Trauma Informed Care Training Foundation level integrity | simplicity | caring  

Keeping safe today Only share what you feel comfortable sharing. Notice how the material is affecting you. Leave the room if you need to but talk to one of the facilitators as well. Use your clinical supervision to discuss any further responses to the training. integrity | simplicity | caring  

Key message from service user consultation “What happened to you?” rather than “what is wrong with you?” During the consultation process of the development of this training, this was the key message that service users fed back was most important to them. Facilitator to discus that there needs to be sensitivity around this which will be explored later in the screening slides but it is important that this is a curious approach rather than a direct question asked ‘what happened to you’ in the absence of a therapeutic relationship integrity | simplicity | caring  

Learning Outcomes To have an understanding of trauma and its impact on well- being. To reflect on the different ways that people respond to trauma in secondary care mental health services. To understand the meaning of the trauma to people. To develop some basic strategies that can support people. To consider the impact of people’s trauma on you. integrity | simplicity | caring  

Why talk about trauma? Trauma responses are meaningful and a form of resistance to abuse and adversity. Trauma lens – understanding and acknowledging experiences of service users to provide an alternative lens that works alongside other models. Places people within their social, cultural and political contexts. NHS Confederation Briefing – Routine Enquiry on Violence and Abuse, 2008. Discuss trauma lens –it is not the only way of looking at something and can run alongside the medical model. Recognition that some people find diagnosis useful and others don’t integrity | simplicity | caring  

Implications for practice Developing the right environment (i.e. timing, therapeutic relationship) for the service user to tell their story (Routine Enquiry, 2008) Listening to trauma narratives that service users may want to talk about without questioning too much. Providing safety/emotional containment. Validating the pain and distress caused by trauma. A wider group discussion will follow the small group discussion with this slide Explain what we mean by validating integrity | simplicity | caring