Trauma Informed Mental Health Service Delivery

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Humanising Mental Health Care in Australia

Author : Richard Benjamin
Publisher : Routledge
ISBN 13 : 0429649509
Total Pages : 406 pages
Book Rating : 4.4/5 (296 download)

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Book Synopsis Humanising Mental Health Care in Australia by : Richard Benjamin

Download or read book Humanising Mental Health Care in Australia written by Richard Benjamin and published by Routledge. This book was released on 2019-02-18 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: Humanising Mental Health Care in Australia is a unique and innovative contribution to the healthcare literature that outlines the trauma-informed approaches necessary to provide a more compassionate model of care for those who suffer with mental illness. The impact of abuse and trauma is frequently overlooked in this population, to the detriment of both individual and society. This work highlights the importance of recognising such a history and responding humanely. The book explores the trauma-informed perspective across four sections. The first outlines theory, constructs and effects of abuse and trauma. The second section addresses the effects of abuse and trauma on specific populations. The third section outlines a diverse range of individual treatment approaches. The final section takes a broader perspective, examining the importance of culture and training as well as the organisation and delivery of services. Written in an accessible style by a diverse group of national and international experts, Humanising Mental Health Care in Australia is an invaluable resource for mental health clinicians, the community managed and primary health sectors, policy makers and researchers, and will be a helpful reference for people who have experienced trauma and those who care for them.

Using Trauma Theory to Design Service Systems

Author : Maxine Harris
Publisher : Jossey-Bass
ISBN 13 : 9780787914387
Total Pages : 0 pages
Book Rating : 4.9/5 (143 download)

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Book Synopsis Using Trauma Theory to Design Service Systems by : Maxine Harris

Download or read book Using Trauma Theory to Design Service Systems written by Maxine Harris and published by Jossey-Bass. This book was released on 2001-04-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental health practitioners are becoming increasingly aware that they are encountering a very large number of men and women who are survivors of sexual and physical abuse. This volume identifies the essential elements necessary for a system to begin to integrate an understanding about trauma into its core service programs. The fundamental elements of a trauma-informed system are identified and the necessary supports for bringing about system change are highlighted. The basic philosophy of trauma-informed practice is then examined across several specific service components: assessment and screening, inpatient treatment, residential services, addictions programming, and case management. Modifications necessary to transform a current system into a trauma-informed system are discussed in great detail as well as the changing roles of consumers and providers.This is the 89th issue of the quarterly journal New Directions for Mental Health Services.

Trauma-Informed Healthcare Approaches

Author : Megan R. Gerber
Publisher : Springer
ISBN 13 : 3030043428
Total Pages : 227 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Trauma-Informed Healthcare Approaches by : Megan R. Gerber

Download or read book Trauma-Informed Healthcare Approaches written by Megan R. Gerber and published by Springer. This book was released on 2019-04-12 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Trauma-Informed Care

Author : Amanda Evans
Publisher : Routledge
ISBN 13 : 1317807979
Total Pages : 161 pages
Book Rating : 4.3/5 (178 download)

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Book Synopsis Trauma-Informed Care by : Amanda Evans

Download or read book Trauma-Informed Care written by Amanda Evans and published by Routledge. This book was released on 2014-01-10 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: This accessible book provides an overview of trauma-informed care and related neuroscience research across populations. The book explains how trauma can alter brain structure, identifies the challenges and commonalities for each population, and provides emergent treatment intervention options to assist those recovering from acute and chronic traumatic events. In addition, readers will find information on the risk factors and self-care suggestions related to compassion fatigue, and a simple rubric is provided as a method to recognize behaviours that may be trauma-related. Topics covered include: children and trauma adult survivors of trauma military veterans and PTSD sexual assault, domestic violence and human trafficking compassion fatigue. Trauma-Informed Care draws on the latest findings from the fields of neuroscience and mental health and will prove essential reading for researchers and practitioners. It will also interest clinical social workers and policy makers who work with people recovering from trauma.

