Mandy Young presentation


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Mandy Young presentation

  1. 1. VICTIMS SERVICES Trauma Informed Care
  2. 2. OVERVIEW OF FORUM• Role of Victims Services• Key concepts in trauma informed practices• Impacts on victims accessing services• Counsellors and Authorised Report Writers• Managing Trauma in the Workplace• Trauma in the Criminal Justice System• Continued challenges
  3. 3. ROLE OF VICTIMS SERVICESWe provide support and information to victims of crime in NSW.We assist victims in their recovery and as they move through the criminal justice system. We oversee the Charter of Victims Rights.
  4. 4. SERVICES PROVIDED• Victims Access Line• Approved Counselling Scheme• Compensation and Financial Assistance• Restitution• Families and Friends of Missing Persons Unit
  5. 5. IMPORTANCE OF UNDERSTANDING TRAUMA MODELS AND APPROACHES• Trauma is a response to an event or series of events that happen to individuals• Responses to trauma are understood as normal reactions rather than evidence of individual pathology• Services to people who have experienced trauma such as victims of crime should be designed in support people in their recovery and not re traumatizing• Services should be welcoming and staffed by trained workers who have an understanding of trauma and its impact.
  6. 6. KEY CONCEPTS IN TRAUMA INFORMED PRACTICES• A traumatic event is one where an individual experiences, witnesses or been exposed to an event that involved actual or threatened death or serious injury to themselves or others• Responses include intense fear, helplessness, and powerlessness• For victims of crime, this includes people who have experienced child abuse, sexual abuse, interpersonal violence, and domestic violence as primary or secondary victims• The impact of traumatic events maybe pervasive and impact on all aspects of a person‟s life and well-being
  7. 7. COMMON TRAUMA SYMPTOMS- WITHIN PTSD DIAGNOSTIC CRITERIARe-experiencing• Recurrent re experiencing of the trauma, ie flashbacks, nightmares, intrusive thoughts and nightmares• Intense psychological or physiological reactions to internal or external cues that represent some aspect of the trauma
  8. 8. COMMON TRAUMA SYMPTOMS- WITHIN PTSD DIAGNOSTIC CRITERIA (CONT)Avoidance• Persistent avoidance of stimuli associated to the trauma• E.g. thoughts, feelings, conversations• Activities people and places• Impaired memory of aspects of the trauma• Reduced interest or participation in usual activities• Feelings or detachment /estrangement from others• Restricted range of affect• Sense of shortened lifespan
  9. 9. COMMON TRAUMA SYMPTOMS- WITHIN PTSD DIAGNOSTIC CRITERIA (CONT)Arousal• Persistent feelings of intense arousal• Difficulty falling asleep or staying asleep• Frequent irritability or angry outbursts• Impaired concentration• Hypervigilance• Exaggerated startle response James A. Peck Trauma-Informed Treatment Best Practices 2009
  11. 11. IMPACTS ON VOC ACCESING SERVICESHow does this impact on victims of crime accessing services?VICTIMS ACCESS LINE• Information and referrals• Emotional support• Crisis intervention• Provides assistance with claim processes including counselling and compensation• Receives concerns about the Charter
  12. 12. VICTIMS ACCESS LINE –A FIRST POINT OF CONTACT WITH VICTIM SERVICESHow does it operate – aim, staffing, roles and responsibilities• Case management and claims management• After Hours service• Core understanding of trauma and a client -centred approach to service delivery.
