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Trauma and Trauma Informed Care
Trauma
What is trauma?How prevalent is trauma ?How long does it last?Why should we be aware of it?
Most Important Health Research of the Decade
Kaiser Permanente and U.S. Centers for Prevention and Disease Control (CDC)
Correlated early life trauma to current health status.
Asked ten questions about adverse childhood events
What percentage of people had Childhood trauma? Abuse
1. emotional – recurrent threats, humiliation (11%)
2. physical - beating, not spanking (28%)
3. contact sexual abuse (28% women, 16% men; 22% overall)
Household dysfunction 1. mother treated violently (13%)
2. household member was alcoholic or drug user (27%)
3. household member was imprisoned (6%)
4. household member was chronically depressed, suicidal, mentally ill, or in psychiatric hospital (17%)
5. not raised by both biological parents (23%)
What percentage of people had Childhood trauma? Neglect
1. physical (10%)
2. emotional (15%)
Nevada County
65-70% of Nevada County residents have at least an ACE score of one
One in six have an ACE score of 4 or more
ACE score relationship to the leading causes of deathThe higher the ACE score the higher
likelihood of:Heart diseaseAny cancerStrokediabetes
ACE score relationship to the leading causes of death Emphysema Skeletal fractures Hepatitis / jaundice Premature births Obesity Smoking Alcoholism
ACE score of four or more
21% more likely to live in poverty39% more likely to be unemployed22% more likely not to have a personal
doctor
ACE Study conclusions
The greatest public health threat is child abuse
The effects of adverse childhood experiences are profound and enduring
ACE study does not take into account trauma occurring as an adult.
Trauma Informed Care
Hidden silent epidemicSurvivors have shame, suffer silentlyHow can we best serve this
population?
Trauma Informed Care
Kaiser study in decreasing emergency room visits for high ACE score clients
Sensitively asking and educating.
Post Traumatic Stress Disorder
Exposure to a traumatic event, response involved intense fear, helplessness or horror.
Intrusive thoughts, feelings Avoidance, numbness, feelings of detachment Increased arousal Effects mood, sense of foreshortened future
Trauma Triggers cause relapse or a fall back into a former state
Substance Abuse: sounds, smells, sights, feelings, etc. trigger cravings
Mental Health: Triggering events that brings about a symptom of PTSD
Trauma Informed Institution
Examine our physical layoutsExamine our data processesExamine staff knowledge of what
trauma looks like.
Trauma Triggers
Powerlessness, Trapped, something bigger is
controlling Antidote: Give voice and choiceAcknowledge the past pain
Rebecca [email protected]