I-FAST Trauma and Frames

2020 ◽  
pp. 85-98
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Trauma Survivors ◽  
Trauma Symptoms ◽  
Case Examples

Cultural, family, and professional frames and narratives are identified and discussed as they pertain to trauma. How all of these types of frames and narratives can reinforce and exacerbate trauma symptoms is explored. How integrative family and systems treatment (I-FAST) utilizes strengths-based frames in working with trauma survivors and their families is described. Several case examples are outlined with family frames tracked and frames offered to set the stage for treatment.

Family Therapy for Treating Trauma

2020 ◽  
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Family Therapy ◽  
Treatment Approach ◽  
Healing Process ◽  
Trauma Survivors ◽  
Trauma Treatment ◽  
Trauma Symptoms ◽  
Fast Approach ◽  
Interactional Patterns ◽  
Therapy Treatment

Family Therapy for Trauma: An Integrative Family and Systems Treatment (I-FAST) Approach offers a stand-alone family therapy treatment approach for trauma, addressing a gap in the trauma treatment literature. The book outlines a flexible yet structured family therapy approach that can integrate intervention procedures from any of the evidence-based manualized trauma treatments into a family treatment framework. The authors show how this flexibility offers great advantages for engaging trauma survivors and their families into treatment, who otherwise would not cooperate with standard trauma treatment approaches. They show how tracking and utilizing client and family frames in the organizing of treatment enhances both family engagement and the healing process in general. We show the role of family interactional patterns in the perpetuation of trauma symptoms and how changing these patterns leads to the resolution of trauma symptoms. The book demonstrates how tracking and enlarging interactional exceptions plays a key role in overcoming problems related to trauma. For clients who are not interested in trauma treatment, the authors show how treatment focusing on whatever issue they are willing to address can simultaneously resolve their trauma symptoms.

Trauma and Children

2020 ◽  
pp. 168-187
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
At Risk ◽  
Foster Care ◽  
Child Welfare ◽  
Child Welfare System ◽  
Welfare System ◽  
Trauma Survivors ◽  
Duration Of Stay ◽  
Case Examples ◽  
Family Approach ◽  
Biological Family

Trauma and children placed in foster care is examined. Statistics related to foster care placement, duration of stay, and number of disrupted placements are offered. How these factors exacerbate the problems of trauma survivors in the child welfare system is explored. A family to family approach is described. Several case examples are offered covering numerous treatment issues including how to stabilize at-risk foster placements, how to recruit and include biological family of children placed in foster care, and how to enlist therapeutic help from biological family members when their child is placed in foster care.

Intergenerational Trauma

2020 ◽  
pp. 188-211
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Intergenerational Trauma ◽  
Trauma Survivors ◽  
Trauma Symptoms ◽  
Dissociative Symptoms ◽  
Successful Resolution ◽  
Trauma Survivor

Intergenerational trauma and subsequent impairment of trauma survivors parenting of their children is explored. How to engage these parents in integrative family and systems treatment (I-FAST) and how to simultaneously help with their parenting impairments and their trauma symptoms is described. Four cases are examined in detail, covering four types of treatment situations. In Cases 1 and 2, helping a trauma survivor parent when they are requesting help for their problem teenagers, but not for their trauma-related difficulties is described. In Case 3, helping a trauma survivor mother focus directly on resolving her trauma symptoms as a method for helping her seriously impaired daughter is described. In Case 4, focusing on serious dissociative symptoms of a mother, which only developed after the successful resolution of her son’s difficulties is described.

scholarly journals Engagement With a Trauma Recovery Internet Intervention Explained With the Health Action Process Approach (HAPA): Longitudinal Study

2018 ◽  
Vol 5 (2) ◽  
pp. e29 ◽  
Author(s):  
Carolyn M Yeager ◽  
Kotaro Shoji ◽  
Aleksandra Luszczynska ◽  
Charles C Benight
Keyword(s):  
Self Efficacy ◽  
Outcome Expectations ◽  
Trauma Survivors ◽  
Trauma Recovery ◽  
Trauma Symptoms ◽  
Perceived Need ◽  
Distress Symptoms ◽  
Health Action ◽  
Action Process ◽  
Ehealth Intervention

