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Emergence of evidence based practice in psychology
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From research through SAHMSA and increased knowledge through my choice in graduate-level courses, I learned how to best integrate a trauma-informed approach into my clinical practice. This example from my concentration practice shows how I sought to choose interventions from an evidence-based practice perspective, seeking to meet my clients and support their dignity and worthwhile also using approaches and interventions which have been shown effective through research. Although a trauma-informed perspective would have been beneficial in my foundation internship, it became imperative in my concentration internship and I increased my competency and supported the dignity and worth of my clients by choosing to learn about and integrate a trauma-informed approach in my clinical practice. To gauge the efficacy of the trauma-informed perspective, I chose the following research question for my project evaluation: in a community corrections facility, does a trauma-informed orientation affect retention rates for females who have co-occurring mental health and substance abuse disorders and a clinical diagnosis of PTSD? By comparing completion rates between women with a diagnosis of PTSD in a trauma-informed group and those who were not in a trauma-informed group, I evaluated how a For my last scenario, I want to discuss how I used evidence-based practices to respect and support cultural diversity within my concentration internship. Prior to beginning my second year of graduate school, I took a course entitled Cultural and Linguistic Competence in the DSM, offered by the Colorado Department of Human Services with funding from SAHMSA. The training provided me with the opportunity to practice and engage in critical thinking about how to engage in cultural responsiveness when diagnosing mental
The trauma-informed care lab was a very impactful experience for me as a student pharmacist and as a person. Prior to the lab, I have always believed that childhood experiences can influence a person’s outcome as an adult. While this belief humanizes those, who have made poor choices in life, it is difficult for me to vindicate every case I see. However, after seeing the statistical facts from the ACE study and especially the movie Healing Neen, I found it easier to show empathy and understanding to those who made those choices.
1.1 Demonstrate awareness of the impact of vicarious trauma on one’s own practice with families and other population
Historical trauma is described to be an experience or event that have caused a generation or individual harm.
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
..., Indregard, T., Stormyren, S. D., & Wentzel-Larsen, T. (2014). A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. Journal of Clinical Child and Adolescent Psychology, 43(3), 356-369.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
Trauma is spread through close relationships with trauma survivors. Those most at risk for developing secondary trauma are those who are witness the emotional retelling of the trauma, including family, friends, medical providers. This retelling may come in many forms such as: through speaking, writing, or drawing (Whitfield 59). One develops secondary
When advocating for the success of a client when utilizing this theory, a counselor must be prepared to identify and eliminate barriers, prejudices, oppression, and discrimination that may create a psychological obstruction in the client. Learning culturally-competent counseling practices and current theoretical approaches while practicing self-reflection will help the counselor acquire the skills necessary to engage with a diverse clientele. Strategies such as; identifying cultural differences, understanding and addressing issues in the counseling process, the counselor’s ability to understand self, and ongoing education are all important strategies in combating oppression and eliminating barriers.
... middle of paper ... ... Retrieved from Senia: http://www.senia.com/2007/09/24/5-specific-techniques-from-positive-psychology-more-productive-more-successful-happier/. Retrieved on 10/20/13. Network, F. R. (2010-2013). Trauma Abuse Treatment -.
My client’s name is: John, he is a 53 year old African American male, who was convicted for two set fire, that he did not do. In 1981, John was arrested at age 16, during a disturbance in the neighborhood. John was tried as an adult and sentenced to four years plus 30 years in the state penitentiary for a fire he knew nothing about. In 1981, a fire broke out in a building, 4 people died of carbon monoxide asphyxiation and smoke inhalation. However, it was later discover that members of a motorcycle gang were the ones who set the fire, in a revenge attempt to kill a gang member and drug dealing tenant who sold the gang vitamin B-12 instead of the cocaine they wanted.
Cultural competency has become a sizeable issue in the mental health profession. It is essential counselors appoint the cultural influences of each individual client. In the VFE video, the counselor effectively applied cultural considerations through his beliefs/attitudes, knowledge, and skills, while using Cognitive Behavioral Therapy (AMCD, 1996). The counselor is able to converse with the client and therapeutically guide him through his issues, while being culturally aware and sensitive.
In Trauma and Faith, Dr. Eriksson posed a question that caught on something inside of me and I have not been able to shake it since. She asked what we are to do with clients that are the perpetrators of trauma or whose trauma has led them to perpetuate the cycle. That stuck with me since in the field we mostly talk about treating the survivors not the perpetrators. As if divinely planned, a few weeks later I did an intake with a client at my practicum that embodied this very question. A member of a familial gang since birth, the client had experienced horrific trauma from a young age. Throughout his life, he had then inflicted great violence and trauma on those around him. My experience of sitting with this man who was both survivor and perpetrator,
Necessary Behavioral Mental Health intervention does not end at the point first responders have successfully contained the actual crisis. The ongoing need for Behavioral Mental Health services will continue for an extended length of time when a traumatic event such as that depicted in the scenario occur. A copious number of individuals will have ...
Individuals who have been traumatized need to gain comfort from others who can bear witness to their pain and sorrow, and they often seek this from mental health care providers. Researchers believe that mental health workers who learn about details of client trauma are susceptible to symptoms comparable to PTSD (Hesse, 2002). Regardless of age, race, gender, or level of training, working with traumatized clients may produce long-standing effects on therapists (Edelwich & Brodsky, 1980). There are several terms that describe these effects on therapists, including compassion stress, compassion fatigue, secondary traumatic stress, and vicarious trauma. Although they are 7 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. often used in the literature interchangeably, they originate from different theoretical frameworks. These frameworks are explored.
The consequences of abuse within therapy are devastating. Victims of abuse by mental health practitioners suffer at a minimum, from anguish, isolation, shame, unfocused anger, self-blame, and self-doubt. Most victims also experience a loss of trust in others and themselves, alienation from support systems, and a decreased ability to form and sustain healthy relationships. Some are unable to work, struggle with a sense of desperation, develop eating disorders, and have suicidal thoughts that sometimes become actions. The victim’s world is turned upside down, and the ability to discern reality from myth becomes severely compromised. When this happens, resources needed to help victims right their worlds and heal may include, but must not be limited to, subsequent therapy.