Becoming Trauma Informed

Author : Lorraine Greaves
Publisher :
ISBN 13 : 9781771140584
Total Pages : 379 pages
Book Rating : 4.1/5 (45 download)

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Book Synopsis Becoming Trauma Informed by : Lorraine Greaves

Download or read book Becoming Trauma Informed written by Lorraine Greaves and published by . This book was released on 2012 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most people accessing mental health and addiction services have experienced trauma. For those working in community services, treatment agencies and hospitals, providing "trauma-informed care" requires an understanding of the effects of trauma, and of how to create programs, spaces and policies that place priority on trauma survivors' safety, choice and control. Becoming Trauma Informed describes trauma-informed practice at the individual, organizational and systemic levels. This multi-authored collection brings together the voices of those who have integrated trauma-informed principles into various mental health and addiction treatment and social service environments, and of the diverse groups with which they work. Becoming Trauma Informed is an important resource for those who are working, or who are planning to work asaddiction andmental healthpractitioners and program and system planners."

Retraumatization

Author : Melanie P. Duckworth
Publisher : Routledge
ISBN 13 : 113523731X
Total Pages : 539 pages
Book Rating : 4.1/5 (352 download)

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Book Synopsis Retraumatization by : Melanie P. Duckworth

Download or read book Retraumatization written by Melanie P. Duckworth and published by Routledge. This book was released on 2012-05-22 with total page 539 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Destroying Sanctuary

Author : Sandra L. Bloom
Publisher : Oxford University Press
ISBN 13 : 0199830843
Total Pages : 442 pages
Book Rating : 4.1/5 (998 download)

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Book Synopsis Destroying Sanctuary by : Sandra L. Bloom

Download or read book Destroying Sanctuary written by Sandra L. Bloom and published by Oxford University Press. This book was released on 2010-10-28 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the last thirty years, the nation's mental health and social service systems have been under relentless assault, with dramatically rising costs and the fragmentation of service delivery rendering them incapable of ensuring the safety, security, and recovery of their clients. The resulting organizational trauma both mirrors and magnifies the trauma-related problems their clients seek relief from. Just as the lives of people exposed to chronic trauma and abuse become organized around the traumatic experience, so too have our social service systems become organized around the recurrent stress of trying to do more under greater pressure: they become crisis-oriented, authoritarian, disempowered, and demoralized, often living in the present moment, haunted by the past, and unable to plan for the future. Complex interactions among traumatized clients, stressed staff, pressured organizations, and a social and economic climate that is often hostile to recovery efforts recreate the very experiences that have proven so toxic to clients in the first place. Healing is possible for these clients if they enter helping, protective environments, yet toxic stress has destroyed the sanctuary that our systems are designed to provide. This thoughtful, impassioned critique of business as usual begins to outline a vision for transforming our mental health and social service systems. Linking trauma theory to organizational function, Destroying Sanctuary provides a framework for creating truly trauma-informed services. The organizational change method that has become known as the Sanctuary Model lays the groundwork for establishing safe havens for individual and organizational recovery. The goals are practical: improve clinical outcomes, increase staff satisfaction and health, increase leadership competence, and develop a technology for creating and sustaining healthier systems. Only in this way can our mental health and social service systems become empowered to make a more effective contribution to the overall health of the nation. Destroying Sanctuary is a stirring call for reform and recovery, required reading for anyone concerned with removing the formidable barriers to mental health and social services, from clinicians and administrators to consumer advocates.

Through a Trauma Lens

Author : Vivian Barnett Brown
Publisher : Routledge
ISBN 13 : 1317233999
Total Pages : 230 pages
Book Rating : 4.3/5 (172 download)

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Book Synopsis Through a Trauma Lens by : Vivian Barnett Brown

Download or read book Through a Trauma Lens written by Vivian Barnett Brown and published by Routledge. This book was released on 2017-10-10 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author’s first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

Seeking Safety

Author : Lisa M. Najavits
Publisher : Guilford Publications
ISBN 13 : 1462548571
Total Pages : 419 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Seeking Safety by : Lisa M. Najavits

Download or read book Seeking Safety written by Lisa M. Najavits and published by Guilford Publications. This book was released on 2021-05-07 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

