Introduction: Trauma is defined as exposure to past physical, sexual or emotional victimization. Trauma informed care is an emerging value that is seen as fundamental to effective and contemporary mental health nursing practice Muskett, 2013. It aims to recognize the trauma and how it has impacted on an individual’s life. This will try and help reduce practices that might re traumatize the patient such as strip search, pat down, seclusion, restraint, and help creative a comfortable yet therapeutic environment for clients in a clinical setting. This paper attempts to recognize the importance of trauma informed care, the principles of trauma informed care and effective evaluation tools to help assess past trauma and how can re traumatisation …show more content…
Harner & Burgess, 2011states that a range of physical and mental health illnesses have been associated with previous trauma exposure. The findings are especially evident in individuals, which have experienced multiple/prolonged periods of victimizations. Harris & Fallot 2004 also states that one of the most common effects of trauma experience is Post Traumatic Stress Disorder (PTSD), an anxiety disorder that is likely to develop later in response to traumatic event. Symptoms experienced with PTSD include re-living symptoms (nightmares, flash backs, interfering and unpleasant …show more content…
Two question screening tools-assesses sexual violence. Traumatic Events Questionnaire The Traumatic Events Questionnaire (TEQ), where 11 specific traumatic events are assessed, a few are mentioned as follows: sexual assault, rape (forced unwanted sexual activity), violent crime, adult abusive relationships, abuse including sexual, physical and child abuse, witnessing someone being mutilated, seriously injured, or violently killed, other life¬ threatening situations, and violent or unexpected death of a loved one The Trauma History Questionnaire (THQ) was developed by Bonnie Green and her associates at Georgetown University THQ which aims to provide a comprehensive assessment of exposure and to be suitable for both research and clinical populations. Exploring and assessing the number of times and age each assault occurred, The scale has 24 items however a few has been listed and are as follows : unwanted sexual contact, aggravated assault, beaten, spanked, or pushed hard enough to cause injury, and any other extraordinarily stressful situation or event.
In the case study, Cecelia Vega is introduced to us in the emergency room, brought in by her boyfriend due to attacking him. Even though not comfortable to talk about her history in front of eight hospital staff members, Vega tells them about her history of traumatic events- she and her sister being raped by their uncle at a young age and their mother not believing them. There are three diagnosis looked at when studying Vega’s life. Post Traumatic Disorder (PTSD), being directly exposed to sexual violence, as she was raped multiple times by her uncle when she was nine years old. She was also aware that her sister was raped by her uncle when they were picked up from school.
The violence can be physical, emotional, or sexual. The National Crime Victimization Survey, surveyed U.S. households in which individuals are asked about their victimization experiences during the previous 6 months. Individuals who report experiencing a victimization event complete an incident report for each event. Within this detailed incident report, individuals are asked to identify their relationship with the perpetrator. Violent incidents perpetrated by spouse or ex-spouse, boyfriend, girlfriend and former boyfriend/girlfriend are considered in the survey.
Resulting in depression, nightmares, anxiety and sudden displays of anger or aggression. It wasn't until the late 1970s, the condition of post-traumatic stress disorder, rephrased its common symptoms to include the long-term challenges.("Post-Traumatic Stress Disorder (PTSD)"). Now psychologist have even been able to classify; head trauma, life-threatening natural disaster, rape, beating, and domestic abuse, to being trauma-related contributors for PTSD. Resulting in about 7.7 million Americans to be suffering from the condition in a given year, according to the National Institute of Mental Health ("Post-Traumatic Stress Disorder (PTSD)").Thanks to discoveries like these, people are more aware of post-traumatic stress disorder and are capable of recognizing the signs and symptoms. Now PTSD is seen as a key related condition, people associate with war and other traumatic-related
• The readings this week address the issues of introducing trauma informed care principles into the screening (experienced by every client in every service area) and inpatient settings. 1) Please discuss how trauma informed principals can change these settings for the better and provide examples from your experience as to either how TIC principals work or about situations where they might improve the setting and treatment. Trauma informed principals can change the way screening is done in an inpatient setting by many professionals integrating trauma principals into their practice. Awareness of how traumatic experiences are for many individuals and in findings that many of the individual carry unrecognized trauma.
