1. Trauma-Informed Care: A Practical Approach
Brookhaven Hospital
Professional
Seminar Series
Trauma-Informed Care: A Practical Approach
Lucinda Morte, MS
October 3, 2018

2. Trauma -Informed Care What is trauma? Who is impacted by trauma?
How do I respond to trauma?
How to avoid re-traumatization?
How do I view trauma as an employee, with clients I work with, and within the organization?
Trauma -Informed Care
To view this presentation, first, turn up your volume and second, launch the self-running slide show.

3. What is trauma? Trauma is an emotional response to a
terrible event. Untreated trauma leads
to unpredictable emotions and behavior,
strained relationships, and even physical
symptoms.
To view this presentation, first, turn up your volume and second, launch the self-running slide show.
What is trauma?

5. How does the brain respond to trauma?
Presentations are a powerful communication medium.

6. Circuits are wired and growing Circuits are weakened and inactive
For more than 20 years, Duarte has developed presentations…
Circuits are wired and growing
Circuits are weakened and inactive

7. …to launch products,

9. Language Traditional Care Trauma Informed Care
People are sick, others are just bad
People are injured but capable of recovery
Unlike other people, these individuals cannot handle stress
These individuals have had normal reactions to abnormal stress
The proper focus is on treating symptoms-interpreting them is less important
Symptoms can tell us a great deal about the individual's/client’s injuries
One never argues with the boss-his/her word is law
Organization is democratic
People are helpless and powerless
People are capable of acting responsibly
Institutional responsibility is to protect society from damaged individuals.
Together with the staff and clients the organizational function is to create a “living learning environment”
…align employees,

10. The most important part of treatment is individual therapy
Everything is therapy and every experience a client has can be important to their recovery
Treatment decisions are made by a select few or are the experts
We do true multidisciplinary team work regularly
Physical safety is paramount-seclusion and coercion is acceptable
Paying attention to psychological, social, and more safety prevents violence
Violence is accepted as a routine part of the work
Violence is the exception to the rule of non-violence
People’s problems are largely viewed as biological and genetic
People’s problems are viewed as complex when related to trauma
Emotional control is essential for an orderly environment
Learning to manage emotions is more important than controlling them
Asking the question: “What is wrong with you?”
Asking the question: “What has happened to you?”
…increase company value,

11. Re-enactment
When being faced with re-enactment it is important to say “It sounds like something like this has happened before” it allows the opportunity for indifference and being open to listening to stay out of the triangle
…and propel

12. Compassion Fatigue (secondary traumatic stress)
Vicarious Trauma
Compassion Fatigue (secondary traumatic stress)
Burnout

13. Vicarious Trauma: Macro Causes
Biological
Psychological
Social
Organizational
 Moral
Vicarious Trauma: Micro Causes
Past history/experience of trauma
Workload/Caseload
Boundaries

14. How to protect those helping others?
Increased knowledge of vicarious trauma
Strong ethical principle of practice
On-going training
Resolution of one’s personal issues
Increased supervision and consultation
Competence in practice strategies
Good physical, emotional, social & spiritual self care
Effective, open communication
Agency support is clearly communicated

15. Trauma and our organization
Parallel Process
Collective Disturbance

16. What does parallel process and collective disturbance look like?
Clients
Staff
Organization
Feel unsafe
Is unsafe
Angry/aggressive
Punitive
Helpless
Stuck
Hopeless
Missionless
Hyperaroused
Crisis driven
Fragmented
Overwhelmed
Confused
Valueless
Depressed
Demoralized
Directionless

17. Trauma Informed Care Fosters a shared language
Consistent contact with team members clients
Organizes how we talk about our services
Trauma Informed Care
Keeps a focus on growth and change
Keeps a focus on impact of recurrent stress

18. S.E.L.F. Shared Language Safety: Always Feel Safe
Physical Safety, Psychological Safety, Social Safety, Moral/Ethical Safety
Emotions: Identifying words for feelings
Managing emotions, Knowing how you feel
Loss: Knowing change brings loss and loss brings change
Grieving, saying goodbye, moving on
Future: Finding ways to create change
Bringing hopes and dreams to life, setting goals, making different choices, believing things can be different, and taking time to see what can and will be different