelmed by the event and unable to manage the daily business of life as a result We cannot predict who will be traumatized by events typically described as traumatic What is Trauma? Key Components of traumatic experiences: - Intense feelings of fear, helplessness, lack of control - Threat to one s physical or mental well-being through violence or threat of violence - Catastrophic responses Subjective and defined by the experience of the survivor Types of trauma Acute traumatic stress -generally involves one time traumatic experience (car accident or natural disaster) Complex trauma -prolonged or multiple traumatic events; often involving a caregiver or personal relationship (neglect, physical or sexual abuse)
2 PTSD vs. Complex Trauma PTSD (DSM-IV) Event(s) that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. Complex Trauma (Herman, 1997) History of subjection to totalitarian control over a prolonged period subjected to totalitarian systems in sexual, domestic life. Examples: hostages, POWs, concentration camp survivors, survivors of some religious cults Victim of: Abuse Neglect Maltreatment Exposure to Trauma Witness: -See -Hear -Know Events that can be traumatic Lens of Trauma Sexual abuse Severe neglect Physical abuse Domestic violence Witnessed violence and cruelty to others Deprivation caused by extreme poverty Serious emotional and psychological abuse Repeated abandonment or sudden loss Rape (sexual assault) Substance use Homelessness Trauma comes in many forms including: community violence, poverty, personal violence, torture, loss of homeland, war, fear, homelessness, oppression, imprisonment, racism and environmental degradation. Trauma and Mental Illness Trauma and Substance Use Virtually universal trauma exposure (well over 90% report at least one traumatic event) Childhood sexual abuse: 52% of women and 35% of men Adult sexual assault: 64% of women and 26% of men Attacked with weapon in adulthood: 49% of men and 37% of women Witnessed killing or serious injury: 43% of men and 24% of women Physical and sexual abuse among women in substance abuse treatment programs is estimated to range from 40% to more than 90%, depending on definition of abuse and target population. (Moncrieff, et al.;1996; Najavits et al.: 1997; Rice et al. 2001; Root, 1989)
3 Trauma and Homelessness What does trauma feel like? Relationship between trauma and homelessness is bidirectional Homelessness is traumatic Homelessness can be a risk factor for re-traumatization and re-victimization In one study of the homeless population in Washington, DC, 63% of homeless women and 33% of homeless men reported having been abused by an intimate partner Intense fear Fear of complete destruction Total helplessness Profound emptiness Loss of control Total disconnection Traumatic events impact: Traumatic events impact: Feelings work on developing feeling vocabulary; manage feelings; connect to others Judgment access to insight, perspective, ability to see and weigh consequences; boundaries Beliefs what it means to feel safe, trust, have self-esteem, feel connected, and to feel in control and effective in our lives. Frame of reference identity (who am I?); world view (what is the world really like?); spirituality (what do I believe?) Memory & Perception --often fragmented; difficulty concentrating Body & Brain neurobiology -fight/flight response; survivors often feel the biological responses of fight/flight all the time, but can t act on it, leaving them in constant state of hyper-arousal, fear and anxiety; Medical chronic pain, GI distress; headaches. Assessment for Trauma What do signs or symptoms of trauma look like? Providers can increase the chances of improved outcomes for participants by following these steps: Screen for trauma Discuss the results Provide a referral Provide educational materials Follow up Everyone experiences trauma differently Survivors who exhibit trauma symptoms usually present in one of four ways: -Sad -Mad -Bad -I ve been had
4 Signs of Trauma What Do They Mean? Symptom Handout A trauma-informed model frames survivors symptoms as that person s best attempt to manage what they have experienced. What helps someone survive is a strength that person has learned and - in some way - continues to help in the present. Effects of Trauma Various factors impact effect of trauma -previous exposure to trauma -duration of the trauma -severity of the trauma -prior emotional/behavioral problems -response from caregiver/support system Why Trauma Informed? Misunderstood or ignored signs of trauma may: Interfere with help-seeking Limit engagement into services Lead to early drop out Inadvertently retraumatize people you are trying to help Other reasons? Basic Principles of Trauma-Informed Services (Harris & Fallot, 2001) Basic Principles of Trauma Informed Care Identify trauma as a defining experience that can shape a survivor s sense of self and others -Understand that problem behaviors started as understandable attempts to cope with trauma -Recognizes that such adaptations may be seen in a variety of life domains Recognize that trauma, homelessness, mental illness, substance use and other conditions are interwoven Recognize that the participant s response to trauma is an attempt to survive (a strength) what has been experienced, even when responses become problematic
