This comprehensive reflective resource explores the values, principles and practical applications of trauma-informed and -infused health care. Trauma-Informed Health Care introduces the different types of trauma - including medical and health trauma - and the impact of adversities, social inequalities and stressors. It explores their effects on health and the body, and on people's relationships with health providers. Key issues addressed include the importance of cultural humility, the effects of secondary and vicarious trauma, burnout and moral injury. It also covers the critical issue of organizational trauma: how to avoid practice which has potential to traumatize or retraumatize, and the role of cultural understanding, language, leadership, staff wellbeing and the physical environment. Drawing substantially on the experiences of people who use services and active practitioners, this book spans diverse settings -- from doctor's surgeries to hospitals and allied health services. It reveals how "every interaction can be an intervention" and provides you with practical examples, graphics and reflective exercises to support you to bring about positive change.

A multidisciplinary group of clinicians explore the connections between traumatic experiences and psychosis, charting the development of a series of interventions designed for both inpatients and outpatients over the course of two decades. Developing Trauma Informed Services for Psychosis details how clinicians developed a trauma committee in a public mental health facility and implemented trauma informed policies and practices, including assessments and multimodal treatment options. Chapters outline trauma informed approaches that include individual, group, and family modalities. Emphasis is on core aspects of programming such as building safety, establishing trusting relationships, and empowerment. One survivor’s descriptive account as well as service users’ and therapists’ experiences are brought to life through personal narratives and fictionalised vignettes. This volume advocates for a multidisciplinary approach that fosters the development of unique treatment paradigms and leads to a dynamic interplay between verbal and creative arts therapies. This book will be of interest to clinicians, administrators, students, caregivers, and anyone interested in the intersection between therapy and the arts.

Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.

Explains the neurological, emotional, and behavioral impacts of violence and trauma experienced by newborns, infants, children, and teenagers. Traumatic events known as adverse childhood experiences (ACEs) can affect children physically, mentally, and emotionally, sometimes with long-term health and behavioral effects. Abuse, neglect, exposure to community and domestic violence, and household dysfunction all have the potential to alter brain development and behavior, but few people are able to recognize or respond to trauma in children. Given the prevalence of childhood exposure to violence—with one in four children ages 5 to 15 living in households with only moderate levels of safety and nurturance and infants and children ages 0 to 3 comprising the highest percentage of those maltreated—it is imperative that students and professionals alike be able to identify types and consequences of violence and trauma. This book provides readers with the information they need in order to know how to detect and prevent ACEs and to help children who have lived through them.

With collaboration of Dr. William Rayburn, Consulting Editor, Drs. Guille and Newman have created a state-of-the art issue that examines the mental health of pregnant women and those planning to become pregnant. Expert authors have contributed current clinical reviews on the following topics: Identification and treatment of peripartum anxiety disorders; Non-pharmacological treatments for peripartum depression; Management of opioid addiction in pregnancy (pro/cons of maintaining meds vs opioid withdrawal); Perinatal sleep problems: causes, complications and management; Impact of pregnancy loss on psychological functioning and grief outcomes; Eating disorders and body image disturbances among childbearing women; Postpartum psychosis: Identification, management and treatment; Working with childhood sexual abuse survivors in reproductive health care; Psychosocial aspects of fertility and assisted reproductive technology; Treatment of peripartum bipolar disorder; Treatment of peripartum depression; Perinatal domestic violence; and Management of ADHD during pregnancy. Readers will come away with the information they need to have better mental health outcomes in their obstetrical and gynecologic patients.

Adolescent Medicine, An Issue of Primary Care: Clinics in Office Practice

Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author’s first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

Twenty-first century classrooms are diverse in nature and everchanging. Students enter classrooms with many experiences, both positive and negative, that influence and affect their ability to learn. More specifically, children who have experienced trauma often struggle socially, emotionally, and academically. Unfortunately, many educators are not adequately trained to identify the signs of trauma in children. In fact, they may misinterpret the outward behavioral manifestations of trauma as other conduct disorders. Strategies and Methods for Implementing Trauma-Informed Pedagogy is a critical reference book that helps teachers and administrators identify manifestations of trauma in children and explain the characteristics and classroom interventions and resources that can aid educators in supporting students who have experienced trauma. This text explains the effects of trauma and the ways in which it manifests in children, explores resources and community options to support children who have experienced trauma, presents strategies to help students who have experienced trauma to learn in the classroom, and teaches the management of behaviors in positive ways to cultivate a community of learners. Covering topics such as positive behavioral interventions and supports (PBIS), racial trauma, and student classroom behavior, this text is essential for classroom teachers, teachers in training, school counselors, school psychologists, preservice teachers, administrators, researchers, and academicians.

This issue of Psychiatric Clinics, guest edited by Drs. Rebecca Brendel and Michelle will discuss a number of important topics surrounding Psychiatric Ethics and impact on clinical practice. This issue is one of four each year selected by our series consulting editor, Dr. Harsh Trivedi of Sheppard Pratt Health System. Topics in this issue include: Ethics in Psychiatric Research, Ethical Aspects of Trauma Informed Care, Ethical Challenges in Addiction Psychiatry, Ethics in Child and Adolescent Psychiatry, Forensic Psychiatric Ethics, Geriatric Psychiatry Ethics, Ethics of emerging technologies, Ethical considerations in Psychiatric Genetics, Organizational Ethics, Suicide and the end of life, Psychiatry in public spaces, Autonomy and Multiculturalism, and Justice and Parity in Mental Health Treatment, among others.