This masterclass provides mental health and addiction counselors (LPC, LMHC, LPCC, LADC, CADC (and counselors in training), social workers (LCSW, LMSW, LSW, RSW), pastoral staff, case managers (CCM) and marriage and family therapists (LMFT) with the information they need to provide more sensitive, strengths-based treatment to persons who may be dealing with trauma.
Objectives
Trauma 101–Provides an overview of trauma, and an understanding of trauma informed principles and practices
Trauma-Informed Care: Increases awareness of the different types of trauma, their impact and individual differences in the experience of traumatic events.
Trauma Informed Care: Impact of Trauma: Overview of the effects of trauma on the brain and physical health; social relationships; mental health; and the community/society at large.
Trauma Informed Care: Screening and Assessment
Trauma Informed Care: Trauma Specific Services reviews many of the current best and promising practices for survivors of trauma, ranging from child abuse to natural disasters.
Trauma and Resiliency: Highlights the concepts and components of individual, family and community resiliency.
Neurological Impact of Trauma: Provides an overview of the human brain and its response to stress and trauma.
Pharmacotherapy for Trauma: Reviews current practice guidelines for the use of SSRIs, Benzodiazepines, Rapid-Acting Antidepressants, Alpha-1 Antagonists and Mood Stabilizers
Acute Stress Disorder: Assessment and Treatment
Acceptance and Commitment Therapy for Trauma
Cognitive Processing Therapy for Trauma
Intro to Dialectical Behavior Therapy for Trauma
By the end of the training, the clinician will:
Understand the difference between trauma-informed and trauma-specific services
Understand the differences among various kinds of abuse and trauma, including: physical, emotional, and sexual abuse; domestic violence; experiences of war for both combat veterans and survivors of war; natural disasters; and community violence
Understand the different effects that various kinds of trauma have on human development and the development of psychological and substance use issues
Understand how protective factors, such as strong emotional connections to safe and nonjudgmental people and individual resilience, can prevent and ameliorate the negative impact trauma has on both human development and the development of psychological and substance use issues
Understand the importance of ensuring the physical and emotional safety of clients
Understand the importance of not engaging in behaviors, such as confrontation of substance use or other seemingly unhealthy client behaviors, that might activate trauma symptoms or acute stress reactions
Demonstrate knowledge of how trauma affects diverse people throughout their lifespans and with different mental health problems, cognitive and physical disabilities, and substance use issues
Demonstrate knowledge of the impact of trauma on diverse cultures with regard to the meanings various cultures attach to trauma and the attitudes they have regarding behavioral health treatment
Demonstrate knowledge of the variety of ways clients express stress reactions both behaviorally (e.g., avoidance, aggression, passivity) and psychologically/emotionally (e.g., hyperarousal, avoidance, intrusive memories)
Expedite client-directed choice and demonstrates a willingness to work within a mutually empowering (as opposed to a hierarchical) power structure in the therapeutic relationship
Maintain clarity of roles and boundaries in the therapeutic relationship
Demonstrate competence in screening and assessment of trauma history (within the bounds of his or her licensing and scope of practice), including knowledge of and practice with specific screening tools
Show competence in screening and assessment of substance use disorders (within the bounds of his or her licensing and scope of practice), including knowledge of and practice with specific screening tools
Demonstrate an ability to identify clients’ strengths, coping resources, and resilience
Facilitate collaborative treatment and recovery planning with an emphasis on personal choice and a focus on clients’ goals and knowledge of what has previously worked for them
Respect clients’ ways of managing stress reactions while supporting and facilitating taking risks to acquire different coping skills that are consistent with clients’ values and preferred identity and way of being in the world
Demonstrate knowledge and skill in general trauma-informed counseling strategies, including, but not limited to, grounding techniques that manage dissociative experiences, cognitive- behavioral tools that focus on both anxiety reduction and distress tolerance, and stress management and relaxation tools that reduce hyperarousal
Explore information on the use of the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnosis and treatment of mental disorders
Identify the nine goals for psychiatric management of persons with PTSD or ASD
List the eight steps in assessment of a person with PTSD or ASD
Identify eight things to be considered when determining the treatment setting
List three characteristics which would make inpatient treatment a better choice
List for ways to establish and maintain a therapeutic alliance
Explain the most effective ways to coordinate treatment efforts
Identify the types of education which should be provided to patients with PTSD or ASD
