Accounting for Culture & Trauma in Your Services & Responses

Size: px
Start display at page:

Download "Accounting for Culture & Trauma in Your Services & Responses"

Transcription

1 Accounting for Culture & Trauma in Your Services & Responses Olga Trujillo, JD Director, Education & Social Change Caminar Latino Latinos United for Peace and Equity Initiative

2 The National Resource Center for Victims of Crime in Underserved Communities Collaborative Initiative funded by the Office for Victims of Crime Vera Institute for Justice Latinos United for Peace & Equity Initiative at Caminar Latino

3 Exploring the Impact of Trauma and How its Important to Your Services Examine my experience of violence and trauma Show pictures Describe experience No graphic descriptions of violence Explore the bias, privilege & cultural implications Explore how trauma can impact your work with survivors Examine what you can do to create culturally responsive & trauma informed 3

4

5 Representing Domestic Violence Survivors Who Are Experiencing Trauma and Other Mental Health Challenges: A Handbook for Attorneys Written by Mary Malefyt Seighman, JD Erika Sussman, JD Olga Trujillo, JD On behalf of the National Center on Domestic Violence, Trauma & Mental Health Edited by Carole Warshaw, MD December

6 PREPARING FOR COURT PROCEEDINGS WITH Page 1 of 4 March 2013 P: (312) Copyright 2013 National Center on Domestic Violence, Trauma & Mental Health SURVIVORS OF DOMESTIC VIOLENCE Tips for Civil Lawyers and Legal Advocates Legal proceedings are often stressful for participants, whether or not they are survivors of trauma. Many survivors of domestic violence find the proceedings challenging in ways specific to the trauma they have experienced ways that others may not be able to anticipate. Your ability to recognize and adjust to the challenges survivors experience will affect their ability to participate in and contribute to successful outcomes in their cases. Interpersonal violence is usually traumatic to the survivor, especially when the perpetrator is someone who was loved and trusted. Although the experience of violence is subjective and varies from individual to individual, we know that the greater and more prolonged the trauma, the more likely a survivor is to experience some after-effects. Cases of domestic violence involve an ongoing pattern of coercion, intimidation, and emotional abuse, reinforced by the use and threat of physical or sexual violence. Thus, survivors will most likely have experienced more than one traumatic event. Many lawyers and legal advocates find legal proceedings challenged or interrupted when a survivor is reminded of a traumatic experience. Reminders of previous trauma can be evoked by seeing people, by places or activities, or by experiencing the feelings and sensations associated with past traumatic events. These reminders can cause feelings of fear or distress or put people on alert. They can also restart posttraumatic stress reactions or behavior even years after a traumatic event has occurred. * These reminders can cause a literal re-experiencing of the event itself as well as the feelings and sensory associations with the trauma. The feelings associated with trauma may include panic, anger, disorientation, physical pain, grief, or numbing and shutting down. The sensory associations may be smells, sounds, or physical feelings. Moreover, in order to manage the painful feelings triggered by the reminder, survivors of trauma often cope in ways that are instinctive to them but confusing to other people: by dissociating, minimizing, or trying to control unrelated aspects of their environment. Specific to the court environment, traumatic reminders come in many forms. This may be the first time the survivor has seen the person who abused them in a long time, and they may be triggered by being in the same room as their abuser, by a * National Child Traumatic Stress Network. (November, 2011). Emotional Responses to Trauma. Retrieved from TTY: (312)

7

8

9

10

11

12

13 Impact of Trauma on Your Work It is important to be able to identify when trauma may be an issue so that we can partner with survivors to craft strategies to help them: Stay safe Keep moving forward with what they want and need Avoid triggers Develop plans for when triggers arise 13

14 Impact of Privilege & Bias Be aware of privilege and bias Understand the realities of survivors lives Will be an issue for the survivor and her family whether you see it or not Partner with survivors to address strategies to help: How will the system see the survivor What is the survivor s experience with the police, immigration, child welfare Develop plans for how to address these with the survivor 14

15 Question What do you think my experience and the impact of trauma, means for me as a witness? Will I show any emotion? Will I show too much emotion? Will people believe me? Will I remember what we talked about? 15

16 Question What do you think my experience as a Latina Lesbian with trauma and dissociation means for me in your community? 16

17 Question What do you think my experience as a Latina Lesbian, non-conforming with DID means for me in your community? 17

18 Trauma and Dissociation Learn about the impact of trauma and dissociation Incorporate survivors in your learning don t just rely on clinicians

19 What We See & Experience Flat demeanor or spacey look Not paying attention Overreacting to seemingly benign situations Minimizing the abuse Talking all over the place Scattered (non-linear) thinking Unable to remember key facts Uncooperative Not following-through 19

20 Diagnoses Arising from Trauma Post Traumatic Stress Disorder (PTSD) Nightmares Nightsweats Startle Response Hypervigilance Flashbacks Dissociative Disorders Losing time Numb Spacey Anxiety and Panic Disorders Phobias such as Agoraphobia & Claustrophobia 20

21 Dissociative Identity Disorder Have you heard of it? Have you ever worked with someone that has it?

22 What is DID? A person with DID feels as if she has within her two or more entities, each with its own way of thinking and remembering about herself and her life. These entities previously were often called personalities, even though the term did not accurately reflect the common definition of the word.

23 DID (continued) Other terms often used by therapists and survivors to describe these entities are: alternate personalities, alters, parts, states of consciousness, ego states, and identities. It is important to keep in mind that although these alternate states may feel or appear to be very different, they are all manifestations of a single, whole person.

