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Trauma informed care essay
Treatment of trauma as a cause of mental disorder thesis
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In Trauma and Recovery, psychiatrist Judith Herman defines trauma as a disease of disconnection she presents a three-stage model for trauma recovery safety, Remembrance in the morning, and reconnection. This model is imperative to help create change and women suffering from co-occurring disorders. This model sets of foundation for women to have a safe environment, ability to acknowledge their past, and the ability to create new beginnings. According to Covington, S.S. & Bloom, B.E. (2006), trauma-informed services are services that are provided for problems other than trauma but require knowledge concerning violence and impact of trauma. Trauma-informed services: take the trauma into account; avoid triggering trauma reactions and/or we traumatize in the individual; adjust the behaviour of …show more content…
(2005), this approach involves combining approaches from the psychiatric and addiction treatment. These approaches are critical since they help lower the relapse rates and foster long-lasting assistance. Treating these two illnesses is crucial for various reasons. First, integrated recovery approach plans are designed to overcome the adverse implications of mental health challenges such as reduced attention span and low motivations as well as an individual’s fear of socializing. Secondly, medication therapy proves useful when a pharmacological plan addresses both the mental illness as well as the substance disorder. According to Sacks et al. (2005), in co-occurring illness treatment, the traditional reluctances prescribing psychotherapeutic medicines are no longer a challenge. Also, the approach is crucial since group therapy for women with co-occurring illness provides a stronger support network for those who are struggling with both mental illnesses and addiction challenges. Finally, treating both mental and addiction disorder at the same time, it helps the rehab patients to solve their unique relapse triggers such as mood swings and
How do you define healing? In the dictionary it says that to be healed you are cured, resolved, free from worry. But is that what everyone else thinks of healed as. In the novel Ordinary People, written by Judith Guest, Conrad Jarret goes from being a young boy to an adult within a year. He did not know what he was like himself, in the beginning of the story, then there were things that made him grow, and lastly did he heal?
Ellis, B. H., Fogler, J., Hansen, S., Forbes, P., Navalta, C. P., & Saxe, G. (2012). Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 624-630. doi:10.1037/a0025192
To begin with, is vital to understand the history of co-occurring disorders. Late in 1970s mental health providers started noticing that their clients commonly had mental illnesses and a substance use disorder. Then, “by the 1990s, substance abuse treatment programs typically reported that 50 to 75 percent of clients had co-occurring mental disorders, while clinicians in mental health settings reported that between 20 to 50 percent of their clients had a co-occurring substance use disorder” (SAMHSA, 2005). That being said, one needs to understand that co-occurring disorders affect people from different walks of life, cultures, socioeconomic status, and racial backgrounds. Furthermore, is important to keep in mind that many of the cases that were reported and diagnosed in the past and present are not an accura...
Canada, H. (2009, December 16). Best Practices- Concurrent Mental Health and Substance Use Disorders. Retrieved from Intergrated Treatment: www.hc-sc.gc.ca
Sacks, S., Chandler, R., & Gonzales, J. (2008). Responding to the challenge of co-occurring disorders: Suggestions for future research. Journal of Substance Abuse Treatment, 34(1), 139-146
“Trauma is used when describing emotionally painful and distressing experiences or situations that can overwhelm a person’s ability to cope” (John A. Rich, Theodore Corbin, & Sandra Bloom, 2008). Trauma could include deaths, violence, verbal and nonverbal words and actions, discrimination, racism etc. Trauma could result in serious long-term effects on a person’s health, mental stability, and physical body. Judith Herman, from Trauma and Recovery, said “Traumatic events are extraordinary, not because they occur rarely, but rather because they overwhelm the ordinary human adaptations to life” (John A. Rich, Theodore Corbin, & Sandra Bloom, 2008). Trauma does not involve the same experiences for everyone; each individual is unique in that they, and only they, can decide what is traumatic for them.
