Implementation of Trauma-Informed Care - Assignment Example

PART A – Work with individuals in trauma-informed ways

1. Briefly describe each of the values, core principles and features of trauma-informed care and practice.

UNDERSTANDING TRAUMA AND ITS IMPACT

As a healthcare provider, I will have to get to know the various impacts and stresses traumatic people experience and accept potential behavioral challenges that may occur.

PROMOTING SAFETY IN ENVIRONMENTS AND RELATIONSHIPS

I will have to ensure the emotional, physical, and environmental safety of patients during interactions and service offered at the facility.

ENSURING CULTURAL COMPETENCE

It is essential when ensuring cultural competence that considerations are made into the different cultural contexts and how they impact on trauma response, recovery and management.

SUPPORTING CONTROL, CHOICE, AND AUTONOMY

As a health practitioner, I will ensure empowerment, self-determination and support control, well-versed choices and autonomy of the patients are vital to helping clients re-claim control of their positive personal direction(Masterton, 2016)

FOSTERING HEALTHY SUPPORTIVE RELATIONSHIPS

Establishing, a fruitful relationship between client and care provider is essential to help the client deal with the traumatic experience.

PROMOTING THE BELIEF THAT RECOVERY IS POSSIBLE

It is vital that it is understood and encouraged for each that recovery is likely no matter how dire the condition may look.

PROMOTING STRENGTHS-BASED, COLLABORATIVE PRACTICES

I will tailor a care that is based on strengths and successes of the client and upholds positive direction in collaboration with the client.

2. What are some methods you could use to develop strong, safe relationships and environments that promote a sense of safety, trust, choice, and control?

There are various methods that a healthcare provider can use to ensure the clients, safety and supported include making small talk with the client to make them feel comfortable, providing refreshment to help with relaxation and relive of stress, setting the interview for counseling session, and use of effective communication skills(Masterton, 2016)

I will ensure that I clarify to the patient that all answers are acceptable and there is no right or wrong answer, this will create a comfort zone for the client and will push him/her to be more honest with me.

3. Describe the techniques you could use to empathically and sensitively, acknowledge and respond to disclosures.

There are various, methods that could be used to responding and acknowledge,First Ill have to stay calm; this will send the message to the client that he/she is being listened to, the client will be comfortable enough to give relevant facts. Secondly, I will ensure that I don’t rush the client, to let them disclose an abuse or state of affairs that has caused in trauma (Kawam, 2014)

Thirdly I will have to reassure patient that they have done nothing wrong this will help them not to blame themselves and tell them to understand that the perpetrators are held responsible for their situation. I will also ensure that the client gets enough support needed during the course of treatment, as I gather much-needed facts about the situation after which I will explain to the client the next available treatment in order to make them emotionally prepared for it, during this phase I will have to report disclosure in accordance with the rules and finally I will make notes.

4 How could you respond and communicate with someone in distress?

When answering to the present distress of a client in a way that mirrors an understanding of trauma, I will not sympathize with client but ill show empathy, I will try to seek the information gently and share sensitively the information on outcomes of trauma, while ensuring the client that recovery is possible, and show respect, compassion (Mainstone-Cotton, n.d.)

5. What are five strengths and resilience’s you might see in a person experiencing trauma and list five strategies you could use to cope with and manage the impact of trauma?

The strengths and resilience of an individual are the aspects that the client can use to manage trauma these may be aspects such as: Courage, effort, Patience , emotional stability, and perseverance (O'Connor, 2014)

GUIDE STRENGTHS AND ENERGY OF CLIENTS

MAINTAIN POSITIVE DIRECTION

COOPERATION

ACHIEVEMENTS

Celebrating past achievements and helping to set stepping stones towards future achievements

RESPECT

Treating the patient with respect and setting boundaries to ensure that they reflect the respect back.

6. How could you ensure that communication is culturally and age sensitive?

As a healthcare giver to achieve a communication that is culturally sensitive I will ensure that I am ,I keep an eye contact with the client to keep trust, keep moderate and friendly voice tone, chose wisely the medium of communication to ensure that it is in line with culture, I will have to learn about behaviors and beliefs of the culture in question and avoid use of slang and unappropriated language (Mainstone-Cotton, n.d.)

To achieve an appropriate communication with the client, I will have to consider the age of the client, take account of development phases of a person, simplify my language and avoiding sensitive information that may result to re-traumatization in children (Kawam, 2014)

7. What are five psychological impacts of trauma? Explain how these can contribute to the development of mental health issues.

