scholarly journals Trauma Informed Care During a Global Pandemic: Synergies and multidisciplinary boundaries for working with childhood, adolescence, senility and disability

2021 ◽  
pp. 149-163
Author(s):  
Francesca Salis ◽  
Britt Rhodes

This article addresses the issue of a trauma informed approach from a multidisciplinary perspective and global and systemic taking charge. The work is defined in the current pandemic background, with particular reference to the most fragile persons, in every phase of existence, especially when the fragility is due to deficit and disability. The guiding principles of trauma-informed organisations consist in creating a safe and reliable environment, allowing peer support and self-help, implementing personal empowerment, voice and choice. The TI approach aims to reduce exposure to adversity by implementing collective capacities for support, assistance, education and guidance. Trauma informed approach is a border territory to Special Pedagogy: the second part of the work outlines the role of Special Pedagogy in trauma and the issues highlighted by the COVID 19 pandemic, with the possible collective traumatic effect it can cause. The importance of recognizing, evaluating and dealing with stress due to trauma is highlighted in promoting collaboration with families and social networking, shaping policies and cultures to manage emergencies in relation to everyone's needs, especially the most exposed people such as people with disabilities.

2020 ◽  
Vol 2 (3) ◽  
pp. 172-179 ◽  
Author(s):  
Delphine Collin-Vézina ◽  
Denise Brend ◽  
Irene Beeman

CONTEXT: Evidence from the COVID-19 crisis suggests that children and youth are more likely to be subjected to maltreatment and exposure to family violence, while experiencing limited access to the usual services that support vulnerable families and provide targeted services to meet their needs. The current global pandemic itself can also be experienced as a traumatic event. Trauma-informed care draws attention to the potential impacts, from the individual to the global, that myriad traumatic experiences can illicit and proposes using these understandings as foundational to the development and implementation of policy and practice. OBJECTIVE: The aim of this opinion paper is to offer insights to guide practices and policies during this unprecedented global crisis through a discussion of the Substance Abuse and Mental Health Services Administration (2014)’s six trauma-informed care principles: trustworthiness and transparency; safety; peer support; collaboration and mutuality; empowerment and choice; and cultural, historical and gender issues. FINDINGS: Specific recommendations based on these six principles and applied to the current situation are presented and discussed. These principles can serve both in the immediate crisis and as preventative measures against unforeseen future traumatic contexts. CONCLUSION: COVID-19 renews the imperative to maintain and strengthen trauma-informed practices and policies. We argue that never before has trauma-informed care been so important to promote the health and well-being of all and to protect our marginalized populations at greatest risk.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Combes ◽  
D Kardiana ◽  
E Le Grand ◽  
D Moreau ◽  
M Quinette ◽  
...  

Abstract Background Under-aged migrants (UAMs) may see their legal minority unrecognised by the French state. If they confront this decision at court, they stand in a legal void. They can benefit from a direct access to State Medical Aid and are not submitted to a minimum period of 3 months of staying in France unlike adults. Moreover, when accessing care, unrecognised UAMs are in an unclear situation as they are minors without legal representation. This research is based on a newly created program ran by Doctors of the World (MDM) in Nantes, aiming to enhance UAMs access to health care and rights through peer-support. Peer-support is intended to develop the empowerment the UAM and help them to be able to be the authors of their life thus develop their own abilities (Le Grand, 2018). The role of empowerment in health access is established (Wallerstein, 2006). The research aims at identifying the obstacles and levers in the implementation of the program, the modifications it can cause in the program. Methods The research is based on 3 months ethnographical observations, 9 formal interviews with UAM, 5 with professionals, and informal interviews. Results We identify that volunteers share a different perception of what is empowerment. Some would leave quite a large autonomy to UAMs while others find it difficult to alter the organisation to give space to UAMs. Finally, self-help mainly develops abilities of those UAMs who were more resourceful. Conclusions The analysis shows that a successful program of empowerment rely on shared views of its meaning. Moreover it shows that empowerment may help mainly those resourceful thus exacerbate some inequalities in ressources. Key messages The notions of empowerment and peer-support need to be well understood by all. Empowerment, as a side effect first exacerbates some inequalities of resources among UAMs.


2014 ◽  
Vol 16 (3) ◽  
pp. 193-217 ◽  
Author(s):  
Edgar Hipolito ◽  
Joan A. Samuels-Dennis ◽  
Babitha Shanmuganandapala ◽  
John Maddoux ◽  
Rene Paulson ◽  
...  

2018 ◽  
Vol 23 (1) ◽  
pp. 54-63 ◽  
Author(s):  
Melanie Boyce ◽  
Carol Munn-Giddings ◽  
Jenny Secker

Purpose The purpose of this paper is to present a qualitative analysis of the role of self-harm self-help groups from the perspective of group members. Design/methodology/approach A qualitative case study approach guided the research, which involved working with two self-harm self-help groups and all regularly attending members. Findings A thematic approach to the analysis of the findings indicates that self-harm self-help groups can provide a safe, non-judgemental space where those who self-harm can meet, listen and talk to others who share similar experiences for reciprocal peer support. Offering a different approach to that experienced in statutory services, the groups reduced members’ isolation and offered opportunities for learning and findings ways to lessen and better manage their self-harm. Research limitations/implications This was a small-scale qualitative study, hence it is not possible to generalise the findings to all self-harm self-help groups. Practical implications The value of peers supporting one another, as a means of aiding recovery and improving well-being, has gained credence in recent years, but remains limited for those who self-harm. The findings from this research highlight the value of self-help groups in providing opportunities for peer support and the facilitative role practitioners can play in the development of self-harm self-help groups. Originality/value Self-harm self-help groups remain an underexplored area, despite such groups being identified as a valuable source of support by its members. This research provides empirical evidence, at an individual and group level, into the unique role of self-harm self-help groups.


Author(s):  
Paula Panzer ◽  
Stephanie Smit-Dillard

Many people seeking psychiatric care have been exposed to interpersonal and/or community trauma; those experiences have direct bearing on their presenting concerns. Understanding that trauma can pervasively impact well-being, it is critical for psychiatric practitioners to routinely address trauma exposure, coping strategies, and related symptoms so that interventions are experienced as collaborative, safe, and effective. This chapter discusses practical approaches addressing the role of trauma in health and behavioral health symptoms, and it introduces evidence-based interventions for assessing and treating trauma-related disorders in public practice. Trauma-informed systems of care that limit undue harm while attending to the needs of practitioners are also discussed.


2021 ◽  
Author(s):  
◽  
Nathan Ambrosio

Using narrative inquiry, this study aims to examine the role of therapeutic behavioral strategists (TBS) in addressing the impact of trauma to students who are in the primary and secondary levels of public education. This dissertation studies and amplifies the experiences of the participating therapeutic behavioral strategists (TBS) in the Rialto Unified School District. Six (6) therapeutic behavioral strategists are interviewed and the narrative data analyzed through the constructed lenses of critical consciousness, recognition and redistribution, and transformative learning theory. The paradigm shift from the traditional approach to trauma-informed care highlights the framework of best professional practices in appropriately responding to students experiencing trauma.


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