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Raven Ellison
Tulane University
SPHL-6100 Fall 2021
Dr. Jeffrey Waddy
Trauma Informed Care:
Ensuring Safe and Healthy
Communities During and Post
Pandemic
What is Trauma
Informed Care?
• Trauma informed care
assumes that a person is
more likely than not to have a
history of some type of
trauma.
• In recognizing this, services
are provided in such a way to
avoid retraumatizing
individuals.
What is Trauma
Informed Care?
• Trauma informed care
ensures the safety of the
individual/group, gives them
autonomy within their care
and empowers them to take
an active role in their
treatment.
2020 – Present: A Traumatic
Period for Citizens of New
Orleans
• Residents of New Orleans and surrounding areas had an especially
traumatic 2020 and 2021 including:
• Four federally declared disasters;
• Several hurricanes and tropical storms affected the area;
the most severe of which (Hurricane Ida), hit as a
category 4 storm. The storm caused the death of at
least 31 individuals and nearly $20 billion in damages.
Many residents were without power for nearly 2 weeks.
• In smaller towns nearby, many residents lost nearly
everything they owned.
• Statewide, the mortality rate jumped by nearly 30% and not all
of this number was due to Coronavirus deaths. Individuals were
more likely to avoid seeking treatment as to not add to the
number of individuals overwhelming the state’s facilities.
2020 –
Present: A
Traumatic
Period for
Citizens of
New
Orleans
• K-12 teacher retirements rose 25% between 2020-
2021, exacerbating an existing educator crisis (61%
of teachers who leave the profession do so within
the first 10 years of their careers).
• More children entered the foster care system in
2020, but with COVID regulations suspending court
dates and visitations reunification has been
difficult.
• The greater New Orleans area’s unemployment
rate doubled between 2019 and 2020.
Necessity of
Trauma-Informed
Care
• The people of New Orleans have
faced incredible adversity in the age
of COVID highlighting the need for
trauma-informed care in all sectors.
This can be seen as a microcosm of
the kind of care needed worldwide
• This situation also calls for providers
that can communicate effectively
about trauma and how to work
through this while avoiding
becoming traumatized themselves
Implementing
Trauma-
Informed Care Trauma-informed care could be a new notion in
spaces like public health and corporations, where
interventions are frequently evidence-based and
have measurables and goals to achieve.
This method is more intuitive and works best
when participants and providers are open to
evolving treatments and engaging with partners
across industries to achieve the best outcomes
Implementing Trauma-Informed Care
Trauma-Informed care addresses systemic
and relational trauma concurrently
A team of specifically selected providers
should be trained in the nature and
impacts of trauma and how it manifests
itself in developing brains (mostly in
children) and in functioning (in both
children and adults).
Good leaders of trauma teams should use
what is important to their team members
to motivate the work that is done
Assessing immediate needs is a great way
to encourage buy-in long-term.
Implementing Trauma-
Informed Care
• The Coronavirus pandemic exposed how many things
that are embraced as accessible are really “useable.”
• Useability usually refers to the fact that many
can utilize a service/item while accessibility
refers to all being able to utilize a service/item.
• Use of digital solutions were heavily
implemented and suggested, but the
possession of stable internet via computers or
cell phones was largely assumed
• Digital solutions assume that all are computer
or tech savvy enough to access and understand
those solutions
• Solutions created during the pandemic should
be considered for permanent use and
expanded to meet more individuals where they
are
Outcomes
• Studies found that implementing trauma-informed
care solutions decreased recidivism and had a
positive impact on the rate of substance use,
trauma symptoms, and the mental health of both
participants and staff
• Client retention is improved, which allows the
organization to continue doing their work and
receive funding with proven success
• Treatments are targeted; therefore, they are more
cost-effective
• Because client retention tends to increase,
relationships between client and providers tend to
improve as well
Recommendations
• Train teachers, providers, and staff to
recognize trauma symptoms – achieving
high vaccination rates will not “cure” the
trauma of the pandemic
• Instead of asking “what is wrong?” ask
“what has happened to you?”
• Ensure that care is offered or rolled out
to everyone, not just at-risk individuals
and/or groups
• Funding for these important
organizations should be increased; both
to ensure care continues and to innovate
for the future
• Business leaders and people managers
should become trauma informed to help
assist employees and provide some
predictability in a world where so much
lately is unpredictable
References
• Adams, C. (2020). Foster Care Crisis: More Kids are Entering, but Fewer Families are Willing to Take
them in. Retrieved from https://www.nbcnews.com/news/nbcblk/foster-care-crisis-more-kids-are-
entering-fewer-families-are-n1252450
• Adelson, J. & Russel, G. (2021). Louisiana Deaths Jumped by Nearly 30% in 2020: How the Victims Died.
Retrieved from https://www.nola.com/news/article_40f5e882-7885-11eb-8efc-df64fa264c23.html
• Benson, T. (2021). Back to Not-So-Normal: Psychologists Eye Pandemic Stress as U.S. Reopens.
