What is a trauma-informed approach to treatment?
is one that recognizes the effects trauma has had on a person's life and the presence of trauma symptoms while engaging with them.
The National Center for Trauma-Informed Care (NCTIC) was founded in 2005, marking a watershed moment in our understanding of the effects of trauma on children and adolescents. NCTIC is supported by a grant from the Department of Defense and a grant from the Substance Abuse and Mental Health Services Administration, and it has helped bring attention to the prevalence of trauma and the need for the expansion of trauma-specific therapies and environments. Its existence demonstrates the need for a holistic approach to trauma rehabilitation that considers the patient, their setting, and their caregivers, as standard service delivery may exacerbate trauma symptoms.
According to NCTIC (2011), some of the principles of trauma-informed treatment are as follows:
1. Healing from trauma is acknowledging that you've experienced it. This includes accepting that many of your current habits and routines—even the ones that seem harmful and counterproductive—are actually coping mechanisms for past pain. Acquiring knowledge about the consequences of trauma on people is part of this.
2. Promoting safety includes doing things like making sure people don't get hurt, keeping them informed about potential dangers, and treating them with respect.
3. cultural differences, providing opportunities for clients to take part in cultural rituals, and employing treatments that are sensitive to and appropriate for a variety of cultural contexts all contribute to ensuring cultural competence. Acquiring this knowledge also entails realizing how one's culture shapes both their reaction to trauma and their ability to move past it.
4. Facilitating Individual Freedom of Action for Consumers
Making sure customers know all there is to know about the system. Putting people in charge of their own day-to-day decisions and letting them have a hand in the formulation of their own aspirations.
5. Maintaining a Consciousness of and Concern for Fundamental Human Rights and Freedoms.
Helping Customers Get Back in Charge of Their Lives and Develop Skills That Give Them More Independence.
6. Fostering democracy and balancing power imbalances within the program; allowing for equal participation in decision-making at all levels of the organization, from the most basic operational decisions to the review and amendment of policies and procedures.
7. Promote open lines of communication between care professionals and systems, and have a big-picture view of clients and their progress toward recovery.
8. Belief in the restorative power of interpersonal connections; the idea that helping trauma survivors form healthy, trusting bonds might aid in their recovery.
9. Healing Is Possible - Admitting that one can get better even though they first appear to be in bad shape. giving those who have used the system in the past an opportunity to take part in shaping its direction, encouraging mutual aid and a focus on personal strengths and resiliency while also looking ahead and establishing goals.
Trauma interventions are designed to help people recover from the trauma they've experienced. As a rule, trauma-informed treatment centers will do the following: Respect, enlighten, connect, and empower survivors by highlighting the link between trauma and its manifestations (including substance addiction, eating disorders, and self harm.
To begin, let's define trauma-informed practice.
Mood Disorders (Depression, Anxiety, etc.); and encouraging those affected by these conditions, their loved ones, and other human services agencies to work together.
Treatment Methods for Children and Teens Affected by Trauma
In working with children and adolescents who have been sexually abused, physically abused, neglected, or who have witnessed interpersonal violence, trauma-informed practice integrates neurodevel- opmental knowledge and sensory intervention, such as art and play therapy and other experiential approaches (Malchiodi, 2011b).
The four pillars of a trauma-informed approach are (1) understanding the mind-body connection; (2) understanding that symptoms are adaptive coping mechanisms rather than pathology; (3) placing an emphasis on cultural sensitivity and empowerment; and (4) helping people move from mere survivorship to thriving by building skills, networks, and resilience. Regarding the latter, it is crystal clear that a trauma-informed approach necessitates a patient-specific treatment plan supported by an exhaustive trauma assessment to determine the effect on all aspects of functioning.
Protecting the child, as well as the family, community, and culture/environment, must be considered when formulating a plan to mitigate the effects of trauma on a child (Malchiodi, 2011b).
There is now a plethora of data to back the development of therapies that address the mind-body and cognitive reactions to trauma and build on the needs and strengths of adolescent and younger children who have experienced traum
a. An overview of trauma's impacts is provided by Witness Justice, a resource for victims, in their health and wellness section titled Trauma Is the Common Denominator: New Discoveries in the Science of Traumatic Behavior (2010).
Adverse effects on the neurobiology of the brain and the functioning of the limbic system (which includes the hippocampus, amygdala, and medial frontal cortex) are the result of childhood trauma.
When threatened, the brain shifts from its normal mode of processing information to a survival-oriented, reactive alert state.
The body's nervous system reacts to trauma by experiencing a wide range of symptoms, including but not limited to: a massive adrenaline rush; extreme fear; difficulties processing information; and a complete or partial shutdown of cognitive abilities, leading to perplexity and defeat.
This newfound knowledge has led to a better appreciation of the psychological and biological components of the healing process.