Integrating a Trauma Informed Care Approach Kristen Foskett, DNP, - - PDF document

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Integrating a Trauma Informed Care Approach Kristen Foskett, DNP, - - PDF document

Jun 27, 2023 183 likes •250 views

9/26/2016 Integrating a Trauma Informed Care Approach Kristen Foskett, DNP, FNP, OR SANE Sally Rothacker Peyton, MSN, PMHCNS BC, PMHNP BC Presentation Objectives Identify how trauma history effects the physical,

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Integrating a Trauma‐ Informed Care Approach

Kristen Foskett, DNP, FNP, OR‐SANE Sally Rothacker‐Peyton, MSN, PMHCNS‐BC, PMHNP‐BC

Presentation Objectives

  • Identify how trauma history effects the physical, psychological, and social health
  • f the individual.
  • Explain Trauma‐Informed Care Theory and identify the six key elements.
  • Assess and reflect on current use of Trauma‐Informed Care in the learners setting.
  • Cite ways to implement a more Trauma‐Informed approach and create change

within the organization

Fred – 11 year old Izzy – 17 year old

Case Studies

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Trauma Informed Care

Four R’s: Key Assumptions  Realization  Recognize  Responds  Resist re‐traumatization

(SAMHSA)

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Six Key Principles of a Trauma‐Informed Approach Safety Trustworthiness & Transparency Peer Support Collaboration & Mutuality Empowerment, Voice and Choice Cultural, Historical, & Gender Issues

(Harris & Fallot, SAMHSA)

‐Well Woman Exam ‐Substance Use History

Case Studies

Well Woman Exam: Marisol

45 yo woman G2P2 Last Pap >5 years ago Not married, kids are 19 and 22, live outside of home Works as caregiver but has reported multiple work related injuries and is on leave from work.

Problem list/Meds:

  • Fibromyalgia: Norco 5/325 qday,

gabapentin 300mg TID

  • Depression/Anxiety: Celexa 20mg
  • Tobacco Abuse: 0.5 ppd
  • Prediabetes: Lifestyle changes only
  • Hyperlipidemia: Atorvastatin 20mg
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Substance Use History: Stan

  • 28 yo male
  • Hx of meth use starting age 24, in

remission for 3 months

  • Unemployed, lives with current

girlfriend

  • Has 2 children, not in touch with

either

  • Hx of closed head injury 3 years ago
  • Untreated ADHD in childhood
  • Bipolar disorder, just started back on

Seroquel

  • Hep C Virus Positive
  • Tobacco Abuse, 1ppd since at 13
  • Extensive dental carries

How Do We Improve Our Care (and Self Care) ?

SAMHSA’s Suggestions for a TIC environment

Governance & Leadership Policy Environment Engagement Collaboration of Service Sites Training & Development Financing Evaluation

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Creating A More Trauma‐Informed Approach

Individual Provider Level:

  • Communication
  • Avoiding Re‐traumatization
  • Team approach
  • Providing Choice
  • Self‐Care/Burnout

Systems Level:

  • Policy
  • Screening Tools
  • Interdisciplinary Communication
  • Environment

What’s Happening in Oregon?

  • Trauma Informed Oregon
  • The Sanctuary Model: The Dalles,

Oregon – Oct. 20 &21st Trauma and Resiliency Summit ‐Developing a universal screening tool CCO’s: Columbia Pacific and CareOregon Resilience Program

  • Trauma Healing Project: Eugene
  • Clackamas Behavioral Health Centers:

Oregon City

  • Volunteers of America Women’s

Residential Treatment

  • The Children’s Clinic, Portland
  • CareOregon: Resilience Program
  • SAMHSA-HRSA Position Statement
  • TIC High School in Astoria, OR

References