Identify the five goals of treatment for patients with PTSD or ASD
Identify the three approaches which are used either alone or in combination in treating this population
List nine issues that should be considered when choosing the appropriate initial treatment modality
Describe approaches for patients who do not respond to initial treatment
Summarize the standard pharmacological treatment strategy for PTSD or ASD
Summarize the recommendations for psychotherapy with persons with PTSD or ASD
Explore historic and well-established contemporary counseling theories, principles and techniques of counseling and their application in professional counseling settings
Discuss the causes of PTSD
Examine PTSD through a strengths-based lens
Identify tools to help patients deal with PTSD symptoms
Define Cognitive Processing Therapy
Explore the 12 Session Protocol for CPT
Examine complex trauma from a developmental and strengths-based lens
Identify interventions to help patients acquire the skills to mitigate the impact of complex trauma
Explain
how trauma informed practices and trauma specific services can enhance
client retention, treatment outcomes and organizational standing
Understand the difference between trauma-informed and trauma-specific services
Demonstrate
knowledge of how trauma affects diverse people throughout their
lifespans and with different mental health problems, cognitive and
physical disabilities, and substance use issues
Demonstrate
knowledge of the impact of trauma on diverse cultures with regard to
the meanings various cultures attach to trauma and the attitudes they
have regarding behavioral health treatment
Identify the 16 components of trauma informed care
Describe the impact of trauma on the individual, family and community
Review best practices for trauma screening and assessment
Develop
an understanding of behavior as communication which may have been
learned or developed as a way of coping with trauma and will learn
skills and tools to enhance rapport, motivation and client activation.
Demonstrate knowledge of the variety of ways clients express stress reactions
Describe how these reactions “make sense” from a survival/reinforcement perspective
Identify ways to help clients develop alternate responses while maintaining personal power and a sense of safety
Give examples of when clients trauma histories may have triggered the use of : Avoidance, aggression, passivity
Learn approaches to enhance client empowerment and choice.
Explore approaches to trauma-informed crisis intervention
Identify biopsychosocial interventions that can assist in the recovery from trauma.
Learn ways to enhance mindfulness
Explore techniques for addressing cognitive distortions
Identify the organizational costs of employee turnover
Define trauma
Explore the effects of trauma and HPA-Axis dysregulation
Identify problematic employee behaviors and explore how they might relate to prior trauma
Discuss sources of trauma (or trauma re-enactment) in the workplace
Explain what a trauma organized system is.
Explain how trauma contributes to employee stress, behavioral issues and turnover.
Identify at least 10 common workplace stressors and bad habits that contribute to turnover
Explain how trauma informed processes are at work and need to be addressed not only in clients, but also staff (mitigating trauma)
Give at least three examples of behavior as a form of communication
Describe characteristics of healthy organizations
Identify interventions for sources of workplace stress and turnover
Effectively use the psychological flexibility matrix to chart helpful and unhelpful responses to situations
Explain behavioral principles underlying behavior and behavior change.
Demonstrate ability to explore the benefits and drawbacks of all behaviors to better understand how to motivate change.Learn techniques to create a healthy trauma-informed organizational culture that inspires growth and reduces turnover.
Learn about the SELF Model (Safety, Emotional Management, Loss, Future) and apply it to workplace events and employee behavior
Use the SELF Model to solve complex problems and develop a sense of purpose instead of abandoning the organization.
Learn ways to encourage people to grow and adapt to change
Provide at least 3 examples of activities to help staff create a vision of a healthy workplace and rewarding career that inspires purposeful action
Identify at least 5 ways to demonstrate a that diversity and participation is valued
Discuss ways to build a culture of democracy
Give at least 3 examples of ways to model nonviolence and enhance safety
Define emotional intelligence
Discuss the benefits of emotional regulation
Explain the benefits and process of developing a system of open communication
Develop a plan for how to create a commitment to growth and change based in social responsibility in their work settings
Demonstrate an understanding of the characteristics of healthy organizations and how to use principles of motivation and behavior change to encourage these characteristics.
Learn the principles of motivational interviewing
Demonstrate the ability to effectively use motivational interviewing with staff to address factors that impair motivation
Describe at least 3 interventions that can be used to enhance the development of a staff community
Explain the principles of positive, strengths-based management and apply those principles to scenarios based on current or past staff issues.