5 A Trauma-Informed Framework Emphasizes A Trauma-Informed Approach Means: Respect validates survivor experiences; reduces shame; places priority on participant safety, choice and control; uses participant s language to talk about trauma; normalizes behaviors in a non-judgmental way; emphasizes resiliency in human responses to stress Information provides resources; supports participant empowerment & skill development Connection-healing power of relationships and being connected to others; open & collaborative Hope for participant and providers alike Asking participants about their experience of trauma; completing a trauma assessment. Developing service plans with trauma history in mind so that retraumatization is kept to a minimum. Recognizing and respecting when a participant is not ready to discuss trauma experiences. A Trauma-Informed Approach Means: A Trauma-Informed Approach Means: Offering trauma-informed interventions or access to such services. Assessing and planning for current safety needs. Acknowledging participants resilience as survivors and building on these skills. Providing participants opportunities to master their trauma experiences such that daily activities are not impacted. Recognizing the signs and symptoms of secondary, vicarious trauma and developing mechanisms to support staff. Revising policies and procedures to reduce barriers to providing services and employing trauma survivors. Best Practices Best Practices Be aware and sensitive to trauma and it s impact. Explain why you are asking about trauma experienced. Recognize when someone is becoming re-traumatized and provide needed supports. Assess current safety and collaboratively develop plans and skills to establish safety. Connect participant to community supports; build support network. Know your areas of expertise. If the participant chooses, establish connections to trauma specific services available in the community. Recognize trauma impacts individuals differently signs and symptoms of traumatic response may vary as well as onset of symptoms; many individuals exposed to traumatic events will not experience troublesome symptoms as a result of exposure. Ask the participant what support they have found helpful in the past. Acknowledge the resiliency needed to survive trauma and build on these skills and strengths.
6 What does all of this mean for our work? Traumatic events call into question basic human relationships. They breach the attachments of family, friendship, love and community. -Judith Herman What does all of this mean for our work? We work to establish relationships with participants who may have been humiliated, hurt and betrayed by those who are supposed to be counted on for safety and protection What are the challenges in engaging these participants when providers have proven untrustworthy in the past? What responsibilities do you have when engaging these participants in a relationship? The Role of Power in the Provider Relationship As a provider we hold power over the participant Participants who have experienced trauma have learned how to survive relationships with others who have more power so that they are able to get their needs met Expect the participant to tell us what we want to hear and do the right thing. We can model a new way. What is a Boundary? noun, plural -ries. 1. something that indicates bounds or limits; a limiting or bounding line. We draw invisible lines to set these limits: physically, emotionally, and verbally Boundaries are a necessary part of relationships Most traumatic events are an inherent violation of boundaries Why do we establish boundaries? Our assumptions on boundaries To develop relationships based on mutual respect that ensure safety, consistency and predictability Assume a participant s understanding of relationship norms might differ from yours Past history of trauma may cause a participant to look at a provider as an abuser this is what trauma has taught them
7 How do we establish boundaries? Building Trust and Being Trustworthy In conjunction with the participant we establish expectations for the relationship We act consistently and predictably We uphold our boundaries even when the participant challenges them (The participant may invite boundary violations that feel normal to them this is an opportunity to see how the participant views relationships) On-going process trust also reflects self-trust Assume distrust is earned and honor that distrust Own your mistakes, acknowledge them and fix mistakes when possible (be the opposite of the perpetrator) Myths about trust Myths vs. Reality of Trust Myth Reality Trust is soft. Trust is hard, real and quantifiable. Trust is slow. Nothing is as fast as the speed of trust. Trust is built solely on integrity. Trust is a function of both character and competence. You either have trust of you don t. Trust can be both created and destroyed. Once lost, trust cannot be restored. Though difficult, in most cases lost trust can be restored. You can t teach trust. Trust can be effectively taught and learned and it can become a leverageable, strategic