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Wit presentation

  1. 1. Trauma Informed Work with Incarcerated Women Felice De Ruggiero, LICSW
  2. 2. “Why would you want to work in a jail?”  Layout of WIT Program  Typical inmate profile  Programming offered  Chance to do individual & group work
  3. 3. Preparing to Do the Work  Educate about the therapy process  Do a thorough intake  Ask about the circumstances of most recent incarceration  Using the “box analogy” when working with trauma survivors
  4. 4. Emotions and Addiction: Linking Trauma and Substance Abuse  Using to not feel and to mask symptoms  Poorly developed coping skills  Replacement of negative behaviors in sobriety  Role of support network in recovery process
  5. 5. Behavioral Chain Analysis  Based on DBT principles/Marsha Linehan  Mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness  Chain analysis focuses on sequential events that form a behavior chain  Useful in treating BPD, TBI, ASD, SIB, sexual abuse survivors and addiction
  6. 6. Case Presentation  Dawn, an AA female in her early 30s serving a 2 yr. sentence for identity theft and larceny over $250  Has some college, on leave from the Army  Hx of physical and verbal abuse and witness to DV  Family dynamics and adoption  Forms of punishment  Some hx of alcohol abuse but stealing/shopping addiction are primary vices  Earliest memory of stealing  Stealing from family vs. friends vs. strangers  Can empathy be taught?
  7. 7. Case Presentation  Bea, a 40 yr old separated mixed race female serving a 2 yr. sentence for Sex conduct for a Fee, B & E in the Nighttime and A & B on a 60 yr. Old Disabled Person with Injury  Went to the 9th grade  Hx of physical, sexual and verbal abuse as a child and DV as an adult  Family dynamics and hx of foster home placements  Long hx of polysubstance dependence since age 14  Convictions for violent offenses  Hx of PTSD, Anxiety Disorder, TBI and Hepatitis C  Hx of psychosis related to trauma  Religion as a coping mechanism
  8. 8. Further Reading  Linehan, M. (1993). Cognitive Behavioral Treatment of Borderline Personality Disorder. The Guilford Press.  McKay, M., Wood, J., & Brantley, J. (2007). The Dialectical Behavioral Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation and Tolerance. New Harbinger Publications.  Najavitz, L.M. (2002). Seeking Safety: A Treatment Manual for PTSD and Substance Abuse.The Guilford Press.  Padykula, N. & Conklin, P. The Self Regulation Model of Attachment Trauma and Addiction. Clinical Social Work Journal, Volume 38, Number 4, December 2010, pp. 351-360.