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Complex Trauma

You need to understand the scenario before starting the activity thoroughly.

Additional scenarioPeter was five when his mother died due to a heart attack, and after two years, his father got married, and his stepmother and his son moved in with them. Peter was close to his father, but his stepmother did not like it, so she convinced his father and sent him to the boarding school where he was sexually abused and got bullied by his schoolmates. When he came back one summer to house, his step-brother accused Peter of stealing in front of his friends and their parents. Peter was so ashamed of this incident he locked himself in the room for two days, and his friend’s parents no further let their children play with Peter.

After this whole incident, Peter father called him back home and started spending more time with him by going out together fishing and doing the activities which he liked. But his stepmother did not like it, and she used to hurt him when his father was not around, torture Peter and scare him to send him back to boarding school if he complained about this to his father.

But his father didn’t realise that despite this sharing of activities and the feelings of closeness, he was dismissive in regard to Peter’s psychological trauma and his stepmother behaviour towards Peter.

Peter is good at his studies, but after all incidents, he has intense mistrust that made him physically aggressive and verbally abusive towards the teacher and students in the school. One of his teachers, Miss Alex, has known Peter from the age of 1 as she lives next door and she finds this behaviour of Peter not normal for him, and she has also noticed a few marks on his hands and on asking Peter he became scared and started crying, so she raised the concern with the school principal, as Peter is not ready to speak up about the marks and his father is not contactable over the phone as he is away and Miss. Alex have a doubt on his stepmother for the marks.

Your taskIn this activity, you will act as a caseworker, and you are responsible for providing trauma-informed care to Peter. For this purpose, you are required to conduct a meeting with Peter to understand the impact of trauma on Peter and assist him in developing strategies to address his specific trauma needs.

You are required to perform the following tasks:

·         Apply practice based on trauma-informed care principles and perspective

·         Provide the client with a safe environment by promoting trustworthiness & transparency by developing strong relationships

·         Use effective communication strategies and be culturally and age-sensitive

·         Emphasis on non-judgmental, compassionate responses to disclosures of past and current trauma or abuse

·         Validate the emotional reactions of the person that signifies the understanding of the impacts of trauma

·         Recognize the person’s strengths and resilience

·         Identify the impact of the trauma on the person mental health development

·         Identify any triggers or flashbacks that person faces

·         Determine the potential for and causes of re-traumatization, in particular in accessing or receiving services

·         Identify and address barriers in the trauma care process

·         Assist consumers in identifying their issues and preferred options to manage the impact of trauma

·         Develop different strategies to cope with and manage the impact of trauma by identifying the person-specific needs

·         Determine the capability of the service to respond to people’s trauma issues

·         Develop strategies to eliminate, minimize and/or manage the impact of triggers to traumatization and re-traumatization.

·         Provide the client with an opportunity of choice

·         Provide support to the client in developing skills and knowledge by providing them information on a range of services and available support options

·         Follow appropriate procedures to assess the options of bringing in specialist support and/or appropriate referral (refer to policy manual)

·         Obtain consent from the customer to share information with the specialist

·         Develop individual support plans by integrating the impact of trauma

You will be required to complete. You need to complete the role play based on the above-provided instructions and complete the templates provided below. Where the information is not provided to complete the template, you can use the information provided by your participant in the role play.

Submit the completed template to your Trainer/Assessor

Your Trainer/Assessor will observe your performance and complete the following performance checklist.

TimeframeYou are required to complete this activity in 15 to 20 min.

 

 

 

 

Template: Individual Support Plan
The answers are given below:
Surname:Latin
Given Names:Peter
Date of Birth:08-06-2018
 
   

Religion:Jewish fisherman
GP:Dr. Karnil
Psychiatric:Dr. messy
 
   Diagnosis:Impact of trauma
   Allergies:No allergies
Other support involved The Counsellor
 
CommunicationYNOral HygieneYN
Good HearingY Own teethY 
Good VisionY Dentures N
Clear Speech NAssistance required N
Good Comprehension NSpecify:To obviously designation approximately or municipal a specific feature of peter.
Aids Required: essential for homebased maintenance, and necessity for nourishing sustenance.
MobilityYNIf assistance required, specifyN/A
Self-governingY 
Reliant on N
NutritionYNAssistance required to eat and drink YN
LikesAdditional berries – nuts, berries, yogurt

Dough, drink, rice saucers

Cultural dishes – consommé

Assistance required N
DislikesPumpkin vine, brunetteSet up N
Normal diety Cut up N
Special diet N 

Adaptive aids required:

Creation, facility, expedient, apparatus, adapted or personalized, and intensification (Bishu, et al.,2014).

