Forty-three spiritually distressed older women (aged 55-83) who had survived multiple types of in... more Forty-three spiritually distressed older women (aged 55-83) who had survived multiple types of interpersonal trauma participated in a spiritually focused group intervention designed to address spiritual struggles related to earlier abuse and to enhance spiritual coping. It was hypothesized that the intervention would increase spiritual well-being and that religious/spiritual coping would mediate the relationship between the intervention and the outcomes of depression, posttraumatic stress, anxiety, somatic symptoms, and spiritual well-being. The results provide strong initial support for the importance of understanding the effect of negative religious/ spiritual coping on depression and anxiety symptoms in older religious survivors of interpersonal trauma.
Forty-three spiritually distressed older women (aged 55–83) who had survived multiple types of in... more Forty-three spiritually distressed older women (aged 55–83) who had survived multiple types of interpersonal trauma participated in a spiritually focused group intervention designed to address spiritual struggles related to earlier abuse and to enhance spiritual coping. It was hypothesized that the intervention would increase spiritual well-being and that religious/spiritual coping would mediate the relationship between the intervention and the outcomes of depression, posttraumatic stress, anxiety, somatic symptoms, and spiritual well-being. The results provide strong initial support for the importance of understanding the effect of negative religious/spiritual coping on depression and anxiety symptoms in older religious survivors of interpersonal trauma.
Information salience refers to the implicational relationship between the content of the stimulus... more Information salience refers to the implicational relationship between the content of the stimulus attributes describing a person and the judgment of the person that is being made. The influence of this content factor on order effects in impression formation was examined. Subjects rated their liking or respect for stimulus persons, descriptions of whom were varied in terms of both evaluative sequence and the content dimensions represented by the attributes. Results supported predictions based on the information salience concept.
Addresses the importance of increased attention to religious and spiritual dimensions of experien... more Addresses the importance of increased attention to religious and spiritual dimensions of experience in developing and implementing mental health services that are responsive to the needs of individuals with serious mental illness. Consumers' accounts of the various functions of spirituality provide important guides to offering assessment, planning, therapeutic, and rehabilitative services that are more sensitive to religious concerns. The integration of spirituality can play a key role in mental health programs as comprehensive, empowerment-focused, and culturally attuned approaches to recovery from mental illness become more widely adopted. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
DESCRIPTION This document is a fidelity scale closely tied to the Creating Cultures of Trauma-Inf... more DESCRIPTION This document is a fidelity scale closely tied to the Creating Cultures of Trauma-Informed Care model. It includes ways to gauge an organization's safety, trustworthiness, choice, collaboration, and empowerment for both staff and service recipients. It also addresses domains of formal service policies and procedures, trauma screening and assessment, administrative support for trauma-informed change, trauma education, and human resources practices The document is accompanied by an instructional guide to its use.
DESCRIPTION This instruction guide is designed to accompany and explain the use of the fidelity s... more DESCRIPTION This instruction guide is designed to accompany and explain the use of the fidelity scale rating system of the Creating Cultures of Trauma-Informed Care approach.
DESCRIPTION This document outlines the fundamentals of the Creating Cultures of Trauma-Informed C... more DESCRIPTION This document outlines the fundamentals of the Creating Cultures of Trauma-Informed Care approach to organizational change. Buyilidng on core vales of safety, trustworthiness, choice, collaboration, and empowerment, this framework includes equal attention to the experiences of those receiving and those providing services. Though built on a foundation of behavioral health (mental health and substance abuse) agencies, this approach has been adapted to schools, to general medical settings, and to a variety of correctional settings, including juvenile justice.
Adults receiving treatment for mental illness, substance abuse, and co-occurring psychiatric and ... more Adults receiving treatment for mental illness, substance abuse, and co-occurring psychiatric and addictive disorders are highly likely to be survivors of trauma, including childhood sexual abuse, other violence, and combat-related trauma. Despite the prevalence of these experiences among adults seeking treatment, many agencies and community mental health programs have not designed programs or environments that are sensitive to trauma-related treatment issues. The Trauma Center of Excellence Initiative was launched by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in 2005 to develop awareness, policy, and training in trauma-informed care. The Trauma Initiative is a partnership between DMHAS and the Connecticut Women's Consortium, with consultation from Community Connections in Washington, DC. Through this initiative, three Connecticut Local Mental Health Authorities (LMHAs) in Northwest CT participated in meetings and other events intended to create tr...
