Trauma Informed Interventions
Dr. Dawn-Elise Snipes, PhD, LPC-MHSP
Podcast Host: Counselor Toolbox
CEUs/CPDs/OPDs are available for this presentation at https://allceus.com/member/cart/index/product/id/955/c/in the US or for clinicians in Australia at https://allceus.com/member/cart/index/product/id/955/c/
Objectives
~ Review the components of Trauma Informed Care
~ Identify a variety of interventions and considerations for the provision of trauma informed care
Principles of TIC
~ Safety
~ Emotional, cognitive, physical, interpersonal
~ Trustworthiness and transparency
~ Peer support and mutual self-help
~ Collaboration and mutuality
~ Sharing of power and decision-making and recognition that everyone has a role to play
Principles of TIC
~ Empowerment, voice, and choice
~ Strengths are built on and validated and new skills developed as needed.
~ Belief in resilience and individuals, organizations, and communities.
~ Building on what clients, staff, and communities have to offer, rather than responding to perceived deficits.
~ Cultural, historical, and gender issues
~ Leverages the healing value of cultural connections, and recognizes and addresses historical trauma.
Three E's of Trauma:
~ Events: Objective—What happened
~ Experiences: How the person experienced the event based upon
~ Developmental age
~ Prior history
~ Available resources
Three E's of Trauma:
~ Effects
~ Emotional
~ Mental
~ Physical
~ Social
~ Spiritual
~ Environmental
The Four R’s
~ Realization of the event
~ Recognize the experience and the effects
~ Respond to help people live a high quality of life
~ Resist re-traumatization.
Summary of the Intention of Interventions
~ Create safety and develop trust through the use of
~ Cultural resources
~ Peer support
~ Transparency
~ Collaboration and empowerment
~ To
~ Explore events, experiences and effects
~ Respond in a way to help people live a rich and meaningful life without retraumatizing them
Creating Safety
~ Develop a nurturing voice
~ Develop a crisis plan (and a post-crisis plan)
~ Mindfulness activities (Awareness of self)
~ Grounding techniques (Awareness of the present)
~ Unhooking
~ Pandora’s box
~ Boundaries
~ Physical
~ Emotional
~ Cognitive
Transparency
~ Always explain the rationale behind activities
~ Improve communication
~ Stop mindreading
~ Ask for what you need (and stop expecting mind reading)
~ Using I-statements
~ Develop an awareness of the motivations behind thoughts, feelings and urges
Collaboration and Empowerment
~ Multisensory guided imagery
~ Values identification
~ Living in the And
~ How are you different?
~ Identify and enhance strengths for coping with
~ Irritability
~ Hypervigilance
~ Sleep disturbances
~ Flashbacks
~ Numbing
~ Withdrawal
Collaboration and Empowerment
~ Creating Meaning
~ Play it out…
~ Trigger identification and modification
~ Red flags & green flags
~ Systematic Desensitization
~ Narrative therapy written or charted
~ Broken pot
Cultural and Peer Resources
~ Involve cultural supports
~ Faith healers, pastors
~ Colleagues
~ Identify peer-based resources (specialty groups)
~ Family/support therapy
Responding without Retraumatizing
~ Building resiliency and preventing vulnerabilities
~ Challenging Questions
~ Facts for and against?
~ Emotional or factual reasoning?
~ Is there a high or low probability that your belief is or will be true?
~ What else contributed to the situation?
~ Are you catastrophizing or using all or nothing thinking?
Summary
~ Create safety and develop trust through the use of
~ Cultural resources
~ Peer support
~ Transparency
~ Collaboration and empowerment
~ To
~ Explore events, experiences and effects
~ Respond in a way to help people live a rich and meaningful life without retraumatizing them
~ Ask yourself if any intervention is disempowering, nontransparent, or could be triggering in any way.
~ Inform clients before the intervention of the potential benefits and effects