  13. 13. WHO IS ELIGIBLE TO APPLY FORCOMPENSATION AND COUNSELLING?A person injured by an act of violence in NSW.They could be a:• Primary victim• Secondary victim Family victim
  14. 14. APPROVED COUNSELLING• 350 Approved Counsellors in NSW• Initial 10 hours approved• 12 further hours can be approved• Families of homicide victims have 20 hours approved.• Average of six hours per client
  15. 15. % Offences claimed in counselling and compensation claims lodged 2009/201045 434035 33 3230 2525 24 23 Counselling Compensation201510 5 4 3 3 3 3 2 0.4 0.4 0.6 0.6 0 Assault Assault - Domestic Robbery Homicide Home Abduction Other Sexual Violence Invasion
  16. 16. COUNSELLING APPROAH- ADDRESSING TRAUMA• Focused on the impact of the acts of violence• Short to medium term based on counsellor‟s assessment and client‟s consent to participate in counselling – client driven• Evidence based and centred on an assessment around impact of trauma on the person‟s wellbeing and functioning• Recognition of “secondary” and family victims of trauma• Streamlining the application process
  17. 17. WHO ARE THE COUNSELLORS AND HOW ARE THEY SELECTED?Victims Support and Rehabilitation Act 1996• Support of Professional Bodies• Evidence of training and experience working with a range of crime types and client groups• Maintaining standards• Role of Professional Advisory Panel
  18. 18. COMPENSATION PROCESSCompensable injury to be over $7,500Injuries include:• Numerous physical injuries• Psychological or psychiatric disorder• 2 offence-based injuries – sexual assault and domestic violence• Determined on balance of probabilities• Requires supporting material including medical reports• Time limit for lodging applications is 2 years• Section 23A• Urgent payments (interim awards)
  19. 19. REFORMING THE PROCESS TO MAKE IT MORE STREAMLINE• Use of “Smartforms”• Claims managers/ case managers• More assistance „in house‟• Increase in claims - managing the process for clients as sensitively as possible - telling bad news
  20. 20. COMPENSATION CLAIMS FOR PSYCHOLOGICAL INJURY• A challenging process for applicants who have experienced trauma• Guide for applicants• Role of Authorised Report Writers ARWs• Training for ARWs• Maintaining quality of the service
  21. 21. FAMILIES AND FRIENDS OF MISSING PERSONS UNIT (FFMPU)In NSW approximately 11,000 people per year are reported missing to the Police 1800 227 772 02 8688 5423 9:00 am to 5:00 pm Monday to Friday
  22. 22. SERVICES PROVIDED BY FFMPU• Crisis and ongoing counselling• Information and referrals about searching agencies• Advocacy and liaison with State and Federal Police• Support and information on media and legal issues• Support during times of reunion• Publications, consultation and training for service providers
  23. 23. PROMOTING CONNECTEDNESSA resource for service providers who find themselves working withfamilies and friends of missing persons in a variety of settingsTrauma informed guide to providing support – working with theambiguous loss experienced by this client groupStaying beside the client and the story they have about what hashappened and what they need to do in managing this liminal state ofbeing
  24. 24. MANAGING TRAUMA IN THE WORKPLACEVicarious Trauma - July 2010 all staff participated in training • 51%increased awareness of VT • 24% increased capacity to manage VT • 88% felt more able to identify VT happening to them • 88% felt more able to manage their VT • 77% felt VS positively supported staff to manage VT – Staff had slightly elevated cognitive disruption – Most common VT symptoms of staff were re-experiencing, avoidance and arousal symptoms
  25. 25. MANAGING TRAUMA IN THE WORKPLACE• Strategies: – Worked with EAPS to ensure they have experience and understanding of VT to provide appropriate counselling – Promotion of Well- Being Activities – Regular debriefing of staff – Development of a VT policy and management strategy
  26. 26. MANAGING TRAUMA IN THE WORKPLACE• Accidental Counsellors• Management of VT – Supervision – OHS – Managers Training
  27. 27. CRIMINAL JUSTICE SYSTEM• Retraumatisation• Charter of Victims Rights• Legal Proceedings– eg use of alternative evidence processes
  28. 28. CONTINUED CHALLANGES• Recruiting experience counsellors and ARW‟s• The Criminal Justice Systems understanding of trauma responses• Reducing retraumatisiation in CJS• Research on what works for victims
  29. 29. Mandy Young Director (02) 8688 8056 Lynn MitchellA/Manger Policy and Service Delivery