There are various feeling that can be experienced by clients as result of trauma includes, pain, sadness, grief, fear, and anxiety the afore-mentioned impacts can destabilize the client’s mental health through creating false images and can lead to post-traumatic stress, in some cases people who have experienced pain have resorted to drugs to calm them and ended up being drug addicts.

8. What is the role of triggers and ‘flashbacks’ (re-experiencing), re-victimisation and re-traumatization?

Triggers, re-victimisation, flashback and re-traumatization all take the part of delay and damage and delay in trauma recovery procedure nd should be evaded if possible. In addition to this is it important that throughout the service and support that is provided to the client, it is essential that they are not put into a state where any of these issues can happen(Masterton, 2016)

• Triggers Are circumstances or conditions that can generate trauma in the patient.

• Flashback (re-experiencing): When this happened it takes the client back to the original scene of the occurrence.

• Re-victimisation: It usually happens if a client feels like are being made the target once more in a different circumstances.

• Re-traumatisation: usually happens when client undergoes a fresh source of the traumatic effect.

9. Why should you collaboratively record and complete required documentation?

Collaboration used to efficiently minimize the chance of re-traumatization in the course of the services delivered including the course of writing accounts and completing documentation. Collaboration helps in the minimization of the danger of re-traumatization through the promotion of self-determination, ensuring the client consent, giving clients to power to direct their services and their situations, empowering of the client, it avoids victimization and labeling of the client (Kawam, 2014)

PART B – Develop strategies to address specific trauma needs

10. How would you collaboratively work with a client to identify their specific trauma needs?

When operating with the client to define the range of requirements in relation to trauma care plans that are to be created it is vital to certify that negotiations are held with the patient in relations to support groups, counselling plans, possible referral, team to be involved, any needed interventions, the clients situation, and strengths (Johnson, Shealy & Greenwald, 2015)

11. How could you determine the capacity of the service, and your own abilities, to respond to people’s trauma issues?

It is vital that the capacity of all specialists, workers and referred services and specialists is evaluated to confirm that the suitable actions are being engaged to offer the client with specific requirements(Masterton, 2016)

KNOW THE CAPACITY OF ALL SERVICE

It will be necessary that I check the number of available staffs, staff’s qualifications, and experience, specialist involvement, specially customized planning options and variety of services provided.

MEASURE THE CAPACITY OF SERVICE AGAINST THE CLIENT NEEDS

It will be essential to confirm that every of the client’s necessities is measured against the offerings and features of service to ensure that very selected service meets the client's needs. Information that can be used in evaluation can include case notes, client’s preferences, client assessment, the recommendation of a specialist , and client ‘s previous history.

12. What are types of information should you provide or make available to a person experiencing trauma and how would you foster choice and control?

When giving out the information to an individual regarding the potential supports and services that may be appropriate for them, it is significant to ensure you provide information on availability of the service, risk, and benefit associated, logistical data and Necessities of the people contributing to the services (Johnson, Shealy & Greenwald, 2015)

APPROACHES THAT CAN BE USED TO APPLIED CHOICE AND CONTROL

There are various of approaches that can be applied to back choice and control for an individual, and these may consist of:

CERTIFYING THAT THE RIGHTS AND RESPONSIBILITIES OF WORKFORCES, EMPLOYERS AND PEOPLE ARE MAINTAINED WHEN GETTING THE SERVICE

Each person that is involved in community services will have rights and responsibilities they include:

• Workers: they right to a harmless and resourceful work setting, fairness, information, teaching and f, they have the responsibility to uphold the rights of the client and the agency values every time.

• Employers: they right to be dignity and respected and treated professionally at all times

• Clients: they have a responsibility to take part in self-determination, and take actions for themselves, right to equal and fair treatment (Greig & MacKay, 2013)

13. What are three accepted procedures organizations might use to evaluate the options of bringing in specialist support and appropriate referral?

It will be essential to safeguard that a range of acknowledged procedures is applied to evaluate options for getting specialist support and suitable referral for the client (O'Connor, 2014)

First of all, I will have to collect information associated with the support, Information on related services may comprise of: contacts, list of associated services, hard copies, e.g., pamphlets, information of my agency and information to give to the client.

