Trauma-Informed Rehabilitation Counseling

2020 ◽  
Vol 51 (3) ◽  
pp. 192-207
Author(s):  
Mark C. Koch ◽  
Anthony J. Vajda ◽  
Lynn C. Koch

People with trauma histories make up a significant portion of the population. Individuals may develop trauma-related disabilities as a result of exposure to adverse life events such as violence, war, child abuse, or natural disasters. Likewise, people with pre-existing disabilities may be at risk of developing secondary trauma-related disabilities. The likelihood that rehabilitation counselors will provide services to individuals with trauma histories is high; therefore, the purposes of this literature review are to: (a) define trauma and explore its physiological, emotional, and behavioral effects on trauma survivors; (b) define trauma-informed care and explore its basic principles; and (c) introduce concepts and strategies to implement as part of trauma-informed rehabilitation counseling.

2021 ◽  
Vol 99 (4) ◽  
pp. 182-190
Author(s):  
Jaroslaw R. Romaniuk ◽  
Kathleen J. Farkas

The recognition of traumatic experiences across all aspects of human life has spurred the development of research on the impacts of trauma in various segments of society. The Adverse Childhood Experiences Study (ACES) first documented the correlation between childhood trauma exposure and physical and mental health disorders in adulthood. Further studies provided additional evidence of the long lasting impacts of trauma and led to practices to decrease re-traumatizing policies and practices. Trauma informed care (TIC) offers concepts and approaches for successful engagement and effective treatment for trauma survivors. This paper presents six basic principles of TIC and the methods for their application. This study also presents the results of research on the importance of understanding an individual’s conceptualization of the trauma event. It has been suggested that the individual’s unique perceptions of the trauma experience should influence the selection of an appropriate therapeutic approach.


2014 ◽  
Vol 33 (6) ◽  
pp. 307-314 ◽  
Author(s):  
Lenora Marcellus

ABSTRACTInfants with neonatal abstinence syndrome and their mothers require extended support through health and social service systems. Practitioners are interested in exploring innovative approaches to caring for infants and mothers. There is now compelling evidence linking women’s substance use to experiences of trauma and violence. A significant shift in the fields of addiction and mental health has been awareness of the impact of trauma and violence on infants and children, women, their families, and communities. In this article, the current state of knowledge of trauma-informed care is reviewed, in particular for application to practice within the NICU. Trauma survivors are at risk of being retraumatized because of health care providers’ limited understanding of how to work effectively with them. Recognizing the impact of trauma and implementing evidence-based trauma-informed practices in the NICU holds promise for improving outcomes for women and their infants.


2014 ◽  
Vol 8 (3) ◽  
pp. 151-164 ◽  
Author(s):  
John M. Keesler

Purpose – With an expansion of trauma knowledge in the field of intellectual disabilities (ID) there is a responsibility among service providers to be trauma-informed. Among those providers are service coordinators (SCs) who are involved in the lives of individuals through the assessment of needs and linkage with necessary supports. The purpose of this paper is to explore SCs’ understanding of individuals’ experiences of adverse life events, trauma, and related services. Design/methodology/approach – Semi-structured interviews were conducted among 15 SCs, encompassing the experiences of 29 individuals with mild ID. Data were analyzed using a grounded theory approach. Findings – From SCs’ perspective, individuals’ experiences were comprised of three major categories – experiencing adversity, responding to adversity and adapting to adversity – influenced by precipitating and perpetuating conditions. Despite a lack of familiarity with the term “trauma,” in general, SCs possessed a rich understanding of individuals’ comprehensive experiences including types of events, responses to events, environmental factors, and implications of respective services. Originality/value – This is an original approach to understanding the awareness of trauma among an integral group of providers for individuals with ID. This paper shows that, although there is a need to reframe current knowledge, SCs can be an asset to facilitate organizational endeavors to become trauma-informed thus having a potential impact on individuals’ quality of life.


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