Psychological trauma in professionals working with traumatised children

Ireland, Carol A.; Huxley, Siona

doi:10.1108/jfp-10-2017-0045

Cited by 10 publications

(7 citation statements)

References 16 publications

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“…Those with a higher proportion of traumatized clients or more time spent with trauma survivors may be at greater risk for experiencing these difficulties (Hensel et al 2015 ). Although numerous empirical studies have documented the nature, prevalence, and impact of the stressors experienced by mental health clinicians working with trauma survivors (Bride 2007 ; Creamer and Liddle 2005 ; Cunningham 2003 ; Hamama 2012 ; Ireland and Huxley 2018 ), a systematic review of the empirical literature found minimal research on interventions designed to prevent and/or ameliorate the stressful effects of this work on the clinicians delivering therapy to this vulnerable population (Bercier and Maynard 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Disseminating Trauma-Focused Cognitive Behavioral Therapy with a Systematic Self-care Approach to Addressing Secondary Traumatic Stress: PRACTICE What You Preach

Deblinger

Pollio

Cooper

et al. 2020

Community Ment Health J

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This pilot study evaluated the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training programs augmented with a systematic “PRACTICE What You Preach” (PWYP) self-care focus, which has trainees personally utilize the coping skills they teach their clients. Participants were 115 clinicians/supervisors who completed a PWYP TF-CBT training program. Pre- to post-training analyses documented significant increases in participants’ competency and fidelity in implementing TF-CBT (ps < .001), significantly more frequent use of coping skills including instrumental social support (p < .01), active coping (p < .001), humor (p < .01), and restraint (p < .01), and significant decreases in secondary traumatic stress (STS; p < .001). Children’s symptoms of PTSD (ps < .001) and behavior problems (p < .05) also decreased significantly. This preliminary evidence suggests that training augmented with PWYP may enhance clinicians’/supervisors’ personal coping and reduce their levels of STS without compromising treatment implementation efforts and client outcomes.

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Section: Introductionmentioning

confidence: 99%

Disseminating Trauma-Focused Cognitive Behavioral Therapy with a Systematic Self-care Approach to Addressing Secondary Traumatic Stress: PRACTICE What You Preach

Deblinger

Pollio

Cooper

et al. 2020

Community Ment Health J

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“…Professionals should be supported to take regular breaks between their clients and use this time to process this material. Not exceeding the hours of work and ensuring a work-life balance is vital for professionals to avoid the impact of ongoing vicarious exposure to trauma and promote growth ( Ireland & Huxley, 2018 ). These are important characteristics that all organisations could consider, particularly at a time when meeting the growing demand on mental health services may compromise the level of commitment to professional well-being.…”

Section: Discussionmentioning

confidence: 99%

Vicarious Post-traumatic Growth in Professionals Exposed to Traumatogenic Material: A Systematic Literature Review

Tsirimokou

Kloess

Dhinse

2022

Trauma, Violence, & Abuse

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Repeated exposure to traumatogenic material as part of work with traumatised individuals can have detrimental effects on professionals’ well-being. Growing research has explored this phenomenon, known as ‘vicarious traumatisation’. Nevertheless, little research has focused on the positive effects of this work on professionals, namely, ‘vicarious post-traumatic growth’. This literature review aims to identify existing research demonstrating mental health professionals’ experiences of growth, along with environmental and personal factors that facilitate this growth. Eight qualitative and seven quantitative articles were identified following a systematic search of six electronic databases and assessed for their quality using standardised checklists. Qualitative studies were assessed using the Quality Appraisal Checklist for Qualitative Studies (NICE, 2012), and quantitative studies were assessed using the Appraisal Tool for Cross-Sectional Studies (Downes et al., 2016). Professionals described changes in the way they view themselves, the value they place on their relationships and their appreciation for life. Important organisational factors and personal traits were identified as significant predictors for professionals’ growth. Our findings have the potential to inform practical recommendations and directions for future research.

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“…The pertinence of this issue is increased, considering the current support for trauma-informed approaches that promote awareness of power imbalances in caring relationships (Johnstone, et al 2018;Cleary & Hungerford, 2015;Bateman, Henderson, & Kezelman, 2013). An understanding of team psychodynamics is therefore needed, to support relational ways of working with Individuals accessing services and to promote better care outcomes, particularly with those Individuals experiencing crisis or who are considered 'stuck' in treatment (Huxley & Ireland, 2018).…”

Section: Introductionmentioning

confidence: 99%

‘It's not you; it's us!’: the relevance of mental health team psychodynamics to the care of individuals with complex emotional needs

Haslam

Ellis²,

Plumridge

2022

British Journal of Mental Health Nursing

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As the support for trauma-informed approaches and awareness of the power imbalances within the caring relationship are increased, this article proposes that it is time to revisit the issue of team dynamics and their potential impact on responses to individuals with complex emotional needs. Considered through the dual lens of psychodynamic theory and complexity, and using the role of the psychiatric liaison nurse to illustrate points made, it is argued that mental health teams have the potential to experience intense emotions and anxieties that arise from systemic conflict, reflecting the inner experience of individuals to whom they deliver care. Where these anxieties are not contained and remain unresolved, teams may resort to using primary defence mechanisms to protect themselves, potentially leading to invalidating responses and care that is retraumatising. Recommendations to enhance team effectiveness and to mitigate the potential preventable harms that might occur because of team dynamics are discussed.

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Psychological trauma in professionals working with traumatised children

Cited by 10 publications

References 16 publications

Disseminating Trauma-Focused Cognitive Behavioral Therapy with a Systematic Self-care Approach to Addressing Secondary Traumatic Stress: PRACTICE What You Preach

Disseminating Trauma-Focused Cognitive Behavioral Therapy with a Systematic Self-care Approach to Addressing Secondary Traumatic Stress: PRACTICE What You Preach

Vicarious Post-traumatic Growth in Professionals Exposed to Traumatogenic Material: A Systematic Literature Review

‘It's not you; it's us!’: the relevance of mental health team psychodynamics to the care of individuals with complex emotional needs

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