The trauma-informed approach is guided four assumptions, known as the “Four R's”: Realization about trauma and how it can affect people and groups, recognizing the signs of trauma, having a system which can respond to trauma, and resisting re-traumatization.
The Guiding Values/Principles of Trauma-Informed Care
The Five Guiding Principles are; safety, choice, collaboration, trustworthiness and empowerment. Ensuring that the physical and emotional safety of an individual is addressed is the first important step to providing Trauma-Informed Care.
The keywords in SAMHSA's concept are The Three E's of Trauma: Event(s), Experience, and Effect. When a person is exposed to a traumatic or stressful event, how they experience it greatly influences the long-lasting adverse effects of carrying the weight of trauma.
Adults may display sleep problems, increased agitation, hypervigilance, isolation or withdrawal, and increased use of alcohol or drugs. Older adults may exhibit increased withdrawal and isolation, reluctance to leave home, worsening of chronic illnesses, confusion, depression, and fear (DeWolfe & Nordboe, 2000b).
So, as discussed in the definition, there are three parts to trauma: event, experience of the event, and effect.
This care involves actions to strengthen three pillars: safety, connections, and managing emotional impulses.
Healthcare organizations, nurses and other medical staff need to know the six principles of trauma-informed care: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice and choice; and cultural issues.
Trauma-informed care seeks to: Realize the widespread impact of trauma and understand paths for recovery; Recognize the signs and symptoms of trauma in patients, families, and staff; Integrate knowledge about trauma into policies, procedures, and practices; and.
Overview. The WHO Trauma Care Checklist is a simple tool designed for use in emergency units. It reviews actions at two critical points to ensure that no life threatening conditions are missed and that timely, life-saving interventions are performed.
The DSM-5 definition of trauma requires “actual or threatened death, serious injury, or sexual violence” [10] (p. 271). Stressful events not involving an immediate threat to life or physical injury such as psychosocial stressors [4] (e.g., divorce or job loss) are not considered trauma in this definition.
Trauma theory attempts to understand the different ways by which traumatic occurrences are demonstrated, processed, exposed, and repressed throughout a variety of literary and historical texts.
TF-CBT consists of three phases of treatment: safety and stabilization, formal gradual exposure, and consolidation/integration.
Types of Childhood Trauma
Sexual or physical abuse. Natural disaster (hurricane, earthquake, flood) Car or plane crashes. War.
Do your best to eat nutritious meals, get regular physical activity, and get a good night's sleep. And seek out other healthy coping strategies such as art, music, meditation, relaxation, and spending time in nature. Be patient. Remember that it's normal to have a strong reaction to a distressing event.
Physical injuries are among the most prevalent individual traumas. Millions of emergency room (ER) visits each year relate directly to physical injuries.
Intrusive memories
Recurrent, unwanted distressing memories of the traumatic event. Reliving the traumatic event as if it were happening again (flashbacks) Upsetting dreams or nightmares about the traumatic event. Severe emotional distress or physical reactions to something that reminds you of the traumatic event.