SAMHSA’s six key principles for a trauma-informed approach to Trauma
SAMHSA’s six key principles for a trauma-informed approach to Trauma
Instructions:
Students will choose a specific type or aspect of trauma that interests them.
Using scholarly references, the paper will include a comprehensive overview of the type (or aspect) of trauma, a critical analysis of the biopsychosocial factors affecting trauma exposure and recovery, a brief discussion of the best practices for intervention, application of SAMHSA’s six key principles for a trauma-informed approach, and personal reflections.
Write the final paper using the following headings to structure your writing, and include references page.
SAMHSA’s six key principles for a trauma-informed approach to Trauma
Introduction – Briefly describe the focus and purpose of the paper. The introduction should give your reader an understanding of the dimension of trauma you will focus on, and the level of social work intervention you will address (1/2 page).
Overview of Trauma – Drawing from the professional literature, provide a detailed examination of the type and nature of the trauma, prevalence, specific characteristics, its impact across several domains (psychological, emotional, spiritual, etc.).
Describe any relevant DSM-5 or mental health diagnoses for a person exposed to this type of trauma, if appropriate (2-3 pages).
Biopsychosocial Factors- Discuss how the context of a person’s environment influences an individual or community’s exposure and response to this type of trauma.
Evaluate both risk and protective factors impacting one’s exposure to and response to trauma.
Include personal characteristics, as well as a discussion of any social, cultural and economic justice factors that may affect the client’s vulnerability to this trauma, the availability of and access to services, and any unique challenges in recovery (e.g., social class, gender, ethnicity, age, religion, etc.) (1 ½-2 pages).
Intervention/Core Trauma Competencies – Briefly review the professional literature on best practices for intervening with this type of trauma, whether micro and macro responses (1 page).
SAMHSA’s six key principles for a trauma-informed approach to Trauma
Discuss how a practitioner would apply SAMHSA’s six key principles in treating this type of trauma (safety, trustworthiness, collaboration, empowerment, peer support, culture, gender & historical issues). Be specific when describing the application of these principles in practice (2- 3 pages total).
Student should include a minimum of six (6) references from professional literature regarding best practices, including a minimum of three (3) peer-reviewed journals.
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Ivy, age 23, is a white woman who graduated from college last year. She began working as an accountant one month after graduating. Approximately two months ago, she moved into a two -bedroom apartment with another woman who works at the same accounting firm.
She states that her roommate recommended that she sees a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past nine months.
Case Study Questions – Anxiety Disorder
She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent.
Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” Ivy reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away.
She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance.
Case Study Questions – Anxiety Disorder
She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past four years without any adverse effects.
I started some already but I need help. Read the case study on generalized anxiety disorder (GAD) and answer the8 questions related to reading and other outside sources. I would like to try to keep what I have and my sources and just build from there. Do you think that will be OK?
Generalized Anxiety Disorder (GAD) is one of the mental health disorders set apart by a feeling of worry, fear, restlessness, or feeling of impending doom. According to the World Health Organization (WHO), 1 in 13 persons suffers from anxiety.
Case Study Questions – Anxiety Disorder
The WHO reports that anxiety disorders are the most common mental disorders worldwide with specific phobia, major depressive disorder, and social phobia being the most common anxiety disorders (WHO, 2021 ? find here >> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2174588/ ).
Anxiety can usually be self- diagnosable as with Ivy in this case study. Women, unlike men, are twice as likely to be affected with GAD (Woo & Robinson, 2020).
Just making it through a simple day causes anxiety and like with Ivy, the 6.8 million adults with GAD do not know how to stop the worry cycle and feel out of control or even things are beyond their control.
GAD can interfere with a person’s daily events and actives as with Ivy. For nine months Ivy has had trouble concentrating at work and now worries about her job security and performance (ADAA, 2021).
SSRIs can be used as the first-line medication for Ivy’s anxiety disorder. SSRIs cause more serotonin- 5-HT- in your brain to be available therefore improving anxiety as well as mood (Woo & Robinson, 2020).
