debor016

I am about to start an exciting new venture- plunging into social media. I am taking a couple of courses to help me develop an on-line branch of my consulting business. I envision creating more on-line learning and consulting options. My particular passion is the day-to-day operations in our treatment programs. How can we assure that every moment is as healing as possible? How can we maximize the ability of every treater, whatever their job role, to create a new relationship template in the brains of our trauma survivors? I have experienced how hard our work is and how we constantly operate at the edge of disaster. We don't have enough resources and we manage severe and scary behaviors. We have regulations, scrutiny and extensive reporting requirements. And, we have wonderful, caring skillful staff and a deep commitment to our important mission. The clients we serve have been hurt, not through their own fault. Given these realities, how can we make sure that we deliver effective, p...

This post is part of my new focus on how to sustain trauma informed care. It describes indicators that a trauma informed approach to treatment may be eroding in a team, factors that may be contributing to that erosion, and actions to take to restore compassionate and effective treatment. Signs that trauma informed care is eroding: ·          Grounding are more frequent and longer ·          Restorative tasks begin to look like punishments ·          People start talking about clients “getting away with” things ·          Behaviors are described as deliberate and attempts to get at staff ·          Team members are not trying to understand behavior or figure out how it is adaptive for the client. Instead they focus on how to change it.   ·        ...