Each agency will have an established procedures and policies that can be applied to evaluate the appropriateness of services that may be accessible to the client and which may include (Kawam, 2014)

• comparing service results and structures to client requirements

• Assessing earlier use of that particular service

• Talking to service givers to assess if they can offer services the client

• Usage of valuation tools

• Assessment against inclinations of the client

• Bring into line certain necessities with accepted service forms for these needs

14. How might you defuse and de-escalate potential incidents or an emergency situation?

If an incident or issues arise throughout the treatment, it will be necessary to ensure that information and procedures from individual plans or organizational protocols are used to defuse and de-escalate the situation effectively.

GET THE INDIVIDUAL PLAN

Take a look at the individual patient's plans or service procedures and confirm that all workers are conscious that there is an individual plan for that particular client.

READ AND UNDERSTAND THE INSTRUCTIONS

I will read to define if there is a precise series of contacts or directives that must be applied at this time.

PUT PLANS INTO ACTION

All of the instructions that are enclosed within individual plan must be communicated to staff members involved and performed exactly as per requirements.

15. How would you follow up a referral to ensure needs are being met?

Provided are still the most appropriate for a client.When providing responses and support to a client’s needs in the community service environment monitoring and reviewing is a vital aspect of managing your client (Kawam, 2014)

Consultative procedures are important method that must be extensively used throughout the assessment and the review of the response to client’s needs.

Consultative procedure is important in

• Creating feelings of entitlement and commitment in support decisions

• Producing positive change and debate

• Supportive of the client

• Making sure clients feel supported and supported

• Guaranteeing the responses and the support choices made are matched to the client’s needs.

REVIEW AND ASSESS RESPONSES AND SUPPORT OFFERED

It is important to constantly review outcomes of the services provided to clients according to agency policies and measures to make sure that the services nominated and responses offered are still the most suitable for a client.

PART C – Promote trauma-informed practices in the workplace

16. How would you incorporate recognition of the impact of trauma on the development of individual support plans?

THROUGH CREATING OF INDIVIDUAL SUPPORT STRATEGIES

When creating individual support strategies, it will be essential to guarantee that each of the following activities is carried out while taking into contemplation the effects of the trauma and guaranteeing that all trauma requirements are being met.

IDENTIFYING PLAN MAIN CONCERN

All wellness strategies will have been planned on a set of goals; it will be essential to deliberate each of these program goals and to make sure that they can be efficiently prioritized to assign responsibilities and time lines.

DOCUMENTING PLAN URGENCIES

All urgencies of the plan will require to be organized in order of importance and documented in clear manner.

DOCUMENTING TIMELINES

When setting out to the document strategy timelines, it will be necessary to make a schedule of all responsibilities and their necessary timelines.

DOCUMENTING ALL AGREED ACTIONS AND STRATEGIES ‘

It is vital that all of the approved actions and plans that have been made as a part of the wellness plan are precisely recorded in a clear and summarizing formation.

17. How could you reflect on aspects of current service practice and programs to identify areas for improvement?

All agencies must have a system that will ensure that the best practice is attained in all client cases and service provision that is offered to all patients. Quality structures may contain a range of procedures and policies that ensure the best practice evaluation, collection of data, risk assesses, case notes, implementation strategy, and progress notes areas:

It will be essential to make sure that there is a technique for the review and valuation of all service delivery strategies to ensure that they are in order with the organizations quality management system (Johnson, Shealy & Greenwald, 2015)

EVALUATING SERVICE TO ENSURE COMPLIANCE

When analyzing service delivery data, it is essential to ensure that structured system is employed to measure the service delivery strategy and the manner that it was implemented.

IMPROVING SERVICE DELIVERY

If there are some factors concerning the implementation of service delivery strategy that may have been carried out differently to either be more submissive or to offer the clients with healthier matched services (Greig & MacKay, 2013)

18. How would you regularly gather feedback from consumers to identify potential areas for improved trauma-informed service practices?

Feedback should be gathered under the following circumstances:

• Upon start of the program

• After interfaces

• As programmed points during program delivery

• Upon close of the service delivery

• After complaints process

19. How would you identify service policies, procedures or practices that could potentially contribute to traumatization and re-traumatization?

