What do we mean by trauma informed care?

Transcription

1 What do we mean by trauma informed care?

2 Discussion with: Dr. Vivian Brown, Researcher with WCDVS Margaret Bryans, Assertive Community Treatment, Winnipeg Stephanie Capyk, Victoria Women's Sexual Assault Centre Lynda Dechief, Equality Consulting, Nelson, BC Arlene Haché, Centre for Northern Families, Yellowknife Dr. Robin Mason, Women s College Hospital, Toronto Nancy Poole, BCCEWH, Vancouver

3 Making the Links Poverty Sexual Orientation Disability Experience of Loss Racial Discrimination Age Substance Use Mental Ill Problems Health Trauma Violence Against Women Punishment/ Incarceration HIV/AIDS Colonization Context/ Isolation Resilience Public policy Systemic discrimination Mothering Access to health care Partnership /Friendship

4 Definitions of trauma The terms violence, trauma, abuse, and postttraumatic stress disorder (PTSD) often are used interchangeably. One way to clarify these terms is to think of trauma as a response to violence or some other overwhelmingly l negative experience (e.g., abuse). Trauma is both an event and a particular response to an event. The response is one of overwhelming fear, helplessness, or horror. PTSD is one type of disorder that results from trauma. Covington, S.S. S (2008). Trauma means experiencing, witnessing, or being threatened with an event or events that involve serious injury, a threat to the physical integrity of one's self or others, or possible death. The responses to these events include intense fear, helplessness, and/or horror. Definition used for the Women s Co-occurring Disorders and Violence Study Interpersonal trauma will be defined as experiences involving disruption in trusted relationships as the result of violence, abuse, war or other forms of political oppression, or forced uprooting and dislocation from one s family, community, heritage, and/or culture. (Berman, Mason et al 2010)

5 Trauma informed systems and services Understand the role that violence and trauma play in the lives of most people who access substance use and mental health services Integrate this knowledge into all aspects of service delivery, including supporting survivors to manage their trauma symptoms successfully so that they are able to access, retain, and benefit from the services This means not only do services and systems accommodate the vulnerabilities of trauma survivors, but they actively facilitate survivors participation in treatment. Harris, M., & Fallot, R., D. (2001). Using Trauma Theory to Design Service Systems. San Francisco, CA: Jossey Bass.

6 Thanks for your participation! As follow-up we have planned: 1) The audio file of this webcast will be available at the website below 2) Some documents such as the discussion guide pictured here are available at that site as well 3) Over the next 6 months we will be adding more resources to this website, including an a online tool designed to link people across Canada who are engaged in trauma informed work. 4) If you are interested in participating in one or more webmeetings to discuss integrating trauma informed practice in systems of care, contact ctalbot@cw.bc.ca