 

If yes, specify:

Essential Individual Brothers Lawful Essences. No lobsters. No ham or ham foodstuffs. Determination Brothers Mealtimescountingdough on Saturday rendering to confidence.

Long-term Goal:

Towards developed a self-governing individual and converted into a specialist (Fite, et al.,2017)

Area of Service Goals Related Tasks Consent (Y or N) Responsibility Timeframe
InstructionserviceTowards registration inspinninglecture-Becomeagendas

-Organize Conveyance

YCaseworker and the peterContinuing
Domestic ServiceRetreat adjacent to ancestor-Establish and timetable childcare programs for ancestorY

 

 

Peter and fatherConstant
Well-beingserviceVacation vigorous and workout frequently-perceivePsychoanalystdoublein a workweek

Admission the gymnasium

 

Y

 

 

The Peter

 

Continuing

Caseworker signature-                                                                                       Date – 03-04-2022

 

Client Signature-                                                                                                        Date – 05-04-2022

 

 

Role Play

 

Date – 03/04/2022

Time – 10:00 am

Duration – 15 min

Agenda – Assist Peter to cover the trauma.

Attendees – Caseworker and Peter

Venue-Conference Hall

Caseworker – good morning, Peter.

Peter – good morning, sir.

Caseworker – Today, I conduct the meeting to provide information related to the impact of the trauma and also provide solutions to overcome the impact of the trauma.

Peter – ok, sir. I also want to know this information in detail.

Manager – There are some impacts that trauma that I need to inform you such as

1. The first initial reaction that is caused by trauma is confusion, anxiety, and exhaustion.

2. The agitation also occurs in the case of trauma.

3. Person can start judging people so deeply without any guilt.

4. In the case of trauma, a person starts spending time alone without communication and disturbance because he feels that another person will harm him.

5. In case of trauma, a person experiences a nightmare due to which person can start feeling that it will happen in the future with him.

6. guilt, anger, and sadness are the type of feeling that person feel or experience in the case of trauma.

7. The numbness is also experienced by the trauma patient.

8. The physical symptoms that happen with the trauma patient is sweating, fatigue, headache, racing heart, digestive symptoms, and feeling jumpy.

Peter – I also feel this type of symptom in my routine life.

Manager – oh really.

Peter – yes, sir. I want to know their cure for trauma and how to overcome this disease.

Manager – yes, there are some cures that are involved in the therapy of the trauma such as

1. Initially, we start the counselling process in which we ask some questions related to symptoms that you currently feel to suggest the best therapy to stop your disease.

2. The combination of medication and psychotherapy involve in the treatment of the trauma.

3. We also start the CPT (cognitive processing therapy) which helps the trauma patient by providing a way to think the things in a new way.

4. We also conduct the motivational session in which we encourage the patient to upgrade their standard of living and communicate with the other person without judging them deeply.

5. To improve the lifestyle of the trauma patient, we will conduct some yoga or exercise sessions to improve the physical as well as mental health of the trauma patient.

6. We recommend the trauma patient not drink alcohol or drugs and involve in enjoyable activity which helps in removing stress from the mind.

Peter – Ok, sir.

Thank you

Have a nice day

 

 

Activity 2: Facilitate and support referral needs

 

 

Additional scenarioPeter has provided you consent to involve the specialist to manage his trauma needs. Now you are required to contact the specialist provide a referral for Peter, and share relevant information with the specialist to assist Peter to manage the impact of trauma.
Your taskIn this activity, you will act as a Peter Caseworker, and you are required to send an e-mail and organise Peter specialist as per the discussion held in activity 1. You are required to discuss with the specialist Peter trauma needs as per consent provided by Peter in activity 1 and support the specialist in providing all the relevant information.

One of your classmates will act as the specialist to whom you are required to send an e-mail for the referral. He/she will also respond back to you with their e-mail with the confirmation of the referral received.

You will be required to complete. You need to write an e-mail as per the task instructions and submit it to your Trainer/Assessor.

Your Trainer/Assessor will observe your performance and complete the following performance checklist.

 

 

Template- E-mail
To: specialist@au.in
Cc:Manager@au.in
Bcc:
Subject: To interconnect with the specialist to provide a reference for the Peter.
Date e-mail is sent:  03-04-2022
Attachments: It includes emerging in behaviour to confirm the immediacy of an upkeep contributor in period of anxiety.
Hello

I optimism that you are undertaking healthy and glowing. It is including developing in performance to authorize the imminence of a maintenance sponsor in period of nervousness.

Gratify Discovery the devoted recommendation for Peter through the devoted plan by all applicable material for Peter.

