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Discussion: Trauma in Adulthood While trauma is most commonly associated wi

by | Aug 1, 2022 | Psychology | 0 comments

 

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Discussion: Trauma in Adulthood
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While trauma is most commonly associated with posttraumatic stress disorder, it can manifest in adulthood in many different ways. Consider those who have experienced poverty, racism, or grief, for example. These clients may be significantly affected by their trauma but may not necessarily receive a diagnosis of PTSD. Social workers intervene directly with trauma when working in veteran’s services, domestic violence/sexual assault response programs, and child protective services. Social workers intervene with trauma indirectly when working in mental health, substance abuse clinics, schools, refugee resettlements, and other forms of social service. Whether or not you are directly or indirectly treating it, trauma will be present in the practice space. In this Discussion, you take on the role of a social worker engaging with an adult who has experienced trauma.
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To Prepare:
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• Review the Learning Resources on trauma and trauma-informed interventions with adults.
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By Day 3
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Describe how you would engage with an adult who has experienced trauma. Specifically:
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• Consider the questions you would ask to elicit information about the client’s trauma experience.
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• Explain how you would educate the client on the effects of trauma.
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• Explain what intervention you would recommend and why.
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By Day 6
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Respond to at least two colleagues: Responses should be 3 sentences each
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• Provide feedback on their questions and plan for educating the client.
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• Explain the social worker’s role in the recommended intervention given the scope of practice.
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RESPONSE #1:
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Consider the questions you would ask to elicit information about the client’s trauma experience.
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According to Knight (2018), trauma and its impacts have produced a substantial body of conceptual and empirical study. The authors further explain that Trauma Informed Practice closely aligns with social work principles and core values due to the core characteristics of trust, safety, choice, collaboration, and empowerment. Therefore, when engaging with clients, I would ask questions to assess a client’s history of trauma and any trauma-related symptoms. For instance, conducting an Adverse Childhood Experiences (ACES) screening during initial intake will provide a comprehensive breakdown of the client’s history that helps guide interventions and identify potential risks. Bethell et al. (2017) explain that ACEs assessment relates to exposures to adverse experiences that can cause disruption in one’s life and contribute to assessing risk for trauma and chronic and toxic stress. Therefore, identifying questions would include assessing household substance abuse, mental health history, and history of physical abuse.
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Explain how you would educate the client on the effects of trauma.
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Psychoeducation, according to Sarkhel et al. (2020), integrates cognitive-behavioral therapy, group therapy, and education. The fundamental objective is to educate clients on the various aspects of their illness and its treatment so they can collaborate with mental health professionals for a better outcome. Because of this, clients will be provided with active engagement from a practitioner and be provided with reading material and other educational materials that utilize simple language for the client to understand easily.
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Explain what intervention you would recommend
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According to Brems (2021), play therapy is a form of psychotherapy designed to help children cope with emotional stress or trauma via play. Therefore, I would demonstrate genuine interest while engaging with the client and provide positive regard to reflect on inner feelings and emotions in a healthy and trusting environment. Additionally, I would utilize child-centered play approaches by allowing the child to express their feeling through drawing. For instance, to get clients to verbalize how their trauma has impacted their lives, I would assign them to draw pictures representing their faces and how they feel about themselves before and after the trauma.
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References
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Bethell, C. D., Carle, A., Hudziak, J., Gombojav, N., Powers, K., Wade, R., & Braveman, P. (2017). Methods to Assess Adverse Childhood Experiences of Children and Families: Toward Approaches to Promote Child Well-being in Policy and Practice. Academic Pediatrics, 17(7), S51–S69. https://doi.org/10.1016/j.acap.2017.04.161
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Brems, C. (2021). Play therapy. Salem Press Encyclopedia of Health.
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Knight, C. (2018). Trauma Informed Practice and Care: Implications for Field Instruction. Clinical Social Work Journal, 47(1), 79–89. https://doi.org/10.1007/s10615-018-0661-x
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Sarkhel, S., Singh, O., & Arora, M. (2020). Clinical Practice Guidelines for Psychoeducation in Psychiatric Disorders General Principles of Psychoeducation. Indian Journal of Psychiatry, 62(8), 319. https://doi.org/10.4103/psychiatry.indianjpsychiatry_780_19
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RESPONSES #2:
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Questions to Elicit Information
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Trauma-informed care follows five guiding principles that serve as a framework for care systems to reduce the likelihood of re-traumatization. I would ensure physical and emotional safety, collaborate with the individual and let them know that they have a choice and control of care, make decisions with the individual and share power, establish trust by being transparent, consistent and, setting boundaries, and prioritizing empowerment and skill building (social work Buffalo, 2022).
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I would ask open-ended questions and allow the client to tell their story while asking for their consent to proceed during the process. I would also use trauma-informed statements such as, “It makes that you are feeling this way,” “Help me understand how you feel,” and ‘Let’s talk about ways I can help you if you are ready. These statements will let the client know I am listening and am here for them when they are ready for help (slide to doc).
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Educating the Client
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The professional should discuss traumatic symptoms with clients, frame reexperiencing the events, hyperarousal, sleep disturbances, and other physical symptoms and physiological reactions to stress. Communicate that treatment and other wellness activities can improve psychological and physiological symptoms. Normalize trauma and symptoms and explain to clients that their symptoms are not signs of weakness (Trauma-Informed Care in Behavioral Health Services, 2014).
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Recommended Intervention
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I would recommend trauma-focused CBT therapy. Trauma-focused CBT is a therapy that will address the impact of traumatic events and reduce anxiety and PTSD related to the trauma. This therapy also helps the client understand their feelings and behavior due to the trauma. Trauma-focused CBT approaches are based on the theory that negative emotions connected to the memories of the traumatic event and how the person thinks about the event lead to PTSD symptoms (dept Washington edu).
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