ABSTRACT Integrated Trauma Services Teams (ITSTs) provide a model for addressing simultaneously a... more ABSTRACT Integrated Trauma Services Teams (ITSTs) provide a model for addressing simultaneously and in a closely coordinated way the needs of many women survivors for trauma, AOD, and mental health services. Based on the principles of the Trauma Recovery and Empowerment Model (TREM) and centered on the TREM group intervention, these teams offer a trauma-informed context for integrated service delivery and emphasize the development and enhancement of specific trauma recovery skills. Drawing on the importance of gender and culture in understanding and responding to the concerns of women survivors, ITSTs feature individualized recovery plans, a range of trauma-informed group interventions, and peer supports.
This article describes the Trauma Recovery and Empowerment Model (TREM), a manualized group inter... more This article describes the Trauma Recovery and Empowerment Model (TREM), a manualized group intervention designed for women trauma survivors with severe mental disorders, and discusses key issues in its conceptualization and implementation. TREM recognizes the complexity of long-term adaptation to trauma and addresses a range of difficulties common among survivors of sexual and physical abuse. Focusing primarily on the development of specific recovery skills and current functioning, TREM utilizes techniques shown to be effective in trauma recovery services. The group's content and structure are also informed by the role of gender in the ways women experience and cope with trauma.
With the recognition that large numbers of men and women receiving services in the mental health ... more With the recognition that large numbers of men and women receiving services in the mental health and addictions systems are the survivors of sexual and physical abuse, practitioners need to become informed about the dynamics and the aftermath of trauma.
Universal trauma screening and specific trauma assessment methods are necessary to developing col... more Universal trauma screening and specific trauma assessment methods are necessary to developing collaborative relationships with trauma survivors and offering appropriate services.
On theoretical, clinical, and research levels, there are many ways to attend more fully to spirit... more On theoretical, clinical, and research levels, there are many ways to attend more fully to spirituality and religion in developing and implementing mental health programs.
Key themes in narratives of recovery from mental illness illustrate some of the functions of reli... more Key themes in narratives of recovery from mental illness illustrate some of the functions of religion and spirituality in consumers' self-understanding and coping.
Assessing the role that religious or spiritual concerns play in the lives of people with severe m... more Assessing the role that religious or spiritual concerns play in the lives of people with severe mental disorders is crucial if clinicians are to determine whether those concerns can be successfully incorporated into service planning.
Mental health professionals have raised concerns about the role of spirituality and religion in s... more Mental health professionals have raised concerns about the role of spirituality and religion in services for people with severe mental disorders, but this chapter offers compelling reasons for increased attention to spiritual issues in service delivery.
Inpatient hospitalizations can be difficult for the survivors of sexual and physical abuse unless... more Inpatient hospitalizations can be difficult for the survivors of sexual and physical abuse unless practitioners take care to make the hospital stay trauma informed.
Because addictive disorders are so common among women who have experienced prolonged sexual and p... more Because addictive disorders are so common among women who have experienced prolonged sexual and physical abuse, it is especially important to design addictions services that meet the needs of the trauma survivor.
This study evaluated the effectiveness of an 11-session, spiritually focused group intervention w... more This study evaluated the effectiveness of an 11-session, spiritually focused group intervention with older women survivors (age 55 years and older) of interpersonal trauma (child abuse, sexual assault, or domestic violence) in reducing trauma-related depressive symptoms, posttraumatic stress, and anxiety. Forty-three community-dwelling women survivors of interpersonal trauma were randomized into treatment (n = 21) or control (n = 22) groups. Participants in group psychotherapy discussed spiritual struggles related to abuse and developed spiritual coping resources. The treatment group had significantly lower depressive symptoms, anxiety, and physical symptoms at posttest compared with the control group. In a separate analysis, posttraumatic stress symptoms also dropped significantly in the treatment group. Gains were maintained at three-month follow-up. This study provides strong initial support for the effectiveness of spiritually focused group intervention for older survivors of interpersonal trauma from a Christian background.