A National Trauma Care System

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309442850
Total Pages : 531 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis A National Trauma Care System by : National Academies of Sciences, Engineering, and Medicine

Download or read book A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

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

Author : U. S. Department of Health and Human Services
Publisher :
ISBN 13 : 9781365543678
Total Pages : 340 pages
Book Rating : 4.5/5 (436 download)

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Book Synopsis A Treatment Improvement Protocol - Trauma-Informed Care in Behavioral Health Services - Tip 57 by : U. S. Department of Health and Human Services

Download or read book A Treatment Improvement Protocol - Trauma-Informed Care in Behavioral Health Services - Tip 57 written by U. S. Department of Health and Human Services and published by . This book was released on 2016-11-18 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Managing the Psychological Impact of Medical Trauma

Author : Michelle Flaum Hall, EdD, LPCC-S
Publisher : Springer Publishing Company
ISBN 13 : 0826128947
Total Pages : 326 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Managing the Psychological Impact of Medical Trauma by : Michelle Flaum Hall, EdD, LPCC-S

Download or read book Managing the Psychological Impact of Medical Trauma written by Michelle Flaum Hall, EdD, LPCC-S and published by Springer Publishing Company. This book was released on 2016-07-12 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: What to do when treatment becomes trauma Of increasing concern to all health professionals is the mental and emotional trauma that can result from adverse medical experiences ranging from life-threatening events to even routine medical procedures. This groundbreaking book is the first to conceptualize the psychological aspects of medical trauma and provide mental health and health care professionals with models they can use to intervene when treatment becomes trauma. The book delivers systems-level strategies for supporting patients and their families who experience distress in the medical setting or as a result of life-threatening or life-altering diagnoses and procedures. Reflecting the growing trend toward interprofessional practice and training in health care and initiatives toward patient-centered care, the book also describes models that promote the seamless integration of mental health professionals into the health care team. The book reflects the PPACA mandate to integrate mental health services into health care in order to both ensure the psychological and emotional well-being of patients and to provide support and guidance to health care professionals. Using an inclusive model of medical trauma, the book examines the effects and complexity of the trauma experience within the medical setting; addresses patient, medical staff, and procedural risk factors regarding specific level 1, 2, and 3 traumas; discusses the effects of environment and medical staff interactions; and covers intervention and prevention. The book also highlights examples of health care systems and organizations that have successfully applied innovative ideas for treating the whole person. Extensive case studies addressing the three levels of medical trauma illustrate its effects and how they could have been better managed. Key Features: Addresses psychological trauma resulting from adverse medical experiences—the first book to do so Provides effective models for addressing trauma in health care based on maternal health protocols from NCSWH Includes effective new models, protocols, and best practices for all mental health and health care professionals Presents extensive case examples of levels 1, 2, and three medical trauma Disseminates valuable resources and screening and measurement tools

A Mental Healthcare Model for Mass Trauma Survivors

Author : Metin Basoglu
Publisher : Cambridge University Press
ISBN 13 : 1139500813
Total Pages : 295 pages
Book Rating : 4.1/5 (395 download)

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Book Synopsis A Mental Healthcare Model for Mass Trauma Survivors by : Metin Basoglu

Download or read book A Mental Healthcare Model for Mass Trauma Survivors written by Metin Basoglu and published by Cambridge University Press. This book was released on 2011-03-03 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mass trauma events, such as natural disasters, war and torture, affect millions of people every year. Currently, there is no mental health care model with the potential to address the psychological needs of survivors in a cost-effective way. This book presents such a model, along with guidance on its implementation, making it invaluable for both policy-makers and mental health professionals. Building on more than twenty years of extensive research with mass trauma survivors, the authors present a model of traumatic stress to aid understanding of mass trauma and how its psychological impact can be overcome with control-focused behavioral treatment. This text offers a critical review of various controversial issues in the field of psychological trauma in light of recent research findings. Including two structured manuals on earthquake trauma, covering treatment delivery and self-help, the book will be of use to survivors themselves as well as care providers.