Background There has been a growing trend in the delivery of mental health treatment via technology (ie, electronic health, eHealth). However, engagement with eHealth interventions is a concern, and theoretically based research in this area is sparse. Factors that influence engagement are poorly understood, especially in trauma survivors with symptoms of posttraumatic stress. Objective The aim of this study was to examine engagement with a trauma recovery eHealth intervention using the Health Action Process Approach theoretical model. Outcome expectancy, perceived need, pretreatment self-efficacy, and trauma symptoms influence the formation of intentions (motivational phase), followed by planning, which mediates the translation of intentions into engagement (volitional phase). We hypothesized the mediational effect of planning would be moderated by level of treatment self-efficacy. Methods Trauma survivors from around the United States used the eHealth intervention for 2 weeks. We collected baseline demographic, social cognitive predictors, and distress symptoms and measured engagement subjectively and objectively throughout the intervention. Results The motivational phase model explained 48% of the variance, and outcome expectations (beta=.36), perceived need (beta=.32), pretreatment self-efficacy (beta=.13), and trauma symptoms (beta=.21) were significant predictors of intention (N=440). In the volitional phase, results of the moderated mediation model indicated for low levels of treatment self-efficacy, planning mediated the effects of intention on levels of engagement (B=0.89, 95% CI 0.143-2.605; N=115). Conclusions Though many factors can affect engagement, these results offer a theoretical framework for understanding engagement with an eHealth intervention. This study highlighted the importance of perceived need, outcome expectations, self-efficacy, and baseline distress symptoms in the formation of intentions to use the intervention. For those low in treatment self-efficacy, planning may play an important role in the translation of intentions into engagement. Results of this study may help bring some clarification to the question of what makes eHealth interventions work.

scholarly journals Engagement With a Trauma Recovery Internet Intervention Explained With the Health Action Process Approach (HAPA): Longitudinal Study (Preprint)

2017 ◽  
Author(s):  
Carolyn M Yeager ◽  
Kotaro Shoji ◽  
Aleksandra Luszczynska ◽  
Charles C Benight
Keyword(s):  
Self Efficacy ◽  
Outcome Expectations ◽  
Trauma Survivors ◽  
Trauma Recovery ◽  
Trauma Symptoms ◽  
Perceived Need ◽  
Distress Symptoms ◽  
Health Action ◽  
Action Process ◽  
Ehealth Intervention

BACKGROUND There has been a growing trend in the delivery of mental health treatment via technology (ie, electronic health, eHealth). However, engagement with eHealth interventions is a concern, and theoretically based research in this area is sparse. Factors that influence engagement are poorly understood, especially in trauma survivors with symptoms of posttraumatic stress. OBJECTIVE The aim of this study was to examine engagement with a trauma recovery eHealth intervention using the Health Action Process Approach theoretical model. Outcome expectancy, perceived need, pretreatment self-efficacy, and trauma symptoms influence the formation of intentions (motivational phase), followed by planning, which mediates the translation of intentions into engagement (volitional phase). We hypothesized the mediational effect of planning would be moderated by level of treatment self-efficacy. METHODS Trauma survivors from around the United States used the eHealth intervention for 2 weeks. We collected baseline demographic, social cognitive predictors, and distress symptoms and measured engagement subjectively and objectively throughout the intervention. RESULTS The motivational phase model explained 48% of the variance, and outcome expectations (beta=.36), perceived need (beta=.32), pretreatment self-efficacy (beta=.13), and trauma symptoms (beta=.21) were significant predictors of intention (N=440). In the volitional phase, results of the moderated mediation model indicated for low levels of treatment self-efficacy, planning mediated the effects of intention on levels of engagement (B=0.89, 95% CI 0.143-2.605; N=115). CONCLUSIONS Though many factors can affect engagement, these results offer a theoretical framework for understanding engagement with an eHealth intervention. This study highlighted the importance of perceived need, outcome expectations, self-efficacy, and baseline distress symptoms in the formation of intentions to use the intervention. For those low in treatment self-efficacy, planning may play an important role in the translation of intentions into engagement. Results of this study may help bring some clarification to the question of what makes eHealth interventions work.

scholarly journals Risk for traumatization among violent crime victims in an urban community sample in South Africa

Curationis ◽  
2000 ◽  
Vol 23 (4) ◽  
Author(s):  
K Peltzer
Keyword(s):  
Violent Crime ◽  
Community Sample ◽  
Risk Index ◽  
Crime Victims ◽  
Physical Assault ◽  
Trauma Symptoms ◽  
Snowball Sampling ◽  
Case Examples ◽  
Almost All ◽  
Age Range

This study intended to investigate risk factors for the development of trauma symptoms as a consequence of violent crime in an urban South African community. The sample included 128 adult victims of violent crime chosen by snowball sampling. The adults were 36 (28.1%) males and 92 females (71.9%) in the age range of 18 to 52 years (M age 36.6 yr., SD -8.9). Results indicate that the most common violent crimes experienced among the participants were rape (attempted rape), followed by physical assault, armed robbery, attempted murder and threat in that order. The majority of the victims scored high on the Kolner Risk Index (for traumatization) - several case examples are given. Analysis of Variance indicated that almost all factors of the Kolner Risk Index seem to be significantly correlated with PTSD outcome measures (PTSS- 10, IES-R, Peritraumatic Dissociation and Trauma Belief). It is concluded that the Kolner Risk Index can be a useful tool for identifying crime victims at risk for the development of trauma symptoms, especially in (mental) health care settings.

