Evening Seminar

Understanding and Use of Trauma

Informed Practice

Dr Kieran McCartan │ Professor of Criminology │ University of the West of England

Lisa Benjamin │Training & Information Manager │ SARSA

Chris Bellamy and Stephen Pratt │ Practitioners │ Golden Key

Corrado Totti │ Peer Mentoring Service Project Leader & Former Service User │Golden Key

8 October, 2018

@academyjustice

Academy for Social Justice

Commissioning

Academy Overview

• The Academy’s mission is to bring people together to share

knowledge, skills and practice and to promote excellence in social

justice commissioning

• The Academy was created in 2007 and now has over 3900 cross

sector members

• Services are designed to support the development of social

justice commissioning and include nationwide events, eLearning,

commissioning themed learning groups and web pages offering

commissioning information

Dr Kieran McCartan

Professor of Criminology

University of the West of England

People who commit crime are quite diverse, although there aresome character traits and lifestyle variables that manyoffenders have in common

Risk factors vs Protective factors

Antisocial values and beliefs (criminal thinking)

Antisocial peers

Personality traits

Family dysfunction

Low self-control

Substance abuse

There are factors, warning signs and issues that can alert us topotentially problematic behavior

AETIOLOGY

ACE’S

Bellisi M et al. Adverse Childhood Experiences and their impact on health harming behaviour in the Welsh adult

population. Cardiff: Public Health Wales NHS Trust; 2015.

www2.nphs.wales.nhs.uk:8080/PRIDDocs.nsf/7c21215d6d0c613e80256f490030c05a/d488a3852491bc1d8

0257f370038919e/$FILE/ACE%20Report%20FINAL%20(E).pdf

http://www2.nphs.wales.nhs.uk:8080/PRIDDocs.nsf/7c21215d6d0c613e80256f490030c05a/00c40b58ce773d5e80257f3700390f65/$FILE/ACE%20Infograph%20FINAL%20(E).pdf

ACES

ACES

Couper S and Mackie P. ‘Polishing the Diamonds’ Addressing Adverse Childhood Experiences in Scotland. Edinburgh:

Scottish Public Health Network (ScotPHN); May 2016.

www.scotphn.net/wp-content/uploads/2016/06/2016_05_26-ACE-Report-Final-AF.pdf

https://beta.gov.scot/binaries/content/documents/govscot/publications/research-

publication/2018/05/understanding-childhood-adversity-resilience-

crime/documents/00535550-pdf/00535550-pdf/govscot:document/

ACES

In the simplest terms, the concept of trauma-informed care is

straightforward. If professionals were to pause and consider the

role trauma and lingering traumatic stress plays in the lives of the

specific client population served by an individual, professional,

organization, or an entire system, how would they behave

differently? What steps would they take to avoid, or at least

minimize, adding new stress or inadvertently reminding their

clients of their past traumas? How can they better help their

traumatized clients heal? In effect, by looking at how the entire

system is organized and services are delivered through a “trauma

lens,” what should be done differently?

Wilson, Pence, and Conradi (2013)

http://socialwork.oxfordre.com/view/10.1093/acrefore/9780199

975839.001.0001/acrefore-9780199975839-e-1063

TRAUMA INFORMED CARE

ACES & TRUAMA

NEED AN INTEGRATED MODEL

An a holistic approach that

emphasises health,

wellbeing, welfare,

psychology and behaviour.

We need a model that

emphasis an inter-

relationship between health

and criminal justice systems.

Need to use a preventative

approach.

Trauma Informed Practice at a SARSAS

Lisa Benjamin

Training and Information Manager

What do we do?

Self Help

Guides

Specialist

Support Work

CounsellingHelpline/

e-support

Group Work Education and

TrainingCampaigning

Counselling

Partnership

working

CampaigningTraining/

Education

Group workStabilisation

Advocacy

Trauma Informed Approach

• Safety

• Trustworthiness and Transparency

• Peer support

• Collaboration and mutuality

• Empowerment, voice and choice

• Cultural, Historical, and Gender Issues

Safety

“Safety - Throughout the organization, staff and the people they serve feel

physically and psychologically safe.” Guiding Principles of Trauma-Informed Care, 2014

The Substance Abuse and Mental Health Services Administration (SAMHSA)

Psychological safety of staff

• Culture of self care

• Pre-brief/De-brief

• Training

• Trauma/Coping Mechanisms/Neurobiology of trauma

• Somatic Trauma Therapy

• Trauma focused CBT

• Brief Solution Focused Therapy

• Clinical Supervision

Empowerment, voice, and choice

Empowerment, voice, and choice - “The organization aims to strengthen the staff's,

clients', and family members' experience of choice and recognize that every person's

experience is unique and requires an individualized approach.” Guiding Principles of

Trauma-Informed Care, 2014 The Substance Abuse and Mental Health Services Administration

(SAMHSA)

• Recognition that the people we support are not on a linear journey – drop

out, re-entering service, DNAs

• Not a one size fits all approach

• 3 stage trauma model

• Number of sessions

• Different types of support

• Availability of support – the support you need when you need it

NUMBER OF SESSIONS LENGTH OF SUPPORT (WKS)

24 30

3 4

28 39

18 24

24 27

12 21

25 29

24 34

12 15

26 36

13 18

10 24

3 5

12 13

11 13

20 23

20 32

24 28

Cultural, historical, and gender issues

Cultural, historical, and gender issues - “The organization actively

moves past cultural stereotypes and biases, offers gender responsive

services, leverages the healing value of traditional cultural connections,

and recognizes and addresses historical trauma.” Guiding Principles

of Trauma-Informed Care, 2014 The Substance Abuse and Mental

Health Services Administration (SAMHSA)

• Gender responsive

• female only spaces

• provide additional funding to see survivors of other genders rather than

having to use existing funds to support a larger group

Trauma Informed Practice: 3 points to take away

• Clinical Supervision

• Flexible support

• Gender responsive

www.sarsas.org.uk

info@sarsas.org.uk

Stephen Pratt

Drug and Alcohol Specialist Service Coordinator

Golden Key

Trauma Informed Care

Chris Bellamy

Golden Key Service Coordinator

WHEN DID YOU STOP CARING

ABOUT THESE CHILDREN?

WE ALL HAD A CHILDHOOD ONCE

Corrado Totti

Peer Mentoring Service Project Leader

& Former Service User

Golden Key

Any Questions ?

@academyjustice

Academy for Social Justice

Commissioning