Question 1. List specific treatment goals for Ivy. Treatment goals for Ivy include staying compliant with her new medication regime of SSRI- Lexapro 10 mg PO once daily, keeping follow-up appointments to assess and evaluate new medication responses and therapeutic outcomes, better sleep, increase quality in work performance.
Participate in psychotherapy (cognitive-behavioral/solution-focused) **For #1 need to include National guidelines for treatment plans and options- please look at US Preventive Services Task Force https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics
American Psychiatric Association Practice Guidelines
https://psychiatryonline.org › guidelines
American Psychiatric Association (APA) practice guidelines provide evidence-based recommendations for the assessment and treatment of psychiatric disorders.
Case Study Questions – Anxiety Disorder
Question 2. What drug therapy would you prescribe? Why? As mentioned before, SSRIs are used as the first-line medication with a new diagnosis of GAD with a safer and lower side-effect profile (Woo & Robinson, 2020).
I would start Ivy on Escitalopram (Lexapro) 10mg PO once daily, this dose may be increased after response, and tolerability is assessed to a maximum of 20mg once daily (Lexicomp, 2021).
Lexapro chemical action blocks the transport mechanism that helps return 5-HT that is unbound from returning into the presynaptic neuron therefore more 5-HT is increased and available for the brain to blind to the postsynaptic serotonin receptor.
This in turn can decrease symptoms of anxiety (Woo & Robinson, 2020). The effectiveness of the different SSRIs over each other measures the same with similar outcomes (Woo & Robinson, 2020) (Riley et al., 2009).
Question 3. What are the parameters for monitoring the success of the therapy?
Question 4. Describe specific patient monitoring based on the prescribed therapy.
Question 5. List one or two adverse reactions for the selected agent that would cause you to change therapy. Look and read UpToDate and Lexicomp under Escitalopram (Lexapro)
Question 6. What would be the choice for second-line therapy? According to Lexicomp Zoloft would be the second-line medication for Ivy.
Question 7. What dietary and lifestyle changes should be recommended for this patient? According to Woo & Robinson (2020) exercise (no matter the person’s intensity) can be a constrictive part in reducing the symptoms of anxiety.
Exercises such as brisk walks, yoga, and meditation can be helpful for Ivy’s treatment. Cognitive-behavioral therapy (CBT) can also be beneficial to the person with GAD as well as Ivy’s boyfriend or even her roommate.
Case Study Questions – Anxiety Disorder
CBT uses psych-social interventions aimed to improve anxiety by drawing focuses on changing cognitive distortion such as thoughts, beliefs, and attitudes as well as managing coping strategies that target personal problem solving and enhancing overall wellbeing (Menzies, et al., 2016).
Alcohol consumption should be avoided for Ivy. Alcohol can enhance the side effects causing increased psychomotor impairment[UptoDate,2021].
Question 8. Describe one or two drug-drug or drug-food interactions for the selected agent.
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How to Deal with or Avoid Bias in Counseling (Support with APA resources no websites and include the attached document as one of the resources)
Answer the following:
Explain how biases affect a counselor and his/her work with clients?
What does research recommend to avoid or deal with the counselor’s biases?
Provide at least one bias that is common counselors?As a result, you decide that the product will do well, and you launch it, backed by a major marketing campaign. However, the product fails. The market hasn’t expanded, so there are fewer customers than you expected.
Personality Traits and Disorders Test Assignment Click here to enter the test
Remember that your personality traits (whether you follow the Five-Factor Model, the Cattell’s 16 factors, or Eysenck’s three) are relatively stable predispositions to behave or react in certain ways. However, when the pattern of traits for an individual become inflexible, and maladaptive, and have become stable patterns in their thoughts, emotions, and behaviors over time and across situations then they have developed a Personality Disorder.