Healthy, Resilient, and Sustainable Communities After Disasters

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309316227
Total Pages : 532 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Healthy, Resilient, and Sustainable Communities After Disasters by : Institute of Medicine

Download or read book Healthy, Resilient, and Sustainable Communities After Disasters written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-10 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

The End of Trauma

Author : George A. Bonanno
Publisher : Basic Books
ISBN 13 : 1541674375
Total Pages : 282 pages
Book Rating : 4.5/5 (416 download)

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Book Synopsis The End of Trauma by : George A. Bonanno

Download or read book The End of Trauma written by George A. Bonanno and published by Basic Books. This book was released on 2021-09-07 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: With “groundbreaking research on the psychology of resilience” (Adam Grant), a top expert on human trauma argues that we vastly overestimate how common PTSD is in and fail to recognize how resilient people really are. After 9/11, mental health professionals flocked to New York to handle what everyone assumed would be a flood of trauma cases. Oddly, the flood never came. In The End of Trauma, pioneering psychologist George A. Bonanno argues that we failed to predict the psychological response to 9/11 because most of what we understand about trauma is wrong. For starters, it’s not nearly as common as we think. In fact, people are overwhelmingly resilient to adversity. What we often interpret as PTSD are signs of a natural process of learning how to deal with a specific situation. We can cope far more effectively if we understand how this process works. Drawing on four decades of research, Bonanno explains what makes us resilient, why we sometimes aren’t, and how we can better handle traumatic stress. Hopeful and humane, The End of Trauma overturns everything we thought we knew about how people respond to hardship.

Assessing Psychological Trauma and PTSD

Author : John Preston Wilson
Publisher : Guilford Press
ISBN 13 : 9781593850357
Total Pages : 696 pages
Book Rating : 4.8/5 (53 download)

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Book Synopsis Assessing Psychological Trauma and PTSD by : John Preston Wilson

Download or read book Assessing Psychological Trauma and PTSD written by John Preston Wilson and published by Guilford Press. This book was released on 2004-07-12 with total page 696 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, authoritative volume meets a key need for anyone providing treatment services or conducting research in the area of trauma and PTSD, including psychiatrists, clinical psychologists, clinical social workers, and students in these fields. It is an invaluable text for courses in stress and trauma, abuse and victimization, or abnormal psychology, as well as clinical psychology practica.

Restoring Sanctuary

Author : Sandra L. Bloom
Publisher : Oxford University Press
ISBN 13 : 0199796491
Total Pages : 335 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Restoring Sanctuary by : Sandra L. Bloom

Download or read book Restoring Sanctuary written by Sandra L. Bloom and published by Oxford University Press. This book was released on 2013-01-04 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the third in a trilogy of books that chronicle the revolutionary changes in our mental health and human service delivery systems that have conspired to disempower staff and hinder client recovery. Creating Sanctuary documented the evolution of The Sanctuary Model therapeutic approach as an antidote to the personal and social trauma that clients bring to child welfare agencies, psychiatric hospitals, and residential facilities. Destroying Sanctuary details the destructive role of organizational trauma in the nation's systems of care. Restoring Sanctuary is a user-friendly manual for organizational change that addresses the deep roots of toxic stress and illustrates how to transform a dysfunctional human service system into a safe, secure, trauma-informed environment. At its heart, The Sanctuary Model represents an organizational value system that is committed to seven principles, which serve as anchors for decision making at all levels: non-violence, emotional intelligence, social learning, democracy, open communication, social responsibility, and growth and change. The Sanctuary Model is not a clinical intervention; rather, it is a method for creating an organizational culture that can more effectively provide a cohesive context within which healing from psychological and socially derived forms of traumatic experience can be addressed. Chapters are organized around the seven Sanctuary commitments, providing step-by-step, realistic guidance on creating and sustaining fundamental change. "Restoring Sanctuary" is a roadmap to recovery for our nation's systems of care. It explores the notion that organizations are living systems themselves and as such they manifest various degrees of health and dysfunction, analogous to those of individuals. Becoming a truly trauma-informed system therefore requires a process of reconstitution within helping organizations, top to bottom. A system cannot be truly trauma-informed unless the system can create and sustain a process of understanding itself.