Adults traumatized by child abuse: What survivors need from community-based mental health professionals

Harper, Kim; Stalker, Carol; Palmer, Sally; Gadbois, Sue

doi:10.1080/09638230701498366

Cited by 19 publications

(10 citation statements)

References 30 publications

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“…Overcoming patient ambivalence for trauma processing and having a safe and trusting environment during treatment was discussed by Shearing and colleagues [ 35 ], who investigated patient views on reliving the trauma as part of their PTSD treatment. Of interest, the results of this study were similar to that of other studies which included treatments with a stabilisation phase or as part of a group program, suggesting that the same treatment components and difficulties exist regardless of the inclusion of a phase-based approach [ 36 , 37 ]. One argument for phase-based treatments is that they help reduce patients’ fears and promote their receptivity to trauma processing [ 38 ].…”

Section: Discussionsupporting

confidence: 77%

Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma

Haan

Lee

Correia

et al. 2021

JCM

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This study aimed to explore patients’ and therapists’ experiences with trauma-focused treatments in patients with posttraumatic stress disorder from childhood trauma (Ch-PTSD). Semi-structured interviews were conducted with patients (n = 44) and therapists (n = 16) from an international multicentre randomised clinical trial comparing two trauma-focused treatments (IREM), imagery rescripting and eye movement and desensitisation (EMDR). Thematic analysis was used to identify key themes within the data. Patients and therapists commented about the process of therapy. The themes that emerged from these comments included the importance of the patients’ willingness to engage and commit to the treatment process; the importance and difficulty of the trauma work, observations of how the trauma focused therapy produced changes in insight, and sense of self and empowerment for the future. In addition, therapists made suggestions for optimising the therapist role in the trauma-focused treatment. This included the importance of having confidence in their own ability, confronting their own and their client’s avoidance and the necessity and difficulties of adhering to the treatment protocols. These reported experiences add further support to the idea that trauma-focused treatments, without a stabilisation phase, can be tolerated and deepens our understanding of how to make this palatable for individuals with Ch-PTSD.

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Section: Discussionsupporting

confidence: 77%

Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma

Haan

Lee

Correia

et al. 2021

JCM

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“…Both have been identified as key desirable outcomes in the treatment of trauma (Pfeiffer et al, 2014;Snedden, 2012). Studies have suggested that without continued community support and a trauma-informed approach to IJOT 48,1 recovery, the benefits of resource-intensive trauma treatment programmes may not be effectively retained in the long term (Felitti and Anda, 2010;Harper et al, 2006Harper et al, , 2008Parker et al, 2007). Parker et al (2007) shed light on this potential, which lies beyond the amelioration of traumatic stress symptoms.…”

Section: Implications For Practicementioning

confidence: 99%

“…Despite this, providing ongoing community therapeutic support, including a spiritual/meaning-making component (Harper et al, 2006;Parker et al, 2007), may be areas worthy of exploration by occupational therapy. These are themes which resonate with the profession's inherent philosophy and practice (Harper et al, 2006(Harper et al, , 2008. Occupational therapy resources, such as the Canadian model of occupational performance and engagement (Townsend and Polatajko, 2007), which are person-centred and inclusive of a "spiritual meaning making" component may provide the supportive framework upon which to base investigation and practice in the future.…”