Delight Similarly Occupancy me distinguish once determination be bright to quarterthe Peter.

Uncertainty you consume any queries or anxieties, satisfy and please sensation permitted to interaction with me.

Caringaffections

Caseworker

 

 

 

 

Activity 3: Follow up with specialist

 

 

Your taskIn this activity, you will act as a Peter Caseworker, and you are required to send an e-mail and follow up with the Peter specialist. You are required to ask how Peter is doing and if any assistance is required from your side.

One of your classmates will act as the specialist to whom you are required to send an e-mail for the follow-up. He/she will also respond back to you with their e-mail with your follow up enquiry.

You will be required to complete. You need to write an e-mail as per the task instructions and submit it to your Trainer/Assessor.

Your Trainer/Assessor will observe your performance and complete the following performance checklist.

 

Template- E-mail
To: specialist@au.in
Cc:Manager@au.in
Bcc:
Subject: To enquire how Peter is undertaking and if any support is obligatory from your adjacent.
Date e-mail is sent: 03-04-2022
Attachments: mandatory to direct contact and survey up with the Peter professional.
Hello

I expectation you are taken responsibility fine. I just want to enquire that how peter is undertaking the responsibility.

So, I just famine to survey up on in what way my consumer Peter is liability and if you necessitate any additional support from my adjacent

Uncertainty, if you consume any queries or anxieties, the satisfies texture and you are allowed to communication with me.

Caringesteems

Caseworker

 

 

 

Activity 4: Feedback

Part A

Your taskIn this activity, you will act as the caseworker. You are required to send an e-mail and gather feedback from Peter (your client) and one of your co-workers on the trauma-informed service practices and identify the key areas for improvement.

One of your classmates will play the role of the co-worker, and another classmate will act as Peter (your client). You are required to send them feedback e-mail, and they will reply back to you with their feedback.

You will be required to complete. You need to write an e-mail as per the task instructions and submit it to your Trainer/Assessor. You are also required to submit the feedback e-mail of your client and your co-worker to your Trainer/Assessor.

Your Trainer/Assessor will observe your performance and complete the following performance checklist.

 

Template- E-mail
To: peter@au.in
Cc:Manager@au.in
Bcc:
Subject: The trauma knowledgeable facility performs and classify the important extents for development.
Date e-mail is sent: 03-04-2022
Attachments: obligatory to direct an e-mail and fold response from Peter (your customer).
Hello

I anticipated you are responsibility glowing. Actually, I want to trauma knowledgeable facility performs and classify the important extents for the development.

Satisfy and deliver your appreciated feedback or response on the present facility repetition and agendas to recognize zones for development in the trauma well-informed repetition. Your response will be abundant esteemed.

Uncertainty you consume any queries or anxieties, gratifies sensation and feel free allowed to interaction with me.

Sympathetic respects

Caseworker

 

Template- E-mail
To: Specialist@au.in
Cc:Mnager@au.in
Bcc:
Subject: I escalate your response and that you consume occupied the period to express me.
Date e-mail is sent: 04-04-2022
Attachments: Feedback response to the manager or specialist.
Hello dear

I confidence all is undertaking good and decent and I conventional your mail of response. I really escalate it. Its Revenue Portion to me that you containoriginate to me deferentially and faith me with your viewpoint.

Thank you for the evaluation. I am regretful to perceive you had an annoying knowledge, but I actually escalate you transporting this subject to my courtesy.

I potential to you that I not ever over doing the similar error.

And if you consume any queries or anxieties, satisfy sensation allowed to interaction with me.

Caring respect

Peter

Part B

Your taskIn this activity, you will act as the caseworker. You are required to write a report based on the feedback received from Peter and your co-worker in part A on the current service practices and programs for trauma-informed practice and identify the key areas for improvement.

You are also required to reflect on your own practices and services.

You are required to include the following in your report:

·         Acknowledge the impact of trauma in the development of the individual support plans

·         Evaluate the feedback received from client and co-worker in Part A

·         Evaluate the current service practices and programs

·         Determine the service policies, procedures or practices that could possibly contribute to traumatisation and re-traumatisation (case study and policy manual)

·         Reflect on your own practices and services

You will be required to complete. You need to write a report as per the task instructions and submit it to your Trainer/Assessor.

Your Trainer/Assessor will observe your performance and complete the following performance checklist.