Forty-three spiritually distressed older women (aged 55-83) who had survived multiple types of in... more Forty-three spiritually distressed older women (aged 55-83) who had survived multiple types of interpersonal trauma participated in a spiritually focused group intervention designed to address spiritual struggles related to earlier abuse and to enhance spiritual coping. It was hypothesized that the intervention would increase spiritual well-being and that religious/spiritual coping would mediate the relationship between the intervention and the outcomes of depression, posttraumatic stress, anxiety, somatic symptoms, and spiritual well-being. The results provide strong initial support for the importance of understanding the effect of negative religious/ spiritual coping on depression and anxiety symptoms in older religious survivors of interpersonal trauma.
Forty-three spiritually distressed older women (aged 55–83) who had survived multiple types of in... more Forty-three spiritually distressed older women (aged 55–83) who had survived multiple types of interpersonal trauma participated in a spiritually focused group intervention designed to address spiritual struggles related to earlier abuse and to enhance spiritual coping. It was hypothesized that the intervention would increase spiritual well-being and that religious/spiritual coping would mediate the relationship between the intervention and the outcomes of depression, posttraumatic stress, anxiety, somatic symptoms, and spiritual well-being. The results provide strong initial support for the importance of understanding the effect of negative religious/spiritual coping on depression and anxiety symptoms in older religious survivors of interpersonal trauma.
Information salience refers to the implicational relationship between the content of the stimulus... more Information salience refers to the implicational relationship between the content of the stimulus attributes describing a person and the judgment of the person that is being made. The influence of this content factor on order effects in impression formation was examined. Subjects rated their liking or respect for stimulus persons, descriptions of whom were varied in terms of both evaluative sequence and the content dimensions represented by the attributes. Results supported predictions based on the information salience concept.
Addresses the importance of increased attention to religious and spiritual dimensions of experien... more Addresses the importance of increased attention to religious and spiritual dimensions of experience in developing and implementing mental health services that are responsive to the needs of individuals with serious mental illness. Consumers' accounts of the various functions of spirituality provide important guides to offering assessment, planning, therapeutic, and rehabilitative services that are more sensitive to religious concerns. The integration of spirituality can play a key role in mental health programs as comprehensive, empowerment-focused, and culturally attuned approaches to recovery from mental illness become more widely adopted. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
DESCRIPTION This document is a fidelity scale closely tied to the Creating Cultures of Trauma-Inf... more DESCRIPTION This document is a fidelity scale closely tied to the Creating Cultures of Trauma-Informed Care model. It includes ways to gauge an organization's safety, trustworthiness, choice, collaboration, and empowerment for both staff and service recipients. It also addresses domains of formal service policies and procedures, trauma screening and assessment, administrative support for trauma-informed change, trauma education, and human resources practices The document is accompanied by an instructional guide to its use.
DESCRIPTION This instruction guide is designed to accompany and explain the use of the fidelity s... more DESCRIPTION This instruction guide is designed to accompany and explain the use of the fidelity scale rating system of the Creating Cultures of Trauma-Informed Care approach.
DESCRIPTION This document outlines the fundamentals of the Creating Cultures of Trauma-Informed C... more DESCRIPTION This document outlines the fundamentals of the Creating Cultures of Trauma-Informed Care approach to organizational change. Buyilidng on core vales of safety, trustworthiness, choice, collaboration, and empowerment, this framework includes equal attention to the experiences of those receiving and those providing services. Though built on a foundation of behavioral health (mental health and substance abuse) agencies, this approach has been adapted to schools, to general medical settings, and to a variety of correctional settings, including juvenile justice.
Adults receiving treatment for mental illness, substance abuse, and co-occurring psychiatric and ... more Adults receiving treatment for mental illness, substance abuse, and co-occurring psychiatric and addictive disorders are highly likely to be survivors of trauma, including childhood sexual abuse, other violence, and combat-related trauma. Despite the prevalence of these experiences among adults seeking treatment, many agencies and community mental health programs have not designed programs or environments that are sensitive to trauma-related treatment issues. The Trauma Center of Excellence Initiative was launched by the Connecticut Department of Mental Health and Addiction Services (DMHAS) in 2005 to develop awareness, policy, and training in trauma-informed care. The Trauma Initiative is a partnership between DMHAS and the Connecticut Women's Consortium, with consultation from Community Connections in Washington, DC. Through this initiative, three Connecticut Local Mental Health Authorities (LMHAs) in Northwest CT participated in meetings and other events intended to create tr...