In patient programs can also be very effective, especially for those with more severe problems. They are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. Treatment Centers differ from other treatment approaches principally in their use of the community—treatment staff and those in recovery—as a key agent of change to influence patient attitudes, perceptions, and behaviors associated with drug use. Patients in TCs may include those with relatively long histories of drug addiction, involvement in serious criminal activities, and seriously impaired social functioning. The focus of the TC is on the resocialization of the patient to a drug-free, free living lifestyle and delivers healthy coping mechanisms for individuals that have not been able to function in society without the use of a mood altering substance.
Trauma is an experience or situation that can be continuous. It is emotionally painful and distressing, and these type of feelings can overwhelm an individual's ability to cope, leaving an individual powerless. Clients should then be provided education on social development, what healthy social development is, what healthy relationships are and begin to practice relationship building. It is imperative that clients with social development issues practice learning to relax, self-soothe, express and manage feelings appropriately while finding closure with their traumatic experiences (Knight, 2015). At a mezzo level social workers can conduct social action by having a therapeutic trauma group counseling and therapeutic recreational activities within a community. A neighborhood that may be high in crime can cause trauma, and the trauma can be recurring stimuli placed on the residents such as violence (experiencing or witnessing), deplorable environmental conditions, gang activity, and much more. Advocacy for policy change, accountability, and enforcement is a macro level action that can take place to address combating childhood trauma for the prevention of poor social development. At the Martin Pollak Project, Inc in Baltimore, MD trauma informed practice is important. The agency has held numerous training on trauma informed practice. The agency has policies geared toward trauma informed practice and discusses the different traumatic experiences that clients may potentially suffer from that is shown in their personal
It has been established substance control is a far more feasible short-term goal than outright eradication. With this ideology, the premise of one’s analysis will be on substance abuse control methodologies, gauging effectiveness and overall success in achieving its purpose. The harm reduction model is the most prevalent ideology within the large spectrum of substance control methods, defined by the Centre for Mental Health and Addiction as any program or policy designed to reduce drug-related harm without requiring the cessation of drug use. In essence, instead of adhering to the conventional eradication style practices aforementioned, this style focuses on helping the offender cope with their mental illness. This not only encourages offenders to take active participation within their treatment, but makes them the directors of their own rehabilitation, using their own will power to gauge treatment.
When looking at the recovery model from a psychiatric rehabilitation perspective, there are a number of characteristics of the recovery process that have been suggested, which include: it is possible for recovery to occur without professional intervention, however this then requires people who believe in and stand by the person in recovery; it does not include dependence on believing specific theories about the cause of the circumstance; it can occur even if symptoms happen to re-occur, but this does not affect the frequency and duration of these symp...
Pratt, C. W., Gill, K. J., Barret, N. M., & Roberts, M. M. (2013). Psychiatric rehabilitation(3rd ed., pp. 169-171). San Diego, CA: Academic Press.
Drug addiction is more complicated than medicine thought in previous years. It’s not because someone is weak or unable to control themselves. They are chemical such a dopamine in the human body that makes the process difficult. The brain works in a neuropath way and drug interrupt the normal process which stops the frontal lobe to work as it should. Treatment isn’t done right and patients tend to repeat their habit after they get out of rehab. Psychological treatment is not as effective as chemical injection for dopamine to reward the brain. However, even after the treatment is complete, it will be a life struggle to stay away from drugs since the brain will always look for a simpler way to reward itself.
Kessler et al. (2013). The Epidemiology of co‐occurring addictive and mental disorders: implications for prevention and service utilization. American Journal of Orthopsychiatry, 66(1), p. 17-31.
Substance use disorders and mental health disorder can be challenging for human services professionals as well as for the individual; combined these disorders together and treatment can be seemingly insurmountable. The complexity of the disorders separately, as well as together raises the need for treatment that looks at the whole person not just a set of symptoms. The debate between which disorder came first is useless at helping to resolve the problems that are currently occurring with these complex disorders. According to Stevens & Smith (2013), over five million adults have a co-occurring disorder. With such high number it’s no surprise that the amount of money that is spending on co-occurring disorders is staggering and far exceeds that
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).