Recognizes prevalence and impacts of trauma
Recognizes primary and co-occurring affects of trauma, diagnoses or symptoms
Assesses for traumatic histories & ongoing symptoms within the system
Recognizes culture and practices that can be experienced as retraumatizing
Minimizes power or control practices, attends to cultural development
Practices collaborative caregiving and invites supporters
Addresses training needs of staff to improve knowledge and sensitivity
Practices objective, neutral language
Maintains transparent systems, open to outside parties
Systems Lacking Trauma-Informed Care
Lacks education on trauma prevalence and common or universal precautions
Shows over-diagnosis of schizophrenia, bipolar disorder, conduct disorder & addictive behaviors
Displays cursory or no trauma assessment
Values a "tradition of toughness" or "not dwelling on negativity" as best care approaches
Maintains keys, security uniforms, manages staff demeanor, practices threatening or controlling behavior
Maintains rule enforcers and expects compliance
Practices fallback position of "patient-blaming" without training
Practices labeling language, as well as manipulation and "attention-seeking" behavior
Maintains closed systems, advocates are discouraged
Here is a basic guide* for comparing and contrasting trauma-informed systems and systems lacking trauma-informed care:
* guide adapted from Dr. Joan Gillece's National Association of State Mental Health Program Directors (NASMHPD) presentation entitled "An Overview of Fundamental Concepts." Accessed: www.slideshare.net/mhcc/gillece
Exploring the changing landscape of long-term congregational care.
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