advantage. Trusting people is too risky. Not trusting people is a greater risk. You establish trust one person at a time. Establishing trust with the one, establishes trust with the many. Burnout Challenges of working with survivors of trauma Vicarious Trauma Burnout Vicarious Trauma Caused by a lack of balance between the demands of the work environment and the provider s need for self-care and support Develops GRADUALLY. The enduring psychological consequences for therapists of exposure to the traumatic experiences of clients. Persons who work with survivors may experience profound psychological effects, effects that can be disruptive and painful for the helper and persist for months or years after the work with the traumatized person. (McCann and Pearlmann, 1990). Develops GRADUALLY
8 Assumptions and Silencing the Response Refers to the reaction and series of assumptions that guide the caregiver to: re-direct, shutdown, minimize, or neglect the traumatic material brought by the participant Can be active or passive: failing to assess for trauma and trauma symptoms or by recognizing the trauma and placing attention elsewhere Assumptions Assumptions: I cannot do anything about it anyway, bad things happen to bad people, I will be destroyed if I hear about the event or let it affect me, it is too terrible to be true, violates my worldview, I/participant just needs to get over it, if it can happen to this participant then it can happen to me, I am a bad person/helper. How do we silence ourselves and the participant? Cycle of Silence Avoiding the topic and changing the subject Providing pat answers Minimizing our distress or the participant s distress Faking interest or boredom Wishing the participant would get over it Angry or sarcastic with participant Humor to minimize Blaming self or participant for their experiences Not believing self or participant Worker silences the participant Supervisor silences the worker Worker silences the worker Community silences the Worker and the participant What Can You Do? Prevention and Management Normalize trauma Help the participant tell their story Link signs of trauma or images with past events Name feelings experienced Be curious and respectful of desire to talk about experiences Connect participants to others, peers, support, safety-net Be vigilant about safety develop a plan Know the signs Maintain boundaries Monitor caseloads Balance work activities Supervision, Supervision, Supervision Note resiliency in self and participants Holding hope for ourselves and participants Training
9 Three stages: Trauma-Specific Services Establishment of safety Remembrance and mourning Reconnection with everyday life (Herman, 1992) Trauma-Specific Treatment Models Addictions and Trauma Recovery Integration Model ATRIUM (Miller & Guidry, 2001) Helping Women Recover HWR (Covington, 1999) Seeking Safety (Najavits, 2002) Trauma Recovery and Empowerment Model TREM (Harris, 1998)
Substance Abuse and Sexual Violence:
Substance Abuse and Sexual Violence: The Need for Integration When Treating Survivors Kelli Hood, M.A. Objective To understand the necessity for therapeutic strategies in clients with cooccurring Substance
More informationThere are several types of trauma that can occur when people experience difficult life changing
Trauma Informed Services Part 1 The Hidden Aspect of Addiction Many individuals struggling with addiction have personal and family histories of trauma including sexual, emotional, and/or physical abuse
More informationTrauma Informed Care: Top 10 Tips for Caregivers and Case Managers. Dr. David Ott Christina Suarez, LCSW Kimberly Brien
Trauma Informed Care: Top 10 Tips for Caregivers and Case Managers Dr. David Ott Christina Suarez, LCSW Kimberly Brien Our Goals Today Provide information about concepts associated with trauma informed
More informationGuide to Completing the Agency Self-Assessment
Guide to Completing the Agency Self-Assessment Purpose The Agency Self-Assessment for Trauma-Informed Care is intended to be a tool that will help you assess your organization s readiness to implement
More informationEssential Trauma Informed Practices in Schools. Shannon Cronn, N.C.S.P. Barb Iversen, M.C.
Essential Trauma Informed Practices in Schools Shannon Cronn, N.C.S.P. Barb Iversen, M.C. Objectives: Participants attending this session will be able to: Define trauma Explain how trauma may impact child/teen
More informationAssessing families and treating trauma in substance abusing families
Children, Trauma and the impact of Substance abuse Day One Outpatient (874-1045) Amy Stevenson LCPC CCS (amys@day-one.org) Don Burke LCPC CCS (donb@day-one.org) Assessing families and treating trauma in
More information7/15/2010. 11 th Annual Summer Institute Sedona, AZ July 21, 2010. July 21, 2010 Sedona, AZ Workshop 1
The Addiction-Trauma Connection: Spirals of and Healing Stephanie S. Covington, Ph.D., L.C.S.W. Center for Gender and Justice Institute for Relational Development La Jolla, CA 11 th Annual Summer Institute
More informationFACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS
FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking
