Trauma Case Study and research
| Trauma can have a significant impact on Mental Health Outcomes. Research and compare the prevalence of traumatic events in the general population compared to those presenting with Mental Health Disorders.
http://www.mhcc.org.au/media/32045/ticp_awg_position_paper__v_44_final___07_11_13.pdf
| ||||||||||||||||||||||||||||||||
| Trauma in Services | ||||||||||||||||||||||||||||||||
| 6. The beliefs that people have about trauma can impact the care that they receive.
The following statements express some beliefs that people might have about trauma. Choose the true/false response that is most correct.
| ||||||||||||||||||||||||||||||||
| 7. SAMHSA ( Substance Abuse and Mental Health Association) has put together resources on a Trauma Informed model of care.
In this they identify 4 key assumptions of a Trauma Informed Approach. Locate information on these assumptions in the following document: https://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf Summarise these 4 key assumptions. (4 R’s)
| ||||||||||||||||||||||||||||||||
| 8. SAMHSA also identifies 6 key principles of a Trauma Informed Approach. These principles can be generalised across a range of settings. Using the document from the previous link or other references, describe the impact of each of these principles within services.
• Safety
• Trustworthiness and Transparency
• Peer Support
• Collaboration and Mutuality
• Empowerment, Voice and Choice
• Cultural, Historical and Gender Issues
| ||||||||||||||||||||||||||||||||
| 9. Some of the key principles of Trauma Informed Care involve the recognition that many behaviours are the result of self-protective attempts to cope with adversity. Also, that organisations should actively work to prevent any re-traumatisation. How might practises such as compulsory treatment, seclusion, and restraint impact on trauma survivors? Identify at least 3 impacts.
| ||||||||||||||||||||||||||||||||
| 10. “The Sanctuary Model” was created to address the widespread impact of trauma on individuals and within systems.
http://sanctuaryweb.com/TheSanctuaryModel.aspx There are 4 “pillars to this model. What are they?
| ||||||||||||||||||||||||||||||||
| 11. The SELF model was developed by Sandra Bloom to provide a no-linear, cognitive behavioural therapeutic model for facility recovery from bad experiences. It aims to use accessible language to demystify the process.
Research and describe the 4 key domains of healing described by this model.
| ||||||||||||||||||||||||||||||||
| 12. Give 3 suggestions for strategies an organisation might have in place to minimise the effect of vicarious trauma on staff or other service users.
| ||||||||||||||||||||||||||||||||
| Case Study:
Kathryn, a client, is a new resident at a local women’s shelter. She has resided there for a few days and still hardly looks up while her two young children cling to her tightly. She was living in a car for a couple of weeks during the summer after losing her apartment. Kathryn and her children were unable to access bathroom and shower facilities and, therefore, arrived at the shelter wearing clothes that were turned inside out and covered in sweat. After three days, she and her children still had not showered or changed. Other residents are beginning to complain to the staff. One of the shelter workers, Maria, approaches Kathryn and in a friendly voice says, “Hi, my name is Maria, what’s yours?” while extending her hand. Kathryn doesn’t look up or make any motion to indicate that she sees Maria standing there. Maria continues, “I know it has been hot out there. Maybe you and the kids would like to use the shower.” Kathryn becomes immediately angry and starts to raise her voice saying, “I don’t need a damn shower and neither do my kids.” She gets up off the couch where she was sitting and storms toward her room.
At a staff meeting later that day, staff members Rose, Maria, and Carla disagree about how best to approach and engage Kathryn. Rose : “We should call the mental health emergency services team to conduct an assessment. Kathryn probably has some sort of psychiatric problem. ” Carla: “I wonder if Kathryn was taking medication and has stopped. Or maybe she is withdrawing from drugs and that is why she is a bit edgy and withdrawn. ” Maria: “What is making Kathryn so angry. Is she frightened? Does she feel unsafe? Did something happen?”
Which of the staff is thinking in a trauma-informed way?
What makes her approach trauma-informed?
What might have been going on that could explain Kathryn’s response?
What might be some possible remedies or alternative ways of responding to this? |
