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Trauma Informed Care Case Studies

1611 Words7 Pages

All of my peers had used trauma-informed care and were extremely compassionate when talking to the clients about the shooting that occurred at the hospital. Vesper used trauma-informed care when she was assessing Sally right after the shooting at the hospital took place, Kelsey used it when talking to Greg about his substance abuse troubles, and Andrew used it when working with Max after he was having stress induced chest pains. Substance Abuse and Mental Health Service Administration (SAMHSA) explains trauma-informed care as an approach that realizes the impact of trauma, recognizes symptoms of trauma, responds by using trauma-informed practices, and avoids re-traumatizing individuals (2015). Throughout the entire simulation, everyone seemed …show more content…

Narrative therapy is informed by literature and is explained by the idea that therapy can take place without blame or disrespect (Morgan, 2000). This type of therapy places a person at the center of their own lives and allows them to be viewed separately from the people or problems surrounding them (Haugaard, 2006). This approach worked well with Nicole because I was able to listen to the way she felt without blaming her for her son’s wrongdoing or making her feel like she did not belong in therapy with me. Since Nicole was feeling alone in the world, I had to be able to provide a safe place for her where she could talk to me about how she was feeling without making her feel unsafe or insecure. Narrative therapy allows for a client to tell their own stories and assumes that the client has skills to reduce difficulties in their lives (Morgan, 2000). I did not judge Nicole in any way throughout the time that we were talking to each other and I tried to meet her where she was at so that we could work together to move forward. I worked hard to normalize the ways in which Nicole was feeling and help her understand why she was feeling isolated and alone. Since Nicole’s son was the active shooter in the hospital, Nicole had a very unique role within the simulation. I was glad that I was able to work and connect with her by placing her at the center of her own world …show more content…

Since this was a simulation and I was not going to have long enough to reach any sort of goal, I was just interested in forming a therapeutic alliance with Nicole and getting a true sense of how she was feeling. In the assessment phase of the intervention, Nicole was explained as being difficult and irate. I became nervous to talk to her and was not exactly sure how I was going to be able to meet her where she was at. Once we started talking, I felt very comfortable listening to Nicole’s side of the story and really wanted to help her reach a place of comfort and understanding. I use narrative therapy a lot in the hospital because many of my patients feel as though nobody is listening to them. This type of therapeutic approach felt comfortable to me and I like getting an understanding of the person in their environment before I try to figure out what they need help

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890 Words | 4 Pages

Selected Intervention Motivational interviewing was designated method of Nancy’s treatment. Motivational interviewing is therapeutic style that is client centered, helps people work through problems, and enhances individuals to readiness to commit to change (Hettema, Steele, & Miller, 2005). According Hettema, Steele, & Miller (2005), “Motivational interviewing places strong emphasis on eliciting the client 's own perceptions, values, and motivations for change.” Measurement Tools After beginning treatment and social services implemented the instrument tool short survey. According to Institute for Healthcare Improvement (2004), “Short surveys are intended to provide just enough simple and prompt feedback to tell you whether your attempts to improve are going in the right direction.”

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739 Words | 3 Pages

When therapist asked client about the alternative behavior, client reported that he tried to talk to the aunt about his oldest sister bossing him around, but his aunt tried to avoid it because she does not want to fight with her. Client reported that he feels angry 2-3 times a week because he argues with his foster sister and feels bad about it. When therapist processed with client his feelings about being stressed by his family. When therapist psycheducated client about the types of anxiety and having anxiety related to study or any future plan is okay since is not preventing him from functioning. apist acknowledged the clients role play.

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1736 Words | 7 Pages

This comes into the last part of Narrative therapy, where the client is able to move past the problem and see the values and strengths within himself that he gained from his rewritten

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520 Words | 3 Pages

SSW 197 Assignment #2 Kirstin Cain 9000736 The skills I learned within the classroom that I utilized during my practicum were active listening, active listening and active listening, reflection and having empathy. I also used some paraphrasing and summarizing, particularly when a client was disclosing some previous trauma that he believed to have occurred during his childhood (the psychiatrist was uncertain as to whether these were actual events or delusions). I had the opportunity to do role play with an individual wanting to practice making phone calls inquiring about apartments for rent. I used sessional contracting with this individual, did perception checks and had him score his anxiety at various points throughout the role play.

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383 Words | 2 Pages

Policy Recommendations Given the pros and cons of each recommended alternative, I recommend that we require all teachers and staff to be trained in trauma-informed care. I believe that this strategy helps on decreasing the number of students who are being funneled into the criminal justice system because teachers and staff would have a better understanding of the impact of trauma in students. I also believe that the long-term effects of trauma can be exacerbated by ill-informed practices of teachers. In order to understand a child's behavior, it is important to understand the trauma that a child may have faced beforehand or is still facing.