Trigger situations can generate emotional challenges in client’s life, such as rejection, confrontation and of coping with the care provided. Re-traumatisation can happen if a client experiences a fresh cause of trauma (Kawam, 2014)

Factors that can upsurge the possible for re-traumatization of patient when accessing or receiving may comprise of:

• Labelling of the clients

• Misappropriation of intermediaries and authority by the response personnel

• Absence of patient’s advocacy

• Poor monitoring of workers

• Personnel applying rules to clients

• Misuse of medication when it is not needed

20. What are some change strategies and plans you might develop to strengthen informed trauma practice?

PLANS FOR CHANGE MANAGEMENT

These are set of approaches and processes that can be applied to the life of the client. Change management plans should be built around the planning and uptake and planning for changes to guarantee that the recovery procedures and the positive direction of client’s life can be effectively managed (Kawam, 2014)

Change management plans may include:

• Goal Setting

• Considering to the future

• Putting action strategies in place

• Evaluating the requirements for change

• Preparation for change

• Executing change (Greig & MacKay, 2013)

21. How could you promote the principles and practices of informed trauma care in the workplace?

There are various plans that can be applied to stimulate trauma-informed exercises in the workplace, and they can be comprised of: education, training, case studies, buddy shifts, promotional activities, mission statements and rules and procedures that mirror informed trauma care.

21. Why is it important to take part in self-care practices like reflection, supervision or peer supervision?

Trauma-informed supervision is type of supervision on self and your peers that safeguards that the care that is delivered to clients is offered within the practices and rules of trauma-informed care while Peer supervision this is a situation where peers supervising you or you supervising you peers, theses practice are an outstanding learning chance for both the manager and the individual that is under supervision. (Kawam, 2014)

23. How might you reduce or minimise experiences of vicarious trauma?

There are various of plans that can be used to reduce and respond to the vicarious trauma and they may include:

• Ensure debriefing

. I will make sure that all workers practice self-care

• Offer counseling options

• Ill make sure that there is debriefing

• Ill offer trauma buddies for workers

• Ensure all workers know these emotional states are normal

• Carry out professional supervision

• Offer education

• Promotional undertakings for a best practice

24. What are some conflict resolution and negotiation techniques you might use in the workplace?

When carrying out effective conflict management and resolution pursuing in customer service business, it is significant that a various of methods are applied including:

• Decreasing the stress

• I will as well De-escalating the fight

• Removing the disaster point and starting talking

• Ill give a good ear to the issue

• Work hand in hand with the client to deliberate various of appropriate options

• Talk over the selections with the client

• Ill pick resolution that matches the client's needs and need of the organization

25. How would you proactively review programs, services, and plans to minimise potential issues or incidents?

It is important that variety of proactive review strategies are put in place to make certain that all plans, programs, and services that are given to the to clients are appropriately reviewed to reduce any possible issues that may come up. (Kawam, 2014)

CYCLICAL REVIEW

As a health care giver, I must establish cyclical review procedure that can be used as a monitoring device for the framework.

CONTINUOUS IMPROVEMENT PROCESS

This is a cyclical review process that is employed by many agencies. This instrument uses small and continual improvements that are incorporated into a rolling system.

TRADITIONAL CYCLICAL REVIEW

This is a process of reviewing all information, planning for the change, evaluating the outcome and making amendments and then at a definite time in future starting the cycle over. (Kawam, 2014)

HOSHIN POLICY DEPLOYMENT CYCLE

This is a method that is implemented through the organization and then grounded on a yearly review that consists of a round of smaller modifications across the whole organization.

REVIEW THROUGH CONSULTATION

Consultation is an advantageous system of review and can be shepherded with a range of main personnel and those getting the services, consultation can recognize any requirements areas of success, improvement or growth.

INTERNAL AUDITS AS A METHOD OF REVIEW

Service programs may be supervised by carrying out internal audits to make sure that all parameters and objectives are being met

THE CASE STUDIES

While several Native and non-Indigenous Australian children are brought up in safe homes and stay in harmless communities, there are certain groups who do not. In case of native children, some communities and families are incapable or are working to, restore the trauma of previous events, comprising of dislocation from Country, abuse, and institutionalization. The Stolen Generations likewise symbolize a substantial source of trauma.

Native children may also under go various distressing life trials including accidents, illness, death and hospitalization, family disintegration, exposure to violence. Undergoing trauma in childhood can lead to serious and long-lasting impacts; impacts that can be corrected through proper interventions.

Trauma care must reflect cultural features. Culture has a role in the form of trauma that people may undergo, the risk for continual trauma, how people tackle and express their ordeals and which form of care is most effectual.

(MIN 456789) 19 years old,female

Street prostitution and substance or drug addiction regularly go hand in hand. Sex workers are always traumatized by many experiences they undergo in the streets they tend to use drugs to escape from there problems.