Retrieved from https://www.nbcnews.com/science/science-news/back-not-normal-psychologists-eye-
pandemic-stress-us-reopens-rcna1204
• Bergren, M. D. (2021). Post-COVID-19: Trauma-Informed Care for the School Community. The Journal
of School Nursing, 37(3), 145–145. https://doi.org/10.1177/10598405211004709
• Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology:
Old and New Challenges. Yearbook of medical informatics, 28(1), 71–77. https://doi.org/10.1055/s-
0039-1677907
• Hales, T. W., Green, S. A., Bissonette, S., Warden, A., Diebold, J., Koury, S. P., & Nochajski, T. H. (2019).
Trauma-Informed Care Outcome Study. Research on Social Work Practice, 29(5), 529–539.
https://doi.org/10.1177/1049731518766618
• Lee, L. (2021). Hurricane Ida Recovery is Slow for Louisiana Bayou Communities – and Non-Profits Need
your Help. Retrieved from https://ktvz.com/news/2021/12/01/hurricane-ida-recovery-is-slow-for-
louisiana-bayou-communities-and-nonprofits-need-your-help/
• McKee, J. (2019). Blocking the Disabled on the Web Means Blocking Innovation. Retrieved from
https://www.wired.com/story/opinion-blocking-the-disabled-on-the-web-means-blocking-innovation/
• Over-the-Year Change in Unemployment Rates for Large Metropolitan Areas (2021). Retrieved from
https://www.bls.gov/lau/malrgch20.htm
• Skeete, T. (2021). Why Accessibility Matters in a Post-Pandemic, Majority-Digital World? Retrieved
from https://productcoalition.com/why-accessibility-matters-in-a-post-pandemic-majority-digital-
world-6f41829900be
• Tailac, C. (2020). The New Workplace is Trauma Informed. Retrieved from
https://business.kaiserpermanente.org/insights/covid-19/trauma-informed-workplace
• Teacher Shortage Worsening (n.d). Retrieved from http://la.aft.org/news/october-edition
• What is Trauma-Informed Care? (n.d). Retrieved from http://socialwork.buffalo.edu/social-
research/institutes-centers/institute-on-trauma-and-trauma-informed-care/what-is-trauma-informed-
care.html
• Wilson, A. (2021). September Return to Schools Should Take Trauma Informed Approach, Integrate
Lessons Learned During the Pandemic. Retrieved from
https://www.williamjames.edu/news/September-Return-to-Schools-Should-Take-Trauma-Informed-
Approach-Integrate-Lessons-Learned-During-Pandemic.cfm
• Yatchmenoff, D.K., Sundborg, S.A., Davis, M.A. (2017). Implementing Trauma-Informed Care:
Recommendations on the Process. Special Issue: Trauma-Informed Practice. Vol 18, No. 1. doi:
https://doi.org/10.18060/21311

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Trauma informed care

  • 1. Raven Ellison Tulane University SPHL-6100 Fall 2021 Dr. Jeffrey Waddy Trauma Informed Care: Ensuring Safe and Healthy Communities During and Post Pandemic
  • 2. What is Trauma Informed Care? • Trauma informed care assumes that a person is more likely than not to have a history of some type of trauma. • In recognizing this, services are provided in such a way to avoid retraumatizing individuals.
  • 3. What is Trauma Informed Care? • Trauma informed care ensures the safety of the individual/group, gives them autonomy within their care and empowers them to take an active role in their treatment.
  • 4. 2020 – Present: A Traumatic Period for Citizens of New Orleans • Residents of New Orleans and surrounding areas had an especially traumatic 2020 and 2021 including: • Four federally declared disasters; • Several hurricanes and tropical storms affected the area; the most severe of which (Hurricane Ida), hit as a category 4 storm. The storm caused the death of at least 31 individuals and nearly $20 billion in damages. Many residents were without power for nearly 2 weeks. • In smaller towns nearby, many residents lost nearly everything they owned. • Statewide, the mortality rate jumped by nearly 30% and not all of this number was due to Coronavirus deaths. Individuals were more likely to avoid seeking treatment as to not add to the number of individuals overwhelming the state’s facilities.
  • 5. 2020 – Present: A Traumatic Period for Citizens of New Orleans • K-12 teacher retirements rose 25% between 2020- 2021, exacerbating an existing educator crisis (61% of teachers who leave the profession do so within the first 10 years of their careers). • More children entered the foster care system in 2020, but with COVID regulations suspending court dates and visitations reunification has been difficult. • The greater New Orleans area’s unemployment rate doubled between 2019 and 2020.
  • 6. Necessity of Trauma-Informed Care • The people of New Orleans have faced incredible adversity in the age of COVID highlighting the need for trauma-informed care in all sectors. This can be seen as a microcosm of the kind of care needed worldwide • This situation also calls for providers that can communicate effectively about trauma and how to work through this while avoiding becoming traumatized themselves
  • 7. Implementing Trauma- Informed Care Trauma-informed care could be a new notion in spaces like public health and corporations, where interventions are frequently evidence-based and have measurables and goals to achieve. This method is more intuitive and works best when participants and providers are open to evolving treatments and engaging with partners across industries to achieve the best outcomes
  • 8. Implementing Trauma-Informed Care Trauma-Informed care addresses systemic and relational trauma concurrently A team of specifically selected providers should be trained in the nature and impacts of trauma and how it manifests itself in developing brains (mostly in children) and in functioning (in both children and adults). Good leaders of trauma teams should use what is important to their team members to motivate the work that is done Assessing immediate needs is a great way to encourage buy-in long-term.