Lamyia experienced abuse when she was a child which causes worry for her children from her past experiences. Suggestions from Lamyia’s Integrated Assessment were individual therapy/life couching and interactive parenting education. Lamyia may benefit from trauma focused therapy due to her childhood trauma, domestic violence, involvement with DCFS, and everyday life
Victims are often affected mentally, financially and physically after a crime. Whether its long-term or short-term affects, counseling is there to help the victims of crimes. Christine primarily focuses on Trauma Informed Counseling, also carried out by licensed professionals that are sometimes provided for free, reduced in cost or funded by the Victim Crimes Compensation Board (VCCB). Christine went on to explain that Trauma Informed Counseling addresses the effect of trauma to children or adults. It is important to counsel and assist the victim’s when trauma has affected them because it could lead to a higher risk of substance abuse, dependence, or mental health problems such as depression or anxiety.
Evidence based Treatment Models Most effective interventions associated with domestic violence include safety planning, child advocacy, information advocacy, and alternate housing. This is generally referred to as “legal advocacy” and involves the criminal justice system. During this process first responders and legal professionals initiate referrals and support such as protection orders, court accompaniment, referral to services, and community therapy agencies (Hamby et. al., 2015) Treatment Model # 1 Trauma-Focused Cognitive Behavioral Therapy is a twelve to twenty-five, hour long session divided equally between the parent and the child.
Post Traumatic Stress Disorder, or PTSD, is defined as, “a mental health condition triggered by experiencing or seeing a terrifying event.” (Mayo Clinic) The condition enables an individual to imagine the horrific event repeatedly due to a trigger. PTSD is most common among soldiers or those in the line of duty. This is due to the brutality of combat.
The effects of sexual violence upon the survivors and the society are invasive and far reaching; so much so that all conventional attempts to address the issue and seek justice for victims have not only failed but have also left victims without a sense of justice and often magnified the adverse impacts of initial
Through my exploration of the various sectors of psychology, I have found trauma therapy the most captivating. After attaining necessary degrees and certification, I aim to provide psychological services to adults who have suffered from various types of trauma. I plan to focus on adults who have a past history of molestation, domestic violence, sexual assault, and post-traumatic stress disorder. I believe,
Appendix B: Family Safety Plan Given the diversity of families, the complexity of family dynamics, the full range of family resources and developmental differences in the individuals who have sexually abused, each family’s safety plan must be constructed for that particular family. There is truly no “one-size-fits-all” approach to family safety. However, there are some consistent guidelines that can be followed to create a safety plan for any family. In fact, these safety plans could be used by any family, whether or not they have faced sexual abuse experienced by and/or caused by a family member. By understanding what puts a child at risk to be abused or what may put an adult, teen, or child at risk to sexually harm a child, the family
Post Traumatic Stress Disorder, or PTSD, “is a psychiatric disorder that may occur in people who have experienced or witnessed a traumatic event, series of events or set of circumstances” (Taylor-Dessir, 2022). According to the National Institute of Mental Health, an event such as danger, harm, or even the death of a family member, friend, or loved one can lead to the development of the disorder (2022). Post Traumatic Stress Disorder can be developed by any individual of any age and even though it's uncommon, the disorder is not always developed (NIMH » Post-Traumatic Stress Disorder, 2022). “According to the National Center for PTSD, about 7 or 8 out of every 100 people will experience PTSD at some point in their lives” (NIMH » Post-Traumatic
Also, there were cases where probable cause for the police to believe a spouse had assaulted the victim within the last few hours. In order for the case to be even considered eligible for the study the police officer must witness the assault. Not all domestic violence cases was included in the study. The cases that involved severe injury, life threatening or cases that could lead to a felony. Also, cases where both parties were injured in an assault it was not recorded either.
The next subsection is the Direct Victimization: Child Maltreatment in which “three types of were measured in this study: (a) child physical abuse, (b) child neglect, and (c) child sexual abuse” (Kenner, 2012, p. 181). The third subsection is Indirect Victimization: Exposure to IPV this is self-report instances of abuse for the last 12 months. The seven measures for indications of physical IPV were adapted from the Massachusetts study of women on welfare, the Conflict Tactics Scale and the Women’s Employment study. If any on these seven items were checked then it indicated the presence of physical IPV. For psychological IPV an eight item scale was used that was adapted from the Women’s Experience of Battering scale.
However, they found the percentage of women who are seriously injured to be smaller than inflated claims of irresponsible feminists - fewer than one percent. Surveys about violence often distinguish between minor violence, such as pushing, shoving, grabbing, and slapping (no injuries) and severe violence, such as kicking, trying to hit with an object, and beating up (injuries). Often feminists create misleading statistics by deliberately ignoring the distinction between minor and sever violence and counting all acts of violence as abuse. No effort is made to distinguish between non-threatening aggression and physically harmful aggression.