I-FAST Intervention for Trauma

2020 ◽  
pp. 116-134
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Treatment Approach ◽  
Family Intervention ◽  
Family Treatment ◽  
Treatment Level ◽  
Trauma Symptoms ◽  
Case Examples

Integrative family and systems treatment (I-FAST) family intervention procedures are described in this chapter. How to integrate intervention procedures from any trauma-related treatment approach into I-FAST is shown. How to organize a family treatment approach when trauma symptoms are the direct focus of treatment is described. When survivors and or families request help on problems other than trauma, how to indirectly address trauma symptoms on a family treatment level is outlined. Several case examples showing how to focus on trauma both directly and indirectly are offered.

Initial Evaluation of the Secondary Trauma Questionnaire

1999 ◽  
Vol 85 (3) ◽  
pp. 997-1002 ◽  
Author(s):  
Robert W. Motta ◽  
Joshua M. Kefer ◽  
Michelle D. Hertz ◽  
Sanam Hafeez
Keyword(s):  
Mental Health Professionals ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Stress Disorder ◽  
Secondary Trauma ◽  
Initial Evaluation ◽  
Trauma Survivors ◽  
Trauma Symptoms ◽  
Extended Contact ◽  
Good Internal Consistency

Many measures exist to evaluate posttraumatic stress disorder (PTSD), bur there are few ways of assessing secondary traumatic stress disorder and these are Limited to specific populations. Secondary traumatic stress disorder involves the transfer of trauma symptoms from those who have been traumatized to those who have close and extended contact with trauma victims. Thus, family members of those who have been traumatized and therapists who treat trauma survivors are vulnerable to developing secondary traumatic stress disorder. In this initial evaluation of the newly developed Secondary Trauma Questionnaire, 261 mental health professionals and 157 college students were evaluated. Analysis indicated that the questionnaire showed good internal consistency and was significantly correlated with known measures of trauma. The Secondary Trauma Questionnaire is presented as a promising way to measure secondary trauma symptoms and further research using this questionnaire appears to be warranted.

Impact of Meditation on Mental Health Outcomes of Female Trauma Survivors of Interpersonal Violence With Co-Occurring Disorders: A Randomized Controlled Trial

2015 ◽  
Vol 32 (14) ◽  
pp. 2139-2165 ◽  
Author(s):  
Mo Yee Lee ◽  
Amy Zaharlick ◽  
Deborah Akers
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trial ◽  
Interpersonal Violence ◽  
Controlled Trial ◽  
Trauma Survivors ◽  
Meditation Practice ◽  
Trauma Symptoms ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Randomized Controlled

This study was a randomized controlled trial that examined the impact of meditation practice on the mental health outcomes of female trauma survivors of interpersonal violence who have co-occurring disorders. Sixty-three female trauma survivors were randomly assigned to the meditation condition and the control condition. Treatment conditions consisted of a 6-week meditation curriculum that was influenced by Tibetan meditation tradition and focused on breathing, loving kindness, and compassion meditation. Clients in the meditation condition made significant changes in mental health symptoms ( t = 5.252, df = 31, p = .000) and trauma symptoms ( t = 6.009, df = 31, p = .000) from pre-treatment to post-treatment, whereas non-significant changes were observed among the control condition clients. There were significant group differences between clients in the meditation condition and in the control condition on their mental health symptoms, F(1, 54) = 13.438, p = .001, and trauma symptoms, F(1, 54) = 13.395, p = .001, with a generally large effect size of eta squared .127 and .146, respectively. In addition, significantly more clients in the meditation condition achieved reliable change in mental health symptoms (35.5% vs. 8.3%) and trauma symptoms (42.3% vs. 4.8%) than clients in the control condition. Significance of the study is discussed with respect to the empirical evidence of meditation practice as a complementary behavioral intervention for treating female trauma survivors of interpersonal violence who have co-occurring disorders.

Trauma and Interactional Patterns

2020 ◽  
pp. 71-84
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Traumatic Events ◽  
Trauma Symptoms ◽  
Case Examples ◽  
The Family ◽  
Interactional Patterns

Family interactional patterns that interfere with the resolution of trauma symptoms are identified in detail. Two types of patterns are described: how family are habitually responding to trauma symptoms and how the family was structured before traumatic events occurred and their respective impact on trauma. Several case examples are offered with one or both types of patterns identified in each case.

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