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What is Trauma-Informed Care? ‘TIC is a strengths-based framework that is grounded in an understanding of and responsiveness to the impact of trauma, that emphasises physical, psychological and emotional safety for both providers and survivors, and that creates opportunities for survivors to rebuild a sense of control and empowerment’ (Shelter from the Storm: Hopper, Bassuk & Olivet, 2010)
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www.providencerow.org.uk
Trauma-Informed Care
Jo PrestidgeSenior Personal Advisor – Mental Health and
Wellbeing
www.providencerow.org.uk
How I got here
Role with entrenched rough sleepers Limited mental health services Relationships and conversations Transatlantic practice exchange New role at Providence Row
www.providencerow.org.uk
What is Trauma-Informed Care?
‘TIC is a strengths-based framework that is grounded in an understanding of and responsiveness to the impact of trauma, that emphasises physical, psychological and emotional safety for both providers and survivors, and that creates opportunities for survivors to rebuild a sense of control and empowerment’
(Shelter from the Storm: Hopper, Bassuk & Olivet, 2010)
www.providencerow.org.uk
Key themes of TICHopper et al (2010): Four key themes of a TIC in homelessness services:1.Trauma awareness2.Emphasis on Safety3.Opportunities to rebuild control4.Strengths-based approach
www.providencerow.org.uk
Trauma-Informed Care A broad approach to working with
survivors of psychological trauma Preparing people for trauma-
specific/mainstream therapy? Holistic approach Physical and emotional environment Peer support
www.providencerow.org.uk
Center for Urban Community Services -
CUCS Columbia University’s school of social
work (1970s) Single homeless and families Leaders in training and best practice Use evidence based practices Janian Medical Care – psychiatric support www.cucs.org
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TIC at CUCSStaff trainingAll staff with any significant client contactBiopsychosocial core training sessionComplex traumaEasily learned and applied interventions
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TIC at CUCSStaff supportSupervision – weekly (60-90 mins)Clinical supervision – weekly (group)Vicarious trauma
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TIC at CUCSIncreasing Safety and ControlOpen, honest, non-judgemental servicesPersonalised, client leadMaking practices and procedures as trauma-informed as possible Crisis planning in advance Consistency in behaviour managementMental illness – seeing the behaviour from trauma perspective not purely focussing on diagnosis
www.providencerow.org.uk
TIC at CUCSStrengths basedSurvivors!Goals: client lead, build on the positivesRecovery groups: education, skills, goals
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CUCS staff response Not trying to ‘fix’ the person Take things less personally Don’t see things in a black and white
way Less reliant on managers Preparing people for mainstream
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Back in the UK Integrated learning into practice
immediately Reframe how I view and respond to
behaviours Clients: more open, challenging
behaviour deescalated, longer interactions
Me: less frustrated! Recovery is possible!
www.providencerow.org.uk
TIC at Providence RowWhat we do already:•Personalised holistic support•Harm reduction and recovery approach•Clear processes for new clients accessing the service•Staff supervision and client case meetings•Learning Programme/Trainee Schemes: our clients have skills and are assets not just ‘people with multiple needs’•Peer mentors and co-production•Mindfulness and Peer Recovery Support group
www.providencerow.org.uk
TIC at Providence RowWhat we are implementing:•Staff in-house training on trauma•Reflective practice sessions•Trauma learning network•Women’s group•Mental health psycho-education group•Signage/welcome area•Processes e.g. crisis management, assessment
www.providencerow.org.uk
(Please email me if you would like a copy of my journal article)
blog from the exchange: http://joprestidge.wordpress.com
Twitter: @joanneprestidge
