Trauma, Social Work, and Psychodrama

LEARNING OBJECTIVES: Clinicians will (1) be able to distinguish trauma informed care from trauma specific interventions, (2) review the prevalence of trauma histories among those seeking mental health services, (3) learn the 5 principles of trauma informed practice and the characteristics of a trauma informed organization/department, and (4) review standard clinical practices that may be retraumatizing for patients with trauma histories.

PsycEXTRA Dataset, 2009

am going to speak today about some very fundamental issues in the field of trauma psychology. In the interest of time, that will serve as the sum total of my introduction to my topic. I will launch directly into discussion the first of the four pillars of trauma psychology I will be discussing today: theory. The entire field of trauma psychology is based on theory. The assertion-or assumptionthat catastrophic events can have appreciable adverse impact on psychological functioning is itself a theoretical proposition. It is precisely By Steve Gold, PhD This, my final column as Division 56 president, will be a greatly condensed version of the presidential address I gave at the APA Annual Convention in Toronto. However, I do want to thank, at the outset, both the leadership and membership of the division for all your support over the past year. I have been struck again and again by the energy, commitment, wisdom, and compassion of those in Division 56. It has been an honor to serve as president of an organization composed of such a dedicated and impressive group of professionals. for this reason that the fundamental conception in our field is a source of controversy. If you find the proposition that our field is grounded in conjecture unsettlingly ambiguous, let me remind you that theory and theory building are an integral component of the scientific enterprise. We too easily forget as we go about our day to day professional endeavors is that implicit in this assertion is the notion that all science is ultimately built not solely on the Trauma Psychology Newsletter Is Going Electronic and GREEN! (see article on p. 3) 2 Trauma Psychology Newsletter

Encyclopedia of Social Work, 2013

BJPsych advances, 2018

Trauma-informed approaches emerged partly in response to research demonstrating that trauma is widespread across society, that it is highly correlated with mental health and that this is a costly public health issue. The fundamental shift in providing support using a trauma-informed approach is to move from thinking 'What is wrong with you?' to considering 'What happened to you?'. This article, authored by trauma survivors and service providers, describes trauma-informed approaches to mental healthcare, why they are needed and how barriers can be overcome so that they can be implemented as an organisational change process. It also describes how past trauma can be understood as the cause of mental distress for many service users, how service users can be retraumatised by 'trauma-uninformed' staff and how staff can experience vicariously the service user's trauma and can themselves be traumatised by practices such as restraint and seclusion. Trauma-informed...

Journal of Social Service Research, 2018

This paper describes a qualitative study of individual client interviews (n=26) from four social service agencies to understand how clients experience trauma-informed care services and implementation challenges. We used the framework to explore client experiences of the five core concepts of trauma-informed care (safety, trustworthiness, choice, collaboration, and empowerment) using semi-structured interview questions with each client. The four agencies consisted of: refugees (n=4), substance abuse (n=8), older adults (n=12), and maternal/child health (n=2), and the agencies varied in size, service goals, and clientele. The results of the study suggest that clients' experience of these concepts was shaped by the actions of other clients, and these experiences were either mitigated or hindered by actions of the agency employees. Agency policies either supported or enhanced their experiences as well. The results also suggest that it was challenging for agencies to provide for all of the trauma-informed care (TIC) concepts at the same time. We discuss the implications of these findings for social service delivery in a range of agency types. Future research should examine the effects of traumainformed policies on client experiences of each TIC domain.

2014

Advances in Social Work, 2017

The importance of trauma-informed care (TIC) is now recognized across most health and human service systems. Providers are calling for concrete examples of what TIC means in practice and how to create more trauma-informed organizations. However, much of the current understanding about implementation rests on principles and values rather than specific recommendations for action. This paper addresses this gap based on observations during the provision of technical assistance over the past decade in fields like mental health and addictions, juvenile justice, child welfare, healthcare, housing, and education. Focusing on the infrastructure for making change (the TIC workgroup), assessment and planning, and the early stages of implementation, the authors discuss barriers and challenges that are commonly encountered, strategies that have proven effective in addressing barriers, and specific action steps that can help sustain momentum for the longer term.

Trauma Surgery & Acute Care Open, 2021

Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.

Journal of Community Psychology, 2005

In this article, we attempt to bridge the gap between practice (service delivery) and philosophy (trauma theory, empowerment, and relational theory). Specifically, we identify 10 principles that define trauma-informed service, discuss the need for this type of service, and give some characteristics of trauma-informed services in eight different human service areas. The areas include outreach and engagement, screening and assessment, resource coordination and advocacy, crisis intervention, mental health and substance abuse services, trauma-specific services, parenting support, and healthcare. We draw upon the experiences of the nine sites involved in the Substance Abuse and Mental Health Service This study was funded under Guidance for Applicants~GFA! No. TI 00-003 entitled Cooperative Agreement to Study Women

Professional Psychology: Research and Practice, 2008

Children and adolescents who are exposed to traumatic events are helped by numcrous child-serving agencies, including health, mental health, education. child welfare, first responder, and criminal justice systems to assist them in their recovery. Service providers need to incorporate a trauma-informed perspective in their practices to enhance the quality of care for these children. This includes making sure that children and adolescents are screened for trauma exposure; that service providers use evidenceinformed practices; that resources on trauma are available to providers, survivors, and their families; and that there is a continuity of care across service systems. This article reviews how traumatic stress impacts children and adolescents' daily functioning and how various service systems approach trauma services differently. It also provides recommendations for how to make each of these service systems more trauma informed and an appendix detailing resources in the National Child Traumatic Stress Network that have been produced to meet this objective. Keywords: service systems, trauma, schools, health care, juvenile justice Editor's Nore. This article is one of three in this special section by members of the National Child Traumatic Stress Network.