![]() This TIP focuses on specific types of prevention ( Institute of Medicine et al., 2009): selective prevention, which targets people who are at risk for developing social, psychological, or other conditions as a result of trauma or who are at greater risk for experiencing trauma due to behavioral health disorders or conditions and indicated prevention, which targets people who display early signs of trauma-related symptoms. Individuals who have experienced trauma are at an elevated risk for substance use disorders, including abuse and dependence mental health problems (e.g., depression and anxiety symptoms or disorders, impairment in relational/social and other major life areas, other distressing symptoms) and physical disorders and conditions, such as sleep disorders. Nonetheless, TIC anticipates the role that trauma can play across the continuum of care-establishing integrated and/or collaborative processes to address the needs of traumatized individuals and communities proactively. Whether provided by an agency or an individual provider, trauma-informed services may or may not include trauma-specific services or trauma specialists (individuals who have advanced training and education to provide specific treatment interventions to address traumatic stress reactions). This TIP provides key information to help behavioral health practitioners and program administrators become trauma aware and informed, improve screening and assessment processes, and implement science-informed intervention strategies across settings and modalities in behavioral health services. This TIP endorses a trauma-informed model of care this model emphasizes the need for behavioral health practitioners and organizations to recognize the prevalence and pervasive impact of trauma on the lives of the people they serve and develop trauma-sensitive or trauma-responsive services. The content is adaptable across behavioral health settings that service individuals, families, and communities-placing emphasis on the importance of coordinating as well as integrating services. ![]() Using key trauma-informed principles, this TIP addresses trauma-related prevention, intervention, and treatment issues and strategies in behavioral health services. This TIP provides evidence-based and best practice information for behavioral health service providers and administrators who want to work more effectively with people who have been exposed to acute and chronic traumas and/or are at risk of developing traumatic stress reactions. Subsequently, trauma can significantly affect how an individual engages in major life areas as well as treatment. Although many people exposed to trauma demonstrate few or no lingering symptoms, those individuals who have experienced repeated, chronic, or multiple traumas are more likely to exhibit pronounced symptoms and consequences, including substance abuse, mental illness, and health problems. Many individuals experience trauma during their lifetimes. These principles serve as the TIP’s conceptual framework. Along with defining trauma and trauma-informed care (TIC), the first chapter discusses the rationale for addressing trauma in behavioral health services and reviews trauma-informed intervention and treatment principles. This Treatment Improvement Protocol (TIP) begins by introducing the scope, purpose, and organization of the topic and describing its intended audience. ![]() Key steps include meeting client needs in a safe, collaborative, and compassionate manner preventing treatment practices that retraumatize people with histories of trauma who are seeking help or receiving services building on the strengths and resilience of clients in the context of their environments and communities and endorsing trauma-informed principles in agencies through support, consultation, and supervision of staff. Likewise, treatment providers may not ask questions that elicit a client’s history of trauma, may feel unprepared to address trauma-related issues proactively, or may struggle to address traumatic stress effectively within the constraints of their treatment program, the program’s clinical orientation, or their agency’s directives.īy recognizing that traumatic experiences and their sequelae tie closely into behavioral health problems, front-line professionals and community-based programs can begin to build a trauma-informed environment across the continuum of care. Many individuals who seek treatment in behavioral health settings have histories of trauma, but they often don’t recognize the significant effects of trauma in their lives either they don’t draw connections between their trauma histories and their presenting problems, or they avoid the topic altogether.
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