Transcript of McLeod Trauma Informed Basics CEU
- 1. David A. McLeod, PhD, MSW UNDERSTANDING TRAUMA INFORMED
PRACTICE
- 2. So why am I so interested? LE background Detective
Interrogations Justifications and outs Clinical Social Work Exp.
NGRI Offender Tx Psychosexual risk evaluation Research area
Intersection of Criminal Bx Development Traumatology Gender 2
- 3. Develop a more rich understanding of the ties between
traumatic experiences and complex problems we seek to intervene in
as social workers Relate to the process of how our brains associate
stimuli with memories And think through how a better understanding
and awareness of that individualized process can improve clinical
practice Enjoy ourselves and talk a lot for 3 hours Sit for 3 hours
and look at a lot of slides while David talks Become
neuroscientific experts Spend extensive time on the anatomy of the
brain Push the limits of the use of multisyllabic medical
terminology in open CEU conversation TODAYS EXPECTATIONS What are
not even gonna try to do today What we are going to try and do
3
- 4. SECTION 1: INTRO - TRIGGERS 4
- 5. WARM-UP (KEEP YOUR PAGE TURNED OVER UNTIL I SAY GO)
Instructions: Part 1: As soon as you turn the page over quickly
write by each picture the first feeling that comes over you as
related to that picture. One word!!! Go Part 2: Now take a minute
to think through and connect why you related that feeling to that
picture Now at your table discuss with the other participants what
you felt about each picture Look for similarities and themes
Discuss as a group (All of us) 5
- 6. IMAGE 1 - MJ 6
- 7. IMAGE 2 FRESHLY CUT GRASS 7
- 8. IMAGE 3 SOUTHERN COMFORT 8
- 9. IMAGE 4 CHRISTMAS TREES (TREE FARM) 9
- 10. IMAGE 5 CAMPFIRE (CAMPFIRE SMELL) 10
- 11. IMAGE 6 - WORLD TRADE CENTER 11
- 12. Why is this important? We all have unconscious/subconscious
connections/reactions/triggers where our brain neurologically
connects small sensory experiences with significant memories and
feelings. 12 1st major takeaway of the day
- 13. LETS TAKE A BREAK See you back in 5 13
- 14. SECTION 2: MECHANICS 14
- 15. WHY IS NEUROSCIENCE (THE BASE OF TRAUMA INFORMED PRACTICE)
IMPORTANT FOR SOCIAL WORK PRACTICE? 15 Bio-Psycho-Social-Spiritual
(BPSS) framework central to social work theorizing and practice
Where is the BIO? Age, gender, medical conditions, but what else?
Trauma Informed Practice engages the BIO dimension of our practice
Provides the Missing Link that can enhance clinical practice
Neuroscientific insights corroborate our psychosocial perspective
(esp. related to brain plasticity) & help authenticate our
therapeutic interventions
- 16. WHAT IS BRAIN PLASTICITY? 16 Brain (neuro) Plasticity
(Introduced in 1949 but really understood in recent yrs): Basically
means the brain changes throughout life slower rate as we age brain
alters (it physically and chemically changes) in response to what
it experiences by learning new information, we can reshape our
brain via changes at nerve cell level thinking, learning, acting
change the brains functioning and its structure We used to think
the brain matured in adolescence and that was the end of growth
(not so); changes are lifelong
- 17. MORE ON BRAIN PLASTICITY 17
- 18. The BIG Take away on Neuroplasticity What fires together
wires together 18 2nd major takeaway of the day
- 19. TRAUMA 19 Trauma (defined)- an emotional or physical wound
that is painful, distressful or shocking (e.g. child abuse, chronic
neglect, natural disaster, domestic violence exposure, repeated
foster care placements, bullying, chronic community violence) Acute
Trauma a single traumatic event that is limited in time, such as an
auto accident, a gang shooting, a parent's suicide, or a natural
disaster. Chronic Trauma repeated assaults on the mind and body,
such as chronic sexual or physical abuse or exposure to ongoing
domestic violence. Complex Trauma is a term used by some trauma
experts to describe both exposure to prolonged trauma, often
inflicted by trusted people Multi-layered
- 20. TRAUMA ISNT THAT PREVALENT.. RIGHT? 20
AdverseChildhoodExperiencesStudy(CDC)
- 21. Results of trauma Affective and Emotional dysregulation
Cognitive impairment Attachment impairment Behavioral regulation
Social development Negative Self concept 21 Alcoholism and alcohol
abuse Chronic obstructive pulmonary disease (COPD) Depression Fetal
death Health-related quality of life Illicit drug use Ischemic
heart disease (IHD) Liver disease Risk for intimate partner
violence Multiple sexual partners Sexually transmitted diseases
(STDs) Smoking Suicide attempts Unintended pregnancies Early