More informationFamily Violence. Understanding the Issue. Equay-wuk (Women s Group) 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4
Equay-wuk (Women s Group) Family Violence Understanding the Issue 16 Fourth Avenue P.O. Box 1781 Sioux Lookout ON P8T 1C4 Phone: (807) 737-2214 Toll Free: 1-800-261-8294 Fax: (807) 737-2699 E-Mail: equaywuk@bellnet.ca
More informationWHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD
WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a
More informationSECTION I. FUNDAMENTALS
INTRODUCTION TO TRAUMA AND TRAUMA-INFORMED PRACTICES CHAPTER 1 As a peer supporter, many of the women you work with will have experienced some form of violence or trauma in their lives. Perhaps you have
More informationDr. Elizabeth Gruber Dr. Dawn Moeller. California University of PA. ACCA Conference 2012
Dr. Elizabeth Gruber Dr. Dawn Moeller California University of PA ACCA Conference 2012 http://www.youtube.com/watch?v=9rpisdwsotu Dissociative Identity Disorder- case presentation Diagnostic criteria Recognize
More informationUSVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD)
USVH Disease of the Week #1: Posttraumatic Stress Disorder (PTSD) Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By: Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D. When people find
More informationTrauma 101 PowerPoint User s Guide
Trauma 101 PowerPoint User s Guide In an effort to further the goal of creating a trauma informed state, the Trauma Informed Care Project Training Subcommittee, as part of the Trauma Informed Care Project
More informationTIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma
TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma Introduction The events of September 11, 2001, have reminded Americans that they are vulnerable to international terrorism and
More informationTrauma and the Family: Listening and learning from families impacted by psychological trauma. Focus Group Report
Trauma and the Family: Listening and learning from families impacted by psychological trauma Focus Group Report A summary of reflections and remarks made by Baltimore City families impacted by trauma and
More informationCHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment
CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining
More informationStephanie S. Covington, Ph.D., L.C.S.W. Center for Gender and Justice Institute for Relational Development La Jolla, CA
Women, Girls & Trauma: A Gender-responsive responsive Approach Stephanie S. Covington, Ph.D., L.C.S.W. Center for Gender and Justice Institute for Relational Development La Jolla, CA Office of Women s
More informationDo you help people recover from trauma? training programs
Do you help people recover from trauma? 2015 training programs Do you or your staff help people who have experienced trauma? Phoenix Australia s training programs teach the skills required by a range of
More informationTrauma-Informed Program Self-Assessment Scale Version 1.4 (5-06) Community Connections (DRAFT: Not for circulation without permission)
Domain 1. Program Procedures and Settings: To what extent are activities and settings consistent with five guiding principles of trauma-informed practice: safety, trustworthiness, choice, collaboration,
More informationPsychological First Aid Red Cross Preparedness Academy 2014
Caring for Survivors of Trauma and Disaster: An Introduction to Psychological First Aid Biographical Information Rev. William F. Engfehr III LutheranChurch MissouriSynod DisasterResponseChaplain Senior
More informationSOCIAL WORK PRACTICE AND DOMESTIC VIOLENCE
SOCIAL WORK PRACTICE AND DOMESTIC VIOLENCE Working with Children and Families Mary Kate Barry, IASW 2015 How are you? Grand Ask me In the hospital Please ask me In the clinic In the church Ask me, ask
More informationHarm Reduction Strategies to Address Anxiety and Trauma. Presented by Jodi K. Brightheart, MSW
Harm Reduction Strategies to Address Anxiety and Trauma Presented by Jodi K. Brightheart, MSW What would you diagnose a client with the following symptoms? Frantic efforts to avoid being abandoned by friends
More informationH5NC 04 (SCDHS0024) Support the Safeguarding of Individuals
H5NC 04 (SCDHS0024) Support the Safeguarding of Individuals Overview This standard identifies the requirements associated with safeguarding which must permeate all your work with individuals. The standard
More informationWhat is Narrative Exposure Therapy (NET)?
What is Narrative Exposure Therapy (NET)? Overview NET is a culturally universal short-term intervention used for the reduction of traumatic stress symptoms in survivors of organised violence, torture,
More information1) What is the difference between compassion fatigue, vicarious trauma and burnout?
Compassion Fatigue Q&A What is compassion fatigue? Compassion fatigue has been described as cost of caring" for others in emotional pain. (Figley, 1982) The helping field has gradually begun to recognize
More informationTestifying in Court about Trauma: How to Prepare
Testifying in Court about Trauma: How to Prepare It is critical that therapists willingly go to court to try to impart their knowledge to the judge. The judge will only make a good decision if he or she
