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Engaging with complexity: providing effective trauma-informed care for women
- Authors:
- WILTON John, WILLIAMS Alec
- Publishers:
- Centre for Mental Health, Mental Health Foundation
- Publication year:
- 2019
- Pagination:
- 26
- Place of publication:
- London
A guide to the principles of gender-sensitive trauma-informed care and how services can put the approach into practice. The resource looks at the concept of trauma, including causes, impact and prevalence and explores the model of trauma-informed care. It discusses four aspects of trauma-informed care in detail - listening, understanding, responding and checking - considering what each of these looks like in practice. It also anticipates some of the challenges services might face on their journey to becoming trauma-informed. It includes a lists of organisations in the UK currently employing trauma-based approaches provides links to resources that may act as a useful starting point for services. The resource is draws on the findings of research and the results of workshop discussions. It was produced by Centre for Mental Health and the Mental Health Foundation in collaboration with the Association of Mental Health Providers, the National LGB&T Partnership and the Race Equality Foundation. (Edited publisher abstract)
Changes in treatment content of services during trauma-informed integrated services for women with co-occurring disorders
- Authors:
- CHUNG Sukyung, DOMINO Marisa Elena, MORRISSEY Joseph P.
- Journal article citation:
- Community Mental Health Journal, 45(5), October 2009, pp.375-384.
- Publisher:
- Springer
This study examined how an intervention targeted to provide women with trauma-informed integrated services in the treatment of co-occurring disorders changed the content of services reported by clients. It was found the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioural health histories.
The recovery paradigm in trauma work: approaches to healing psychiatric disability and substance abuse in women's lives
- Authors:
- BUSSEY Marian, WISE Judith Bula
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 7(3-4), 2008, pp.355-379.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Focusing on women with psychiatric disabilities and substance issues, particularly those who have histories of abuse, violence and trauma, this article addresses the importance of integrative treatment as a prerequisite for psychiatric rehabilitation and recovery. The authors discuss psychiatric rehabilitation, trauma, treatment philosophy, consumer empowerment and the concept of an integrated model of recovery. They describe three integrated trauma and alcohol and other drug models created primarily for women, and discuss their content, the challenges of system change and the results of the integrated model.
Building trauma informed practice: appreciating the impact of trauma in the lives of women with substance abuse and mental health problems
- Authors:
- SAVAGE Andrea, et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.91-116.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper examines the lifetime interpersonal abuse experienced by a substance abuse treatment sample of 1,955 women in the United States with co-occurring disorders. Substantial rates of intimate and community based interpersonal abuse and other life stressors are documented. Regression analysis shows that while trauma severity is significantly related to trauma distress, its impact on psychological symptom distress and drug severity is quite modest. The implementation of a trauma informed approach featuring trauma-specific treatment, service integration and consumer empowerment is described as a promising practice model for assisting women seeking help in substance abuse treatment programs. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Psychological distress patterns of women and mothers presenting for HIV-related mental health care
- Authors:
- REECE Michael, BASTA Tania B., KOERS Erin
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 3(2), 2004, pp.93-109.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Over a seven year period, data were collected from 228 women living with HIV upon their self-enrollment into mental health care at an HIV-related mental health clinic in the USA. Analyses were conducted to explore the symptoms of mental health distress being presented by women upon their enrollment into care and, in particular, associations between these symptoms and characteristics of motherhood. Findings suggest that women living with HIV present for care with significant levels of psychological distress symptoms and that factors related to parenthood are associated with diverse clinical presentations. As an increasingly prevalent component of the HIV social services system, women living with HIV are in need of access to services that are responsive to their unique mental health issues and that are based upon an understanding of the extent to which familial variables influence psychological distress. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Women, trauma histories, and co-occurring disorders: assessing the scope of the problem
- Authors:
- NEWMANN Joy Perkins, SALLMANN Jolanda
- Journal article citation:
- Social Service Review, 78(3), September 2004, pp.466-499.
- Publisher:
- University of Chicago Press
Presents findings from one site in a federal study of services for women with co-occurring mental health and substance use problems and histories of physical or sexual abuse. Among sampled women with 2 or more publicly funded substance abuse or mental health treatment episodes in 1998, one-third reported co-occurring mental health and substance use problems. Compared to other sample members, they reported greater numbers of abuse experiences and other adverse life circumstances and had more complex diagnostic and treatment histories. They also show a greater tendency to suicidal ideation and are more likely to use prescription medications.
