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Working definition of trauma-informed practice
- Author:
- OFFICE FOR HEALTH IMPROVEMENT AND DISPARITIES
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2022
- Place of publication:
- London
Guidance providing a working definition of trauma-informed practice for practitioners working in the health and care sector. Trauma-informed approaches have become increasingly cited in policy and adopted in practice as a means for reducing the negative impact of trauma experiences and supporting mental and physical health outcomes. They build on evidence developed over several decades. However, there has been a lack of consensus within the health and social care sector on how trauma-informed practice is defined, what its key principles are and how it can be built into services and systems. This document seeks to address this gap by providing a working definition of trauma-informed practice for practitioners working in the health and care sector. The working definition presented in this document reflects the original internationally recognised definition developed by the United States Substance Abuse and Mental Health Services Administration (SAMHSA). The evidence base exploring the use of trauma-informed practice in different settings and sectors is still being developed. This working definition will be kept under review and updated where appropriate to reflect new evidence. (Edited publisher abstract)
Trauma and young offenders: a review of the research and practice literature: research summary
- Authors:
- LIDDLE Mark, et al
- Publisher:
- Beyond Youth Custody
- Publication year:
- 2016
- Pagination:
- 10
- Place of publication:
- London
Reports on findings from a review of research and practice literature concerning trauma in the backgrounds of young offenders. It aims to highlight what is currently known about trauma within the population of young offenders, and to identify the importance of this knowledge for effective resettlement practice. Searches were carried out using the internet and academic databases, focusing on young people up to the age of 25. The review focuses on: definitions of trauma and the different ways in which trauma has been understood in the research and practice literature; the prevalence of different types of traumatic childhood and adolescent experiences in the backgrounds of young offenders; the effects that such trauma can have on young people in the short-term, and its longer term impacts on emotional, social, and neurological development; the links between trauma and young people’s behaviour, including the extent of their capacity to comply with youth justice interventions. The evidence suggests that offenders have a disproportionate amount of childhood and adolescent trauma in their backgrounds and that some of the impacts of such trauma appear to be linked to offending behaviour. It also looks at the implications that an understanding of trauma and its effects might have for resettlement work undertaken with young custody-leavers. (Edited publisher abstract)
Young offenders and trauma: experience and impact. A practitioners guide.
- Authors:
- WRIGHT Sam, LIDDLE Mark, GOODFELLOW Pippa
- Publisher:
- Beyond Youth Custody
- Publication year:
- 2016
- Pagination:
- 8
- Place of publication:
- London
This practitioner briefing aims to highlight what is currently known about the links between trauma and young people’s behaviour and development. Traumatic experiences very common in the backgrounds of young offenders and but the impact of these experiences can limit their ability to engage with opportunities and can seriously narrow their life chances. It is therefore critical that resettlement practitioners are aware of issues concerning trauma because attempting to address behaviour without understanding a young person’s underlying difficulties can result in unsuccessful and sometimes counterproductive interventions. The briefing considers the type of events that can cause trauma, the impact trauma can have, presents data to show the greater prevalence of mental health conditions and related issues such as substance dependency offenders; and looks at what this means for resettlement practice with young offenders. (Edited publisher abstract)
Not one word of welcome
- Author:
- NEUSTATTER Angela
- Journal article citation:
- Young Minds Magazine, 93, March 2008, pp.15-17.
- Publisher:
- YoungMinds
The author looks at the difficulties facing unaccompanied asylum seeking children. She discusses the dangers of failing acknowledge their mental health needs.
The compulsion to repeat
- Author:
- RUSSELL Paul Libbey
- Journal article citation:
- Smith College Studies in Social Work, 76(1/2), 2006, pp.33-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article focuses on the compulsion to repeat in psychotherapy. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Barriers to assessment and treatment of Posttraumatic Stress Disorder and other trauma-related problems in people with severe mental illness: clinician perspectives
- Authors:
- SALYERS Michelle P., et al
- Journal article citation:
- Community Mental Health Journal, 40(1), February 2004, pp.17-31.
- Publisher:
- Springer
The authors conducted a state-wide survey of 251 clinicians serving people with severe mental illness (SMI) in community support programs, to identify barriers to the diagnosis and treatment of PTSD and other trauma-related problems. Most clinicians did not feel competent to effectively treat these problems. Competence/confidence and belief in utility of intervention were positively related to the percentage of clients with whom trauma and PTSD had been discussed, documented in charts, and addressed directly in treatment. Clinicians need training that develops skills and knowledge as well as conveys the value of addressing PTSD and other trauma-related problems in people with SMI.
