
A Treasure Box for Creating Trauma-Informed Organizations
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It shows you how to weave a deep understanding of trauma and adversity into the daily practice and the whole fabric of your organization. Every chapter features an array of colour photocopiable worksheets, downloadable materials, practical ideas, reflective questions, and exercises ready to use both individually and organizationally. Covering guidance on policies, recruitment, supervision, language, cultural humility, co-production, team meeting ideas, staff wellbeing and more, this is the ultimate treasure trove for getting your organization truly and meaningfully trauma-informed.
This resource is complemented by a host of other publications and card sets all created by Dr Treisman (search on 'Therapeutic Treasures Collection' to find them all!).
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Content
- Intro
- A Treasure Box for Creating Trauma-Informed Organizations
- Cover
- Volume 1
- Of related interest
- Title page
- Copyright
- Acknowledgements
- Contents
- List of figures
- List of worksheets
- Part 1: Individual and Organizational Trauma: What this Means and the Rationale for Change
- 1. The Key Elements of Trauma and its Impact
- 1.1. What this chapter covers
- 1.2. Definition of trauma and adversity
- 1.3. Interplaying factors - trauma does not occur in a vacuum
- 1.4. Different types of trauma
- 1.4.1. Single-event trauma
- 1.4.2. Cultural and identity trauma
- 1.4.3. Intergenerational, multigenerational, historical, and inherited trauma
- 1.4.4. Community and collective trauma
- 1.4.5. War, genocide, political, and refugee trauma
- 1.4.6. Abuse, violence, and maltreatment
- 1.4.7. Medical, health, injury, and birth trauma
- 1.4.8. Military and combat-related trauma
- 1.4.9. Peer, sibling, and bullying trauma
- 1.4.10. Traumatic grief, bereavement, and loss
- 1.4.11. Natural disaster
- 1.4.12. Secondary and vicarious trauma
- 1.4.13. Organizational, institutional, and system trauma
- 1.4.14. Developmental trauma
- 1.4.15. Relational, interpersonal, and attachment trauma
- 1.4.16. Traumatic fog and oxygen
- 1.5. Some metaphors, words, and images about trauma
- 1.6. Some common areas impacted by trauma
- 1.7. Relationships, beliefs, narratives, and sense of self
- 1.8. Self-esteem and self-concept
- 1.9. Emotional world and emotional regulation
- 1.10. Building blocks of a child's sensory world, and the window of tolerance and regulation
- 1.11. Social, emotional, and developmental age and stage versus chronological age and stage
- 1.12. The body as a physical and emotional container
- 1.13. Trauma-related body sensations and triggers
- 1.14. Other types of triggers and hotspots (emotional, relational, and autobiographical)
- 1.15. Spotlight on brain development, stress, and trauma
- 1.16. The impact of trauma and stress on physical health and the immune system
- 1.17. A wider frame than the 'post-traumatic stress disorder (PTSD)' classification
- 1.18. Trauma-specific interventions
- 1.19. Some spotlights of specific areas within the trauma field
- 2. Understanding the Processes, Importance, and Impact of Organizational Trauma, Organizational Adverse Experiences, and Traumatized Systems
- 2.1. Introduction
- 2.2. Organizational climate and context
- 2.3. An organization, like a person, is alive with thoughts, feelings, values, and much more
- 2.4. Signs that an organization is in trauma
- 2.5. Organizational and societal memory and amnesia
- 2.6. Mirroring and parallel processes
- 2.7. Mirroring family dynamics and role positioning
- 2.8. Re-traumatizing, trauma-inducing, and triggering experiences within the system
- 2.9. Organizational adverse experiences, organizational trauma and stressors, and work-related stress and strain
- 2.10. Wellbeing leads to well doing - the importance and centrality of safety and trust
- 2.11. Helping and caring professionals who are more likely to have experienced trauma themselves
- 2.12. Secondary trauma, vicarious trauma, compassionate fatigue, and burnout
- 2.13. Organizational protective factors and stressors
- 2.14. Concluding thoughts
- 3. The Rationale, Ingredients, and Terms of Adversity, Culturally, and Trauma-Informed Organizations
- 3.1. An important note on the choice of terms
- 3.2. Definitions and key elements of trauma, adversity, and culturally informed, infused, and responsive practice
- 3.3.1 The difference between trauma-specific and trauma-informed and what this book is focusing on
- 3.3.2 The difference between trauma-informed and a healthy organization, and/or a kind organization
- 3.4. Brief background, origins, history, and roots of trauma-informed practice
- 3.5. The four Rs expanded, and the notion of trauma-informed systems
- 3.5.1. Realize
- 3.5.2. Recognize
- 3.5.3. Resist
- 3.5.4. Respond
- 3.6. Nine Rs (expanding on the four Rs)
- 3.6.1. Reflect
- 3.6.2. Reconnect
- 3.6.3. Relational
- 3.6.4. Rewarding
- 3.6.5. Real
- 3.7. It is a journey, not a final destination
- 3.8. The values being infused across the entire fabric of the organization
- 3.9. Some rationales for adversity, culturally, and trauma-informed, infused, and responsive practice
- 3.9.1. Why is it important to have a why and an elevator speech?
