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1) I believe the first order of business would be to establish some semblance of safety for Jacinta, I mean a mostly male group doesn’t strike me as safe, matter of fact it’s most likely triggering for her. Then I would offer her an opportunity to offer Woman seeking safety, so that’s a step in client engagement too. She has every right to invest in something she feels may work for her. I would also educate myself on these issues that are unique to the Latino community which would go a long way towards fostering a relationship of trust and rapport. Using MI throughout would also be helpful I believe.
2) First and foremost I would ask Jacinta to educate me on SUSTO, allowing her the safe space to explain what it is and how this affects her, listening without judgment & creating a safe place so that she feels heard and understood. Learning more about SUSTO would also inform me and allow me to understand what Jacinta is going through and perhaps allow her to feel the collaborative effect that we are in this together.
3)I would refer Jacinta in-house to the Women Seeking Safety would be the obvious choice. The women with the women would be a solid first step, should after careful monitoring from group facilitator feedback calling for a different referral one could then be made. Again after discussing benefits and barriers with Jacinta she could decide what might be best for her along with collaboration.
4) This course has opened new vistas for me, TIC is so much more compassionate than the old way to deal with trauma. There are now sooo many interventions available for folks nowadays. I now have a better understanding of how “easy” it can be to re-traumatize a consumer, with more education we can collaboratively treat our survivors in a more compassionate informed platform. No two traumas are alike and individualizing treatment with a wide variety of interventions with informed assistance is awesome. THANK YOU1)Christina wasn’t believed by her own parents when she reported the sexual abuse. As she moved through all the misdiagnoses looking back she was able to normalize doing what any normal six year old would do. She was a hyper kid and easily bored which she saw as a strength, yet everybody else attached a label to her ADHD, ADD, she never felt heard. She was able to empower herself, tired of numbing out, realized that more CBT was best for her, researched the internet, was proactive in her own recovery, enrolled in therapy (continuity in care with same therapist for years, gave her a lot of credit)hadn’t been in jail in over four years…this is a woman who turned the “system” on its head, she was quietly determined with a steely reserve not to be bamboozled by medication, remained abstinent from alcohol, sought out peer support groups where people listened to her , people she could trust and be vulnerable with and realized she’s not alone. I would encourage Christina to learn more about psychoeducation, continue to collaborate mutual relationships with outside sources where she can rise above , manage and cope with her trauma. I thought the video was inspiring and remain hopeful that others who have experienced similar traumas are moved to take that first step in healing, that they too can recover, be empowered and live useful and productive lives.
@) I favor the Adverse Childhood Effects calculator because like it was mentioned in the module, its easier ( not for all and by no means the rule) for one to fill out a questionnaire and less imposing, the other is Brief Trauma questionnaire. This would again allow a client to acknowledge if there has been something in their past that they may feel warrants further work, it opens the door for a deeper conversation should they choose to be honest on the questionnaire.
3) Working with Selena I would try to create a safe space for her, fostering trust, all the while collaborating on coping strategies and awareness of trauma symptoms that may appear in ways in which she had no idea. Further education in this area would also help to alleviate regression and allow her to add meaning to her already amazing life with all that she’s over come. Build on her strengths, continue to enhance her belief that she is no longer a victim, she is in control of her life.1)I signed up for this course to educate myself about Trauma Informed Care. As a substance abuse counselor I have “known” for years that trauma and substance use are connected and have always believed that best practice would lend itself to simultaneous care within a single system. Offering integrated treatment is in my view best practice. So while we offer cross section collaboration at our place of businesses well as engagement and involvement with people in recovery there are times when I must out-source trauma work as I am not qualified. Having policies in place and licensed supervisors to take on these cases is something we as an organization strives to put in place as well as retaining staff to manage TIC.
2)I believe my inclination and strength is developing therapeutic alliances. Creating a safe place, establishing rapport and fostering trust seem paramount to me for the welfare of a client presenting trauma history. I also believe that awareness of and a commitment to self care practice in the hopes of lessening STS in clients is something I really could practice more and commit to.
3)It appears that Larry didn’t familiarize himself with the young lady in question. Nor did he roll with resistance or incorporate any motivational interview strategies. AA is a program of attraction not promotion, Larry resorted to his own experience basically ignoring her claims and dissatisfaction with an “all” men AA meeting. Larry’s supervisor made an effort to at least provide Larry with some remedial training in the hope that he will meet clients where they are at and not impose his beliefs, his prior experience on other clients.1)Truth lies in the person’s story because it is their reality, It is what they believe to be true. Too often have folks like Ana been ignored or marginalized. There are never any easy answers to complicated problems, nor any quick easy fixes. The resulting symptoms of trauma are not a foregone conclusion, many people experience like-traumas yet manifest in different ways that’s why the truth lies in a person’s story not the symptomology of it.
2)I am in agreement with this crucial paradigm shift that allows clinicians to understand, to be empathetic and compassionate as opposed to “what’s your problem?. In asking of our clients “what’s happened to you?” it is an invitation, a chance for the listener (clinicians) to be present to be interested to create this space for the client to tell their story. To further inquire what have you tried to deal with this? Most importantly, how can you and I work together to strategize, meet your goals, so that you can heal and recover. I have a young man in my program who the minute my voice gets elevated he shuts down. While I would describe my voice as excitable or passionate matters none, he’s had a dad who’s been yelling at him for years and my voice when elevated, well-intentioned or not triggers him. Creating safety, developing a nurturing voice has been instrumental in our collaboration moving forward.
3)My agency continues to grow and learn in regard to these ten principles. We are devoted to fostering a safe atmosphere, and I’d have to say that empowering individuals who have experienced trauma (which is nearly all in some fashion or another)is expressly sought after. Peer group support is encouraged with a sense of decorum and permission from clients. Safety is the key though, for without there can be no fluid exchange of deep emotion. whether in a group setting or in individual therapy clients are made to (invited) explore obstacles/barriers to treatment. Continued exchange of Trauma Informed Care continues to benefit all clinicians to provide best practice for our clients.
