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Narratives

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Trauma informed approaches to staff welfare

Video narrative from the TICA summit

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Progress towards trauma informed services

Video narrative from the TICA summit

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Examples of Trauma Informed Initiatives

Video examples from the TICA summit

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What makes trauma informed approaches important

Video narrative from the TICA summit

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Trauma informed care in the workplace

Video narrative from the TICA summit

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Transitioning to a trauma-informed forensic unit: Exploring staff perceptions of a shift in organisational culture

My experience so far has been doing focus groups with staff of the female forensic units at Roseberry Park in Middlesbrough that recently transitioned to a trauma informed care model. The purpose of the study is to explore staff

compassionate and transformational leadership, healing interventions

Formulation meeting in time of crisis

A service user in a supported accommodation had reached a point of crisis and could have potentially died at any time. Different services had started to become very defensive and hostile to each other.

relational reparation

TIC Changing attitudes and cultural bias

Roll out of trauma informed care on 4 female secure wards where there was a heavy focus on risk, behaviour, diagnosis, medication, problem, and symptoms.

responsive system design

Client Case Study

I received a referral from MARAC for a client. She had been referred into MARAC as a victim of domestic violence and more recently as a perpetrator as she has stabbed her mam and sister during a disturbance at her mother’s house. The client had been through a lot of trauma as a child and as an adult.

relational reparation, compassionate and transformational leadership

Admission to acute MH services via A&E

In both A&E and on the acute MH ward staff were respectful; enquiring and open to learning from a patient; this greatly assisted my rate of recovery.

empowerment

Working with a Male rape victim in the custodial setting

Invited to help a victim who was gang raped whilst in Prison.

safety

Helping people make an informed choice in relation to disclosure of non-recent abuse

We wanted to improve people’s ability to give informed consent before disclosing non-recent abuse, increasing people’s control over what information was shared, whilst at the same time not inadvertently placing barriers in the way of disclosure. To this end, we devised a leaflet that outlined this change in advice.

safety

Supporting Community Mental Health Teams’ to work in a more Trauma Informed Way

We evaluated training through team reporting and service user feedback on changes in practice. The trust has asked this training to be rolled out across all CMHTs and other acute and community-based services. We are in the process of training Psychology dept colleagues as part of roll out. We recently shared the outcome of this pilot at a local conference and colleagues in the Police, Social Work and Probation have requested provision of training.

human experience language

My experience of managing the implementation of TiC via the trauma clinical leads

Positive difference in clinical practice in terms of assessment, formulation and interventions that benefits both service users and staff in those areas where the embedding of TiC has been the most successful. Reduction of risky incidents and iatrogenic harm.

compassionate and transformational leadership

Developing a service model for women with multiple and complex needs

Understanding trauma to becoming trauma responsive and introduced trauma programmes to move from engagement to change and then stabilisation.

compassionate and transformational leadership

Developing a Birth Reflection Service, on pathway to the psychological treatment of birth trauma

Establishing a multidisciplinary Core Group to develop a psychologically informed Birth Reflection Pathway

responsive system design

Developing and embedding a bespoke Trauma Informed Care clinical model

As with most forensic services our care delivery was largely informed by the medical model and related infra-structure such as the Mental Health Act and Ministry of Justice. There was increasing frustration that this model failed to match the complexity of our service users and the knowledge staff held around the lifelong impact of trauma.

responsive system design

Exclusion by diagnosis

Choosing to change the focus of studies (for a PhD) to a case study of a complex case/ the impact of labelling on patients in terms of their access to services and treatment outcomes.

compassionate transformational leadership

The impact trauma upon neurosequential development throughout childhood and influence of unresolved trauma upon adult functioning and mental health

The treatment lends itself to filial therapy, attachment and relational health, impaired neurosequential development through to cortical modulation and beyond throughout adulthood.

healing interventions

Adversity and Trauma Awareness training

A number of experts by experience, NTW clinical staff and partners have collaborated to produce training to raise awareness and share our understanding of adversity and trauma with staff and supporters of people in statutory and voluntary sector organisations.

empowerment

Understanding the context of self-harm for women in prison

A participatory action research approach was used to engage with both the women in prison and the staff to understand the context, function and possible alternative to self-harm.

healing interventions

Experiential staff training: understanding developmental trauma and knowing how to connect and support in a safe, sustainable way

Development of a training session for staff working with individuals with trauma histories

human experience language, relational reparation

Someone wanting to share their experience of a trauma psychoeducation group with others

When discussing the evaluation form at the end of the trauma psychoeducation group one of the participants spoke about how she would like to help facilitate a group in the future.

empowerment

Connecting and discovering through Equine Assisted Therapy

Equine Assisted Therapy is used worldwide to help those suffering from trauma. It is an approach which allows people to observe through the behaviour of the horses, and their interactions with them, what is going on in their inner world.

relational reparation

An integrated framework of care in the secure children’s estate

The project aims to develop an integrated framework of care across the children’s secure estate, encompassing all staff from health, education and care.

responsive system design

Forensic Hospital in the US

Forensic Hospital in the US with No Restraints and Seclusion

safety

The value of significant professional helpers

The practitioner cultivated emotional safety in every interaction, engaging with the client so she felt enabled to speak freely and comfortably and without the danger of re-traumatisation.

empowerment