Trauma‐informed or trauma‐denied: Principles and implementation of trauma‐informed services for women

Abstract

ⅢIn this article, we attempt to bridge the gap between practice (service delivery) and philosophy (trauma theory, empowerment, and relational theory)

Caring for the Trafficked Patient: Ethical Challenges and Recommendations for Health Care Professionals

“…For a number of reasons, trafficked persons are highly unlikely to disclose their situation when accessing health care [5,8,9,11,[14][15][16]. Aggressive attempts to confirm a suspicion about trafficking and obtain an admission or disclosure can be psychologically harmful for the trafficked person, potentially triggering intense stress, anxiety, and fear [14,17]. This would seem to be especially true when disclosures are unwittingly pursued by a clinician in the presence of the trafficker.…”

“…This would seem to be especially true when disclosures are unwittingly pursued by a clinician in the presence of the trafficker. Similarly, probing for the details of an admitted or disclosed trafficking situation can be retraumatizing, possibly provoking physical and psychological distress as past trauma is re-experienced in the present and thus should be restricted to obtaining the minimum amount of information needed for guiding clinical decisions [17]. For example, following an adolescent girl's disclosure of being sex trafficked, a clinician's curiosity about the total number of men she has been forced to service will not change the decision to file a legal report of child maltreatment and provide prophylactic treatment for STIs but could distress the patient if asked.…”

Taking Up the Mantle of Human Trafficking Education: Who Should Be Responsible?

“…Physicians should also have the ability to provide trauma-informed care, which emphasizes nonjudgmental language, privacy, and confidentiality to develop trust, with the understanding that traumatic events are often linked to overall health [11][12][13][14][15][16]. In this way, each graduating medical student will be prepared to recognize and respond to human trafficking.…”

Integrating a Trauma-Informed Care Perspective in Baccalaureate Social Work Education: Guiding Principles

“…et al, 2008), in-patient psychiatric settings (Azeem, Aujla, Rammerth, Binsfeld, & Jones, 2011;Huckshorn, 2004;Regan, 2010), with inmates (Levenson, Willis, & Prescott, 2014), and the homeless (Hopper, Bassuk, & Olivet, 2009;McKenzie-Mohr, Coates, & McLeod, 2012). Generally, in trauma-informed care settings, staff a) assess for and understand the impact of trauma on their clients, b) provide clients the knowledge and skills needed for recovery, and c) actively address treatment barriers and service delivery practices that may lead to potential re-traumatization (Elliott, Bjelajac, Fallot, Markoff, & Reed, 2005;Gatz et al, 2007). Depending on the specific needs of the client population, staff may be trained in how to establish and maintain safety and therapeutic relationships, de-escalation techniques, and strengths and empowerment models of client-care and case management (Azeem et al, 2011;Borckardt et al, 2011;Elliott et al, 2005).…”

“…Allowing trauma survivors to have a voice in their own treatment and goal development will increase motivation to engage in services, which may result in better outcomes (Prescott et al, 2008). In instances where the social worker believed the client to be making a poor choice, every effort is made to understand the perspective of the client in addition to providing clarifying information in the hopes of reaching a mutual goal (Elliot et al, 2005).…”