24 What this means for your work

25 Working with the Survivor Be Aware of the Signs of Trauma Talking in non-linear manner or tangents Flat affect, emotionally detached when discussing violence Blank stare (dissociating) Unable to remember key facts Remove Barriers to Participation If you notice signs of trauma, take steps to avoid triggering feelings that can be disruptive to the survivor as you work together. 25

26 Working with the Survivor Building Trust and Informed Consent of Survivors Experiencing Trauma Survivors may be unable to access all of the details Provide time/space for fully-informed decision-making Validate Be responsive, even if multiple requests for same information Help identify alternative coping strategies Connect survivors with experienced MH professionals Offer support to survivors who are using alcohol/drugs Adapted from Jill Davies, Helping Sexual Assault Survivors with Multiple Victimizations and Needs, A Guide for Agencies Serving Sexual Assault Survivors (July 2007). 27

27 Survivor-Defined, Trauma-Informed Services & Responses Work with Survivor to Identify Risks Types of Risks: Perpetrator-Generated Mental Health Risks Life-Generated Mental Health Risks Oppression and bias Perpetrators use mental health risks to further their abuse and get away with it. E.g.: Threatening to use survivor s mental health history against her during legal proceedings or processes. Tactics of intimidation Knowledge and preparation is the antidote Analyze mental health risks now and in the future. 29

28 Working with the Survivor (continued) Partner With Survivor To Devise Options that Fit Within Broad Safety Plan Strategize about risks and benefits of options 30

29 Share Information and Listen Key Question: Does the survivor feel that she can participate in your program? Consider the challenge; develop strategies. Examples: Repeat things Use different modes of learning Conduct a Self Assessment 31

30 Survivor Referrals to Mental Health Collaborating with Trauma- and Violence-Informed Mental Health Professionals Encouraging Survivor-Driven Decision-Making Don t present options until you have context Don t move forward based upon a simple yes Together, analyze risks and benefits Create options that mitigate risks Give client time to consult with friends, family, an advocate 32

31 Tips to follow Tipsheet

32 Systems and Services Can be Inherently triggering Prepare early for legal proceedings Predictability

33 What you can do Repeat things as often as needed Keep it simple Talk about trauma signs and symptoms Be willing to do this over and over Neuroplasticity

34 Help Access Services Predictability Key to success Plan ahead Prepare Limit stimulation Limit noise and chaos Modes of communication Talk about trauma related issues and how you ll handle them

35 What else can you do? Plan for triggers Encourage supportive connections Consider support animals or service animals Grounding techniques

36 Strategize with Survivors to Ensure Emotional Safety Build Trust Help Survivors Understand What to Expect Learn about triggers She may not know all (or any) of them Make a list that she can keep Anticipate triggers What helps? What can you do? What does she do when this happens? Plan for them.

37 Resources REPRESENTING DOMESTICVIOLENCESURVIVORSWHOAREEXPERIENCING TRAUMA AND OTHER MENTAL HEALTH CHALLENGES: A HANDBOOK FOR ATTORNEYS, Co-authored by Mary Malefyt Seighman, Erika Sussman, and Olga Trujillo (National Center on Domestic Violence, Trauma & Mental Health, January 2012). Preparing Survivors for Court (National Center on Domestic Violence, Trauma & Mental Health (May 2013) 48

38 Olga Trujillo, J.D. Director of Education & Social Change Carminar Latino Latinos United for Peace & Equity Initiative

Post Traumatic Stress Disorder 1 Symptoms of PTSD: Re-experiencing the traumatic event. Other common symptoms of post-traumatic stress disorder (PTSD)

Post Traumatic Stress Disorder 1 Symptoms of PTSD: Re-experiencing the traumatic event. Other common symptoms of post-traumatic stress disorder (PTSD) Post Traumatic Stress Disorder 1 Symptoms of PTSD: Re-experiencing the traumatic event Intrusive, upsetting memories of the event Flashbacks (acting or feeling like the event is happening again) Nightmares

More information

Understanding Complex Trauma

Understanding Complex Trauma Understanding Complex Trauma Frightening events can have lasting effects Trauma and Homelessness Team Carswell House Dennistoun Glasgow G31 2HX Tel: 0141 232 0114 Fax: 0141 232 0131 General enquiries email:

More information

Information about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP

Information about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP Information about trauma and EMDR Eye Movement Desensitization & Reprocessing Therapy Felisa Shizgal MEd RP what is emotional trauma People experience many challenging and painful emotions including fear,

More information

Intimate Partner Violence (IPV) Domestic Violence 101. Zara Espinoza, MSW

Intimate Partner Violence (IPV) Domestic Violence 101. Zara Espinoza, MSW Intimate Partner Violence (IPV) Domestic Violence 101 Zara Espinoza, MSW Learning Objectives Enhance understanding of the dynamics surrounding IPV/Domestic Violence Explore effects, risk factors and cultural

More information

National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters

National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters National Institute of Mental Health Helping Children and Adolescents Cope with Violence and Disasters For Parents of Children Exposed to Violence or Disaster What Parents Can Do Each year, children experience

More information

Trauma Informed Sexual Assault Investigation: Interviewing

Trauma Informed Sexual Assault Investigation: Interviewing Trauma Informed Sexual Assault Investigation: Interviewing How Victim Trauma Impacts Investigations Victims may experience certain responses during and after the assault: Traumatic memory is fragmented,

More information

Both Sides of the Desk: Trauma-Informed Services in the Child Support Program

Both Sides of the Desk: Trauma-Informed Services in the Child Support Program Both Sides of the Desk: Trauma-Informed Services in the Child Support Program Rebecca Sharp, MPA, LMSW Katie Morgan, SC IV-D Director Both Sides of the Desk: Trauma-Informed Services in the Child Support

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,

More information

What the heck is PTSD? And what do I do if I have it?

