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Understanding the Relationship between Trauma and Child Abuse

Diane Lampkins Amany Elsayed

OSU SW5023 Spring 2024

Course objective

Describe the system of care for family violence victims, the key aspects of a trauma informed system of care, and the organizational strategies to address vicarious/secondary trauma and burnout. (Competencies 3, 8)

Who are we?

Family violence may present in the form of...

Physical Abuse Sexual Abuse Exposure to Violence Problem Sexualized Behaviors

Understanding Trauma

TraumaticEvent:

A dangerous or distressing experience that overwhelms an individual's capacity to cope.

Types of TraUma

ACUTE

cOMPLEX

cHRONIC

cROSSOVER

+ INFO

The three eS' of a traumatic reACTION

Event

Effect

Experience

What symptoms may the child be experiencing?

Pt is a 12 year old female, presenting to the Child Assessment Center (CAC) for a forensic interview and medical exam due to alleged sexual abuse allegations.

Pt disclosed ongoing hx of abuse by mom's boyfriend and mom is non-believing.

Pt has has hx of ADHD and anxiety. Pt used to enjoy participating in sports programs.

Identify risk and protective factors that impact a traumatic exprience

Common Trauma Reactions

Impact On Devopment

School-Aged

Pre-School

Adolescent

Adult

+ INFO

Symptoms of Trauma

Grief/ Sadness

Despair/Hopelessness

all of the above at various times

Flashbacks/Hypervigilance

Emptines/ Numb

Phaselus at viverra risus. Vivamus vulputate csequat.

Stages of Trauma

Peri-Trauma

Pre-Trauma

Post- Trauma

Using a Trauma Lens

Trauma-informed care is recognizing that clients come to treatment with pre-existing traumas affecting their current circumstances and working with them to address all of their needs and traumas.

recognizing our clients’ past traumas building strong client-provider relationships addressing patients holistically avoiding re-traumatization

clients are more likely to achieve treatment success complete treatment programming report feelings of patient satisfaction

Trauma informed care is important in improving both patient and clinical outcomes

Trauma Recovery

Safety and Stabilization

Stage one

Processing

Stage Two

Reconnection and Integration

Stage Three

CFTSI (Child and Family Traumatic Stress Intervention

Programs at The Center For Family Safety and Healing

FSP (Family Support Program)

ASP (Adult Services Program)

What are the potential barriers that prevent trauma informed care?

Within school settings

Looking for a different lens

Assumptions of Behaviors

Skill Not Will

Within Medical settings

Family Diagnosis

Cultural Humility

Midiagnosis

Within residential/judicial System

Identification of Triggers

Unfair Discipline Practices

Take the Time to Listen

Stretch break

How to protect ourselves within the profession

\\\

Vicarious Trauma

The cumulative transformative effect on the helper professional working with survivors of traumatic life events

May also be labeled as Secondary Traumatic Stress or Compassion Fatigue/Distress

Anyone working with survivors of trauma and violence is at risk of being negatively impacted by the varied effects of vicarious trauma.

Fun Fact

Vicarious trauma was first identified in 1980s as the “cost of caring”

Contributors to Vicarious Trauma

Personal History (values and beliefs)

Ways of Coping

Systems of Support

Boundaries and Balance

Aspects of the Work

Current Life Circumstance

How Does it Happen

Exposure to Traumatic Stories Seeing client's reaction to stress Seeing the aftermath of harm done to a community As a normal and adaptive response

Unaddressed Vicarious Trauma May Result in:

Ineffectiveness Violating boundaries in work relationships Withdrawing from family, friends and colleagues Making bad judgements Leaving the field

Recommended agency strategies include:

Implementing effective safety plans (preventive and in response to incidents that may occur) Promoting empowerment Normalizing countertransference, vicarious stress, and burnout reactions Maintaining open communication (ex: avoiding the collusion of silence) Holding multidisciplinary case conferences on a regular basis to provide opportunities for the provision of support and the exchange of ideas and information, and to decrease professional isolation Mentoring of new professionals Providing work-free periods and varied work duties

Reccomendations in the personal Realm

Nurturing all aspects of oneself, including the emotional, physical, spiritual, interpersonal, creative, and artistic

Personal psychotherapy

leisure activities that ideally are physical, creative, spontaneous, and relaxing

Attention to one’s spiritual well-being

Attention to health

Reconnect with the WHY

Acknowledge the “golden nuggets” that help you to persist despite ongoing challenges.

Think about what inspires you throughout your workday

Ask yourself "what brought me to this field?"

FinD what works for you

What is my “safety plan” when I become aware of vicarious trauma symptoms?

What positive coping strategies do I currently use for self care, self nurturing and escape?

How can I make sure that I have a personal life outside of my professional life?

How can I create more balance and connection to others?

Trauma informed care looks at the impact of trauma in diagnosis and treatment.

Two people may experience the same event but process in a different way

Takeaways

A traumatic experience overwhelms one’s ability to cope internally and externally .

We hold trauma in our bodies (impact on mental/ physical health)

In helping others, be mindful of the ABC’s (awareness, balance, connection)

Questions