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Trauma Informed Services The Evolution of a Concept

Trauma Informed Services The Evolution of a Concept. Maxine Harris Ph.D. July, 2004. What Is A Trauma-Informed Service System?.

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Trauma Informed Services The Evolution of a Concept

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  1. Trauma Informed ServicesThe Evolution of a Concept Maxine Harris Ph.D. July, 2004

  2. What Is A Trauma-Informed Service System? • A human services or health care system whose primary mission is altered by virtue of knowledge about trauma and the impact it has on the lives of consumers receiving services

  3. Why Trauma? The Extent of the Problem • 60-75% of women in treatment for drug or alcohol abuse • 43-81% of adult psychiatric inpatients • 22-54% of women receiving outpatient mental health services • 50-70% of women in domestic violence shelters

  4. INFORM: to educate and make knowledgeable about (Harris and Fallot, 2000) • Basic education for staff about trauma and its relationship to mental health symptoms and substance abuse • Consumer awareness campaign • Standard assessment of trauma and PTSD symptoms

  5. INFORM: to educate (cont) • Trauma skills assessment as part of an employment interview for all clinical staff • Trauma champions within the agency • Elimination of overtly abusive practices • Administrative support for training and treatment innovations

  6. INFORM: to give character to (Elliot, Bjelajac, et. al., 2004) • Services should maximize consumer safety, choice and empowerment • Eliminate practices that have the potential to re-victimize • Collaborate in all aspects of treatment • Provide needed emotional and practical support to facilitate recovery • Maximize choice and consumer control • Emphasize consumer strengths • Acknowledge and respect the role of culture

  7. INFORM: to be the formative principle of • A paradigm shift in assessment, diagnosis, and treatment that identifies trauma as the core event • Wider use of trauma-related diagnoses • Identification of trauma-related skill deficits • Self-awareness, self-soothing, accurate labeling • Treatment to address trauma and the related skill deficits specifically • Appreciation of the impact trauma dynamics have on all relationships • Betrayal, power, blame and trust

  8. Choosing a Definition • Assess the needs and values of the organization • Assess the resources available • Assess the potential opposition • Consider staging the transformation

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