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Harris

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									Trauma Informed Services
The Evolution of a Concept


       Maxine Harris Ph.D.
           July, 2004
    What Is A Trauma-Informed
           Service System?
n   A human services or health care system
    whose primary mission is altered by
    virtue of knowledge about trauma and
    the impact it has on the lives of
    consumers receiving services
          Why Trauma?
    The Extent of the Problem
n   60-75% of women in treatment for drug
    or alcohol abuse
n   43-81% of adult psychiatric inpatients
n   22-54% of women receiving outpatient
    mental health services
n   50-70% of women in domestic violence
    shelters
INFORM: to educate and make
        knowledgeable about
               (Harris and Fallot, 2000)


n   Basic education for staff about trauma
    and its relationship to mental health
    symptoms and substance abuse
n   Consumer awareness campaign
n   Standard assessment of trauma and
    PTSD symptoms
       INFORM: to educate (cont)

n   Trauma skills assessment as part of an
    employment interview for all clinical staff
n   Trauma champions within the agency
n   Elimination of overtly abusive practices
n   Administrative support for training and
    treatment innovations
INFORM: to give character to
                    (Elliot, Bjelajac, et. al., 2004)

n   Services should maximize consumer safety,
    choice and empowerment
    n   Eliminate practices that have the potential to re-
        victimize
    n   Collaborate in all aspects of treatment
    n   Provide needed emotional and practical support to
        facilitate recovery
    n   Maximize choice and consumer control
    n   Emphasize consumer strengths
    n   Acknowledge and respect the role of culture
    INFORM: to be the formative
            principle of
n   A paradigm shift in assessment, diagnosis, and
    treatment that identifies trauma as the core event
     n Wider use of trauma-related diagnoses
     n Identification of trauma-related skill deficits
         n   Self-awareness, self-soothing, accurate labeling
    n   Treatment to address trauma and the related skill
        deficits specifically
    n   Appreciation of the impact trauma dynamics have
        on all relationships
         n   Betrayal, power, blame and trust
           Choosing a Definition


n   Assess the needs and values of the organization
n   Assess the resources available
n   Assess the potential opposition
n   Consider staging the transformation

								
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