A Treatment Improvement Protocol Trauma Informed Care In Behavioral Health Services Tip 57

Author : U. S. Department of Health and Human Services
Publisher : Unknown
Page : 340 pages
File Size : 42,9 Mb
Release : 2016-11-18
Category : Reference
ISBN : 1365543676

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A Treatment Improvement Protocol - Trauma-Informed Care in Behavioral Health Services - Tip 57 by U. S. Department of Health and Human Services Pdf

Treatment Improvement Protocols (TIPs) are developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and HumanServices (HHS). Each TIP involves the development of topic-specific best practice guidelines for the prevention and treatment of substance use and mental disorders. TIPs draw on the experience and knowledge of clinical, research, and administrative experts of various forms of treatment andprevention. TIPs are distributed to facilities and individuals across the country. Published TIPs can be accessed via the Internet at http: //store.samhsa.gov. Although each consensus-based TIP strives to include an evidence base for the practices it recommends, SAMHSA recognizes that behavioral health is continually evolving, and research frequently lags behind the innovations pioneered in the field. A major goal of each TIP is to convey "front-line" information quickly but responsibly. If research supports a particular approach, citations are provided.

Author : Amanda Evans,Patricia Coccoma
Publisher : Routledge
Page : 161 pages
File Size : 45,7 Mb
Release : 2014-01-10
Category : Psychology
ISBN : 9781317807971

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Trauma-Informed Care by Amanda Evans,Patricia Coccoma Pdf

This accessible book provides an overview of trauma-informed care and related neuroscience research across populations. The book explains how trauma can alter brain structure, identifies the challenges and commonalities for each population, and provides emergent treatment intervention options to assist those recovering from acute and chronic traumatic events. In addition, readers will find information on the risk factors and self-care suggestions related to compassion fatigue, and a simple rubric is provided as a method to recognize behaviours that may be trauma-related. Topics covered include: children and trauma adult survivors of trauma military veterans and PTSD sexual assault, domestic violence and human trafficking compassion fatigue. Trauma-Informed Care draws on the latest findings from the fields of neuroscience and mental health and will prove essential reading for researchers and practitioners. It will also interest clinical social workers and policy makers who work with people recovering from trauma.

Author : Megan R. Gerber
Publisher : Springer
Page : 227 pages
File Size : 40,8 Mb
Release : 2019-04-12
Category : Medical
ISBN : 9783030043421

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Trauma-Informed Healthcare Approaches by Megan R. Gerber Pdf

Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.

Author : Substance Abuse and Mental Health Services Administration (SAMHSA)
Publisher : Createspace Independent Publishing Platform
Page : 340 pages
File Size : 51,7 Mb
Release : 2017-10-05
Category : Electronic
ISBN : 1977951198

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Trauma-Informed Care in Behavioral Health Services by Substance Abuse and Mental Health Services Administration (SAMHSA) Pdf

Many individuals who seek treatment in behavioral health settings have histories of trauma, but they often don't recognize the significant effects of trauma in their lives; either they don't draw connections between their trauma histories and their presenting problems,or they avoid the topic altogether. Likewise, treatment providers may not ask questions that elicit a client's history of trauma, may feel unprepared to address trauma-related issues proactively, or may struggle to address traumatic stress effectively within the constraints of their treatment program, the program's clinical orientation, or their agency's directives.By recognizing that traumatic experiences and their sequelae tie closely into behavioral health problems,front-line professionals and community-based programs can begin to build a trauma-informed environment across the continuum of care. Key steps include meeting client needs in a safe, collaborative, and compassionate manner; preventing treatment practices that retraumatize people with histories of trauma who are seeking help or receivingservices; building on the strengths and resilience of clients in the context of their environments and communities; and endorsingtrauma-informed principles in agencies through support, consultation, and supervision of staff.This Treatment Improvement Protocol (TIP) begins by introducingthe scope, purpose, and organization of the topic and describing itsintended audience. Along with defining trauma and trauma-informed care (TIC), the first chapter discusses the rationale foraddressing trauma in behavioral health services and reviews trauma-informed intervention and treatment principles.These principles serve as the TIP's conceptual framework.

Author : U.S. Department of Health and Human Services
Publisher : Lulu.com
Page : 208 pages
File Size : 41,5 Mb
Release : 2019-11-19
Category : Reference
ISBN : 9781794755130

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TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) by U.S. Department of Health and Human Services Pdf

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.