Section: Implications For Practicementioning

confidence: 99%

Sensory-based interventions with adult and adolescent trauma survivors

McGreevy

Boland

2020

IJOT

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Purpose An emerging evidence base, and increased awareness of the effects of trauma on the body, advocates a sensory-based approach to treatment with posttraumatic stress and complex trauma survivors. This paper aims to identify, analyse and summarise the empirical evidence for the sensory-based interventions, which occupational therapists are using in the treatment of adult and adolescent trauma survivors. Design/methodology/approach An integrative review of the literature was undertaken. Both empirical and conceptual papers were included. An inductive approach and constant comparative method were used to understand and synthesise the research. Findings The literature search yielded 18 papers describing the types of sensory-based interventions used, sensory processing (SP) patterns and the context and evidence for sensory-based occupational therapy practice with trauma survivors. Nine of the studies were empirical and nine were conceptual and review papers. Themes identified included: atypical SP patterns; type of sensory-based intervention used with trauma survivors; and transdisciplinary treatment programmes can reduce the symptoms of trauma. Practical implications Sensory-based interventions with adult and adolescent trauma survivors are emerging as promising areas of practice and research in the literature. Although empirical data is limited, the sensory needs of the body in processing trauma experiences is becoming more recognised and are supported by the atypical SP patterns identified in survivors. A sensory-based, transdisciplinary approach to treatment has the potential to be effective in treating the trauma survivor. Originality/value With a skill base in sensory integration and occupational analysis, occupational therapists have much to offer the field of trauma studies. This review begins to address the gap in the literature, recommending more rigorous controlled outcome research with larger sample sizes, person-centred studies focussing on the trauma survivor’s perspective and continuing professional development and mentorship for occupational therapists working with this population.

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“…2005), treatment, and recovery (Harper et al . 2008; SAMSHA 2014). Trauma Informed Care (TIC) is an approach to service delivery, which requires clinicians and organizations to consider that all individuals who access their services may have experienced trauma and that experiences of mental illness and treatment can also be traumatic (Bateman et al .…”

Section: Introductionmentioning

confidence: 99%

“…Trauma is a broad term used to encompass adversity, toxic stress or exposure to harmful events, acts, experiences, or dynamics. Trauma is known to be highly prevalent in the lives of people who access mental health services (Cusack et al 2006;Mueser et al 2004) with exposure to trauma understood to impact upon lifetime health (Anda et al 2006;Felitti et al 1998), as well as experiences of mental illness (Brand et al 2017;Read et al 2005), treatment, and recovery (Harper et al 2008;SAMSHA 2014). Trauma Informed Care (TIC) is an approach to service delivery, which requires clinicians and organizations to consider that all individuals who access their services may have experienced trauma and that experiences of mental illness and treatment can also be traumatic (Bateman et al 2013;Harris & Fallot 2001;Isobel & Edwards 2017).…”

Section: Introductionmentioning

confidence: 99%

What is needed for Trauma Informed Mental Health Services in Australia? Perspectives of clinicians and managers

Isobel

Wilson

Gill

et al. 2020

Int J Mental Health Nurs

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Trauma Informed Care is an approach to the delivery of mental health care that requires sensitivity to the prevalence and effects of trauma in the lives of people accessing services. While TIC is increasingly emphasized in mental health policy and frameworks in Australia, people working in mental health settings have reportedly struggled to translate the values and principles into their everyday practice. This qualitative study used an experience‐based co‐design methodology to explore the potential for implementation of Trauma Informed Care into mental health services in Australia. The experiences of consumers, carers, clinicians, and managers were gathered. This paper presents the perspectives of clinicians (n = 64) and senior managers (n = 9) from across three Local Health Districts in New South Wales in Australia. All data were analysed thematically to address the research question: What is needed for Trauma Informed Mental Health Services in Australia? To be trauma‐informed, managers required: leadership at all levels, access to resource, relevant and accessible training, support for staff, resolution of wider systems issues, and clarification of the concept and actions of TIC. Clinicians identified that to be trauma‐informed they required services to: be aware of staff well‐being, support different ways of working, address workplace cultures and provide increased resources. The findings have implications for any service, team or individual seeking to implement TIC within mental health settings.

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Adults traumatized by child abuse: What survivors need from community-based mental health professionals

Cited by 19 publications

References 30 publications

Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma

Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma

Sensory-based interventions with adult and adolescent trauma survivors

What is needed for Trauma Informed Mental Health Services in Australia? Perspectives of clinicians and managers

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