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Resources:

MHCC -Trauma Informed Care and practice

Trauma Informed Care and Practice: A National Strategic Direction

The Trauma Toolkit

The Sanctuary Model

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed approach

 

 

1.  Trauma informed Care (TIC) is an organizational structure and treatment framework that involves understanding, recognizing and responding to the effects of all types of trauma.

Trauma refers to a person’s response to an event or circumstances. List some events in a person’s life that might lead to trauma. ( Minimum 5 )

 

2.  Trauma initiates the normal stress responses of the brain. When the brain experiences chronic stress, normal brain development will be affected. Research and describe the physical effects that stress and trauma can have on a person’s brain development.

 

 

 

3.  People respond to traumatic events in many different ways. Identify a minimum of 5 emotional and physical symptoms that might indicate that a person may be suffering from trauma.

 

4.  Place the following terms in the column beside the relevant definition. Use each term only once.

Trauma
Interpersonal Trauma
Complex Trauma
Re-traumatisation
Vicarious trauma
Triggers
Flashbacks

 

Terms

Definition

 

The impacts of repetitive, traumatic events and circumstances which are commonly: severe; repeated; occurring in childhood; and involve an ongoing relationship with the perpetrator of abuse.

 

Listening to a person’s thoughts, feelings and experiences about being involved in a traumatic situation can actually, over time, lead to draining, frightening and distressing reactions in a worker.

 

Once a person has experienced trauma, it is possible for other events to cause the person to re-experience feelings, thoughts, memories, body reactions or other aspects of the traumatic experience.

 

This term refers to the re-experiencing of thoughts, feelings or behaviours associated with past trauma. Due to disruption of memory by the trauma, and the nature of traumatic memory, this re-experiencing can feel ‘as if’ the trauma was happening in the present, or has only just occurred.

 

Refers to an individual’s response to an unexpected and extremely stressful event or series of events that overwhelm the individual’s ability to understand and cope. The response is individual and two people experiencing the same situation may react very differently.

 

Occurs at the hands of another person (or group of people) and often involves a betrayal of trust. This has the potential to impact on the way the person understands and forms other relationships throughout their life, including relationships with services.

 

This refers to the ‘cues’ that are connected with earlier trauma. These can be re-encountered in everyday life and prompt a fear response even when they are no longer associated with actual danger.

 

5.  Trauma can have a significant impact on Mental Health Outcomes. Research and compare the prevalence of traumatic events in the general population compared to those presenting with Mental Health Disorders.

http://www.mhcc.org.au/media/32045/ticp_awg_position_paper__v_44_final___07_11_13.pdf

 

 

 

 

 

 

Trauma in Services

6.  The beliefs that people have about trauma can impact the care that they receive.

The following statements express some beliefs that people might have about trauma. Choose the true/false response that is most correct.

 

Common Beliefs and Attitudes

True

False

PTSD only occurs when your life has been threatened

 

 

Physical and emotional abuse are not as bad as sexual abuse

 

 

People can be traumatised in mental health services

 

 

People who self-injure are manipulative and attention-seeking

 

 

Traumatic events can alter the brain, particularly in childhood

 

 

Strong people can forget and move on

 

 

If they haven’t brought it up before now, it probably isn’t that important

 

 

Past trauma and current fear can result in suicidality

 

 

 

 

 

 

 

7.   SAMHSA ( Substance Abuse and Mental Health Association) has put together resources on a Trauma Informed model of care.

In this they identify 4 key assumptions of a Trauma Informed Approach.

Locate information on these assumptions in the following document:

https://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf

Summarise these 4 key assumptions. (4 R’s)

 

 

8.   SAMHSA also identifies 6 key principles of a Trauma Informed Approach. These principles can be generalised across a range of settings. Using the document from the previous link or other references, describe the impact of each of these principles within services.

 

Safety
Trustworthiness and Transparency
Peer Support
Collaboration and Mutuality 
Empowerment, Voice and Choice
Cultural, Historical and Gender Issues

 

 

 

9.   Some of the key principles of Trauma Informed Care involve the recognition that many behaviours are the result of self-protective attempts to cope with adversity. Also, that organisations should actively work to prevent any re-traumatisation.  How might practises such as compulsory treatment, seclusion, and restraint impact on trauma survivors? Identify at least 3 impacts. 

 

 

 

 

 

 

 

10.   “The Sanctuary Model” was created to address the widespread impact of trauma on individuals and within systems. 

http://sanctuaryweb.com/TheSanctuaryModel.aspx

There are 4 “pillars to this model. What are they?

 

11.   The SELF model was developed by Sandra Bloom to provide a no-linear, cognitive behavioural therapeutic model for facility recovery from bad experiences. It aims to use accessible language to demystify the process.

Research and describe the 4 key domains of healing described by this model.

 

 

12.   Give 3 suggestions for strategies an organisation might have in place to minimise the effect of vicarious trauma on staff or other service users.

 

 

 

 

 

 

 

 

 

SCIENCE
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NURSING
COMMUNITY SERVICES CHC52015

 

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