initiation of smoking Early initiation of sexual activity
Adolescent pregnancy
- 22. SO WHAT ABOUT THE BRAIN? 22 Neuroscience research of past
30 yrs.---a major origin of psychopathology is trauma to the early
developing nervous system, resulting in affective or emotional
dysregulation ADHD? Other diagnoses? Brain scans (from Dr. Bruce
Perry) CT scans on leftfrom healthy 3 yr.olds with average head
size Images on rightfrom a series of 3 yr. olds following severe
abuse and neglect in early childhood
- 23. Normal Extreme Neglect 3 Year Old Children
- 24. 24 Extreme NeglectNormal 3 Year Old Children
- 25. Normal Extreme Neglect 3 Year Old Children
- 26. TRAUMA AND THE BRAIN 26 Brain areas disrupted in presence
of trauma are areas involved in responses to stress and fear: Base
brain Brain stem & Locus coeruleus (regulate homeostasis);
Hippocampus (memory); amygdala (emotions), brains alarm system;
frontal cortex (learning / processing); orbito-frontal cortex,
dorsolateral pre-frontal cortex (executive functions) Trauma
response patterns hyperarousal - freeze, flight or fight reaction
dissociative response - detached, becoming compliant, and numb to
abuse Both responses become imprinted (fire together / wire
together)
- 27. 27 Trauma regresses brain functionality
- 28. Trauma makes our brains act primal Regresses to brainstem
level functions BASICALLY 28 3rd major takeaway of the day
- 29. WHY IS TRAUMA INFORMED PRACTICE IMPORTANT IN SOCIAL WORK?
29ReMoved
- 30. LETS TAKE A BREAK See you back in 5 30
- 31. SECTION 3: WRAP UP 31
- 32. WHERE DO WE GO FROM HERE? GOALS OF TRAUMA SPECIFIC
TREATMENT Safe expression of feelings; Relief from symptoms and
post-traumatic behaviors; Recovery of a sense of mastery and
control in life; Corrections of misunderstanding and self-blame;
Restoration of a sense of trust in oneself and the future;
Development of a sense of perspective and distance regarding the
trauma; Minimizing the scars of the trauma; An enhanced sense of
safety and security; and Providing support and skills to help
non-offending caregivers cope effectively with their own emotional
distress and optimally respond to the traumatized child. 32
- 33. TRAUMA-SPECIFIC TREATMENTS EVIDENCE BASED APPROACHES ALL
WITH GREAT ACRONYMS! Attachment, Self-Regulation, and Competency
(ARC) Eye Movement Desensitization and Reprocessing Therapy (EMDR)
involves Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) Child
and Family Traumatic Stress Intervention (CFTSI) Child Parent
Psychotherapy (CPP) Parent Child Interaction Therapy (PCIT) Others
too 33
- 34. NO Others will disagree with me, and thats ok. You just
have to ask yourself the right questions Who am I working with?
What is their story? How could the trauma of their past be creating
a barrier for helping them change their life? Each client is the
expert here We have to ask the right questions BUT DO YOU NEED
SPECIALIZED TRAINING TO BE TRAUMA INFORMED? 34
- 35. On the sheet I am passing out think about how to apply
Trauma Informed Practice to your own area where you work. Answer
the questions to yourself Then talk with your table Look for
similarities and differences In how trauma impacts your clients How
trauma can create barriers for intervention Ideas for moving your
practice forward YOU ARE YOUR OWN EXPERT LAST ACTIVITY, I PROMISE
35
- 36. WHEN DO PEOPLE COME TO US FOR HELP? We work with vulnerable
people who come to us for help in the most fragile states of their
lives. Trauma is a part of their story and impacts the way they
interact with you and the rest of their world. This impact is
physical (neurological) 36 4th major takeaway of the day
- 37. CLOSING - FOUR MAIN POINTS OF TODAY 4 major takeaways for
the day We all have instinctual reactions to stimuli These connect
deeply (neurologically speaking) We often dont think about where
they are coming from What Fires together wires together For good or
bad our experienced physically change the brain Brain plasticity
Trauma physically makes our brains function primally Base level
brain function limited upper level reasoning Up and down We work
with people in the most vulnerable states of their lives Trauma is
a part of their story It improves our intervention when we can
identify and work through it 37
- 38. 38
- 39. David Axlyn McLeod, PhD, MSW University of Oklahoma College
of Arts and Sciences Assistant Professor | Anne and Henry Zarrow
School of Social Work Affiliate Faculty | Women's & Gender
Studies & Center for Social Justice Faculty Associate | Knee
Center for Strong Families ZH 305 | 405.325.4647 damcleod@ou.edu |
www.damcv.com | @mcleodda THANKS FOR COMING! 39