Trauma informed services the evolution of a concept
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Trauma Informed Services The Evolution of a Concept. Maxine Harris Ph.D. July, 2004. What Is A Trauma-Informed Service System?.

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Trauma informed services the evolution of a concept

Trauma Informed ServicesThe Evolution of a Concept

Maxine Harris Ph.D.

July, 2004


What is a trauma informed service system
What Is A Trauma-Informed Service System?

  • A human services or health care system whose primary mission is altered by virtue of knowledge about trauma and the impact it has on the lives of consumers receiving services


Why trauma the extent of the problem
Why Trauma? The Extent of the Problem

  • 60-75% of women in treatment for drug or alcohol abuse

  • 43-81% of adult psychiatric inpatients

  • 22-54% of women receiving outpatient mental health services

  • 50-70% of women in domestic violence shelters


Inform to educate and make knowledgeable about harris and fallot 2000
INFORM: to educate and make knowledgeable about Extent of the Problem (Harris and Fallot, 2000)

  • Basic education for staff about trauma and its relationship to mental health symptoms and substance abuse

  • Consumer awareness campaign

  • Standard assessment of trauma and PTSD symptoms


Inform to educate cont
INFORM: to educate Extent of the Problem (cont)

  • Trauma skills assessment as part of an employment interview for all clinical staff

  • Trauma champions within the agency

  • Elimination of overtly abusive practices

  • Administrative support for training and treatment innovations


Inform to give character to elliot bjelajac et al 2004
INFORM: to give character to Extent of the Problem(Elliot, Bjelajac, et. al., 2004)

  • Services should maximize consumer safety, choice and empowerment

    • Eliminate practices that have the potential to re-victimize

    • Collaborate in all aspects of treatment

    • Provide needed emotional and practical support to facilitate recovery

    • Maximize choice and consumer control

    • Emphasize consumer strengths

    • Acknowledge and respect the role of culture


Inform to be the formative principle of
INFORM: to be the formative principle of Extent of the Problem

  • A paradigm shift in assessment, diagnosis, and treatment that identifies trauma as the core event

    • Wider use of trauma-related diagnoses

    • Identification of trauma-related skill deficits

      • Self-awareness, self-soothing, accurate labeling

    • Treatment to address trauma and the related skill deficits specifically

    • Appreciation of the impact trauma dynamics have on all relationships

      • Betrayal, power, blame and trust


Choosing a definition
Choosing a Definition Extent of the Problem

  • Assess the needs and values of the organization

  • Assess the resources available

  • Assess the potential opposition

  • Consider staging the transformation