scholarly journals Use of a Health Advocacy Model for Survivors of Interpersonal Violence

Author(s):  
Jessica Grace ◽  
Scott T. Walters ◽  
Irene Gallegos ◽  
Erika L. Thompson ◽  
Emily E. Spence

This article examines the implementation of a health advocacy model designed for survivors of interpersonal violence (IPV) in a metropolitan area of North Texas. Using a framework influenced by motivational interviewing, solution-focused therapy, and trauma-informed care, this program engaged IPV survivors in creating health and safety goals. Goal attainment scaling was used to track progress after each health advocacy encounter. Clients could set their own goals for healthcare, self-care, and safety. The program served 419 clients and 648 goals were set by clients at the first visit. Among all goals, 89% selected goals focused on healthcare, with 47% of those selecting obtaining health insurance or coverage as a need. These results demonstrate the need for an enhanced healthcare response for this population. The remaining goals selected were self-care (7%) and safety (3%). The design of the health advocacy intervention shows promise towards filling the gaps between IPV and healthcare service delivery systems.

2017 ◽  
Vol 12 (2) ◽  
pp. 117-135 ◽  
Author(s):  
Denise J. Krause ◽  
Susan A. Green ◽  
Samantha P. Koury ◽  
Travis W. Hales

2019 ◽  
Vol 7 ◽  
pp. 205031211987141 ◽  
Author(s):  
Jessica M Sales ◽  
Kaitlin Piper ◽  
Clara Riddick ◽  
Betelihem Getachew ◽  
Jonathan Colasanti ◽  
...  

Objective: This mixed-methods needs assessment study examined self-care practices among providers, staff, and administrators at an HIV clinic and identified barriers and facilitators to strengthening self-care services in this setting. Methods: Surveys (n = 31) and qualitative interviews (n = 23) were conducted with staff, providers, and administrators at a large, safety-net HIV clinic. Results: Surveys indicated an overall absence of formal self-care services including resources to manage stress, opportunities to debrief, and formal mechanisms to voice concerns. Based on interviews with staff and providers, deficiencies in self-care services included support for dealing with complex patients, formal mechanisms for feedback, and time for self-care. Administrators recognized the need for more support, acknowledged that opportunities for employees to voice concerns were lacking, and felt that implementing multi-disciplinary team meetings could improve morale and reduce stress and burnout. Conclusion: This assessment revealed a need to enhance self-care in safety-net HIV services. Adoption of trauma-informed care, which includes activities to strengthen self-care, could reduce workplace burnout.


2020 ◽  
Vol 25 ◽  
pp. 157-175
Author(s):  
Vaughan Bowie

This article presents a framework for understanding, developing, and applying a trauma-informed approach to staff, team, and organizational self-care in youth serving organizations. The article draws on current research in the areas of Adverse Childhood Experiences (ACE), Trauma-Informed Care (TIC), Trauma Stewardship, resilience, and The Sanctuary Model. This approach will help child and youth care workers to develop a long lasting, effective trauma-informed self, team, and organizational care plan. The first article focuses on worker trauma-informed self-care, and the second on team and organizational approaches. Since there are limits as to what can be comprehensively covered in a short article, I will supply an extensive list of key references and resources relevant to self, team, and organizational care. Many of these are directly downloadable from the Internet. Thus, I do not attempt to answer all the issues but encourage readers to explore the various resources and ideas and apply them where relevant to the readers, their team, and organizations.


2019 ◽  
Vol 24 (1) ◽  
pp. 139-152
Author(s):  
Britt E. Rhodes

Trauma-informed care has garnered considerable attention over the last 2 decades as neuroscientists and scholars have examined the implications of early childhood trauma across the lifespan (Felitti & Anda, 2009; Fallot & Harris, 2009). Although social work students are preparing to work in trauma-informed environments, the principles of trauma-informed care have not been applied to the classroom environment. These principles, combined with contemplative practices, are particularly relevant in undergraduate social work education where students grapple with complex issues related to trauma. Contemplative practices have been noted to improve self-awareness, mediate practice, and content-related stress in social work, and have positive implications for metacognitive and critical thinking skills. This article weaves together principles of trauma-informed care and contemplative practices and describes a course revision to an undergraduate social work course on crisis intervention and interpersonal violence.


1998 ◽  
Vol 79 (4) ◽  
pp. 395-399 ◽  
Author(s):  
Gilbert J. Greene ◽  
Mo-Yee Lee ◽  
Richard A. Mentzer ◽  
Shelly R. Plnnell ◽  
Dan Niles

When beginning therapy, most clients have a sense of powerlessness (sense of external locus of control) in some, if not most, areas of their lives. A person with a sense of powerlessness perceives forces outside themselves as having more to do with success In goal attainment than their own actions. Clinical intervention, therefore, should be empowering to clients. The miracle question is a key Intervention of solution-focused therapy. According to the miracle question, the source of client change is due to the miracle (something external to the client) and not something generated by the client. This article discusses a modification of the miracle question called the dream question. As a result of the dream question, clients can discover the solutions they are seeking within themselves and, thus, have a greater sense of personal power and Internal locus of control. Experience with the dream question so far has been quite positive.


2014 ◽  
Vol 15 (1) ◽  
pp. 27-33
Author(s):  
James C. Blair

The concept of client-centered therapy (Rogers, 1951) has influenced many professions to refocus their treatment of clients from assessment outcomes to the person who uses the information from this assessment. The term adopted for use in the professions of Communication Sciences and Disorders and encouraged by The American Speech-Language-Hearing Association (ASHA) is patient-centered care, with the goal of helping professions, like audiology, focus more centrally on the patient. The purpose of this paper is to examine some of the principles used in a patient-centered therapy approach first described by de Shazer (1985) named Solution-Focused Therapy and how these principles might apply to the practice of audiology. The basic assumption behind this model is that people are the agents of change and the professional is there to help guide and enable clients to make the change the client wants to make. This model then is focused on solutions, not on the problems. It is postulated that by using the assumptions in this model audiologists will be more effective in a shorter time than current practice may allow.


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