Many traumatized people frequently take services as insecure, disempowering or invalidating. The service culture, values, and practice should be informed through an understanding of the effects of individual’s lived experiences, present, and past, their responses to them and manner of coping. Services should recognize individual’s resilience and strengths in the face of adversity.

I established a powerful individually tailored treatment as per the values and needs the client. Treatment began with a focused assessment that comprised of attention to conceivable trauma in the client’s past and trauma-linked symptoms. First I made the client feel comfortable during the counselling evaluation period, I repeatedly assured her she should not blame herself for what she was undergoing this helped the client to open up more, and having learned a vital cultural practices of the client I ensure that my questions were in line with her culture, and had human dignity, we collaboratively filled the documents with client after which I check various agencies which could offer drug addiction and prostitution therapy for the client. I picked the best agency which matched the client’s needs; the client was referred after thorough consultation in my agency. I used repeat assessments to track the client’s progress and ensure that the necessary adjust interventions plans were implemented(D’Andrea,2012)

(MIN 000678)Male, 22 years old

The client has been experiencing re-traumatization after a grisly accident which claimed the life of his friend. He feels like he was responsible for his friend’s death.The client has been having a flashback to the incident, and he needed help to overcome this issue.

My main plan is to help the client cope up with life and know how to evade these triggers and how to cope incase he encounters the trigger. When the client came, I invited him into a private office and described the assessment process. He claimed he was nervous however I commented on his courage. I informed him of his privacy rights and exclusions to confidentiality. As a counselor, I had to explain that the assessment comprised of queries about trauma and that he needs only to piece what was comfortable for him(Frandsen, Pennington & Abrams, 2014)

After the assessment, I noticed I noticed that music was one of motivation in clients life, so a plan was created for the client to use his MP3 player during night, since he realized listening to music was soothing. Music could help him relax especially during night times. We put the client on a three-week treatment plan.

On the first week, physical and emotional safety was defined in group therapy, where client learned a grounding exercise to assist in post-traumatic stress responses. When the client’s trauma issues appeared, he is encouraged to speak about the impact in the present and its connection to alcoholism and to recognize and practice positive coping plans(Helfrich, 2014)

I informed the client about an impending fire drill, in our agency’s as unexpected loud noises triggers him. We spoke about the significance of pacing and recognize parts of the plan that while triggering is still controllable for him. We agreed that if he were feeling overwhelmed in a session, he would leave and practice self-care strategies.

Over time, the client was able to use these strategies to stay in the sessions a bit longer. He made connections between his substance use, mental health issues, and trauma and began to feel validated about his traumatic responses (Greig & MacKay, 2013)

During his final week, the client develops an ongoing care plan that integrates strategies for physical and emotional safety and degeneration prevention. When he expresses worry about her antidepressant, the I organized an assessment with the agency’s consulting psychiatrist, who has specialized in substance abuse, to evaluate client’s medication alternatives with respect for his trauma responses.

(MIN 789123) Male 48 years

Because of recurrent experiences of betrayal are rampant in the lives of those affected by family violence and domestic, trust frequently builds gradually. In services, it is facilitated by sharing of authority, information and jointly agreed on boundaries. The dynamics of authority must be recognized and acknowledged and actively handled, as an abuse of authority may continue to characterize present intimate relationships(Frandsen, Pennington & Abrams, 2014)

The primary emphasis in this specific case was on safety and crisis management; first I took the client through education about an addiction, trauma, their interaction, and many other mental health topics; I embarked on stabilization of the client through skill-building; Once the clients had shown hints of stabilization , I assessed the client’s need for specialized trauma-focused treatment. Then selected the approach based on client’s values.

The second phase was focused on the processing of trauma and its effects using specific evidence-based methods. Once processing had transpired to the point of resolution, the client’s symptoms began to reduce, in turn, making it comfortable for the client to retain sobriety and to enjoy a more steady and satisfying life(Coade,2008)

The third phase usually happened after the first 30 days or 60 days of therapy, and it was focused on client’s present and the future life choices that are less burdened by the trauma symptoms and by addictions. The client was encouraged to use their newly established skills and knowledge to uphold a life of safety and sobriety from further abuse and trauma.

Each stage shapes upon the earlier one, here the client acquired mastery and growing control. Throughout the treatment stages, there is an overlay in therapeutic services and planning for anticipated relapses. The change process is both broadminded and recursive, and the client was taught to anticipate stumbling block. However, he was encouraged to apply newly acquired skills. As the main counselor, I still maintain contact with the client to ensure that the treatment process is successful.