Treatment of Clients Experiencing Trauma A Collaborative Approach to Care May 9, 2018 * Tex-CHIP Training Series

Role of Case Management in the Treatment of Trauma Symptoms

Understanding Provider Role in Treating Trauma Treatment planning and review​ Psychoeducation Diagnosis education Treatment process education Medication education Mind/body connection Suicide Assessment and Safety Planning​ Teaching the client to self-advocate​ Teaching the client the importance of self-care​ Resources and Referrals​ Continuity of Care

Considerations when Interacting with Clients Cultural Considerations​ Client's support system or lack thereof​ Client's communication style  and their ability to interact with other team members​ (self-advocate) Financial considerations and medical insurance​ Continuously assessing for unmet needs​ Resource limitations in the community​ Barriers to treatment- finances, insurance coverage, lack of support system, transportation, family obligations, time management, feeling unmotivated, alcohol and/or other drug use

Our Treatment Plan Healthcare Domain: Behavioral Health Provider: Case Manager Objective: Provide alleviation of presenting trauma symptoms as indicated by client report of: (a) Intrusion symptoms (b) Arousal symptoms (c) Avoidance symptoms   Goals: a)  Self-care= symptom management b) Self-advocacy= access to resources c)  Formal and informal support system=continuity of care and continued progress Interventions:  Psychoeducation Treatment process Diagnosis education Medication education Mind/body connection b)  Skills training and review of coping strategies  c) Planning for unforeseen stressors, triggers and/or barriers

Measuring Outcomes/ Success Dependent on limitations of the treatment setting​ Inpatient Psychiatric care​ Outpatient agency or private practice​ Higher Education Counseling Services​ Consistent review of the client's treatment plan​ Consistent review of the client's safety plan​ Asking the question​, “How will the client know they are ready to terminate treatment?” “How would the client’s family/supports know they are ready to terminate treatment?”

Communication from Counselors Additions/updates to the treatment plan Resources/referrals the client may need When client advocacy is needed from Case Manager Immediate safety concerns to update safety plan Any new or increase in alcohol and/or other drug use Medical challenge/s that may require a referral to an appropriate provider Any new legal problems