Personality Traits and Disorders Test Assignment
You will find more information about the disorders and changes in your textbook on pages 562-566. On the WAV Quiz, you will see questions about some of the 10 personality disorders. Therefore, in addition to your text reading, to help you become familiar with the category of the disorder known as the “Personality Disorders” you will take the “Personality Disorders Test” at http://www.4degreez.com/misc/personality_disorder_test.mv
In a Microsoft Word document write about your results taking care to include the following: (a) describe your personality on Two of the 10 disorders that show as moderate or high (if you don’t have two areas that score out as “high” or “moderate” then add to your paper following the directions below for those who do not have any elevations). (b) Give detailed descriptions of the personality disorders using the 4degreez site and your textbook Chapter 13. (c) consider ways in which the characteristics of each of the TWO disorders manifest in your personality, behavior, or thinking thus causing these elevations and use specific examples from your life to demonstrate the features in real situations.
Personality Traits and Disorders Test Assignment
If you do not have any elevations read the descriptions for the 10 personality disorders on the 4degreez site and pick TWO of the disorders that have traits you can relate to that you are surprised did not show with elevation when you took the assessment. In a Microsoft word document (a) describe the TWO personality disorders you relate to even if only on a few of the traits. (b) consider ways in which some or all of the characteristics of each of the TWO disorders manifest in your personality, behavior, or thinking although not pronounced enough to cause elevations and use specific examples from your life to demonstrate.
Mandatory Credentialing for Occupational Therapy What credentialing is required for practice in my chosen profession in the state of Louisiana? (Licensure? Certification? Registration? Other?)
Are those credentials mandatory or optional/voluntary?
Do those requirements/credentials vary from state to state or is there a national standard of credentialing for my profession?
(1) Identify the profession you researched (Occupational Therapy Assistant.
(2) Accurately identify the credentialing used in that profession in Louisiana and whether it is mandatory or voluntary
(3) Identify whether credentialing requirements are consistent in your profession from state to state or whether they vary.
(4) List the source(s) you used to find the information (websites, documents,, etc)
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Type a 300-word essay addressing the following topic and upload your submission by the deadline in the class calendar.
Your submission must be either in Microsoft Word format (.doc or .docx) or in portable document format (.pdf).
Correlations between Loneliness and Depression
Research conducted by Cacioppo and colleagues (described on page 300 in the textbook) suggests a relationship between loneliness and depression. The results of this study are correlational and do not demonstrate a cause-and-effect relationship. However, further research conducted by Cacioppo and Colleagues indicates that loneliness contributes to depression, not vice-versa. Based on what you have learned about correlations, what could be another explanation for the relationship between loneliness and depression? Specifically, describe a third variable that explains the relationship between loneliness and depression.
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Psychology ABA Design Essay Paper Explain the guidelines Ledford & Gast (2019) suggest using an A-B-A-B design.
Then provide a short discussion of internal and external validity issues for this specific design to include a discussion of the advantages and disadvantages of the design. Finally, identify a hypothetical target behavior (dependent variable) for change and a possible intervention (independent variable). The target behavior should be a behavior you want to increase and the intervention should be some form of reinforcement procedure (i.e., differential reinforcement). Provide a brief scenario and rationale for the behavior change plan. Make sure the behavior identified is measurable and observable.
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Social work law and policy Legal report and reflection.
ASSESSMENT 1: LEGAL REPORT AND REFLECTION.
Part A: Write a Social Work report, using a structured format and covering the issues you might include in a Legal Report to present to the court in support of John. (1200 words)
Part B: Write a reflection on the ethical considerations and social justice, human rights issues that were relevant in the writing of your social work report. (300 words)
Length and/or format: The word limit for this assignment is 1500 words (Part A: 1200 words plus
Part B: 300 words) (plus or minus 10%). Words over this limit will not be considered for marking. You must include on your cover sheet what the actual word count for your assignment. Please note that your reference list is not included in the word count.
Purpose: To demonstrate ability to structure a report for the court in support of client and reflect on inherent considerations of vulnerability and ethical perspectives
Remember
The Purpose of the report is to provide information to give the Registrar/Magistrate factual information about your client’s situation that can assist in coming to a decision in their favour.
