Trauma-Informed Intake: Building a Case Conceptualization

Author(s):  
Lisa Compton ◽  
Corie Schoeneberg
Author(s):  
Jillian C. Shipherd ◽  
Sarah E. Valentine ◽  
Julie Woulfe

Transgender and gender nonconforming (TGNC) people face stigma, discrimination, and trauma at rates that are startlingly high. Providers interested in offering care to TGNC people must be well-versed in the effects of these types of experiences as part of providing affirmative care. This chapter provides an overview of the literature on these adverse experiences and their sequelae, offers a framework for understanding the effects of these exposures, and provides guidance on treatment conceptualization. First, it discusses the various types of adverse events to which TGNC people may be exposed. Second, it reviews the literature on the prevalence of each type of exposure. Third, it discusses the common symptoms associated with exposure to various adverse experiences. Fourth, it describes a cumulative stress model to assist with case conceptualization. Finally, it summarizes the limitations of the empirical literature and offers an illustrative case example that is trauma-informed and affirmative to transgender identities.


Author(s):  
Kathryn J. Murray ◽  
Kelly M. Sullivan

There is a growing recognition that adoptive families have unique clinical needs, including the need for postadoption mental health services that are adoption competent, trauma informed, and evidence based. Although underrep-resented in the literature, the assessment process is the gateway to the provision of trauma-informed, adoption-competent services for adoptive families. Based on a thorough review of the literature and clinical experience, the current article provides several specific recommendations for social workers and other mental health clinicians in conducting assessment with adoptive families, including domains to assess; specific strategies for assessing each domain; and guidelines for using the results of the assessment for case conceptualization, treatment planning, and family engagement. Implications for practice are discussed, including recommendations for obtaining training needed for adoption competence.


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