Evening Seminar
Understanding and Use of Trauma
Informed Practice
Dr Kieran McCartan │ Professor of Criminology │ University of the West of England
Lisa Benjamin │Training & Information Manager │ SARSA
Chris Bellamy and Stephen Pratt │ Practitioners │ Golden Key
Corrado Totti │ Peer Mentoring Service Project Leader & Former Service User │Golden Key
8 October, 2018
@academyjustice
Academy for Social Justice
Commissioning
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Dr Kieran McCartan
Professor of Criminology
University of the West of England
People who commit crime are quite diverse, although there aresome character traits and lifestyle variables that manyoffenders have in common
Risk factors vs Protective factors
Antisocial values and beliefs (criminal thinking)
Antisocial peers
Personality traits
Family dysfunction
Low self-control
Substance abuse
There are factors, warning signs and issues that can alert us topotentially problematic behavior
AETIOLOGY
ACE’S
Bellisi M et al. Adverse Childhood Experiences and their impact on health harming behaviour in the Welsh adult
population. Cardiff: Public Health Wales NHS Trust; 2015.
www2.nphs.wales.nhs.uk:8080/PRIDDocs.nsf/7c21215d6d0c613e80256f490030c05a/d488a3852491bc1d8
0257f370038919e/$FILE/ACE%20Report%20FINAL%20(E).pdf
http://www2.nphs.wales.nhs.uk:8080/PRIDDocs.nsf/7c21215d6d0c613e80256f490030c05a/00c40b58ce773d5e80257f3700390f65/$FILE/ACE%20Infograph%20FINAL%20(E).pdf
ACES
ACES
Couper S and Mackie P. ‘Polishing the Diamonds’ Addressing Adverse Childhood Experiences in Scotland. Edinburgh:
Scottish Public Health Network (ScotPHN); May 2016.
www.scotphn.net/wp-content/uploads/2016/06/2016_05_26-ACE-Report-Final-AF.pdf
https://beta.gov.scot/binaries/content/documents/govscot/publications/research-
publication/2018/05/understanding-childhood-adversity-resilience-
crime/documents/00535550-pdf/00535550-pdf/govscot:document/
ACES
In the simplest terms, the concept of trauma-informed care is
straightforward. If professionals were to pause and consider the
role trauma and lingering traumatic stress plays in the lives of the
specific client population served by an individual, professional,
organization, or an entire system, how would they behave
differently? What steps would they take to avoid, or at least
minimize, adding new stress or inadvertently reminding their
clients of their past traumas? How can they better help their
traumatized clients heal? In effect, by looking at how the entire
system is organized and services are delivered through a “trauma
lens,” what should be done differently?
Wilson, Pence, and Conradi (2013)
http://socialwork.oxfordre.com/view/10.1093/acrefore/9780199
975839.001.0001/acrefore-9780199975839-e-1063
TRAUMA INFORMED CARE
ACES & TRUAMA
NEED AN INTEGRATED MODEL
An a holistic approach that
emphasises health,
wellbeing, welfare,
psychology and behaviour.
We need a model that
emphasis an inter-
relationship between health
and criminal justice systems.
Need to use a preventative
approach.
Trauma Informed Practice at a SARSAS
Lisa Benjamin
Training and Information Manager
What do we do?
Self Help
Guides
Specialist
Support Work
CounsellingHelpline/
e-support
Group Work Education and
TrainingCampaigning
Counselling
Partnership
working
CampaigningTraining/
Education
Group workStabilisation
Advocacy
Trauma Informed Approach
• Safety
• Trustworthiness and Transparency
• Peer support
• Collaboration and mutuality
• Empowerment, voice and choice
• Cultural, Historical, and Gender Issues
Safety
“Safety - Throughout the organization, staff and the people they serve feel
physically and psychologically safe.” Guiding Principles of Trauma-Informed Care, 2014
The Substance Abuse and Mental Health Services Administration (SAMHSA)
Psychological safety of staff
• Culture of self care
• Pre-brief/De-brief
• Training
• Trauma/Coping Mechanisms/Neurobiology of trauma
• Somatic Trauma Therapy
• Trauma focused CBT
• Brief Solution Focused Therapy
• Clinical Supervision
Empowerment, voice, and choice
Empowerment, voice, and choice - “The organization aims to strengthen the staff's,
clients', and family members' experience of choice and recognize that every person's
experience is unique and requires an individualized approach.” Guiding Principles of
Trauma-Informed Care, 2014 The Substance Abuse and Mental Health Services Administration
(SAMHSA)
• Recognition that the people we support are not on a linear journey – drop
out, re-entering service, DNAs
• Not a one size fits all approach
• 3 stage trauma model
• Number of sessions
• Different types of support
• Availability of support – the support you need when you need it
NUMBER OF SESSIONS LENGTH OF SUPPORT (WKS)
24 30
3 4
28 39
18 24
24 27
12 21
25 29
24 34
12 15
26 36
13 18
10 24
3 5
12 13
11 13
20 23
20 32
24 28
Cultural, historical, and gender issues
Cultural, historical, and gender issues - “The organization actively
moves past cultural stereotypes and biases, offers gender responsive
services, leverages the healing value of traditional cultural connections,
and recognizes and addresses historical trauma.” Guiding Principles
of Trauma-Informed Care, 2014 The Substance Abuse and Mental
Health Services Administration (SAMHSA)
• Gender responsive
• female only spaces
• provide additional funding to see survivors of other genders rather than
having to use existing funds to support a larger group
Trauma Informed Practice: 3 points to take away
• Clinical Supervision
• Flexible support
• Gender responsive
Stephen Pratt
Drug and Alcohol Specialist Service Coordinator
Golden Key
Trauma Informed Care
Chris Bellamy
Golden Key Service Coordinator
WHEN DID YOU STOP CARING
ABOUT THESE CHILDREN?
WE ALL HAD A CHILDHOOD ONCE
Corrado Totti
Peer Mentoring Service Project Leader
& Former Service User
Golden Key
Any Questions ?
@academyjustice
Academy for Social Justice
Commissioning