What the heck is PTSD? And what do I do if I have it? What the heck is PTSD? And what do I do if I have it? Dr. Dion Goodland, Psychologist Goodland Psychology November 2015 Outline for today What is Posttraumatic Stress Disorder (PTSD)? How do I get it?

More information

Supporting Traumatized Loved Ones

Supporting Traumatized Loved Ones Supporting Traumatized Loved Ones TRAGEDY ASSISTANCE PROGRAM FOR SURVIVORS TAPS National Headquarters Arlington, VA 22201 800-959-TAPS (8277) www.taps.org Agenda Introduction Reactions to stress Post-traumatic

More information

Effects of Traumatic Experiences

Effects of Traumatic Experiences Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D When people find themselves suddenly in danger, sometimes they are overcome with feelings

More information

Trauma Informed Care: The Do's and Don'ts of Serving Survivors of Intimate Partner Violence

Trauma Informed Care: The Do's and Don'ts of Serving Survivors of Intimate Partner Violence Trauma Informed Care: The Do's and Don'ts of Serving Survivors of Intimate Partner Violence Presented by: Arielle Wiesenfeld & Kiley M. Rose New York Presbyterian Hospital DOVE Program Overview 1. 2. 3.

More information

My name is Todd Elliott and I graduated from the University of Toronto, Factor- Inwentash Faculty of Social Work, in 1999.

My name is Todd Elliott and I graduated from the University of Toronto, Factor- Inwentash Faculty of Social Work, in 1999. Profiles in Social Work Episode 32 Todd Elliott Intro - Hi, I m Charmaine Williams, Associate Professor and Associate Dean, Academic, for the University of Toronto, Factor-Inwentash Faculty of Social Work.

More information

Learning objectives addressed Describe various responses among helpers working with survivors of trauma.

Learning objectives addressed Describe various responses among helpers working with survivors of trauma. 1 2 3 4 Describe various responses among helpers working with survivors of trauma. Research has shown that some professionals and adults working with survivors of trauma are often affected by the experiences

More information

Grade 9 Consent 2. Learner Outcomes. Content & Timing. Required Materials. Background Information

Grade 9 Consent 2. Learner Outcomes. Content & Timing. Required Materials. Background Information Grade 9 Consent 2 Learner Outcomes W-9.7 Evaluate implications and consequences of sexual assault on a victim and those associated with that victim W-9.12 Determine safer sex practices; e.g., communicate

More information

Members Can Do. What Community. From the National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters

Members Can Do. What Community. From the National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters Helping Children and Adolescents Cope with Violence and Disasters For Teachers, Clergy, and Other Adults in the Community What Community Members Can Do From the National Institute of Mental Health Violence

More information

The ABCs of Trauma-Informed Care

The ABCs of Trauma-Informed Care The ABCs of Trauma-Informed Care Trauma-Informed Care Agenda What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma?

More information

Trauma & Therapies.

Trauma & Therapies. Trauma & Therapies #GetBackToLife @henmorehealth Trauma The impact of trauma occurs on various levels and can interfere with a person s ability to function in daily life, affecting relationships, work,

More information

Trauma Informed Care for Youth & The VCC Trauma Recovery Program for Youth

Trauma Informed Care for Youth & The VCC Trauma Recovery Program for Youth Trauma Informed Care for Youth & The VCC Trauma Recovery Program for Youth 1 A response that involves intense fear, horror and helplessness; extreme stress that overwhelms the person s capacity to cope

More information

Trauma-Informed Environments to Promote Healing. Laurie Markoff, Ph.D. Institute for Health and Recovery URL:

Trauma-Informed Environments to Promote Healing. Laurie Markoff, Ph.D. Institute for Health and Recovery URL: Trauma-Informed Environments to Promote Healing Laurie Markoff, Ph.D. Institute for Health and Recovery URL: www.healthrecovery.org What is Trauma? Trauma Definition Extreme stress that overwhelms a person

More information

Handouts for Training on the Neurobiology of Trauma

Handouts for Training on the Neurobiology of Trauma Handouts for Training on the Neurobiology of Trauma Jim Hopper, Ph.D. April 2016 Handout 1: How to Use the Neurobiology of Trauma Responses and Resources Note: In order to effectively use these answers,

More information

HOW TO DOCUMENT DOMESTIC VIOLENCE

HOW TO DOCUMENT DOMESTIC VIOLENCE HOW TO DOCUMENT DOMESTIC VIOLENCE IN MENTAL HEALTH RECORDS Washington Behavioral Healthcare Conference June 23, 2016 Alison Iser, MA Project Manager Domestic Violence & Mental Health Collaboration Project

More information

TAKING CARE OF YOUR FEELINGS

TAKING CARE OF YOUR FEELINGS TAKING CARE OF YOUR FEELINGS A burn injury causes changes in your life. Even though the event or accident that caused the burn may be over, you may still experience strong emotional or physical reactions.