  • 9. Implementing Trauma- Informed Care • The Coronavirus pandemic exposed how many things that are embraced as accessible are really “useable.” • Useability usually refers to the fact that many can utilize a service/item while accessibility refers to all being able to utilize a service/item. • Use of digital solutions were heavily implemented and suggested, but the possession of stable internet via computers or cell phones was largely assumed • Digital solutions assume that all are computer or tech savvy enough to access and understand those solutions • Solutions created during the pandemic should be considered for permanent use and expanded to meet more individuals where they are
  • 10. Outcomes • Studies found that implementing trauma-informed care solutions decreased recidivism and had a positive impact on the rate of substance use, trauma symptoms, and the mental health of both participants and staff • Client retention is improved, which allows the organization to continue doing their work and receive funding with proven success • Treatments are targeted; therefore, they are more cost-effective • Because client retention tends to increase, relationships between client and providers tend to improve as well
  • 11. Recommendations • Train teachers, providers, and staff to recognize trauma symptoms – achieving high vaccination rates will not “cure” the trauma of the pandemic • Instead of asking “what is wrong?” ask “what has happened to you?” • Ensure that care is offered or rolled out to everyone, not just at-risk individuals and/or groups • Funding for these important organizations should be increased; both to ensure care continues and to innovate for the future • Business leaders and people managers should become trauma informed to help assist employees and provide some predictability in a world where so much lately is unpredictable
  • 12. References • Adams, C. (2020). Foster Care Crisis: More Kids are Entering, but Fewer Families are Willing to Take them in. Retrieved from https://www.nbcnews.com/news/nbcblk/foster-care-crisis-more-kids-are- entering-fewer-families-are-n1252450 • Adelson, J. & Russel, G. (2021). Louisiana Deaths Jumped by Nearly 30% in 2020: How the Victims Died. Retrieved from https://www.nola.com/news/article_40f5e882-7885-11eb-8efc-df64fa264c23.html • Benson, T. (2021). Back to Not-So-Normal: Psychologists Eye Pandemic Stress as U.S. Reopens. Retrieved from https://www.nbcnews.com/science/science-news/back-not-normal-psychologists-eye- pandemic-stress-us-reopens-rcna1204 • Bergren, M. D. (2021). Post-COVID-19: Trauma-Informed Care for the School Community. The Journal of School Nursing, 37(3), 145–145. https://doi.org/10.1177/10598405211004709 • Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology: Old and New Challenges. Yearbook of medical informatics, 28(1), 71–77. https://doi.org/10.1055/s- 0039-1677907 • Hales, T. W., Green, S. A., Bissonette, S., Warden, A., Diebold, J., Koury, S. P., & Nochajski, T. H. (2019). Trauma-Informed Care Outcome Study. Research on Social Work Practice, 29(5), 529–539. https://doi.org/10.1177/1049731518766618 • Lee, L. (2021). Hurricane Ida Recovery is Slow for Louisiana Bayou Communities – and Non-Profits Need your Help. Retrieved from https://ktvz.com/news/2021/12/01/hurricane-ida-recovery-is-slow-for- louisiana-bayou-communities-and-nonprofits-need-your-help/ • McKee, J. (2019). Blocking the Disabled on the Web Means Blocking Innovation. Retrieved from https://www.wired.com/story/opinion-blocking-the-disabled-on-the-web-means-blocking-innovation/ • Over-the-Year Change in Unemployment Rates for Large Metropolitan Areas (2021). Retrieved from https://www.bls.gov/lau/malrgch20.htm • Skeete, T. (2021). Why Accessibility Matters in a Post-Pandemic, Majority-Digital World? Retrieved from https://productcoalition.com/why-accessibility-matters-in-a-post-pandemic-majority-digital- world-6f41829900be • Tailac, C. (2020). The New Workplace is Trauma Informed. Retrieved from https://business.kaiserpermanente.org/insights/covid-19/trauma-informed-workplace • Teacher Shortage Worsening (n.d). Retrieved from http://la.aft.org/news/october-edition • What is Trauma-Informed Care? (n.d). Retrieved from http://socialwork.buffalo.edu/social- research/institutes-centers/institute-on-trauma-and-trauma-informed-care/what-is-trauma-informed- care.html • Wilson, A. (2021). September Return to Schools Should Take Trauma Informed Approach, Integrate Lessons Learned During the Pandemic. Retrieved from https://www.williamjames.edu/news/September-Return-to-Schools-Should-Take-Trauma-Informed- Approach-Integrate-Lessons-Learned-During-Pandemic.cfm • Yatchmenoff, D.K., Sundborg, S.A., Davis, M.A. (2017). Implementing Trauma-Informed Care: Recommendations on the Process. Special Issue: Trauma-Informed Practice. Vol 18, No. 1. doi: https://doi.org/10.18060/21311