More informationSCDLMCB3 Lead and manage the provision of care services that deals effectively with transitions and significant life events
Lead and manage the provision of care services that deals effectively with transitions and significant life events Overview This standard identifies the requirements associated with leading and managing
More informationCritical Incidents. Information for schools from Derbyshire Educational Psychology Service
Critical Incidents Information for schools from Derbyshire Educational Psychology Service Introduction to Critical Incidents A critical incident (CI) is any event that is unexpected, acute, stressful and
More informationTraumatic Stress. and Substance Use Problems
Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people
More informationTreatment of Complex PTSD and Dissociative Disorders in Clinical Practice. Victor Welzant, Psy.D
Treatment of Complex PTSD and Dissociative Disorders in Clinical Practice Victor Welzant, Psy.D Trauma Spectrum Peritraumatic reactions (dissociation, arousal, freezing, performance) Posttraumatic reactions
More informationStalking 101: Understanding the lethality of stalking in today s world
Stalking 101: Understanding the lethality of stalking in today s world Objectives Participants will be able to recognize the dynamics of stalking and the its impact on victims Participants will understand
More informationTHE CAUSES OF DRUG ADDICTION
1 Statistical facts associated with addiction and substance abuse are concerning, but many men and women choose to ignore the dangers. By understanding the main causes of addiction to drugs, it is possible
More informationPost Traumatic Stress Disorder and Substance Abuse. Impacts ALL LEVELS of Leadership
Post Traumatic Stress Disorder and Substance Abuse Impacts ALL LEVELS of Leadership What IS Post Traumatic Stress Disorder (PTSD) PTSD is an illness which sometimes occurs after a traumatic event such
More informationSAMPLE TRAINING TOPICS
SAMPLE TRAINING TOPICS AND HANDOUTS Here are some sample topics for use in training advocates and other community providers about multi-abuse trauma issues, along with suggestions for handouts to use with
More informationChild Welfare Trauma Referral Tool
Module 4, Activity 4F; Module 4, Activity 4G Child Welfare Trauma Referral Tool This measure is designed to help child welfare workers make more trauma-informed decisions about the need for referral to
More informationPresented to Compassionate Care Conference By Bill Cross PhD LMFT
Presented to Compassionate Care Conference By Bill Cross PhD LMFT This is the Perfect Time This is the Perfect Place This is the Perfect Teaching This is the Perfect Teacher This is the Perfect Student
More informationPost-Traumatic Stress Disorder (PTSD)
Post-Traumatic Stress Disorder (PTSD) Post traumatic stress disorder is a condition where you have recurring distressing memories, flashbacks, and other symptoms after suffering a traumatic event. Treatment
More informationSession Seven - Problem-Solving Skills for Families
105 Session Seven - Problem-Solving Skills for Families Materials Needed: Handout L: Problem-Solving Skills As the popular bumper sticker says, Stuff happens. Problems are an inevitable part of life, and
More informationWorkshop 1: In the Beginning: What Happens Early Matters
Workshop 1: In the Beginning: What Happens Early Matters This session offers participants an overview of early childhood mental health through the examination of Guiding Principles in Infant Mental Health
More informationHealing the Invisible Wound. Recovery and Rehabilitation from a Post Traumatic. Stress Injury. By Dr. Amy Menna
Healing the Invisible Wound Recovery and Rehabilitation from a Post Traumatic Stress Injury By Dr. Amy Menna Post Traumatic Stress Disorder can affect anyone. It is a term used to describe a reaction to
More informationTRAUMA & ADDICTION. written for. American Academy of Health Care Providers in the Addictive Disorders. Sandra H. Colen, LCSW, Dip-CFC, CAS
TRAUMA & ADDICTION written for American Academy of Health Care Providers in the Addictive Disorders by Sandra H. Colen, LCSW, Dip-CFC, CAS December 22, 2014 Purpose The purpose of this paper is to present
More information2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member
Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance
More informationHandout: Risk. Predisposing factors in children include: Genetic Influences
Handout: Risk The more risk factors to which a child is exposed the greater their vulnerability to mental health problems. Risk does not cause mental health problems but it is cumulative and does predispose
More informationTHE EFFECTS OF FAMILY VIOLENCE ON CHILDREN. Where Does It Hurt?
THE EFFECTS OF FAMILY VIOLENCE ON CHILDREN Where Does It Hurt? Child Abuse Hurts Us All Every child has the right to be nurtured and to be safe. According to: Family Violence in Canada: A Statistical Profile
More informationH5PJ 04 (SCDHSC0045) Lead practice That Promotes the Safeguarding of Individuals
H5PJ 04 (SCDHSC0045) Lead practice That Promotes the Safeguarding of Individuals Overview This standard identifies the requirements associated with safeguarding which must permeate all your work with individuals.