Social work and women's mental health: does trauma theory provide a useful framework?
- Author:
- TSERIS Emma
- Journal article citation:
- British Journal of Social Work, 49(3), 2019, pp.686-703.
- Publisher:
- Oxford University Press
Trauma theory has been positioned as a helpful framework for social workers to utilise when working with women presenting to mental health services. In particular, the trauma concept has been praised for its ability to acknowledge the social and relational determinants of women’s mental health presentations and to challenge the dominance of a biomedical framework for understanding emotional distress. On the other hand, trauma approaches have been critiqued for being overly deficit-oriented and for failing to adequately incorporate a feminist analysis of gender inequality. This article presents qualitative research conducted with twelve mental health social workers in Australia reporting on their use of trauma theory when working with adolescent women who have experienced child abuse within a family context. Analysis found that the trauma concept was in some cases applied in a paternalistic manner that medicalised young women’s distress and minimised issues of gender inequality. However, other participants described trauma work with young women as a form of feminist activism. This study is significant because it points towards the existence of multiple and competing trauma perspectives currently informing social work practice. (Edited publisher abstract)
Trauma is everyone's business: an exploration of the challenges and opportunities for trauma-informed practice amongst female populations within custodial settings
- Author:
- THOMSON Lisa
- Publisher:
- Barnardo's
- Publication year:
- 2018
- Pagination:
- 16
- Place of publication:
- Ilford
This paper provides an overview of the key themes emerging from focus groups to explore the prevalence and impact of trauma and bereavement experiences among women in custodial institutions. Information gathered from these sessions was used to adapt the trauma, bereavement and loss service to meet the needs of a female population. The paper also draws on experiences of professionals to highlight some of the challenges and opportunities identified during the development phase of a trauma- informed intervention for the female custodial population. (Edited publisher abstract)
The Women's Mental Health Taskforce: final report
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2018
- Pagination:
- 73
- Place of publication:
- London
This report sets out how women's experience of mental ill health can differ to men's and the strategic priorities for the future. It is the final report of the Taskforce, which was formed in response to a rise in mental ill health among women. The Taskforce reviewed evidence and held focus groups to hear the views and experiences of women. Core themes identified include: women’s experiences of mental health services; women as mothers and carers; gender based violence and trauma; and multiple needs. The report sets out the statements developed by women as to what matters to them in mental health services. It also presents the gender and trauma informed principles developed by the Taskforce and describes how these could be implemented to improve outcomes for women. It goes on to outline the commitments made by members and other organisations to improve the experiences and treatments of women and makes suggestions for the future, including the strategic priorities and suggestions for how current research and data could be improved for women. It calls for commissioners and providers across the health and care system to take note of the report’s findings and to embed these in their work. (Edited publisher abstract)
Cumulative trauma, gender discrimination and mental health in women: mediating role of self-esteem
- Author:
- KUCHARSKA Justyna
- Journal article citation:
- Journal of Mental Health, 27(5), 2018, pp.416-423.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Evidence suggests that women show symptoms of trauma-related symptoms more often than men. Gender discrimination is also associated with the severity of symptoms in women. Aims: This study explored the relations among cumulative trauma, gender discrimination and mental health in women with a mediating role of self-esteem and emotion regulation. Two types of gender discrimination were taken into account: discrimination by parents and in the social context. Cumulative trauma over the lifetime was assessed, as well as three types of symptoms: internalising, externalising, psychoticism. Methods: A total of 277 females from Poland participated in the study. It was hypothesised that gender discrimination and cumulative trauma would be positively related to symptoms and that lowered self-esteem mediates these relations. Results: Hypotheses received partial confirmation, as both gender discrimination and cumulative trauma have been shown to be related to three types of symptoms. Self-esteem was a partial mediator between gender discrimination in the social context and symptoms. It was also demonstrated that emotion suppression is a partial mediator between cumulative trauma and symptoms. Conclusions: It has been demonstrated that socio-cultural factors, such as gender discrimination, play an important role in psychiatric symptoms development. (Publisher abstract)