- 3.10. Rationale 1: The prevalence, widespread, and multi-layered nature of trauma, adversity, injustice, stress, and loss means that we need services which meet and are responsive to these needs
- 3.10.1 A brief insight into the costs
- 3.11. Rationale 2: Humanizing services and seeing the person behind the behaviour, label, and crisis, as well as having a culture of curiosity
- 3.12. Rationale 3: Creating systems that are trauma-reducing instead of trauma-inducing
- and that try to support prevention and change
- 3.13. Rationale 4: To create services that are inclusive and benefit everyone
- 3.14. Rationale 5: Whole-system-wide change means everyone has a role to play
- 3.15. Rationale 6: Staff wellbeing, including organizational stressors and trauma (see also Chapter 2)
- 3.16. Rationale 7: Parallel and mirroring processes - a traumatized organization and a trauma-soaked system (see also Chapter 2)
- 3.17. Rationale 8: A lens and framework which also integrates, advocates, and promotes collaboration, partnering, hope, adversarial growth, cultural humility, and cultural responsiveness
- 3.18. Reflection and discussion questions
- 4. Baseline and Readiness Assessment
- 4.1. What is a baseline assessment and why is it so important?
- 4.2. Being realistic, starting small, and not over-claiming
- 4.3. Trauma river
- 4.4. Expecting and needing a quick fix and expecting changes to be overnight
- 4.5. A baseline assessment involves some bravery, openness, and reflectiveness
- 4.6. Processes and methods
- 4.7. Tools and measures to start a readiness and baseline assessment and track ongoing progress
- 4.8. Some expanding and examples of using Worksheet 4.1
- 4.9. Implementation barriers and blocks, and the success factors of becoming more adversity, culturally, and trauma-informed, infused, and responsive
- 4.10. Reflections around implementation barriers and ingredients of success
- Part 2: Values and Principles
- 5. Safety and Trust
- 5.1. Introduction to the value of multi-layered safety and trust
- 6. Relationships, Connections, and Humanizing Services
- 6.1. Introduction
- 6.1.1. We all come into the work with our own relationship history and we are the tool
- 6.1.2. The impact of trauma on relationships and why the healing has to occur within relationships
- 6.1.3. The power of the therapeutic relationship
- 6.1.4. More than therapeutic relationships - this is about the micro moments and all interactions
- 6.1.5. A sense of belonging and connection versus social exclusion and social adversity
- 6.1.6. Relationships within and between services, including team cohesion
- 6.2. Reflective questions about relationships in a system context
- 6.3. Questions to accompany Worksheet 6.1
- 7. Curiosity, Reflectiveness, Empathy, Compassion, and Understanding
- 7.1. Curiosity, reflectiveness, empathy, compassion, and understanding
- 7.2. Behaviour is communication
- 8. Strengths, Hope, and Resilience
- 8.1. An introduction to this value and why it is important
- 8.2. A word of warning around introducing strengths and hope-based practice