More informationFOCUSING AND ART THERAPY: TOOLS FOR WORKING THROUGH POST-TRAUMATIC STRESS DISORDER
FOCUSING AND ART THERAPY: TOOLS FOR WORKING THROUGH POST-TRAUMATIC STRESS DISORDER By Laury Rappaport, Ph.D., ATR Focusing Folio,. Vol. 17, No. 1, 1998 Focusing and art therapy are both tools and processes
More informationProtection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India -
Protection of the Rights of Children and Women Suffering from Drug Addiction in the Family and Society - Shelter Don Bosco, Mumbai, India - Article 24 of the Convention on the Rights of the Child recognizes
More informationDevelopment of an Empowerment Program for Survivors of Sexual Violence
Development of an Empowerment Program for Survivors of Sexual Violence Vicki Hummer Director, Training & Outreach & Angelina Rivera Empowerment Services Coordinator FCASV Biennial Summit 2014 Community
More informationWorking with Substance Abusing Mothers: A Trauma-Informed, Gender-Responsive Approach
Working with Substance Abusing Mothers: A Trauma-Informed, Gender-Responsive Approach By Stephanie Covington, PhD., L.C.S.W. Co-Director Institute for Relational Development Center for Gender and Justice
More informationHow Emotional/ Psychological Trauma Affects the Body
How Emotional/ Psychological Trauma Affects the Body Objectives: Define trauma What is the relationship between physical health and PTSD? Identify how trauma is assessed/screened How can family members
More information. Maryland Department of Human Resources FY2015 Title IV-E Training Updates (January-June 2015)
. Maryland Department of Human Resources FY2015 Title IV-E Training Updates (January-June 2015) In-service Instruction Courses 1 Advanced CPS Risk Assessment Interviewing This workshop offers intense practice
More informationGENDER-RESPONSIVE ASSESSMENT AND TREATMENT FOR JUSTICE-INVOLVED WOMEN IN COMMUNITY SUPERVISION
GENDER-RESPONSIVE ASSESSMENT AND TREATMENT FOR JUSTICE-INVOLVED WOMEN IN COMMUNITY SUPERVISION Krista Gehring, Ph.D. Assistant Professor Department of Criminal Justice University of Houston-Downtown January
More informationTool kit Domestic Violence
Tool kit Domestic Violence A self-help resource to help people living with domestic violence Lifeline s domestic violence tool kit provides information about: Understanding what domestic violence is Developing
More informationDomestic Violence, Mental Health and Substance Abuse
Domestic Violence, Mental Health and Substance Abuse Sue Parry, PhD NYS Office for the Prevention of Domestic Violence Why does domestic violence (DV) have so many mental health effects? Put yourself in
More informationCo-occurring Substance Use Disorders and Domestic Violence
Co-occurring Substance Use Disorders and Domestic Violence While there is no causal link between domestic violence and substance abuse there is a significant correlation which must be addressed simultaneously.
More informationOverview. Psychology 460 Counseling & Interviewing. Counseling for the Counselor. The Effective Counselor. The Counselor s Values
Psychology 460 Counseling & Interviewing Sheila. K. Grant, Ph.D. Overview Intro: The Effective Counselor Intro: Counseling for the Counselor Intro: The Counselor s Values Intro: Multicultural Counseling
More informationTrauma FAQs. Content. 1. What is trauma? 2. What events are traumatic?
Trauma FAQs Content 1. What is trauma? 2. What events are traumatic? 3. Who experiences trauma? 4. What are symptoms of trauma? 5. How can I help someone who may be experiencing trauma? 6. Where can people
More informationPsychiatric Issues and Defense Base Act Claims. Dr. Michael Hilton
Psychiatric Issues and Defense Base Act Claims Dr. Michael Hilton Criteria for DSM-IVRPosttraumatic Stress Disorder with changes now in effect with DSM5 a. The person has been exposed to a traumatic event
More informationHelping Families Deal with Stress Related to Disasters
Helping Families Deal with Stress Related to Disasters Diana DelCampo, Ph.D., Child Development and Family Life Specialist ddelcamp@nmsu.edu A disaster is an event that: Involves the destruction of property,
More informationPolicy for Preventing and Managing Critical Incident Stress
Policy for Preventing and Managing Critical Incident Stress Document reference number HSAG 2012/3 Document developed by Revision number 1.0 Document approved by Consultation with 14 September 2012 Presented
More informationCHILD NEGLECT. Types of Neglect
CHILD NEGLECT At 64%, child neglect is the most frequently identified type of child maltreatment in the United States. It is estimated at 917,200 cases or an estimated incidence rate of 14.6 per 1,000