Author : Melanie P. Duckworth,Victoria M. Follette
Publisher : Routledge
Page : 539 pages
File Size : 46,7 Mb
Release : 2012-05-22
Category : Psychology
ISBN : 9781135237318

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Retraumatization by Melanie P. Duckworth,Victoria M. Follette Pdf

Exposure to potentially traumatic events puts individuals at risk for developing a variety of psychological disorders; the complexities involved in treating them are numerous and have serious repercussions. How should diagnostic criteria be defined? How can we help a client who does not present with traditional PTSD symptoms? The mechanisms of human behavior need to be understood and treatment needs to be tested before we can move beyond traditional diagnostic criteria in designing and implementing treatment. No better guide than Retraumatization exists to fulfill these goals. The editors and contributors, all highly regarded experts, accomplish six objectives, to: define retraumatization outline the controversies related to it provide an overview of theoretical models present data related to the frequency of occurrence of different forms of trauma detail the most reliable strategies for assessment to provide an overview of treatments. Contained within is the most current information on prevention and treatment approaches for specific populations. All chapters are uniformly structured and address epidemiological data, clinical descriptions, assessment, diagnosis and prognosis, and prevention. It is an indispensible resource that expands readers’ knowledge and skills, and will encourage dialogue in a field that has many unanswered questions.

Author : Karyn Harvey
Publisher : Unknown
Page : 0 pages
File Size : 53,9 Mb
Release : 2012
Category : Behavioral assessment
ISBN : 1937604047

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Trauma-informed Behavioral Interventions by Karyn Harvey Pdf

In this book, the author describes ''what doesn't work'' by outlining the ways in which individuals with intellectual disability may have been damaged by the ''behavioral'' approach to their day-to-day actions. She demonstrates what has been missed through this approach: Needs have not been met, individuals have been misdiagnosed, and trauma responses have been triggered through the exclusive use of behavioral controls, both positive and negative. The author then moves on to describe ''what works.'' She explores the topics of stabilization, prevention, intervention, and the ''mental health plan.'' She proposes a model of behavioral intervention that does not require the use of restraints or contingencies; instead it promotes safety and security and addresses the outstanding issues around trauma.Numerous case studies are discussed, but all the names and relevant details have been altered to protect individuals, staff, and agencies. The mental health plan template the author puts forward instructs and informs staff about how to support people who have experienced trauma, both on a small scale and on a large one. She provides examples of this approach with case studies and illustrates how the plans should be written to ensure optimal implementation. This book gives the professionals and paraprofessionals who have dedicated themselves to this field and to the welfare of individuals with intellectual disability a trauma-informed paradigm within which to support people with intellectual disability psychologically and to establish the critical elements needed for recovery. As the author states in her introduction, ''when the individual recovers, behaviors change. When the individual recovers, happiness can begin.''

Author : Sandra L. Bloom,Brian Farragher
Publisher : Oxford University Press
Page : 264 pages
File Size : 42,8 Mb
Release : 2013-01-04
Category : Social Science
ISBN : 9780199796496

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Restoring Sanctuary by Sandra L. Bloom,Brian Farragher Pdf

This is the third in a trilogy of books that chronicle the revolutionary changes in our mental health and human service delivery systems that have conspired to disempower staff and hinder client recovery. Creating Sanctuary documented the evolution of The Sanctuary Model therapeutic approach as an antidote to the personal and social trauma that clients bring to child welfare agencies, psychiatric hospitals, and residential facilities. Destroying Sanctuary details the destructive role of organizational trauma in the nation's systems of care. Restoring Sanctuary is a user-friendly manual for organizational change that addresses the deep roots of toxic stress and illustrates how to transform a dysfunctional human service system into a safe, secure, trauma-informed environment. At its heart, The Sanctuary Model represents an organizational value system that is committed to seven principles, which serve as anchors for decision making at all levels: non-violence, emotional intelligence, social learning, democracy, open communication, social responsibility, and growth and change. The Sanctuary Model is not a clinical intervention; rather, it is a method for creating an organizational culture that can more effectively provide a cohesive context within which healing from psychological and socially derived forms of traumatic experience can be addressed. Chapters are organized around the seven Sanctuary commitments, providing step-by-step, realistic guidance on creating and sustaining fundamental change. "Restoring Sanctuary" is a roadmap to recovery for our nation's systems of care. It explores the notion that organizations are living systems themselves and as such they manifest various degrees of health and dysfunction, analogous to those of individuals. Becoming a truly trauma-informed system therefore requires a process of reconstitution within helping organizations, top to bottom. A system cannot be truly trauma-informed unless the system can create and sustain a process of understanding itself.

Author : Lorraine Greaves,Nancy Poole,Centre for Addiction and Mental Health
Publisher : Unknown
Page : 379 pages
File Size : 55,7 Mb
Release : 2012
Category : Psychology
ISBN : 1771140585

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Becoming Trauma Informed by Lorraine Greaves,Nancy Poole,Centre for Addiction and Mental Health Pdf

Most people accessing mental health and addiction services have experienced trauma. For those working in community services, treatment agencies and hospitals, providing "trauma-informed care" requires an understanding of the effects of trauma, and of how to create programs, spaces and policies that place priority on trauma survivors' safety, choice and control. Becoming Trauma Informed describes trauma-informed practice at the individual, organizational and systemic levels. This multi-authored collection brings together the voices of those who have integrated trauma-informed principles into various mental health and addiction treatment and social service environments, and of the diverse groups with which they work. Becoming Trauma Informed is an important resource for those who are working, or who are planning to work asaddiction andmental healthpractitioners and program and system planners."