- 9. Cultural Humility and Responsiveness
- 9.1. What will be covered in this chapter
- 9.2. Introduction to the concept of cultural humility and anti-racism
- 9.3. The relationship between cultural humility and being trauma-informed
- 9.4. Intersectionality and the multiplicity of identities
- 9.5. Acknowledging and responding to structural, social, cultural, collective, historical, institutional, and political trauma, violence, power, and oppression
- 9.6. Spotlight on power, privilege, and accountability
- 9.7. Spotlight on gender-based violence
- 9.8. Biases, inequalities, and disparities in service provision and system experiences
- 9.9. Spotlight on cultural idioms, scripts, and perceptions of aetiology
- 10. Agency, Mastery, Choice, and Voice
- 10.1. Introduction to the value of agency, mastery, choice, and voice
- 10.2. Some positive practice examples
- 10.2.1. Magazines
- 10.2.2. Mural Arts, particularly the Porch Light Project
- 10.2.3. Koestler Arts
- 10.2.4. HealthRIGHT 360 in San Diego
- 10.2.5. Oregon Family Support Network
- 10.2.6. Encounter Arts
- 10.2.7. Leeds Survivor-Led Centre
- 10.2.8. Hearing Voices Network
- 10.2.9. Artlink Hull
- 10.2.10. Mind the Gap (written by Joyce Nga Yu Lee, Resident Director)
- 10.2.11 Survivors Voices (taken from its website, with permission)
- 11. Communication, Collaboration, and Transparency
- 11.1. Introduction
- 11.2. Integration and connection
- 11.3. Reflection and discussion questions around these values, and applying the learning to your organization
- 11.4. Reflections on Chapters 5-11 and the overall values and principles of adversity, culturally, and trauma-informed, infused, and responsive organizations
- Volume 2
- Title page
- Copyright
- Contents
- List of figures
- List of worksheets
- Part 3: Trauma, Adversity, and Culturally Informed Ideas Applied in Real-World Practice
- 12. The Power of Language
- 12.1. Some of the links between language and trauma
- 12.1.1. Negative discourses
- 12.1.2. Relational poverty, fear around speaking, and an absence of the key building blocks of language development
- 12.1.3. Speech and language difficulties
- 12.1.4. Trauma as a multi-sensory experience
- 12.2. Some things to be mindful of as language changes, is nuanced, and is personal
- 12.3. Why is language so powerful, impactful, and important?
- 12.4. Confirmation and attentional biases in relation to language
- 12.5. Think about the language of systems which you have been marinated and soaked in
- 12.6. Validating and acknowledging someone's experience
- 12.7. Check and clarify we understand each other
- 12.8. Vague and generalized descriptions
- 12.9. Person-first language
- 12.10. Separating the person from the 'problem' - narrative therapy
- 12.11. Unique meaning-making and sense-making
- 12.12. Somatic and embodied experiences
- 12.13. Cultural considerations
- 12.14. Using more than one form of communication
- 13. Leadership and Management
- 14. Supervision, Reflective Practice, and Team Meetings
- 14.1. Trauma-informed supervision and reflective practice
- 14.2. What to call it - 'supervision'?