Washing my life away: surviving obsessive-compulsive disorder
- Author:
- DEANE Ruth
- Publisher:
- Jessica Kingsley
- Publication year:
- 2005
- Pagination:
- 95p.
- Place of publication:
- London
Obsessive-Compulsive Disorder (OCD) affects one in fifty people. In this personal account the author shares her own experience as an OCD sufferer, from the first innocuous signs of onset to the devastating effect of the condition on her relationships with her family and friends, her self-esteem and her marriage. The author takes the reader on a moving, honest and at times light-hearted journey, from washing her hands until they cracked and bled, to hospital admission and eventual management and recovery from OCD.
A racist attack managing complex relationships with traumatised service users – a psychodynamic approach
- Author:
- STEVENSON Stuart
- Journal article citation:
- Journal of Social Work Practice, 34(3), 2020, pp.225-235.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Notions of whiteness, white supremacy and racial hatred such as the recent multiple racist murders by a white supremacist in New Zealand are at the forefront of public consciousness. How do whiteness and racism play out in a clinical and social welfare context? This article illustrates the impact of trauma on a vulnerable young white woman who although was not the direct target of a racist assault was left traumatised by witnessing it. It discusses how initially she sought refuge in a racist solution synonymous with a psychic retreat to her own detriment. Working with such complex, unconscious and bewildering dynamics is extremely challenging for clinicians. It describes the impact of these dynamics on a clinician of colour who attempted to work with this young woman in a child and adolescent mental health service after the family was referred as a consequence of her assaulting her child shortly after witnessing the racist attack. The unconscious responses to trauma and challenges for clinicians and clinician of colour in particular when working with racism in the consulting room are also discussed. (Publisher abstract)
Developing trauma-informed resettlement for young custody leavers. A practitioner's guide
- Authors:
- WRIGHT Sam, LIDDLE Mark, GOODFELLOW Pippa
- Publisher:
- Beyond Youth Custody
- Publication year:
- 2016
- Pagination:
- 8
- Place of publication:
- London
This practitioner briefing outlines key features of trauma-informed approaches to working with young offenders leaving custody. It highlights the importance of carrying out resettlement work with an awareness of possible trauma in the backgrounds of young custody leavers and with an understanding of the way in which such trauma can affect behaviour and engagement. It outlines four key features: staff awareness, training and support; assessment; approaches to working with young offenders; and consideration of the therapeutic window. It also looks at the implications that trauma and its effects might have for resettlement practice and at the impact the right kind of interventions can have. It concludes that developing trauma-informed approaches to resettlement work has the potential to deliver more productive and long-standing positive impacts for custody leavers, particularly those considered to be the most difficult to engage. A short practice example of the iCoN clinically-led outreach trauma service is included. (Edited publisher abstract)
A statewide introduction of trauma-informed care in a child welfare system
- Authors:
- KRAMER Teresa L., et al
- Journal article citation:
- Children and Youth Services Review, 35(1), 2013, pp.19-24.
- Publisher:
- Elsevier
Most children in the care of the child welfare system have been exposed to multiple traumas in addition to the stressor of being removed from their home. Because the risk for mental health problems following exposure to trauma is high, a critical need exists to introduce trauma-informed practices into the child welfare system. The purpose of this study is to evaluate initial stages of a trauma-informed training program for the Arkansas Division of Child and Family Services (DCFS). In Phase 1, 102 (75%) of DCFS area directors and supervisors participated in 10 regional, two-day workshops modeled after the National Child and Traumatic Stress Network (NCTSN) trauma-informed training for child welfare. Pre- and post-training evaluations demonstrated significant improvements in participants' knowledge of trauma-informed practices. A three-month follow-up with directors and supervisors indicated that use of trauma-informed practices increased significantly and that such changes were correlated with pre- versus post-training improvement in knowledge. Most participants were able to partially implement action steps established at the time of training; however, a number of barriers were cited as preventing full implementation, including time constraints, heavy caseloads, lack of staff, and limited resources. Results are discussed in light of plans under way for Phase II training for all DCFS front-line staff. (Publisher abstract)