Trauma Defined

Miller-Karas, Elaine

doi:10.4324/9781003140887-3

Cited by 2 publications

(8 citation statements)

References 0 publications

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“…The resilience designed within the nervous system supports a client’s interoceptive, biological awareness of belonging established through compassionate, grounded connection (Banks, 2015; Miller-Karas, 2015). When the dACC alarm system queues a client that they are accepted by an integrated healthcare provider, an important outcome is the relational courage to shift out of survival responses to connect with themselves and others (Banks, 2015; Jordan, 2018a).…”

Section: Discussion and Implications For Policymentioning

confidence: 99%

“…A systematic response away from damage-centered and deficit frameworks is necessary because this escalates crises (Calderon, 2016). A resiliency-oriented approach to crisis prevention understands historical trauma and the social determinants needed to nurture hope and recovery as a compassionate, nonviolent response to connect and build on people’s strengths (Miller-Karas, 2015).…”

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

“…A study with San Bernardino County Mental Health demonstrated communal learning of the wellness skills destigmatized behavioral health services for urban communities impacted by structural poverty and violence by emphasizing helping others, self-care, and resilience (Freeman et al, 2021; Grabbe, Higgins, Jordan, et al, 2021). Disconnection is caused by pathologizing symptoms and implicating mental weakness; traumatic stress activation is about biology not weakness (Miller-Karas, 2015). In a randomized control trial, the wellness skills were demonstrated to improve well-being, resiliency, and secondary stress among nurses in a hospital setting with high rates of poor mental health, secondary stress, and burnout (Grabbe, Higgins, Baird, & Pfeiffer, 2021).…”

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

“…The interpersonal contexts of crisis incidents highlight the need for an intervention that addresses client and integrated healthcare provider safety needs. A relational approach is necessary for integrated healthcare to prevent safety incidents and remove barriers to care for unhoused people (Henry et al, 2017; Miller-Karas, 2015; NHCHC, 2016; Substance Abuse and Mental Health Services Administration [SAMHSA], 2018). A systematic response away from damage-centered and deficit frameworks is necessary because this escalates crises (Calderon, 2016).…”

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

“…CRM is a public health intervention that supports people and their communities through recovery by reconnecting with the body and each other after a crisis and disaster (Leitch, 2007; Leitch et al, 2009; Leitch & Miller-Karas, 2009; Miller-Karas, 2015; Parker et al, 2008). Recovery is supported by strengthening mind–body connection, increasing understanding of emotions as biological responses, and teaching communities the six wellness skills for complex, cumulative, and traumatic stress responses (Freeman et al, 2021; Table 1).…”

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

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A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

Stanley

2023

Journal of Psychotherapy Integration

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The purpose of this study was to inform the development of a crisis prevention process model focusing on the qualities present in relationships among unhoused Indigenous peoples and integrated healthcare providers when crisis is prevented. The scope of the study is on multidisciplinary healthcare teams (MHT) and removing barriers for clients to access the resources they need. This key-informant study conducted 24 semistructured interviews including (14) unhoused Indigenous people and (10) members of their MHT in 2021. The study consisted of two phases beginning with identifying study and interview questions through a participatory evaluation process. During the second phase, interviews were conducted and recorded by researcher. Coding assistance by the research team supported heuristic content analysis. An integrated healthcare provider's cultural understanding of a client emerged as a fundamental tenant for a client to experience a sense of belonging on their MHT. Seventy-two significant statements were identified, two themes were acquired, structured into three categories, and synthesized into eight codes: cultural understanding, sense of belonging, focusing, strengths, listen, communication, informed, and intraorganizational systems. Ethical distress contributed to escalated crises and prevention barriers while MHT cohesion enhanced the capacity to support a client's success. Participant experiences shaped theoretical integration of the relational-cultural theory, motivational interviewing, and the Community Resiliency Model prevention process model to improve MHT safety planning. The implications for integrated healthcare and housing policy are to increase multilevel support for organizations to sustain MHT cohesion and maintain intraorganizational systems. Public Health Significance StatementThis study addresses the problem of health disparities among unhoused Indigenous peoples with focus on reducing safety incidents in community behavioral health settings. The integration of relational and somatic clinical models expands on trauma-informed care to further the paradigm shift from a deficit model to an emphasis on resilience and healing in recovery. Public health implications are identified on the interpersonal, multidisciplinary, organizational, and structural policy and practice levels.

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Section: Discussion and Implications For Policymentioning

confidence: 99%

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

Section: A Comprehensive Safety Strategymentioning

confidence: 99%

See 3 more Smart Citations

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

Stanley

2023

Journal of Psychotherapy Integration

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Pilot Study of a Resiliency Based and Trauma Informed Intervention for Veterans

Baek,

Freeman,

Truong

et al. 2024

Trauma Care

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Over 50% of the 21 million veterans in the U.S. with behavioral health challenges are not having their needs met due to stigma and other barriers to care. Resiliency-based models focused on strengthening protective factors to help individuals adapt to adversity in community-based settings, that can be delivered by trained lay persons, are emerging approaches to help address this issue. This longitudinal pilot study evaluated the impact of one such evidenced-based intervention, the Community Resiliency Model (CRM), on veterans’ behavioral health and daily functioning. A sample of 46 English-speaking, ethnically diverse veterans were recruited for this study. Repeated measure analyses showed that CRM skills significantly decreased distress and increased well-being. We also found strong short-term results for measures of daily functioning with a significant longer-term impact on participants’ ability to control their feelings of being ‘amped up’. Most (82%) participants maintained and continued to use the CRM skills daily to weekly and had very positive reactions to the program. Across our analyses, the results of this pilot study suggest that providing CRM trainings to veterans is a feasible, efficacious, and well-received approach to help address much-needed veteran behavioral health.

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Trauma Defined

Cited by 2 publications

References 0 publications

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

A relational ecology for crisis prevention among unhoused indigenous peoples in Albuquerque.

Pilot Study of a Resiliency Based and Trauma Informed Intervention for Veterans

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