Treatment of Clients Experiencing Trauma

Slides:



Advertisements
Similar presentations
Co-Occurring Service Array Psychiatric Evaluation Medication Monitoring Clinical Consultation Family Therapy Individual Therapy / Individual Therapy-Crisis.
Advertisements

“To care for him who shall have borne the battle and for his widow, and his orphan,” President Lincoln March 4, 1865 UNITED STATES DEPARTMENT OF VETERANS.
SOAR: Mental Health Trauma Intervention Program Robert Niezgoda, MPH Taney County Health Department September 2014.
Supporting students and staff after the shooting in Aurora, CO David J. Schonfeld, MD Daniel Nelson, MD National Center for School Crisis and Bereavement.
Before we start… O One piece of paper per group O Don’t let other groups hear your answers O Give me as many words or phrases that come to your mind when.
Trauma Informed Care Assisted Living Facility Limited Mental Health Training.
POSTTRAUMATIC STRESS DISORDER: COGNITIVE PROCESSING THERAPY Marcel O. Bonn-Miller, Ph.D. Center of Excellence in Substance Abuse Treatment and Education,
Shareese Barnett.  Reliving the event  Avoiding situations that remind you of the event  Feeling numb  Suddenly become angry or irritable.  Have.
Carver County and Scott County February Children’s Mental Health Case Management seeks to improve the quality of life for children with severe emotional.
Case Finding and Care in Suicide: Children, Adolescents and Adults Chapter 36.
ADOLESCENTS IN CRISIS: WHEN TO ADMIT FOR SELF-HARM OR AGGRESSIVE BEHAVIOR Kristin Calvert.
DIANA L. LIEDTKE-THORPE. PTSD DEFINITION Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event. NOT.
Justine Gonzalez Azusa Pacific University, School of Nursing GNRS 584 Mental Health Nursing.
Depression and Suicide Chapter 4.3. Health Stats What relationship is there between risk of depression and how connected teens feel to their school? What.
Post Traumatic Stress Disorder Identification and Management Am Fam Physician (12):
Treating Co-Occurring Disorders in Geriatric Populations
Depression and Suicide
By Konniesha Moulton, LMFT and Kelly Sachter, LCSW
The Connection Between Sexual Trauma and Mental Health
Linda L. Toche-Manley, Ph.D Polaris Health Directions Diana Bass, MPH
‘Being Kinder to Myself’
Treatment of Clients Experiencing Pain Disorders
Behavioral Health Overview
What is Therapy?.
Treatment of Clients Experiencing Trauma
Treating Alcohol Abuse
Treating the Trauma Response
Treating Alcohol Abuse
Treatment of Clients Experiencing Depression
EDC ©2016. All rights reserved.
Treatment of Children and Adolescents
OUR MISSION Axis Health System will make a meaningful difference in the health of Southwest Colorado residents by integrating all aspects of healthcare.
Treatment of Clients Experiencing Depression
Treatment of Clients Experiencing Depression
Treatment of Clients Experiencing Pain Disorders
Treating Alcohol Abuse
Child and Adolescent Management
Treatment of Clients Experiencing Anxiety
Treatment of Clients Experiencing Anxiety
Child and Adolescent Management
Treatment of Clients Experiencing Pain Disorders
Trauma in Children and Families
Getting Help (2:36) Click here to launch video
PTSD soldiers-with-brain-injuries/
Cognitive Therapy.
Treatment of Clients Experiencing Trauma
The skills.
Child and Adolescent Management
Treatment of Clients Experiencing Anxiety
Treatment of Clients Experiencing Depression
Addressing Crisis and Suicide Intervention
Roles of the Mental Health Team:
Addressing Crisis and Suicide Intervention
The Basics of Play Therapy for Early Childhood Intervention
Treatment and Management of Suicide Risk: Available Treatments
The Basics of Play Therapy for Early Childhood Intervention
The Basics of Play Therapy for Early Childhood Intervention
Getting Help (2:36) Click here to launch video
Treating Anxiety From an Integrated Approach
Treating Depression From an Integrated Approach
Mental Disorders & Resources for Help
Treating Anxiety From an Integrated Approach
Treating Anxiety From an Integrated Approach
Treating Trauma From an Integrated Approach
Treating Trauma From an Integrated Approach
Solutions: Your Behavioral Health Partner
Treating Depression From an Integrated Approach
Getting Help for Mental and Emotional Disorders
Structuring The Relationship
Classification and Treatment Plans
Presentation transcript:

Treatment of Clients Experiencing Trauma A Collaborative Approach to Care May 5, 2018 * Tex-CHIP Training Series

The Treatment of Trauma Symptoms Through Counseling

Understanding Provider Role in Treating Trauma To have an awareness and understanding of trauma To provide a safe environment Build rapport To be warm, empathic, non-judgmental, collaborative and genuine Gain the cooperation of the client To work with clients without retraumatizing them. Establish a common understanding of the client’s traumatic event (Bicknell-Hentges & Lynch, 2009)

Considerations when Interacting with Clients Clients handle trauma differently Differing degrees of avoidance Clients may have a different understanding of why the trauma occurred Different beliefs about the impact it had on them or others Not all clients process trauma the same Written trauma narrative versus no narrative Don’t underestimate your client’s resiliency (Resick, Monson & Chard, 2017)

Our Treatment Plan Healthcare Domain: Behavioral Health Provider: LPC Objective: Provide alleviation of presenting trauma symptoms as indicated by client report of: (a) Reduction in avoidance behaviors (b) Identification of stuck points and challenging her beliefs (c) Decrease in maladaptive thinking (d) decrease in scores on the PCL-5 and the PHQ-9   Goals: a)  To drive to work with minimal anxiety or fear provoking symptoms. (In Cognitive Processing Therapy (CPT) the focus is on the trauma event). b) To focus and concentrate in school. (Goal b) & c) is associated with the trauma and the client’s symptoms should alleviate as the trauma symptoms decrease.) c)  To feel less irritable and sleep through the night. (CPT protocol does not have specific interventions to address this area) Interventions: a) The counselor will also teach the client to identify stuck points, how to challenge beliefs, and how to use self-guided cognitive restructuring to decrease trauma symptoms. b)  The counselor will also teach the client patterns of problematic thinking to help the client decrease maladaptive thinking.  c) The counselor will teach the client the ABC worksheet as it relates to her trauma to identify the connection between thoughts, feelings and behaviors.

Measuring Outcomes/ Success Success is a success, no matter how big or small Always celebrate the little things Trauma treatment requires the use of trauma instruments Cognitive Processing Therapy uses PTSD Checklist for DSM-5 (PCL- 5) & Patient Health Questionnaire- 9 (PHQ-9) Weekly administration to track outcomes Client’s verbal account of meeting agreed upon objectives & completing homework assignments (Resick, Monson & Chard, 2017)

Communication Needed From Other Providers If a client is in crisis do not start trauma treatment Refer client for services based on need Suicidal ideations or self-harming behaviors Psychiatric hospitalization or crisis stabilization Psychiatrist Medication regiment should continue to avoid sudden changes Inpatient/Outpatient Substance Abuse Treatment Detox may be needed Can participate in treatment but create safety plan Any other provider working with the client Legal issues, Medical concerns, Department of Family Protective Services