More informationCreating Dialogical Space in Working with Domestic Violence. Justine van Lawick
Creating Dialogical Space in Working with Domestic Violence. Justine van Lawick Dynamic of Domestic violence Children in the middle Children that witness the violence of their parents Fighting parents
More informationSuzanne R. Merlis, Psy. D. Georgia-LLC Licensed Psychologist
Suzanne R. Merlis, Psy. D. Georgia-LLC Licensed Psychologist If going to asylum officer at affirmative stage: ASYLUM OFFICER, ARLINGTON ASYLUM OFFICE In the Matter of Mr. X Respondent If referred to judge:
More informationPsychological First Aid Training. For Emergency Responders
Psychological First Aid Training For Emergency Responders Overview What You Will Learn Impact of disaster on communities Psychological First Aid When to refer Disaster do s/don ts Taking care of self and
More informationNinon Yale Clinical Nurse Specialist Trauma Program McGill University Health Centre Sept. 27, 2012
Ninon Yale Clinical Nurse Specialist Trauma Program McGill University Health Centre Sept. 27, 2012 Suicide in Québec Québec is the Canadian province with the highest suicide rate Affects all age groups
More informationModel Safeguarding Policy and Procedure for Smaller Voluntary and Community Groups
Introduction Model Safeguarding Policy and Procedure for Smaller Voluntary and Community Groups This NAME OF ORGANISATION policy follows guidelines set out in Bath & North East Somerset (B&NES) Safeguarding
More informationThe Amazing Brain: Trauma and the Potential for Healing. By Linda Burgess Chamberlain, PhD, MPH
The Amazing Brain: Trauma and the Potential for Healing By Linda Burgess Chamberlain, PhD, MPH A baby s brain is like a flower ready to bloom. From the first moments of life, a baby s brain is absorbing
More informationPost Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD
Post Traumatic Stress Disorder (PTSD) Karen Elmore MD Robert K. Schneider MD Revised 5-11-2001 by Robert K. Schneider MD Definition and Criteria PTSD is unlike any other anxiety disorder. It requires that
More informationSCDLMCB2 Lead and manage service provision that promotes the well being of individuals
Lead and manage service provision that promotes the well being of Overview This standard identifies the requirements associated with leading and managing practice that supports the health and well being
More informationThe United Nations (UN) broadly defines human trafficking as the acquisition of people by
Psychological Impact of Human Trafficking and Sex Slavery Worldwide: Empowerment and Intervention Leah Kaylor Intern from John Jay College of Criminal Justice New York, NY The United Nations (UN) broadly
More informationRestorative Parenting: Engaging Parents & Families of
Restorative Parenting: Engaging Parents & Families of Restorativ e Homeless Youth The 7 Minute Movie Trailer Parenting David Mathews, PsyD, LICSW Program Director Bridge for Youth Perspectives The Goal
More informationAppendix 5. Victim Impact
Appendix 5 Victim Impact ACQUAINTANCE RAPE: THE VICTIM Gail Abarbanel Director Rape Treatment Center Santa Monica-UCLA Medical Center Issues in Acquaintance Rapes Not common perception of rape Not real
More informationTraumatic Stress with Alcohol and/or Drug Addiction
Traumatic Stress with Alcohol and/or Drug Addiction information for individuals and families Eastern Trauma Advisory Panel What is Post Traumatic Stress Disorder (PTSD)? How people react to a traumatic
More informationTalking to our children about Violence and Terrorism: Living in Anxious times
Talking to our children about Violence and Terrorism: Living in Anxious times Living in Anxious Times: Introductory Remarks Since the September 11 attack America has changed. Children and adults alike
More informationBy Brianne Masselli and Johanna Bergan Youth M.O.V.E. National. A Guide for Youth. Understanding Trauma
By Brianne Masselli and Johanna Bergan Youth M.O.V.E. National A Guide for Youth Understanding Trauma For National Technical Assistance Center for Children s Mental Health Georgetown University Center
More informationAre You In An Emotionally Destructive Relationship?
Are You In An Emotionally Destructive Relationship? By Leslie Vernick From Chapter 1 The Emotionally Destructive Relationship Seeing It! Stopping It! Surviving It! (Harvest House Publishers 2007) Complete
More informationSpeaker notes from Indigo Daya at the Borderline Personality Disorder What Works Conference, 2014.