More information

Signs of Acute Stress Disorder Symptom Behavioral Signs Support Needed

Signs of Acute Stress Disorder Symptom Behavioral Signs Support Needed APPENDIX G: A GUIDE TO RECOGNIZING ACUTE STRESS DISORDER IN POSTPARTUM WOMEN IN THE HOSPITAL SETTING Michelle Flaum Hall, EdD, LPCC-S, Xavier University INTRODUCTION The Diagnostic and Statistical Manual

More information

CHILD PTSD CHECKLIST CHILD VERSION (CPC C) TRAUMATIC EVENTS

CHILD PTSD CHECKLIST CHILD VERSION (CPC C) TRAUMATIC EVENTS CHILD PTSD CHECKLIST CHILD VERSION (CPC C) 7 18 years. (Version May 23, 2014.) Name ID Date TRAUMATIC EVENTS TO COUNT AN EVENT, YOU MUST HAVE FELT ONE OF THESE: (1) YOU FELT LIKE YOU MIGHT DIE, OR (2)

More information

PRISM SECTION 15 - STRESSFUL EVENTS

PRISM SECTION 15 - STRESSFUL EVENTS START TIME : PRISM SECTION 15 - STRESSFUL EVENTS Statement I.1: These next questions are about difficult or stressful things that can happen to people. It may be hard to remember everything about these

More information

Trauma FIRST RESPONDERS JADA B. HUDSON M.S., LCPC, CADC

Trauma FIRST RESPONDERS JADA B. HUDSON M.S., LCPC, CADC JADA B. HUDSON M.S., LCPC, CADC Trauma FIRST RESPONDERS Jada B. Hudson, M.S. Licensed Clinical Professional Counselor Certified Alcohol and Drug Abuse Counselor Operation Shattered Stars Clinical Consultant

More information

The ABC s of Trauma- Informed Care

The ABC s of Trauma- Informed Care The ABC s of Trauma- Informed Care AGENDA What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma? Why is understanding

More information

EXPLORING THE INTERSECTION BETWEEN INTIMATE PARTNER VIOLENCE AND SUBSTANCE USE/ABUSE. Florida Coalition Against Domestic Violence

EXPLORING THE INTERSECTION BETWEEN INTIMATE PARTNER VIOLENCE AND SUBSTANCE USE/ABUSE. Florida Coalition Against Domestic Violence EXPLORING THE INTERSECTION BETWEEN INTIMATE PARTNER VIOLENCE AND SUBSTANCE USE/ABUSE Florida Coalition Against Domestic Violence Learning Objectives Participants will explore the intersection of intimate

More information

SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT

SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT SECTION 8: SURVIVOR HEALING SURVIVOR HEALING INTRODUCTION Healing from any type of sexual violence is a personal journey and will vary

More information

Clinician-Administered PTSD Scale for DSM-IV - Part 1

Clinician-Administered PTSD Scale for DSM-IV - Part 1 UW ADAI Sound Data Source Clinician-Administered PTSD Scale for DSM-IV - Part 1 Protocol Number: XXXXXXXX-XXXX a Participant #: d Form Completion Status: 1=CRF administered 2=Participant refused 3=Staff

More information

DOMESTIC ABUSE. Information from Victim Support. victimsupport.org.uk

DOMESTIC ABUSE. Information from Victim Support. victimsupport.org.uk DOMESTIC ABUSE Information from Victim Support victimsupport.org.uk What is domestic abuse? Domestic abuse is threats, violence, and coercive or controlling behaviour between people who have a relationship

More information

HANDOUTS FOR MODULE 7: TRAUMA TREATMENT. HANDOUT 55: COMMON REACTIONS CHECKLIST FOR KIDS (under 10 years)

HANDOUTS FOR MODULE 7: TRAUMA TREATMENT. HANDOUT 55: COMMON REACTIONS CHECKLIST FOR KIDS (under 10 years) HANDOUTS FOR MODULE 7: TRAUMA TREATMENT PARENT SESSION 1 HANDOUT 52: COMMON REACTIONS TO TRAUMA AND STRESS HANDOUT 53: MY CHILD S TRAUMA HISTORY CHILD SESSION 1 HANDOUT 54: PREVALENCE GRAPHICS HANDOUT

More information

Creating and Sustaining a Trauma Informed Approach. Re n e e D i e t c h m a n L e s l i e W i s s

Creating and Sustaining a Trauma Informed Approach. Re n e e D i e t c h m a n L e s l i e W i s s Creating and Sustaining a Trauma Informed Approach Re n e e D i e t c h m a n L e s l i e W i s s Meet the Facilitators Renee Dietchman, MA Licensed Psychologist Director of Clinical Services Leslie Wiss,

More information

Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings. Darby Penney Advocates for Human Potential July 8, 2015

Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings. Darby Penney Advocates for Human Potential July 8, 2015 Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings Darby Penney Advocates for Human Potential July 8, 2015 2 Goals of the Presentation: Define trauma and discuss its impact

More information

Post Traumatic Stress Disorder (PTSD) (PTSD)

Post Traumatic Stress Disorder (PTSD) (PTSD) Post Traumatic Stress Disorder (PTSD) (PTSD) Reference: http://www.psychiatry.org/military Prevalence of PTSD One in five veterans of the Iraq and Afghanistan wars is diagnosed with PTSD. (http://www.psychiatry.org/military

More information

Trauma-Informed Advocacy on College Campuses. Rachel Ramirez Hammond, MA, MSW, LISW-S Ohio Domestic Violence Network

