A Treatment Improvement Protocol - Trauma-Informed Care in Behavioral Health Services - Tip 57


Book Description

Treatment Improvement Protocols (TIPs) are developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and HumanServices (HHS). Each TIP involves the development of topic-specific best practice guidelines for the prevention and treatment of substance use and mental disorders. TIPs draw on the experience and knowledge of clinical, research, and administrative experts of various forms of treatment andprevention. TIPs are distributed to facilities and individuals across the country. Published TIPs can be accessed via the Internet at http: //store.samhsa.gov. Although each consensus-based TIP strives to include an evidence base for the practices it recommends, SAMHSA recognizes that behavioral health is continually evolving, and research frequently lags behind the innovations pioneered in the field. A major goal of each TIP is to convey "front-line" information quickly but responsibly. If research supports a particular approach, citations are provided.




Quick Guide for Clinicians Based on TIP 57


Book Description

This Quick Guide is based entirely on information contained in TIP 57, published in 2014. No additional research has been conducted to update this topic since publication of TIP 57.




TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)


Book Description

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.




Trauma-Informed Healthcare Approaches


Book Description

Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.




Retraumatization


Book Description

Exposure to potentially traumatic events puts individuals at risk for developing a variety of psychological disorders; the complexities involved in treating them are numerous and have serious repercussions. How should diagnostic criteria be defined? How can we help a client who does not present with traditional PTSD symptoms? The mechanisms of human behavior need to be understood and treatment needs to be tested before we can move beyond traditional diagnostic criteria in designing and implementing treatment. No better guide than Retraumatization exists to fulfill these goals. The editors and contributors, all highly regarded experts, accomplish six objectives, to: define retraumatization outline the controversies related to it provide an overview of theoretical models present data related to the frequency of occurrence of different forms of trauma detail the most reliable strategies for assessment to provide an overview of treatments. Contained within is the most current information on prevention and treatment approaches for specific populations. All chapters are uniformly structured and address epidemiological data, clinical descriptions, assessment, diagnosis and prognosis, and prevention. It is an indispensible resource that expands readers’ knowledge and skills, and will encourage dialogue in a field that has many unanswered questions.




Trauma-Informed Care in Behavioral Health Services


Book Description

Many individuals experience trauma during their lifetimes. Although many people exposed to trauma demonstrate few or no lingering symptoms, those individuals who have experienced repeated, chronic, or multiple traumas are more likely to exhibit pronounced symptoms and consequences, including substance abuse, mental illness, and health problems. Subsequently, trauma can significantly affect how an individual engages in major life areas as well as treatment. This TIP provides evidence-based and best practice information for behavioral health service providers and administrators who want to work more effectively with people who have been exposed to acute and chronic traumas and/or are at risk of developing traumatic stress reactions. Using key trauma-informed principles, this TIP addresses trauma-related prevention, intervention, and treatment issues and strategies in behavioral health services. The content is adaptable across behavioral health settings that service individuals, families, and communities--placing emphasis on the importance of coordinating as well as integrating services.







Trauma-Informed Care in Behavioral Health Services


Book Description

Many individuals who seek treatment in behavioral health settings have histories of trauma, but they often don't recognize the significant effects of trauma in their lives; either they don't draw connections between their trauma histories and their presenting problems,or they avoid the topic altogether. Likewise, treatment providers may not ask questions that elicit a client's history of trauma, may feel unprepared to address trauma-related issues proactively, or may struggle to address traumatic stress effectively within the constraints of their treatment program, the program's clinical orientation, or their agency's directives.By recognizing that traumatic experiences and their sequelae tie closely into behavioral health problems,front-line professionals and community-based programs can begin to build a trauma-informed environment across the continuum of care. Key steps include meeting client needs in a safe, collaborative, and compassionate manner; preventing treatment practices that retraumatize people with histories of trauma who are seeking help or receivingservices; building on the strengths and resilience of clients in the context of their environments and communities; and endorsingtrauma-informed principles in agencies through support, consultation, and supervision of staff.This Treatment Improvement Protocol (TIP) begins by introducingthe scope, purpose, and organization of the topic and describing itsintended audience. Along with defining trauma and trauma-informed care (TIC), the first chapter discusses the rationale foraddressing trauma in behavioral health services and reviews trauma-informed intervention and treatment principles.These principles serve as the TIP's conceptual framework.




Trauma Responsive Child Welfare Systems


Book Description

This comprehensive reference offers a robust framework for introducing and sustaining trauma-responsive services and culture in child welfare systems. Organized around concepts of safety, permanency, and well-being, chapters describe innovations in child protection, violence prevention, foster care, and adoption services to reduce immediate effects of trauma on children and improve long-term development and maturation. Foundations and interventions for practice include collaborations with families and community entities, cultural competency, trauma-responsive assessment and treatment, promoting trauma-informed parenting, and, when appropriate, working toward reunification of families. The book’s chapters on agency culture also address staffing, supervisory, and training issues, planning and implementation, and developing a competent, committed, and sturdy workforce. Among the topics covered: Trauma-informed family engagement with resistant clients. Introducing evidence-based trauma treatment in preventive services. Working with resource parents for trauma-informed foster care. Use of implementation science principles in program development for sustainability. Trauma informed and secondary traumatic stress informed organizational readiness assessments. Caseworker training for trauma practice and building worker resiliency. Trauma Responsive Child Welfare Systems ably assists psychology professionals of varied disciplines, social workers, and mental health professionals applying trauma theory and trauma-informed family engagement to clinical practice and/or research seeking to gain strategies for creating trauma-informed agency practice and agency culture. It also makes a worthwhile text for a child welfare training curriculum.




Seeking Safety


Book Description

This manual presents the first empirically studied, integrative treatment approach developed specifically for co-occurring PTSD and substance abuse. For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion webpage. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.