- 14.3. The purpose and different types
- 14.4. Accessibility and provision of supervision/reflective practice
- 14.5. Supervision and reflective practice being different to management or therapy
- 14.6. Guiding values and principles for trauma-informed supervision and reflective practice
- 14.6.1. Model the model
- 14.7. The values and principles of trauma-informed practice
- 14.7.1. Safety and trust (see Chapter 5)
- 14.7.2. Collaboration, choice, agency/mastery (see Chapter 10)
- 14.7.3. Cultural humility (see Chapter 9)
- 14.7.4. Strengths and hope-based practice (see Chapter 8)
- 14.7.5. Integration and connection (see Chapter 11)
- 14.7.6. Curiosity, reflectiveness, empathy, understanding, and compassion (see Chapter 7)
- 14.7.7. Viewing behaviour as communication (see Chapter 7)
- 14.8. Applying the nine Rs to supervision and reflective practice
- 14.8.1. Realize
- 14.8.2. Recognize
- 14.8.3. Resist
- 14.8.4. Respond
- 14.8.5. Relational
- 14.8.6. Real
- 14.8.7. Reflective
- 14.8.8. Rewarding
- 14.8.9. Re-connect
- 14.9. Some ideas for making supervision and reflective practice multi-sensory and more fun
- 14.9.1. Rationale and benefits
- 14.9.2. Expectations and preparation
- 14.9.3. Multi-sensory, integrative, and creatively embedded
- 14.9.4. Meet the person where they are at
- 14.9.5. Consistency and predictability
- 14.9.6. Ending the time
- 14.9.7. Feedback
- 14.10. Adversity, culturally, and trauma-informed and responsive team meetings and team spaces
- 14.11. Before the team meeting
- 14.12. During the team meeting
- 14.13. After the team meeting
- 15. Staff Wellbeing (Individual, Team, and Organizational Aspects)
- 15.1. Why we need to think about organizational, system, team, and individual responses to wellbeing
- 15.2. A brief reminder as to why wellbeing is so important
- 15.3. Wellbeing is often not prioritized and often positioned as a luxury or as a tick-box exercise
- 15.4. Organizational elements
- 15.5. Some strategies for improving our own wellbeing and regulation
- 15.5.1. Things to be mindful of
- 15.5.2. Integrating feel-good factors into daily routines
- 15.5.3. Motivation and satisfaction
- 15.5.4. Positive and sparkle moments
- 15.5.5. Strengths- and hope-based reflection, recordings, and letters
- 15.5.6. Sensory hand, star, or list
- 15.5.7. Grounding, soothing, regulating, happy, and safe place
- 15.5.8. Creating a soothing and calming box
- 15.5.9. Magic carpet position and imagery re-scripting, including SMART goals
- 15.5.10. De-rolling and debriefing at the end of the day
- 15.5.11. Personal and professional team of support
- 15.5.12. Wellbeing planning
- 15.6. Wellbeing and regulation planning expanded
- 16. The Physical Environment
- 16.1. An introduction to the importance of the physical space
- 16.2. An opportunity to give messages and a feeling through the building
- 16.3. Signage, visual images, the entrance, and the orientation
- 16.4. Multi-sensory triggers and environment
- 16.5. Safety
- 16.6. Colours, furniture, regulating elements, and access to nature
- 16.7. Cultural and learning differences (see Chapter 9)
- 16.8. Collaboration and personalization
- 16.9. Communicating with staff about changing physical spaces
- 16.10. Some practical examples of physical spaces
- 16.11. How to incorporate these ideas for your own physical space
- 16.12. Some expanding and examples of using the above worksheet
- 17. Training, Building Momentum, and Forming Working Groups
- 17.1. Why training is important and who it is relevant for
- 17.2. Types of training and options, and selecting the trainer
- 17.3. Enriching the training experience
- 17.4. How to embed the ideas and values into the organization
- 17.5. Ideas and tips for keeping the energy and momentum up after training
- 17.6. Spotlight on wider system training
- 18. Trauma-Informed Policies, Recruitment, Induction, and Disciplinary Processes
- 18.1. Wider public policies around inequalities and social injustice
- 18.2. Policies and values documents at a team and an organizational level
- 18.3. Questions for reflection
- 18.4. Trauma-informed recruitment, interview, and induction
- 18.5. Bringing the values alive - some overarching areas to hold in mind
- 18.6. How to apply this to your own specific context
- 18.7. Pre-interview, including the job advert and the person specification
- 18.8. During the interview itself
- 18.9. After interview and beginning of the job/induction (not in a particular order)
- 19. Practice and Real-World Examples
- 19.1. Carrying out 'assessments' in a more adversity, culturally, and trauma-informed, infused, and responsive way
- 19.2. Applying the ideas to your own context
- 19.3. Contributions and examples of trauma-informed practice in a range of contexts
- 19.4. Trauma-informed practice supporting transitions from foster care to adoption or to another home from within a local authority
- 19.5. Moving into a residential or children's home (in the first few days and weeks)
- References
- Subject Index
- Author Index
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