1. Trauma-Informed Care: The Collaborative Change Model
Linda Stone Fish, M.S.W., Ph.D David B. Falk Endowed Professor of Family Therapy, Syracuse University

2. The Collaborative Change Model Barrett, M.J. and Stone Fish, L. (2014). Treating complex trauma: A relational blueprint for collaboration and change. NY: Routledge.
Collaboration
Stage One: Creating a context for change
Stage Two: Challenging patterns and expanding alternatives
How traumatic stress influences addictions
Skills for Engaged Mindstate
Stage Three: Consolidation

3. Helper’s Journey while Working with Individuals who have experienced Trauma
Unreasonable Optimism
Judgmental
Ruminative
Hopeful
Discerning
Evolving
Cynical
Naive
Stuck in Despair

4. Stage Two: Challenging Patterns and Expanding Alternatives

5. Unmanageable stress and the ways we protect ourselves
Fight
Flight
Freeze

6. Avoidance of Discomfort
Difficulty self-soothing
Difficulty reasoning
Difficulty learning new skills
Difficulty making meaning
Difficulty with impulse control

7. Difficulty controlling emotions, thoughts, behavior, and relationships
I experience myself as powerless
I am disconnected from myself, others, and the world around me
I experience myself as devalued
I am out of control

8. Engaged Mindstate
In an engaged mindstate individuals have access to and incorporate tools that regulate their affect, cognitions, behavior, and relationships. They experience themselves as powerful, in control, valued, and connected to themselves, a support system and to the world around them. They are aware of their strengths, their resources and their vulnerabilities and have developed a skill set to deal with stress. When people are acting from an engaged mindstate, they have self-awareness and other awareness, practice mindsight (Siegel, 2010), are engaged in supportive relationships, and have a meaningful vision of the future.

9. Wide Resilient Zone: greater capacity to
Narrow Resilient Zone: small stressors can bump
a person into the Low/High Zone (Trauma Resource Institute, Miller-Karas, 2015)
Resilient Zone
Wide Resilient Zone: greater capacity to
stay within your Resilient Zone
even when faced with life stressors
Resilient Zone

10. Skills for Engaged Mindstate
Mindfulness
Tracking (TRI)
Resourcing (TRI)
Grounding (TRI)
Relationship Building
Confirm
Contradict
Continue

11. Helping Relationships Confirm

12. Contradict
Limit Setting and Redirecting Using New Resilient Zone Skills

13. Continue

14. Practice Engaged Mindstate
Think of a time over the last couple of days when you were out of your resilient zone with a client and track what you were sensing (seeing, hearing, touching, smelling, tasting)
Take out your resource and track your experience (seeing, hearing, touching, smelling, tasting)
Think about and write down what you could do differently

15. Consolidation
Write down a concrete goal you are willing to try to use with clients to build an engaged relationship