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1 Trauma-Informed Systems of Care
| Date post: | 18-Dec-2015 |
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Trauma-Informed Systems of Care
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Three Aspects of Trauma-Informed Systems of Care
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A Culture Shift: The Core Values of Trauma-Informed Care
• Safety• Trustworthiness and Transparency• Peer Support• Collaboration and Mutuality• Empowerment, Voice, and Choice• Cultural, Historical and Gender Issues
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Trauma-Informed Systems of Care Align…
Culture
PoliciesPractices
Values
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Trauma-Informed Systems
• Trauma-informed systems can:
– Increase the effectiveness of treatment and engagement with clients who have experienced trauma
– Decrease the likelihood that clients are re-traumatized
– Decrease the secondary trauma and compassion fatigue experienced by helpers
– Help a traumatized organization become a recovery-focused organization
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The Triune Brain
Prefrontal Cortex
Limbic System
Brainstem
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Transition Between Stimulus and Response
Cortex
Hippocampus
Sensory Thalamus
Very Fast
StimulusTraumaticReminder
Slower
Amygdala
ResponseTraumatic
State
(LeDoux, 1996)
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Trauma’s Developmental Impact (www.ACEstudy.org)
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What Does This Mean for Us?
Paradigm Shift from the Question:
“What is wrong with you?” to
“What happened to you?”
Keep asking — Is what I am doing respectful and trauma-informed? Is it how I would like to be treated?
Avoid re-traumatizing those we serve.
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Effects of Trauma: Emotions
• Survivors of trauma can take longer to return to baseline after sympathetic activation
• Trauma can lock emotions in the body, therefore somatic expression becomes important
• Trauma can significantly impact an individual’s interpersonal and emotional relationships
• Difficulty regulating emotional experiences
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Effects of Trauma: Behavior
• What helps someone survive their trauma is what can harm someone when they aren’t in their trauma
• Maladaptive behaviors can also be self-protective
• An immunity to change can develop which makes it difficult to let go of maladaptive behaviors
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Effects of Trauma: Cognition
• Hyper-vigilance and hypo-vigilance effects how people cognitively process information
• Survivors often have distorted beliefs about their experiences and level of control over the situation or their response
• Beliefs about oneself, others, and the world are often rooted in survival and self protection
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Relationships and TIC
Relationships are imperative to a sense of safety, recovery and healing.
• Trauma-informed providers
– understand how trauma can effect how survivors relate to others, resulting in healthier and more productive relationships
– understand that relationship dynamics that might look like pathology are often more linked to trauma
– Understand that the only way to heal is in relationship—being mindful of the competing value of survival vs thriving
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Manifestation of Trauma in Systems
• Survival mentality (short-term thinking and planning)• High self-protection• Ruptures in relationships (high level of mistrust)• Triangulation • Blame and punishment• Poor or limited communication• Misuse of power and control• Strong focus on victimization• High reactivity and emotional contagiousness• Low morale and staff satisfaction
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Resources
• http://www.thenationalcouncil.org/
• http://homeless.samhsa.gov
• http://www.kansascac.org
• http://www.mentalhealth.samhsa.gov/nctic
• http://www.nasmhpd.org/NCTIC.cfm
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Thank You!
Joyce McEwen Crane, PhD, LCP – [email protected]
Teresa Strausz, LMSW, MSOD – [email protected]
