Download - Domestic Violence, Trauma and Mental Health
YE BEVERLY DU, M.D. , MPH.DONNA AMTSBERG, LCSW
OCTOBER 24 , 2014
Domestic Violence, Trauma and Mental Health
Today’s Agenda
TraumaTexas LawsTrauma through the Life CycleTrauma in AdulthoodTrauma and ProfessionalsStrategies & SolutionsQ & A
What experiences have you had in working with traumatized individuals?
Trauma
Trauma is defined as: “The result of an overwhelming amount of
stress that exceeds one's ability to cope or integrate the emotions involved with that experience”
Questions
What have your encounters been like with victims of intimate partner violence (IPV)?
What difficulties do healthcare providers face with victims of IPV?
Texas Laws
Texas Family Code, Title 5 and Code Section Family 261.001 et seq.: What Constitutes Abuse: Inflicting or failing to reasonably prevent others from
inflicting mental or emotional injury impairing child's growth, development, or psychological functioning; physical injury resulting in substantial harm, or which is at variance with explanation given; sexual abuse, exploitation, use of controlled substance resulting in mental or physical harm to child.
Mandatory Reporting Required By: "Professionals”, including teachers, nurses, doctors, day care employees, employees of state-licensed or certified organizations with direct contact with children, clergy, mental health professional, attorney, reproductive health clinic worker, any person.
Basis of Report of Abuse/Neglect: having cause to believe that a child's physical or mental health or welfare has been or may be adversely affected by abuse or neglect.
To Whom Reported: Texas Department of Protective and Regulatory Services 1-800-252-5400
Penalty for Failure to Report or False Reporting: Class B misdemeanor Physical injury resulting in substantial harm; mental or emotional injury; failure to prevent injury; harmful sexual conduct or pornography; failure to prevent use of controlled substance by child False report: Class A misdemeanor.
http://statelaws.findlaw.com/texas-law/texas-child-abuse-laws.html#sthash.ccsZ8qc4.dpuf
Know Your Code of Ethics
Case Example
Case Example – Child Trauma TF-CBT
Trauma Through the Life Cycle
Trauma in Adulthood
Case Example – Adult Trauma
Trauma in Adulthood
How have you witness trauma impact mental health? Depression Anxiety Isolation Repeated victimization or perpetration
Trauma in Adulthood
What are symptoms of psychological suffering due to IPV? PTSD: re-experiencing, hyper-arousal, avoidance Depression: mood, constitutional, despair/SI, self-
esteem Trust Anger Isolation Help rejection
Trauma and Professionals
What difficulties do healthcare providers face with victims of IPV? Helplessness Vicarious trauma Anger Guilt Rescue fantasies
Trauma and Professionals
Vicarious trauma can be thought of as:
The negative changes that happen to humanitarian workers over time as they witness other people’s suffering and need.
These negative changes are the cost of caring for and the caring about others who have been hurt.
Over time this process can lead to changes in your psychological, physical, and spiritual well-being.
Strategies and Solutions
Approaches to the client Validation Empowerment with options Non-judgment
Strategies and Solutions
How do you help clients seek mental health care? Gentle suggestion Persistent suggestion Offer options Expect it to take a long time Language of healing (rather than pathology)
Strategies & Solutions
Self Care Plans Physical care Psychological care Emotional care Spiritual care Relationship care Workplace / professional care Overall balance
Safety Planning Your self care plan is your safety plan
Q & A
What else would you like to discuss?
Thank You!