The Content will vary depending on the expansion of sections that are particularly relevant, and possible deletion o
Assignment 1 Scenario
John is a 20-year-old youth who has been in jail for the past 2 years for breaking in and stealing. John comes from a dysfunctional family. He was 12 years old when his parents separated.
His father was an alcoholic, and his mother had schizophrenia. John was put in a foster home where he experienced abuse and family violence. John was very creative and capable of making good paintings. John started using ice when he was 17 years.
He developed psychosis due to the use of drugs and was referred to Mental Health Unit. John was charged for criminal offences of breaking in and stealing valuables such as wallet, money, credit card and jewelries.
John has an uncle Felix who runs an arts studio, and who had a good relationship with John when he was young. John’s uncle usually visits John while he was in the prison.
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Please see attached document for FULL instructions and links to resources.
LENGTH: 800 words is required! (Double space if you want, but word count should guide you.)
RESEARCH REQUIREMENT: 1 outside source plus the story The Things They Carried found in the book Wolff, Tobias.
The Vintage Book of Contemporary American Short Stories. New York: Vintage Contemporaries, 1994. Print. ISBN-10: 0679745130 ISBN-13: 978-0679745136. Use the text from the book to support your claim.
The outside source MUST be from the following:
The link below can be used for the outside source reference. Ctrl+click to open
Develop two or three insights and form them into a thesis (or main claim) about the story that is to be analyzed further. I want to use a theme of how mental burdens outweigh physical agony that people carry in war and how they carried the emotional baggage of each other. Fear, fantasy and responsibility outweigh the physical torture they deal with to stay alive.
Once a thesis is created, the topic sentences should repeat the same phrases that appear in the thesis statement.
If your topic sentences do not contain those three elements–restatement of the theme, statement of the paragraph’s main idea, and a transition–the essay is not “coherent”; in other words, the ideas are not logically related together. Including these items is also a way to ensure that the essay is analyzing the work instead of just summarizing the story.
There must be a thesis (or main claim) and several points that should be covered in the paper. For this paper, use Psychoanalysis, so that to explore the unconscious desires of the narrator and relate it to the current culture of how men handle the burdens of war.
CLOSE READING
Engaging in a “close reading” (Ctrl+Click to open link for info on close reading) is a significant component of this paper. Make sure you have a good understanding of the ENTIRE story. Focusing in on one aspect that is not supported by the rest of the text makes for poor criticism.
Assume the role of an academic, who takes into account the WHOLE text, and adjusts his/her criticism to support an integral part of that text. An academic explores, rather than reduces.
DO NOT tell me what the author meant or what the author is trying to tell us. That’s 19th Century criticism. Once Postmodernism hit, it wasn’t effective. (It would be like driving a Model T in the 21st century.
Cute, but LIMITING.) Also, couching an argument or analysis in terms of “what the author meant” has the unfortunate consequence of suggesting that there is one true meaning of the story — what the author meant. And, we want to come from the reader’s perspective.
Some information on Psychoanalytic Theory
Psychoanalytic Theory
(Please consider any links provided in this document as sources for the paper.)
With the growth of psychoanalysis, and the popularity of Freud’s body of work, theorists began taking an interest in the psychological state of the characters in fiction. Unlike some other schools of criticism, psychoanalytic criticism can exist along side any other critical method of interpretation.
Freud’s dynamic model, which he developed early in his career, and which puts forth the idea that the conscious and unconscious minds are separate, became a central discussion for character and author motivation.
This of course, puts forth that in fiction as in life, the unconscious governs a large part of our action. We store our fears, desires, ambitions, passions, irrational thought, in the unconscious.
Psychoanalytic critics also employ the Typographical Models about the human psyche. They apply the concepts of the id, superego and ego to both character types, and to discovering the overall character motivations of a more complex character.
Some fiction employs an id character as aìfoilî as in a movie like Wedding Crashers. Vince Vaughn is almost always the id, instinctual, an agent of our darkest wishes and deepest desires.
The link below can be used for an outside source reference