Author : American Psychiatric Association
Publisher : American Psychiatric Publishing
Page : 128 pages
File Size : 54,8 Mb
Release : 2021-09-24
Category : Electronic
ISBN : 1955245185

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Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by American Psychiatric Association Pdf

Author : Department Of Health And Human Services
Publisher : Unknown
Page : 0 pages
File Size : 52,9 Mb
Release : 2016-11-18
Category : Reference
ISBN : 1365543897

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A Treatment Improvement Protocol - Improving Cultural Competence - TIP 59 by Department Of Health And Human Services Pdf

The development of culturally responsive clinical skills is vital to the effectiveness of behavioral health services. According to the U.S. Department of Health and Human Services (HHS), cultural competence "refers to the ability to honor and respect the beliefs, languages, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff members who are providing such services. Cultural competence is a dynamic, ongoing developmental process that requires a long-term commitment and is achieved over time" (HHS 2003a, p. 12). It has also been called "a set of behaviors, attitudes, and policies that . . . enable a system, agency, or group of professionals to work effectively in cross-cultural situations" (Cross et al. 1989, p. 13). This Treatment Improvement Protocol (TIP) uses Sue's (2001) multidimensional model for developing cultural competence.

Author : Lisa M. Najavits
Publisher : Guilford Publications
Page : 419 pages
File Size : 42,6 Mb
Release : 2021-05-07
Category : Psychology
ISBN : 9781462548576

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Seeking Safety by Lisa M. Najavits Pdf

This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.

Author : Virginia C. Strand,Ginny Sprang
Publisher : Springer
Page : 349 pages
File Size : 42,7 Mb
Release : 2017-10-24
Category : Social Science
ISBN : 9783319646022

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Trauma Responsive Child Welfare Systems by Virginia C. Strand,Ginny Sprang Pdf

This comprehensive reference offers a robust framework for introducing and sustaining trauma-responsive services and culture in child welfare systems. Organized around concepts of safety, permanency, and well-being, chapters describe innovations in child protection, violence prevention, foster care, and adoption services to reduce immediate effects of trauma on children and improve long-term development and maturation. Foundations and interventions for practice include collaborations with families and community entities, cultural competency, trauma-responsive assessment and treatment, promoting trauma-informed parenting, and, when appropriate, working toward reunification of families. The book’s chapters on agency culture also address staffing, supervisory, and training issues, planning and implementation, and developing a competent, committed, and sturdy workforce. Among the topics covered: Trauma-informed family engagement with resistant clients. Introducing evidence-based trauma treatment in preventive services. Working with resource parents for trauma-informed foster care. Use of implementation science principles in program development for sustainability. Trauma informed and secondary traumatic stress informed organizational readiness assessments. Caseworker training for trauma practice and building worker resiliency. Trauma Responsive Child Welfare Systems ably assists psychology professionals of varied disciplines, social workers, and mental health professionals applying trauma theory and trauma-informed family engagement to clinical practice and/or research seeking to gain strategies for creating trauma-informed agency practice and agency culture. It also makes a worthwhile text for a child welfare training curriculum.

Author : Kathleen Wheeler
Publisher : Springer Publishing Company
Page : 752 pages
File Size : 50,5 Mb
Release : 2013-12-11
Category : Medical
ISBN : 9780826110008

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Psychotherapy for the Advanced Practice Psychiatric Nurse, Second Edition by Kathleen Wheeler Pdf

This book integrates neuroscience with relationship science and unites disparate psychotherapeutic approaches into a model that is concise and straightforward, yet sufficiently comprehensive to provide a framework for practice. (Psychiatric)

Author : Maxine Harris,Roger D. Fallot
Publisher : Jossey-Bass
Page : 0 pages
File Size : 54,6 Mb
Release : 2001-04-10
Category : Psychology
ISBN : 078791438X

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Using Trauma Theory to Design Service Systems by Maxine Harris,Roger D. Fallot Pdf

Mental health practitioners are becoming increasingly aware that they are encountering a very large number of men and women who are survivors of sexual and physical abuse. This volume identifies the essential elements necessary for a system to begin to integrate an understanding about trauma into its core service programs. The fundamental elements of a trauma-informed system are identified and the necessary supports for bringing about system change are highlighted. The basic philosophy of trauma-informed practice is then examined across several specific service components: assessment and screening, inpatient treatment, residential services, addictions programming, and case management. Modifications necessary to transform a current system into a trauma-informed system are discussed in great detail as well as the changing roles of consumers and providers.This is the 89th issue of the quarterly journal New Directions for Mental Health Services.