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1504 Words | 7 Pages

Step four: complete assessment/fill out structured decision making/ICWA forms and justify your answers. 1. Throughout the film, it was unclear what nationality the family was other than Caucasian. There were no clear times that the children were given special treatment or were denied treatment due to their ethnicity. The only time there was a clear racial division was due to Gracie’s relationship with Tommy who was a person of colour. When Gracie met his family, there was somewhat of a hesitation due to the racial separation, this could have stemmed from the socioeconomic division between her family compared to his.

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110 Words | 1 Pages

Victims are often affected mentally, financially and physically after a crime. Whether its long-term or short-term affects, counseling is there to help the victims of crimes. Christine primarily focuses on Trauma Informed Counseling, also carried out by licensed professionals that are sometimes provided for free, reduced in cost or funded by the Victim Crimes Compensation Board (VCCB). Christine went on to explain that Trauma Informed Counseling addresses the effect of trauma to children or adults. It is important to counsel and assist the victim’s when trauma has affected them because it could lead to a higher risk of substance abuse, dependence, or mental health problems such as depression or anxiety.

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551 Words | 3 Pages

But most importantly, I told her everything was going to be okay, and that she shouldn’t feel guilty about her secrecy. I called Annelise and we talked for an hour about how our days went and what our plans were for the next week. I explained to Annelise that I understood what she was going through and how I managed those heavily weighted feelings of contemplation. Around three days after leaving the hospital, she told me that it was a reason she wouldn’t attempt suicide again. After viewing how it affected people around her, she understood she made a mistake.

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1646 Words | 7 Pages

People are viewed as separate from their problems, and in this way, a therapist can help externalize sensitive issue Narrative therapy can be used for individuals, couples, or families. In a couple or family setting, the technique of externalizing problems sets the stage for creating positive interactions and

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562 Words | 3 Pages

As a provider of mental health services in Texas, we will discuss the benefits of trauma-informed care: Creates a Sense of Safety Trauma-informed care creates a sense of safety in patients. This enables them to feel mentally and physically safe which increases the chances of patients engaging with their treatment. Trauma-informed care can also be helpful

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Introduction: Trauma is defined as exposure to past physical, sexual or emotional victimization. Trauma informed care is an emerging value that is seen as fundamental to effective and contemporary mental health nursing practice Muskett, 2013. It aims to recognize the trauma and how it has impacted on an individual’s life. This will try and help reduce practices that might re traumatize the patient such as strip search, pat down, seclusion, restraint, and help creative a comfortable yet therapeutic environment for clients in a clinical setting. This paper attempts to recognize the importance of trauma informed care, the principles of trauma informed care and effective evaluation tools to help assess past trauma and how can re traumatisation

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A brief comparison between narrative therapy and family therapy will also be given.   Overview of the two theories Narrative Therapy Narrative therapy is best known for being used by Michael White and David Epston. Narrative therapy commonly involves a shift in focus from more theories that can be seen as traditional. A collaborative approach is often encouraged and the therapist is also encouraged to show special interest and listen respectfully to the client’s stories. The therapist should also avoid diagnosing and labelling clients but rather enable the client to often separate themselves from the most dominant story of their life to provide a space where alternative life stories can be created (Corey, 2014).

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1341 Words | 6 Pages

This can be used as a healthy and appropriate way of handling what the person is struggling or

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276 Words | 2 Pages

Traumatic events are beyond a person’s control and therefore trauma can affect anyone. I have identified several key issues within trauma informed programs and have developed strategies that may assist in the way organizations deliver trauma informed services. One such issue is the leadership style of the program director and or person(s) in charge. Leadership style is important when administering services because the attitude of the person in charge has a direct effect on their subordinates which can then affect services rendered. My strategy to combat this would be to hire a program director and/or program supervisors who encourage feedback, consider suggestions and ideas about the program and implementing trauma informed services.

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1965 Words | 8 Pages

Though it has certain boundaries and limitations, a lot of times Marion may expect the therapist to act as the expert, instead of having to conduct the conversation themselves (Winslade & Cotter, 2002). For these reason, Narrative Therapy can be challenging especially if Marion will not be a good talker or not articulate. There are so many factors, but the only way the therapist can work well with Marion is to make her feel with an amazing self-confidence coupled with intellectual capacity and other narratives will be expressed properly. The therapist can also program some agenda for Marion to support a framework to her narrative to make her tell her stories easier. But the most important aspect of Narrative Therapy is to empower the client (Flaskas, 1999).

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