COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
PART III: THE CONCEPT OF TRAUMA
INFORMED CARE
• TRAUMA INFORMED CARE:
1. Definition: Trauma informed care involves provision of services
informed by an understanding of the pervasiveness of trauma
and its consequences, involving interventions that address the
symptoms and core deficits related to traumatic experience and
promote the individual’s healthy functioning.
2. Trauma informed interventions operate at two broad levels:
a. the level of individual physiology, with particular attention to
issues of arousal and self-regulation, and
b. the larger social-environmental level, so that conditions that
produce or sustain maladaptive traumatic reactions are
mitigated.
PART III: THE CONCEPT OF TRAUMA
INFORMED CARE
• TRAUMA INFORMED CARE (cont.):
3. Trauma informed care based on public health
concepts of prevention, with emphasis on primary
and secondary prevention and promotion of
wellness:
a. Primary prevention – Creating culture, climate,
knowledge base, and therapeutic relationships in
order to avoid crisis. Wellness approaches,
individual and group-based.
b. Secondary prevention – Responding to crisis –
imminent or actual crisis – to prevent escalation
and need for restrictive procedures, including
manual restraint, and to resolve the issue
constructively.
PART III: THE CONCEPT OF TRAUMA
INFORMED CARE
• TRAUMA INFORMED CARE (cont.):
4. Trauma informed care is based on recovery
principles and – unlike trauma specific treatment –
does not require highly specialized treatment
expertise.
5. Trauma informed care is applicable to any setting,
and any level of care. Applies to individuals and,
groups of individuals within a setting or program.
PART III: THE CONCEPT OF TRAUMA
INFORMED CARE
• TRAUMA INFORMED CARE (CONT.)
6. Trauma informed care strategies – getting started:
a. Recognize that “negative behaviors” have been
adaptive.
b. Determine if externally based trauma or danger
continues. If so, address.
PART III: THE CONCEPT OF
TRAUMA INFORMED CARE
• TRAUMA INFORMED CARE (CONT.)
6. Trauma informed care strategies – getting started
(cont.):
c. Embrace trauma informed beliefs:
1) “Manipulative youth” often is feeling very out of control.
2) Seemingly intentional behavior often is not.
3) Youth needs developmental support and help in
acquiring new skills.
4) Core helping element is therapeutic relationship with the
youth, at all levels.
5) “Therapeutic relationship” = adult responding in ways of
therapeutic benefit.
6) Core consideration: avoidance of shame and
humiliation.
PART III: THE CONCEPT OF TRAUMA
INFORMED CARE
• TRAUMA INFORMED CARE (CONT.)
7. Specific trauma informed practices:
a. Use of prevention tools, including trauma history and deescalation
safety plan.
b. Comprehensive evaluation, and development of clientcentered
treatment plan.
c. Active, ongoing engagement and relationship building by
staff.
d. Anticipation of needs, and early entry at sign of impending
crises.
e. Helping client understand own trauma history and effect on
life – self-awareness.
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