scholarly journals Contemporary Trauma Theory and Trauma-Informed Care in Substance Use Disorders: A Conceptual Model for Integrating Coping and Resilience

2017 ◽  
Vol 18 (1) ◽  
pp. 186-201 ◽  
Author(s):  
Revital Goodman

National data of children’s exposure to traumatic experiences are alarming. Research asserts the interconnectedness between experiencing childhood trauma (CT) or adverse childhood experiences (ACE) and developing substance use disorders (SUDs) in later adulthood. Trauma definition and contemporary trauma theory (CTT) provide the foundation for trauma informed care (TIC) in social work practice with co-occurring trauma and SUDs. TIC re-conceptualizes SUDs as a mechanism to cope with the effects of trauma. Coping and resilience are relevant factors to the ramifications of CT on SUDs, and are the manifestation of key TIC principles. Integrating TIC practices aimed at enhancing coping and resilience into treatment for co-occurring trauma and SUDs is needed in order to negate the devastating impact of trauma and propel recovery. Conclusions and implications to social work practice are discussed.   

Social Work ◽  
2020 ◽  
Vol 65 (3) ◽  
pp. 288-298
Author(s):  
Jill Levenson

Abstract Trauma-informed social work is characterized by client-centered practices that facilitate trust, safety, respect, collaboration, hope, and shared power. Many agencies have adopted trauma-informed care (TIC) initiatives and many social workers are familiar with its basic principles, but it is challenging to infuse these ideals into real-world service delivery. This article offers 10 trauma-informed practices (TIPs) for translating TIC concepts into action by (a) conceptualizing client problems, strengths, and coping strategies through the trauma lens and (b) responding in ways that avoid inadvertently reinforcing clients’ feelings of vulnerability and disempowerment (re-traumatization). TIPs guide workers to consider trauma as an explanation for client problems, incorporate knowledge about trauma into service delivery, understand trauma symptoms, transform trauma narratives, and use the helping relationship as a tool for healing.


2019 ◽  
Vol 20 (5) ◽  
pp. 533-556 ◽  
Author(s):  
Mickey Sperlich ◽  
Gretchen E Ely ◽  
Rebecca S Rouland ◽  
Connor A Walters ◽  
Max Carwile

A trauma-informed, thematic analysis that identified stress-related themes evident in 39 personal abortion narratives from the Tennessee Stories Project in the United States is presented in this paper. Using the Braun and Clarke model of thematic analysis, guided by the trauma-informed social work framework, researchers examined these narratives to identify stress related themes.FindingsAn overall theme of stress and traumatic stress was found to be present throughout the abortion narratives. These themes were categorized into subthemes, including: (a) existing life stressors preceding the abortion experience, (b) stressors while trying to access abortion services, (c) stressors while obtaining abortion services, and (d) stressors arising after the procedure.ApplicationsThese results suggest that stress and traumatic stress were reflected in these abortion narratives throughout the abortion seeking experience. This finding supports the need for social work practice responses that are designed to address and eliminate stress during the process of seeking and obtaining an abortion in the United States. A trauma-informed framework is recommended for guiding social work education about abortion, social worker interactions with clients who are seeking abortions, and the development of abortion policy in the United States in order to better align the abortion seeking experience with the principles of trauma-informed care.


Author(s):  
Shernaaz Carelse ◽  
Sulina Green

Social work services globally started as a result of society’s response to basic human needs, and thus facilitated alleviating, based on doing good, the plight of those in need. Since its inception as a professional discipline, social work has always been associated with poverty relief and services to persons with substance use disorders (SUDs). The high prevalence of SUDs in South Africa makes it one of the top 10 substance abusing countries globally. As such, the demand for social work services, aimed at substance abuse intervention, has increased rapidly over the past 20 years, resulting in the emergence of many non-profit organisations (NPOs). However, there are gaps in evidence-based research on social work services provided by NPOs to persons with SUDs. The focus of the article is on the nature and scope of social work services provided by NPOs to adults with SUDs. The population for the study was supplied by NPOs across the Cape Metropole, offering services to persons with SUDs. Semi-structured interviews were conducted with 10 social workers, purposively selected from 10 NPOs across the Cape Metropole. Thematic data analysis was done and yielded three main themes, namely theoretical approaches, levels of intervention, and methods in social work practice when delivering services to adults with SUDs.


2021 ◽  
Author(s):  
Randi Paxton

This qualitative research study examines how five prominent recovery oriented community based organizations talk out loud about themselves, their service population and recovery. Using a critical discourse analysis, pervasive discursive patterns were revealed through thematic analysis. This study details the way in which trauma-informed care quietly manifests alongside the same guiding principles as the recovery model, creating a compounded site of power whereby one lives both inside and outside the bounds of the other. The purpose of this study is to call attention to the illusive nature of these widely-celebrated models, disrupting the unchecked, institutionalized supremacy of the whiteness that prevails within. Applying the concept of creaming to social service provision in Toronto, this study makes the claim that white trauma is centred within recovery oriented service construction and provision given it causes the least structural disruption. This process ultimately sustains the feel-good culture that envelops recovery based and trauma-informed social work.


2021 ◽  
Author(s):  
Randi Paxton

This qualitative research study examines how five prominent recovery oriented community based organizations talk out loud about themselves, their service population and recovery. Using a critical discourse analysis, pervasive discursive patterns were revealed through thematic analysis. This study details the way in which trauma-informed care quietly manifests alongside the same guiding principles as the recovery model, creating a compounded site of power whereby one lives both inside and outside the bounds of the other. The purpose of this study is to call attention to the illusive nature of these widely-celebrated models, disrupting the unchecked, institutionalized supremacy of the whiteness that prevails within. Applying the concept of creaming to social service provision in Toronto, this study makes the claim that white trauma is centred within recovery oriented service construction and provision given it causes the least structural disruption. This process ultimately sustains the feel-good culture that envelops recovery based and trauma-informed social work.


2021 ◽  
pp. 174462952098771
Author(s):  
Elisabeth Goad

People with intellectual disabilities are more likely to experience adverse childhood experiences than those in the general population. Additionally, the conceptualization of ‘trauma’ is far broader than traditionally understood in order to encompass the far reaching relational nature of people with intellectual disabilities traumatic experiences. This reflective account details the first steps one service took to embrace trauma-informed care as a whole systems approach. The paper is a response to calls following conference presentations about our work, to share the process of the beginning of this journey, it also aims to provide key learning points, practical considerations and questions for reflection in order to support other services to begin their own relationships with trauma-informed care.


2019 ◽  
Vol 55 (4) ◽  
pp. 645-657 ◽  
Author(s):  
Joshua P. Mersky ◽  
James Topitzes ◽  
Linda Britz

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