Trauma-Informed Advocacy on College Campuses. Rachel Ramirez Hammond, MA, MSW, LISW-S Ohio Domestic Violence Network Trauma-Informed Advocacy on College Campuses Rachel Ramirez Hammond, MA, MSW, LISW-S Ohio Domestic Violence Network rachelr@odvn.org 1 How we are is as important as what we do National Center on Domestic

More information

3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose

3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual

More information

Didactic Series. Trauma-Informed Care. David J. Grelotti, MD Director of Mental Health Services, Owen Clinic UC San Diego May 10, 2018

Didactic Series. Trauma-Informed Care. David J. Grelotti, MD Director of Mental Health Services, Owen Clinic UC San Diego May 10, 2018 Didactic Series Trauma-Informed Care David J. Grelotti, MD Director of Mental Health Services, Owen Clinic UC San Diego May 10, 2018 1 Learning Objectives 1) Understand the burden of trauma in HIVaffected

More information

UCLA PTSD REACTION INDEX FOR CHLDREN AND ADOLESCENTS DSM-5 Version Page 1 of 9 TRAUMA HISTORY PROFILE

UCLA PTSD REACTION INDEX FOR CHLDREN AND ADOLESCENTS DSM-5 Version Page 1 of 9 TRAUMA HISTORY PROFILE UCLA PTSD REACTION INDEX FOR CHLDREN AND ADOLESCENTS DSM-5 Version Page 1 of 9 Child/Adolescent Name: ID # Age: Sex: Girl Boy Grade in School School: Teacher: City/State Interviewer Name/I.D. Date (month,

More information

Understanding Trauma and PTSD: A Basic Overview. Dawn Brett, Ph.D., B.C.E.T.S.,F.A.A.E.T.S.

Understanding Trauma and PTSD: A Basic Overview. Dawn Brett, Ph.D., B.C.E.T.S.,F.A.A.E.T.S. Understanding Trauma and PTSD: A Basic Overview Dawn Brett, Ph.D., B.C.E.T.S.,F.A.A.E.T.S. Normative Stress (NS) All persons experience At certain stages of development Persons experience as part of their

More information

How to Help Your Patients Overcome Anxiety with Mindfulness

How to Help Your Patients Overcome Anxiety with Mindfulness How to Help Your Patients Overcome Anxiety with Mindfulness Video 9 - Transcript - pg. 1 How to Help Your Patients Overcome Anxiety with Mindfulness How to Adapt Interventions for Trauma-Related Anxiety

More information

Module 8: Medical and Mental Health Care of CSEC Victims

Module 8: Medical and Mental Health Care of CSEC Victims Module 8: Medical and Mental Health Care of CSEC Victims For Community Training Facilitators They (counselors) be too quick to give you medication maybe you just need to talk. I hate when they re looking

More information

The work of a Clinical Psychologist in Major Trauma

The work of a Clinical Psychologist in Major Trauma The work of a Clinical Psychologist in Major Trauma 10 th November 2016 Dr Becky Coles-Gale Senior Clinical Psychologist (Major Trauma) Rebecca.Coles-Gale@sussexpartnership.nhs.uk Royal Sussex County Hospital

More information

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Jim Hopper, Ph.D. November 2017 Handout 1: Using Neurobiology of Trauma Concepts to Validate, Reassure, and Support Note: In

More information

Manual for the Administration and Scoring of the PTSD Symptom Scale Interview (PSS-I)*

Manual for the Administration and Scoring of the PTSD Symptom Scale Interview (PSS-I)* Manual for the Administration and Scoring of the PTSD Symptom Scale Interview (PSS-I)* Introduction The PTSD Symptom Scale Interview (PSS-I) was designed as a flexible semi-structured interview to allow

More information

A Journey through Domestic Violence PRESENTED BY: SUZIE JONES, M.ED., LPCA

A Journey through Domestic Violence PRESENTED BY: SUZIE JONES, M.ED., LPCA A Journey through Domestic Violence PRESENTED BY: SUZIE JONES, M.ED., LPCA What is Domestic Violence? Domestic Violence is when one person in a relationship deliberately hurts another person physically

More information

Trauma: From Surviving to Thriving The survivors experiences and service providers roles

Trauma: From Surviving to Thriving The survivors experiences and service providers roles Trauma: From Surviving to Thriving The survivors experiences and service providers roles Building Awareness, Skills & Knowledge: A Community Response to the Torture Survivor Experience Objectives 1. To

More information

CHILD PTSD CHECKLIST PARENT VERSION (CPC P) TRAUMATIC EVENTS

CHILD PTSD CHECKLIST PARENT VERSION (CPC P) TRAUMATIC EVENTS CHILD PTSD CHECKLIST PARENT VERSION (CPC P) 7 18 years. Version May 23, 2014. Name ID Date TRAUMATIC EVENTS TO COUNT AN EVENT, YOUR CHILD MUST HAVE FELT ONE OF THESE: (1) FELT LIKE HE/SHE MIGHT DIE, OR

More information

Raising Awareness: Trauma-Informed Practices

Raising Awareness: Trauma-Informed Practices Raising Awareness: Trauma-Informed Practices Presented by Michele A. Carmichael Director IL-AWARE Principal Consultant for Behavioral Health Supports in Schools Illinois State Board of Education Intentions:

More information

Human Trafficking: Best Practices for the Courtroom and for the Clinical Setting

Human Trafficking: Best Practices for the Courtroom and for the Clinical Setting Human Trafficking: Best Practices for the Courtroom and for the Clinical Setting Mandi Pierson, MSW, LISW-S (she/her) & Hannah Estabrook, MA, LPCC-S (she/her) Outline 1. 2. Human Trafficking & Prostitution

More information

Table of Contents. Part 9: Criminal Legal Prosecutors and System-Based Advocates

Table of Contents. Part 9: Criminal Legal Prosecutors and System-Based Advocates Table of Contents Practice Guidelines for Criminal Legal Prosecutors and System-Based Advocates... 103 Introduction... 104 Training for Prosecutors and System-Based Advocates... 104 Training Resources...

