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

2. Role of Case Management in the Treatment of Trauma Symptoms

3. 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

4. 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

5. 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

6. 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?”

7. 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