Tic general pwpt slides


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  • 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

    1. 1. Trauma Informed Care St. Elizabeth’s Wellness Collaboration August 18, 2011 Honickman Center
    2. 2.  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
    3. 3. 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 overwhelmed. A traumatic experience or enduring condition occurs when the individual experiences (subjectively) a threat to life, bodily integrity, or sanity. Giller, 1999 , Pearlman & Saakvitne, 1995
    4. 4. Psychological effects tend to be most severe if the trauma is… Human caused  Repeated  Unpredictable  Multifaceted  Sadistic  Undergone in childhood  Perpetrated by a caregiver   Esther Giller, 1999
    5. 5. Trauma: the gift that keeps on giving…  The lasting effects of trauma often result in the following diagnoses: ◦ ◦ ◦ ◦ ◦ ◦ Substance abuse/dependence Personality disorders Depression Anxiety (including ptsd) Eating disorders Etc, etc, etc. ◦ Esther Giller, 1999
    6. 6. What will we see? Sense of powerlessness  Fear  Hopelessness  Constant state of alert/watchfulness  Compromised relationships  Compromised sense of self  Compromised communities  Recurring feelings of shame, guilt, rage, isolation, disconne ction. 
    7. 7. Joe said it Let’s stop asking … “What’s wrong with you?” And start asking … “What happened to you?”
    8. 8. Why do we need a trauma informed approach? “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 behave. 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 experience. “ Harris & Fallot, 2001
    9. 9. Definition of “Trauma Informed” … 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 trauma survivors.  …is an approach designed to avoid inadvertent re-traumatization of consumers in treatment. 
    10. 10. Trauma informed vs. trauma specific Trauma specific services are designed to treat the actual symptoms associated with exposure to trauma.  Examples:  ◦ Seeking Safety ◦ TREM groups ◦ EMDR
    11. 11. The 3 r’s of Trauma Informed Care Realize the prevalence of trauma Recognize how trauma affects all individuals involved with org, prog, system, etc Respond by putting this knowledge into practice  samsha 2012
    12. 12. ACES study
    13. 13. What are the benefits of tic?
    14. 14. 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 into policies, procedures, practices, and
    15. 15. TIC vs. Non-TIC TIC  Provides safety  Offers choice  Embraces collaboration  Rooted in trust, consistency and transparency  Respects the person Luest, 2011 Non-TIC  Labels/pathologizes  Sees individuals as manipulative/attentio n-seeking  Fosters culture of secrecy, poor monitoring  Staff sees their role as “rule enforcer”  Emphasizes compliance rather than collaboration.
    16. 16. Whatever you, whatever your job is… 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 
    17. 17. 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! 