More information

6/8/2018. What do you think of when you hear the word trauma? What type of events are traumatic?

6/8/2018. What do you think of when you hear the word trauma? What type of events are traumatic? Tyler Sliker, LMFT & Lori DiCaprio-Lee Vera House, Inc. What is trauma & how it affects individuals What is trauma informed care Impacts on practice What do you think of when you hear the word trauma?

More information

Opportunities for Enhanced Practice: Childhood Response and Resiliency to Family Violence. September 21, 2017

Opportunities for Enhanced Practice: Childhood Response and Resiliency to Family Violence. September 21, 2017 Opportunities for Enhanced Practice: Childhood Response and Resiliency to Family Violence September 21, 2017 The Intersection of Community Violence and Family Violence CHDI Carol O Connor, LCSW TF-CBT

More information

CRISIS INTERVENTION TRAINING

CRISIS INTERVENTION TRAINING CRISIS INTERVENTION TRAINING CONCETTA HOLLINGER, MSW, NCA, LCSWI SEXUAL ASSAULT VICTIM ADVOCATE, SAFE PLACE AND RAPE CRISISCENTER FLORIDA COUNCIL AGAINST SEXUAL VIOLENCE STATEWIDE CONFERENCE 2012 YOUR

More information

Charles Schroeder EMS Program Manager NM EMS Bureau

Charles Schroeder EMS Program Manager NM EMS Bureau Charles Schroeder EMS Program Manager NM EMS Bureau Objectives Understand the nature of stress, emotional and psychological distress Understand how it affects people and why Help you to recognize the stressors

More information

Raising Awareness: Trauma Informed Practices. Intentions: Trauma Defined 5/9/2016. CKnight/ICAAP Define Trauma

Raising Awareness: Trauma Informed Practices. Intentions: Trauma Defined 5/9/2016. CKnight/ICAAP Define Trauma Raising Awareness: Trauma Informed Practices Presented by Michele A. Carmichael Director IL AWARE Principal Consultant for Behavioral Health Supports in Schools Illinois State Board of Education Define

More information

Chapter 1. Understanding Complex Trauma and Traumatic Stress Reactions. Have you considered the many ways that humans can be traumatized?

Chapter 1. Understanding Complex Trauma and Traumatic Stress Reactions. Have you considered the many ways that humans can be traumatized? CHAPTER SELF-REFLECTION QUESTIONS for Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach by Christine A. Courtois and Julian D. Ford For instructors who are using Treatment of Complex

More information

Stress Disorders. Stress and coping. Stress and coping. Stress and coping. Parachute for sale: Only used once, never opened.

Stress Disorders. Stress and coping. Stress and coping. Stress and coping. Parachute for sale: Only used once, never opened. Stress Disorders Parachute for sale: Only used once, never opened. Stress and coping The state of stress has two components: Stressor: event creating demands Stress response: reactions to the demands Stress

More information

Elder Abuse: keeping safe

Elder Abuse: keeping safe Elder Abuse: keeping safe This information guide has been prepared by Age Scotland and contains general advice only, it should not be relied on as a basis for any decision or action and cannot be used

More information

Men and Sexual Assault

Men and Sexual Assault Men and Sexual Assault If you don't believe it's possible to sexually abuse or assault a guy, raise your hand. If your hand is waving in the air, you're not alone. But boy, are you wrong. Most research

More information

Trauma Informed Care. The Impact of Trauma

Trauma Informed Care. The Impact of Trauma Trauma Informed Care The Impact of Trauma Goals of Today s Presentation What will I accomplish today? Today, I will: Gain an expanded understanding of child traumatic stress Learn to recognize it in the

More information

Helping Children Cope After A Disaster

Helping Children Cope After A Disaster Helping Children Cope After A Disaster Penn State Milton S. Hershey Medical Center 2001 This booklet may be reproduced for educational purposes. Penn State Children s Hospital Pediatric Trauma Program

More information

Caring for Children Who Have Experienced Trauma

Caring for Children Who Have Experienced Trauma Caring for Children Who Have Experienced Trauma Introduction Illustrations by Erich Ippen, Jr. Used with permission. Why a Trauma Workshop? Many children in foster care have lived through traumatic experiences.