 

Template: Report
Evaluate the feedback received from client and co-worker in Part A
The feedback is received from the client peter, the presentfacilityrepetitions and agendas for trauma informed perform as exerciseoperate in trauma-specific conductmethods, attractivetogether the affected role and suitable partner administrationsinside the conductprocedure. The importantexpanses of development are the periodorganisation, association, skirmish resolution, printedstatement, and clientfacility is compulsory as well. A clientfacilitydatabase solemnizes the equal of clientfacility you goal to deliver, and what appliedbelongingsyourdeterminationdoes to attain this. Founding a fruitfulconsumerfacilitysequencer in your business needsobligation from by hand and youoperate members (Croker,et al.,2012).
Evaluate the current service practices and programs
The existingfacilitiesperforms and agendas are appraising by involve the shareholders, comprehend the possessions, enterprise the assessment, mature an assessmentstrategy when scheming the provision, continuously be strongaround what is existenceassessed. It comprises, if you achieve well in your occupation, you probably be indorsed to the followingequal of your group or association grading.  Appraisalapparatuses such as assessments and self-development strategies are calculated to estimateoperatepresentation and recognisethe training and exerciserequirements (Fixsen, et al.,2013).
Determine the service policies, procedures or practices that could possibly contribute to traumatisation and re-traumatisation
The managementformulates not consume a strongstrategy for knowledges of displaced. A condition, a boldness or anappearance, or by convincedsurroundings that reproduce the subtleties of the innovativedisturbance. Re-traumatisation is a cognisant or insensibleprompt of historical trauma that consequences in a reliving of the preliminary trauma happening. The protection, high-quality, association, dependability, and authorization. Safeguarding that the corporeal and expressivesecurity of aseparate is lectured is the significant stage to providing the trauma-informed care or the maintenance. Use attractive judgement interaction and optimistic body linguistic, ask exposed finished queries that response the who, once, anywhere and in what way of subjects existence discussed or deliberated. Circumvent the disturbances, Decision and annoying to solution belongings. Emphasis on the behaviour activities of the individual, not on the somebody.

The philosophies of the trauma-informed care or maintenance as the high-quality, partnership, and permission as glowing as admiration for assortment (McClain, et al.,2012).

Reflect on your own practices and services
Aristocrat Comment Permit Instructors to figure out their separate competence and progress a communal sympathetic of operative laboratory repetition. In the humblest method, thoughtful about or dazzling on what you prepare. Always listen and Attend to the response given, be conscious of your comebacks, be exposed prepared and vibrant, comprehend the communication continuously, reproduce or appraisal then resolve what to organize. Track or follow up to the consumers. Once appraising your own repetition, you need to contemplate how your individual performance has obstructed upon others and what you might do to progress. A unbend advanced technique of the reproduction is to have an involvement, then designate it, examine it, and also revision it them (Mavodza, et al.,2013).

 References

Fite, R. E., Lindeman, M. I., Rogers, A. P., Voyles, E., & Durik, A. M. (2017). Knowing oneself and long-term goal pursuit: Relations among self-concept clarity, conscientiousness, and grit. Personality and Individual Differences108, 191-194.

Bishu, S., Hernández-Santos, N., Simpson-Abelson, M. R., Huppler, A. R., Conti, H. R., Ghilardi, N., … & Gaffen, S. L. (2014). The adaptor CARD9 is required for adaptive but not innate immunity to oral mucosal Candida albicans infections. Infection and immunity82(3), 1173-1180.

Letourneau, N., Tryphonopoulos, P. D., Duffett-Leger, L., Stewart, M., Benzies, K., Dennis, C. L., & Joschko, J. (2012). Support intervention needs and preferences of fathers affected by postpartum depression. The Journal of perinatal & neonatal nursing26(1), 69-80.

Albert, S. T., & Shadmehr, R. (2016). The neural feedback response to error as a teaching signal for the motor learning system. Journal of Neuroscience36(17), 4832-4845.

Fixsen, D., Blase, K., Metz, A., & Van Dyke, M. (2013). Statewide implementation of evidence-based programs. Exceptional children79(2), 213-230.

Croker, H., Lucas, R., & Wardle, J. (2012). Cluster-randomised trial to evaluate the ‘Change for Life’mass media/social marketing campaign in the UK. BMC Public Health12(1), 1-14.

McClain, M. C., & Pfeiffer, S. (2012). Identification of gifted students in the United States today: A look at state definitions, policies, and practices. Journal of Applied School Psychology28(1), 59-88.

Mavodza, J. (2013). The impact of cloud computing on the future of academic library practices and services. New Library World.

Desley, V., Laurie, B., & Peter, M. (2013). The effectiveness of energy feedback for conservation and peak demand: a literature review. Open Journal of Energy Efficiency2013.

Gozzer-Wuest, R., Alonso-Población, E., & Tingley, G. A. (2021). Identifying priority areas for improvement in Peruvian Fisheries. Marine Policy129, 104545.

 

 

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