Read starred selection on page 12 in Harris/Fallot’s book about the girl who was sexually assaulted but gets help for learning disabilities. Good discussion launching piece.
My focus today is on outlining the overarching approach so that, in picking your specific treatment techniques you will make choices based on this model/approach.
Break groups into groups of 3-5. ask them to come up with ti practices they would recommend for the sewc. During discussion put up three pieces newsprint titled “can do now”, “can do in near future”, and “best left for long term goals”
Tic general pwpt slides
Trauma Informed Care
St. Elizabeth’s Wellness Collaboration
August 18, 2011
Imagine trying to read a book that has no
plot. There are no organizing themes, no
recurrent patterns. Every page has a new
and unpredictable set of events that seem
unconnected to the events on the
previous page, there is no way of
guessing, much less predicting, what will
happen next. At first the book might seem
entertaining and even exciting but
eventually it just seems like too much
effort to read. Now imagine that that book
is your life . Nothing makes sense, and
you cannot plan or take control of even
the simplest activities.
Harris & Fallot 2001
Defininition of Trauma
Trauma is defined by extreme stress that
overwhelms a person’s ability to cope.
An individual’s subjective experience determines
whether an event is or is not traumatic.
It can be the individual experience of an event
AND/OR enduring conditions.
Trauma is experienced when the individual’s ability
to integrate her emotional experience is
A traumatic experience or enduring condition
occurs when the individual experiences
(subjectively) a threat to life, bodily integrity, or
Giller, 1999 , Pearlman & Saakvitne, 1995
Psychological effects tend to be
most severe if the trauma is…
Undergone in childhood
Perpetrated by a caregiver
Esther Giller, 1999
Trauma: the gift that keeps on
The lasting effects of trauma often
result in the following diagnoses:
Anxiety (including ptsd)
Etc, etc, etc.
◦ Esther Giller, 1999
What will we see?
Sense of powerlessness
Constant state of alert/watchfulness
Compromised sense of self
Recurring feelings of
shame, guilt, rage, isolation, disconne
Joe said it
Let’s stop asking …
“What’s wrong with
And start asking …
“What happened to
Why do we need a trauma
“When an individual is bombarded with
repeated traumas that constitute threats to her
personal integrity and worldview, then that
individual comes to question even the most
fundamental assumptions about the world. In the
wake of trauma, that person must construct a new
theory of how the world works and how people
Humans seek to make sense out of their
experiences, no matter how horrific or bizarre that
experience might be. We want things to have
meaning and when events occur that challenge our
view of the world, then we must struggle to find a
new way to organize and understand our
Harris & Fallot, 2001
Definition of “Trauma
… is an approach to engaging people
with histories of trauma.
… is a system in which all components
are developed and evaluated in light of
the role that violence plays in the lives of
those seeking services.
… is a system that designs services
which accommodate the vulnerabilities of
…is an approach designed to avoid
inadvertent re-traumatization of
consumers in treatment.
Trauma informed vs. trauma
Trauma specific services are designed
to treat the actual symptoms
associated with exposure to trauma.
◦ Seeking Safety
◦ TREM groups
The 3 r’s of Trauma Informed
Realize the prevalence of trauma
Recognize how trauma affects all
individuals involved with
org, prog, system, etc
Respond by putting this knowledge
SAMSHA definition of TIC
A program, organization, or system
that is trauma informed realizes the
widespread impact of trauma and
understands potential paths for
healing; recognizes the signs and
symptoms of trauma in
staff, clients, and others involved in
the system; and responds by fully
integrating knowledge about trauma
policies, procedures, practices, and
TIC vs. Non-TIC
Respects the person
Sees individuals as
Fosters culture of
Staff sees their role
as “rule enforcer”
Whatever you, whatever your job
Tell people what you’re going to do
before you do it.
Recognize a flashback and manage it
with words instead of action
See trauma responses as adaptions
Small Group activity
identify three things to make this
project reflect a trauma informed
system of care.
Don’t worry about how small or large
your ideas are.
Use your imagination!