More information

After Sexual Assault:

After Sexual Assault: After Sexual Assault: Survivors in San Francisco Have Options and Rights If you or someone you know has been sexually assaulted, there are services and people who can help. This booklet provides information

More information

Trauma Informed Home Visiting

Trauma Informed Home Visiting Trauma Informed Home Visiting Presented by C. Lynne Edwards, LCSW Home Visiting Consortium October 28, 2014 Presented by C. Lynne Edwards, LCSW 1 THE IMPACT OF TRAUMA ON CHILDREN AND PARENTS Presented

More information

Kimberly A. Lonsway, PhD and Sergeant Joanne Archambault (Ret.) May 2007, Last updated July 2017

Kimberly A. Lonsway, PhD and Sergeant Joanne Archambault (Ret.) May 2007, Last updated July 2017 How do Sexual Assault Victims Respond? Course Description Kimberly A. Lonsway, PhD and Sergeant Joanne Archambault (Ret.) May 2007, Last updated This module will describe the symptoms and stages often

More information

CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following:

CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following: CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following: 1. The nature of the trauma such as military combat, sexual

More information

Reactions to Trauma and Clinical Treatment for PTSD

Reactions to Trauma and Clinical Treatment for PTSD Reactions to Trauma and Clinical Treatment for PTSD Cultural specific concerns and recommendations. Dr. K. Loan Mai AHSSC. October 19, 2012 Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder

More information

MODULE IX. The Emotional Impact of Disasters on Children and their Families

MODULE IX. The Emotional Impact of Disasters on Children and their Families MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty

More information

GRIEVING A SUICIDE LOSS

GRIEVING A SUICIDE LOSS GRIEVING A SUICIDE LOSS WHAT IS SUICIDE LOSS GRIEF? Grief is grief (also called bereavement), but when it involves a suicide death many people react differently than with, for example, a death resulting

More information

Intergenerational Trauma and Intergenerational Healing. 1 Presented through the Centre for Excellence in Indigenous Health With Dea Parsanishi

Intergenerational Trauma and Intergenerational Healing. 1 Presented through the Centre for Excellence in Indigenous Health With Dea Parsanishi Intergenerational Trauma and Intergenerational Healing 1 Presented through the Centre for Excellence in Indigenous Health With Dea Parsanishi 2 Healing and Self care This can be an intense topic, particularly

More information

Victims of the Khmer Rouge year visiting the Toul Sleng Genocid Museum in Phnom Penh

Victims of the Khmer Rouge year visiting the Toul Sleng Genocid Museum in Phnom Penh Victims of the Khmer Rouge year visiting the Toul Sleng Genocid Museum in Phnom Penh 21 Adapted from: David Satcher et al. (1999): Chapter 4.2, Mental health: A Report of the Surgeon General, in: http://en.wikipedia.org/wiki...last

More information

PTSD Guide for Veterans, Civilians, Patients and Family

PTSD Guide for Veterans, Civilians, Patients and Family PTSD Guide for Veterans, Civilians, Patients and Family Overview There are a variety of PTSD booklets available, so with ours we wanted to hand-pick the content we felt our audience could use most. We

More information

TeensHealth.org A safe, private place to get doctor-approved information on health, emotions, and life. Anxiety Disorders. What Is Anxiety?

TeensHealth.org A safe, private place to get doctor-approved information on health, emotions, and life. Anxiety Disorders. What Is Anxiety? TeensHealth.org A safe, private place to get doctor-approved information on health, emotions, and life. What Is Anxiety? Anxiety Disorders Liam had always looked out for his younger brother Sam. But whenever

More information

Oregon PTOC Program: Domestic Violence Screening Process for Mediators Overview and Instructions OVERVIEW

Oregon PTOC Program: Domestic Violence Screening Process for Mediators Overview and Instructions OVERVIEW Oregon PTOC Program: Domestic Violence Screening Process for Mediators Overview and Instructions OVERVIEW The Parenting Time Opportunities for Children in the Child Support Program grant (Oregon PTOC Program)

More information

Individual Planning: A Treatment Plan Overview for Individuals with History of Sexual Abuse

Individual Planning: A Treatment Plan Overview for Individuals with History of Sexual Abuse COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals with History of Sexual Abuse Individual Planning: A Treatment Plan Overview for Individuals with History

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder "I was raped when I was 25 years old. For a long time, I spoke about the rape as though it was something that happened to someone else. I was very aware that it had happened

More information

RESPONDING TO THE UNSEEN VICTIM OF SEXUAL EXPLOITATION: HELPING WHEN HIS SEXUAL DECEPTIONS TRAUMATIZE HER

RESPONDING TO THE UNSEEN VICTIM OF SEXUAL EXPLOITATION: HELPING WHEN HIS SEXUAL DECEPTIONS TRAUMATIZE HER RESPONDING TO THE UNSEEN VICTIM OF SEXUAL EXPLOITATION: HELPING WHEN HIS SEXUAL DECEPTIONS TRAUMATIZE HER Barbara Steffens PhD LPCC-S Assistant Professor, Liberty University basteffens@liberty.edu Barbara@DrBarbaraSteffens.com

More information

SAMHSA s Strategic Initiative Focus on Trauma

SAMHSA s Strategic Initiative Focus on Trauma 1 SAMHSA s Strategic Initiative Focus on Trauma Teens on the Edge: Fostering Connection, Resilience and Hope Crowne Plaza Hotel Warwick, RI October 17, 2014 A. Kathryn Power, M. Ed. Senior Lead Military

More information

Ecological Analysis of Trauma ~~~~~ Presented by: Francine Stark

Ecological Analysis of Trauma ~~~~~ Presented by: Francine Stark Ecological Analysis of ~~~~~ Presented by: Francine Stark Ecological Analysis of OBJECTIVES: Upon completion of this module participant will be able to: Discuss from an Ecological Perspective Understand

More information

Early Identification of Triggers in Childhood Trauma. Cheri Meadowlark, BCPC Board Certified PTSD Clinician

Early Identification of Triggers in Childhood Trauma. Cheri Meadowlark, BCPC Board Certified PTSD Clinician Early Identification of Triggers in Childhood Trauma Cheri Meadowlark, BCPC Board Certified PTSD Clinician OBJECTIVES Define trauma, trauma reminders, and traumatic stress reactions. Identify minimum of