ABSTRACT Integrated Trauma Services Teams (ITSTs) provide a model for addressing simultaneously a... more ABSTRACT Integrated Trauma Services Teams (ITSTs) provide a model for addressing simultaneously and in a closely coordinated way the needs of many women survivors for trauma, AOD, and mental health services. Based on the principles of the Trauma Recovery and Empowerment Model (TREM) and centered on the TREM group intervention, these teams offer a trauma-informed context for integrated service delivery and emphasize the development and enhancement of specific trauma recovery skills. Drawing on the importance of gender and culture in understanding and responding to the concerns of women survivors, ITSTs feature individualized recovery plans, a range of trauma-informed group interventions, and peer supports.
This article describes the Trauma Recovery and Empowerment Model (TREM), a manualized group inter... more This article describes the Trauma Recovery and Empowerment Model (TREM), a manualized group intervention designed for women trauma survivors with severe mental disorders, and discusses key issues in its conceptualization and implementation. TREM recognizes the complexity of long-term adaptation to trauma and addresses a range of difficulties common among survivors of sexual and physical abuse. Focusing primarily on the development of specific recovery skills and current functioning, TREM utilizes techniques shown to be effective in trauma recovery services. The group's content and structure are also informed by the role of gender in the ways women experience and cope with trauma.
With the recognition that large numbers of men and women receiving services in the mental health ... more With the recognition that large numbers of men and women receiving services in the mental health and addictions systems are the survivors of sexual and physical abuse, practitioners need to become informed about the dynamics and the aftermath of trauma.
Universal trauma screening and specific trauma assessment methods are necessary to developing col... more Universal trauma screening and specific trauma assessment methods are necessary to developing collaborative relationships with trauma survivors and offering appropriate services.
On theoretical, clinical, and research levels, there are many ways to attend more fully to spirit... more On theoretical, clinical, and research levels, there are many ways to attend more fully to spirituality and religion in developing and implementing mental health programs.
Key themes in narratives of recovery from mental illness illustrate some of the functions of reli... more Key themes in narratives of recovery from mental illness illustrate some of the functions of religion and spirituality in consumers' self-understanding and coping.
Assessing the role that religious or spiritual concerns play in the lives of people with severe m... more Assessing the role that religious or spiritual concerns play in the lives of people with severe mental disorders is crucial if clinicians are to determine whether those concerns can be successfully incorporated into service planning.
Mental health professionals have raised concerns about the role of spirituality and religion in s... more Mental health professionals have raised concerns about the role of spirituality and religion in services for people with severe mental disorders, but this chapter offers compelling reasons for increased attention to spiritual issues in service delivery.
Inpatient hospitalizations can be difficult for the survivors of sexual and physical abuse unless... more Inpatient hospitalizations can be difficult for the survivors of sexual and physical abuse unless practitioners take care to make the hospital stay trauma informed.
Because addictive disorders are so common among women who have experienced prolonged sexual and p... more Because addictive disorders are so common among women who have experienced prolonged sexual and physical abuse, it is especially important to design addictions services that meet the needs of the trauma survivor.
This study evaluated the effectiveness of an 11-session, spiritually focused group intervention w... more This study evaluated the effectiveness of an 11-session, spiritually focused group intervention with older women survivors (age 55 years and older) of interpersonal trauma (child abuse, sexual assault, or domestic violence) in reducing trauma-related depressive symptoms, posttraumatic stress, and anxiety. Forty-three community-dwelling women survivors of interpersonal trauma were randomized into treatment (n = 21) or control (n = 22) groups. Participants in group psychotherapy discussed spiritual struggles related to abuse and developed spiritual coping resources. The treatment group had significantly lower depressive symptoms, anxiety, and physical symptoms at posttest compared with the control group. In a separate analysis, posttraumatic stress symptoms also dropped significantly in the treatment group. Gains were maintained at three-month follow-up. This study provides strong initial support for the effectiveness of spiritually focused group intervention for older survivors of interpersonal trauma from a Christian background.
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spiritual well-being. The results provide strong initial support for the importance of understanding the effect of negative religious/spiritual coping on depression and anxiety symptoms in older religious survivors of interpersonal trauma.
spiritual well-being. The results provide strong initial support for the importance of understanding the effect of negative religious/spiritual coping on depression and anxiety symptoms in older religious survivors of interpersonal trauma.