Speaker notes from Indigo Daya at the Borderline Personality Disorder What Works Conference, 2014. 1 Talking about trauma can be difficult for everyone. The existence and scale of traumatic events can
More informationDefinitions of Child Abuse in the State of Oregon
Definitions of Child Abuse in the State of Oregon Oregon law defines physical abuse as an injury to a child that is not accidental. Most parents do not intend to hurt their children, but abuse is defined
More informationAntisocial personality disorder
Page 1 of 7 Diseases and Conditions Antisocial personality disorder By Mayo Clinic Staff Antisocial personality disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving
More informationWomen, Substance Abuse and Trauma: An Integrated Treatment Approach. Treatment Approach
Women, Substance Abuse and Trauma: An Integrated Treatment Approach Treatment Approach Carol Ackley, LADC Stephanie S. Covington, Ph.D., LCSW Institute for Relational Development Center for Gender & Justice
More informationHELPING YOUNG CHILDREN COPE WITH TRAUMA
HELPING YOUNG CHILDREN COPE WITH TRAUMA Disasters are upsetting to everyone involved. Children, older people, and/or people with disabilities are especially at risk. For a child, his or her view of the
More informationWhat is Jealousy? Jealousy
1 What is Jealousy? The focus of this book is to understand and recover from the emotion of jealousy within a relationship/marriage/partnership. Step 1 will concentrate on jealousy. Step 2 will concentrate
More informationBystander Intervention
Bystander Intervention T Y P E S 1 Common Components 2 What is Bystander Intervention 3 Techniques to Try 4 Steps to Action 5 Who you can contact for more information regarding bystander intervention and
More informationManaging Vicarious Trauma and Compassion Fatigue
Managing Vicarious Trauma and Compassion Fatigue Heather M. Helm, PhD, LPC, RPT-S I used to believe the world was basically fair and that people were basically good. Now I think fate is fickle and I don
More informationRestorative Parenting: A Group Facilitation Curriculum Activities Dave Mathews, Psy.D., LICSW
Restorative Parenting: A Group Facilitation Curriculum Activities Dave Mathews, Psy.D., LICSW RP Activities 1. Framework of Resourcefulness 2. Identifying the Broken Contract Articles 3. The Process of
More informationSample Emergency and Critical Incident Policy and Procedure
Sample Emergency and Critical Incident Policy and Procedure 1. Purpose and Scope Emergencies and critical incidents in the workplace can affect people physically and psychologically, and affect program
More informationThe Forgotten Worker: Veteran
The Forgotten Worker: Veteran Larry Ashley & Meghan Pierce University of Nevada, Las Vegas Veteran Workforce Statistics The unemployment rate of veterans from all eras is 8.7% (Bureau of Labor Statistics,
More informationPolicy Perspective Treatment and Recovery for Individuals and Families Experiencing Addiction January 11, 2016
Policy Perspective Treatment and Recovery for Individuals and Families Experiencing Addiction January 11, 2016 Addiction and Recovery in the 2016 political arena The issue of addiction has been addressed
More informationUnderstanding PTSD and the PDS Assessment
ProFiles PUTTING ASSESSMENTS TO WORK PDS TEST Understanding PTSD and the PDS Assessment Recurring nightmares. Angry outbursts. Easily startled. These are among the many symptoms associated with Post Traumatic
More informationCritical Incident Peer Support
Critical Incident Peer Support Agency Administrator s Briefing Critical Incidents A critical incident is any unexpected, traumatic event that affects an individual s feelings of personal safety, their
More informationLong Term Effects of Abuse and Trauma
Long Term Effects of Abuse and Trauma The American Psychiatric Association s Diagnostic and Statistical Manual, Revised (DSM-IV-R) defines a traumatic event as one in which a person experiences, witnesses,
More informationReturning to Work is a Lot of Work
Returning to Work is a Lot of Work Back in Motion Rehab Inc. January 2014 Returning to Work is a Lot of Work! There are a lot of reasons people have to take time off work. Sometimes people experience injuries
More informationMaryland s T.A.M.A.R Program
Maryland s T.A.M.A.R Program Trauma, Addictions, Mental Health, and Recovery Presenter Alisha F. Saulsbury, LCSW - C T.A.M.A.R. Trauma Specialist/Clinical Supervisor For All Seasons Mental Health Clinic
More informationAfter Sexual Assault. A Recovery Guide for Survivors SAFE HORIZON. 24-Hour Hotline: 212 227 3000. www.safehorizon.org
After Sexual Assault A Recovery Guide for Survivors SAFE HORIZON 24-Hour Hotline: 212 227 3000 www.safehorizon.org SAFE HORIZON hopes this guide will help the recovery of anyone whose life has been affected
More informationEaton County Youth Facility Intensive Substance Abuse Treatment Program
Eaton County Youth Facility Intensive Substance Abuse Treatment Program FOCUS ON TREATMENT The Eaton County Youth Facility (ECYF) Intensive Substance Abuse Residential Treatment Program will help your
More informationTrauma and Stress Reduction Training
Trauma and Stress Reduction Training Facilitator: David Conrad, LCSW Consultant, Colorado Division of Child Welfare, 2000-present Senior Instructor, JFK Partners/ Dept. of Pediatrics University of Colorado
More informationCo-dependency. Fact Sheet on co-dependency from Mental Health America:
Co-dependency Fact Sheet on co-dependency from Mental Health America: Co-dependency is a learned behavior that can be passed down from one generation to another. It is an emotional and behavioral condition
More informationMODULE 1.3 WHAT IS MENTAL HEALTH?
MODULE 1.3 WHAT IS MENTAL HEALTH? Why improve mental health in secondary school? The importance of mental health in all our lives Mental health is a positive and productive state of mind that allows an
More informationWorkforce Development Online Workshop Descriptions
Workforce Development Online Workshop Descriptions Behavioral Health Service Delivery Workshops: The Effects of Violence Exposure on Children (1.5 hours) Regretfully, violence against children and youth
More information