More information

PTSD and the Combat Veteran. Greg Tribble, LCSW Rotary Club of Northwest Austin January 23, 2015

PTSD and the Combat Veteran. Greg Tribble, LCSW Rotary Club of Northwest Austin January 23, 2015 PTSD and the Combat Veteran Greg Tribble, LCSW Rotary Club of Northwest Austin January 23, 2015 What is PTSD Posttraumatic Stress Disorder? Traumatic Events that you see, hear about, or happens to you:

More information

CONVERSATION GUIDE: ACTIVITIES FOR STAFF MEETINGS AND IN-SERVICE TRAININGS

CONVERSATION GUIDE: ACTIVITIES FOR STAFF MEETINGS AND IN-SERVICE TRAININGS CONVERSATION GUIDE: ACTIVITIES FOR STAFF MEETINGS AND IN-SERVICE TRAININGS Increasing Emotional Safety in Domestic Violence Shelters This Conversation Guide series can be used to help increase the capacity

More information

Understanding and addressing trauma in the lives of those we serve..

Understanding and addressing trauma in the lives of those we serve.. Understanding and addressing trauma in the lives of those we serve.. Presented By: Joan Gillece, Ph.D. SAMHSA National Center for Trauma Informed Care SAMHSA Promoting Alternatives to Seclusion and Restraint

More information

TSS GROUP NEWS. July News Highlights INSIDE THIS ISSUE. Anne P. DePrince, Ph.D. TSS Group Director WE HAVE SEVERAL NEW STUDIES UNDERWAY WOULD YOU

TSS GROUP NEWS. July News Highlights INSIDE THIS ISSUE. Anne P. DePrince, Ph.D. TSS Group Director WE HAVE SEVERAL NEW STUDIES UNDERWAY WOULD YOU July 2010 Volume 7, Issue 2 TSS GROUP NEWS Traumatic Stress Studies Group, Department of Psychology, 2155 S. Race Street, Denver CO 80208 Web: http://mysite.du.edu/~adeprinc/lab.html Phone: 303.871.7407

More information

Trauma and Behavioral Health Screen (TBH) Frequently Asked Questions

Trauma and Behavioral Health Screen (TBH) Frequently Asked Questions Trauma and Behavioral Health Screen (TBH) Frequently Asked Questions General How did the TBH get started? In 2012, Tulane University, in partnership with DCFS, received federal funding from the Administration

More information

Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems.

Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. Duration:

More information

Post-Traumatic Stress Disorder (PTSD) What Is Post-Traumatic Stress Disorder? Post-traumatic stress disorder, also known as PTSD, is among only a few mental disorders that are triggered by a disturbing

More information

Post-traumatic Stress Disorder

Post-traumatic Stress Disorder Parkland College A with Honors Projects Honors Program 2012 Post-traumatic Stress Disorder Nicole Smith Parkland College Recommended Citation Smith, Nicole, "Post-traumatic Stress Disorder" (2012). A with

More information

Intersections of Domestic Violence and Sexual Assault ext ext. 17

Intersections of Domestic Violence and Sexual Assault ext ext. 17 Intersections of Domestic Violence and Sexual Assault Rose Luna, Deputy Director, TAASA Brad Teaff, Training Specialist rluna@taasa.org bteaff@taasa.org 512-474-7190 ext. 13 512-474-7190 ext. 17 Underlying

More information

Understanding Posttraumatic Stress Disorder

Understanding Posttraumatic Stress Disorder Understanding Posttraumatic Stress Disorder Have you or a loved one: Been through combat? Lived through a disaster? Been assaulted or raped? Experienced any other kind of traumatic event? Are painful memories

More information

Working with Individuals with Mental Health Issues

Working with Individuals with Mental Health Issues Working with Individuals with Mental Health Issues HPOG Grantee Meeting Washington D.C. August 1, 2018 Kath Schilling M.Ed., CAS, LADC I Institute for Health and Recovery www.healthrecovery.org 2 What

More information

Trauma Informed Parents

Trauma Informed Parents Trauma Informed Parents Cheri J. Kahn Consultant Behavior/Discipline 210-370-5702 cheri.kahn@esc20.net 1 Why Is This Important? Trauma Facts for Educators 1 out of 4 individuals attending school has been

More information

CHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT

CHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT CHILD TRAUMATIC STRESS AND CHILD DEVELOPMENT The Role of Trauma in Child Development The role of development in vulnerability to and responses to traumatic events is important to child welfare because

More information

Understanding Secondary Traumatic Stress

Understanding Secondary Traumatic Stress Understanding Secondary Traumatic Stress Introduction Each year, millions of children are exposed to some type of traumatic event including physical, sexual or emotional abuse, neglect, witnessing domestic

More information

Trauma and Mental Health An unhealed trauma can be triggered at any time

Trauma and Mental Health An unhealed trauma can be triggered at any time 1 Trauma and Mental Health An unhealed trauma can be triggered at any time CSD Research Bulletin VOL.136, Phnom Penh 2007 Text: Matthias Witzel Translation into Khmer: Yim Sotheary and Om Chariya Writing

More information

AFTER HUMAN TRAFFICKING & TRAUMA

AFTER HUMAN TRAFFICKING & TRAUMA AFTER HUMAN TRAFFICKING & TRAUMA 2 YOU HAVE SURVIVED A TRAUMA After trauma from human trafficking, it may be hard to know how to react or what to do. Trauma can interrupted your daily life, including at

More information