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• Isolated, isolating• Mistrustful – ‘living on nerves’• Aggressive, suspicious• Feels emotion ‘too much’ – takes drugs to
suppress emotion• Anxious / wary• Feels bad / unworthy• Self-harms• Indulges in risky behaviour
• Neglects self / own health
• Cannot remember past
• Capable of ‘zoning out’ the present
• Uses services ‘inappropriately’
• Re-presents at services
• Is the ‘client of all clients’
• Is “complex”
Homelessness is loss
• of home
• of family & social networks
• of contact with children
• of employment
• of opportunity
• of social standing / status
Is this complex?
Substance misuse and homelessness can be caused by trauma.
Substance misuse and homelessness cause trauma
Glasgow Homelessness Network Trauma Working Group
• Established 2002 & produced report 2003
• Produced paper – A Trauma Service For People Affected By Homelessness 2004
• Trauma Service established 2005
Glasgow Homelessness Network Trauma Working Group
• How non-health professionals can shape and change service development
• The environment in which this will happen
A Trauma Service For People Affected By Homelessness
• Work with people who perceive themselves as survivors of trauma who see a connection with their present situation/behaviour or who are still troubled by past traumatic events
A Trauma Service For People Affected By Homelessness
• Called in rather than referred to• Use relationship between
frontline staff member and client as basis of work
• Empower, advise and support staff
A Trauma Service For People Affected By Homelessness
• Work with people finding stability in the main but not exclusively
• Provide space for people to talk / express themselves – counselling / art therapy