1.Define Realize and add Example of Realize:
2.Define Recognize and add Example of Recognize:
3.Define Respond and add Example of Respond:
4.Define Resist to Re-traumatize and add Example of Resist to Re-traumatize:
Transcribed Image Text: The program, organization, or system responds
by applying the principles of a trauma-informed
approach to all areas of functioning. The program,
organization, or system integrates an understanding
that the experience of traumatic events impacts all
people involved, whether directly or indirectly. Staff in
every part of the organization, from the person who
greets clients at the door to the executives and the
governance board, have changed their language,
behaviors and policies to take into consideration the
experiences of trauma among children and adult users
of the services and among staff providing the services.
This is accomplished through staff training, a budget
that supports this ongoing training, and leadership
that realizes the role of trauma in the lives of their
staff and the people they serve. The organization
has practitioners trained in evidence-based trauma
practices. Policies of the organization, such as mission
statements, staff handbooks and manuals promote
a culture based on beliefs about resilience, recovery,
and healing from trauma. For instance, the agency's
mission may include
onal statement on
the organization's commitment to promote trauma
recovery; agency policies demonstrate a commitment
to incorporating perspectives of people served
through the establishment of client advisory boards
or inclusion of people who have received services on
the agency's board of directors; or agency training
includes resources for mentoring supervisors on
helping staff address secondary traumatic stress. The
organization is committed to providing a physically and
psychologically safe environment. Leadership ensures
that staff work in an environment that promotes
trust, fairness and transparency. The program's,
organization's, or system's response involves a
universal precautions approach in which one expects
the presence of trauma in lives of individuals being
served, ensuring not to replicate it.
A trauma-informed approach seeks to resist
re-traumatization of clients as well as staff.
Organizations often inadvertently create stressful or
toxic environments that interfere with the recovery
of clients, the well-being of staff and the fulfillment
of the organizational mission.27 Staff who work
within a trauma-informed environment are taught
to recognize how organizational practices may
trigger painful memories and re-traumatize clients
with trauma histories. For example, they recognize
that using restraints on a person who has been
sexually abused or placing a child who has been
neglected and abandoned in a seclusion room may
be re-traumatizing and interfere with healing and
recovery.
SIX KEY PRINCIPLES OF A TRAUMA-
INFORMED APPROACH
A trauma-informed approach reflects adherence to six
key principles rather than a prescribed set of practices
or procedures. These principles may be generalizable
across multiple types of settings, although terminology
and application may be setting- or sector-specific.
SIX KEY PRINCIPLES OF A
TRAUMA-INFORMED APPROACH
1. Safety
2. Trustworthiness and Transparency
3. Peer Support
4. Collaboration and Mutuality
5. Empowerment, Voice and Choice
6. Cultural, Historical, and
Gender Issues
From SAMHSA's perspective, it is critical to
promote the linkage to recovery and resilience for
those individuals and families impacted by trauma.
Consistent with SAMHSA's definition of recovery,
services and supports that are trauma-informed build
on the best evidence available and consumer and
family engagement, empowerment, and collaboration.
Transcribed Image Text: THE FOUR "R'S: KEY ASSUMPTIONS IN A
TRAUMA-INFORMED APPROACH
In a trauma-informed approach, all people at all levels
of the organization or system have a basic realization
about trauma and understand how trauma can affect
families, groups, organizations, and communities as
well as individuals. People's experience and behavior
are understood in the context of coping strategies
designed to survive adversity and overwhelming
circumstances, whether these occurred in the past
(i.e., a client dealing with prior child abuse), whether
they are currently manifesting (i.e., a staff member
living with domestic violence in the home), or whether
they are related to the emotional distress that results
in hearing about the firsthand experiences of another
(i.e., secondary traumatic stress experienced by a
direct care professional). There is an understanding
that trauma plays a role in mental and substance use
disorders and should be systematically addressed in
prevention, treatment, and recovery settings. Similarly,
there is a realization that trauma is not confined to
the behavioral health specialty service sector, but is
integral to other systems (e.g., child welfare, criminal
justice, primary health care, peer-run and community
organizations) and is often a barrier to effective
outcomes in those systems as well.
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People in the organization or system are also able
to recognize the signs of trauma. These signs may
be gender, age, or setting-specific and may be
manifest by individuals seeking or providing services
in these settings. Trauma screening and assessment
assist in the recognition of trauma, as do workforce
development, employee assistance, and supervision
practices.