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TREATMENT
TABLE 2: Trauma Center at Justice Resource Institute/Project Reach 2014: Suggested Trauma-informed Approaches
The components of the table were adapted from recommendations provided by the Trauma Center at Justice Resource Institute/Project Reach 2014.19
AREAS OF IMPACT
PRESENTATION
TRAUMA-INFORMED APPROACH
Affect and Impulse
● Changes mood quickly
● Difficult time sitting still
● Reactive to others’ statements
● Uncooperative
● Be aware of managing your own responses
● Do not take strong reactions personally
● Provide concrete resources
● Take breaks
● If those involved appear to shut down, this may be a sign individual is overwhelmed
Attention and Consciousness
● Memory gaps
● Changes in narrative
● Emotional expression not matching emotional presentation
● Ensure the individual understands the information provided
● Be aware that changes in memory do not always indicate fiction
● Hold interviews when individual feels safe
Self-Perception
● Professing responsibility
● Feeling helplessness
● Support victim
● Reiterate known facts about trafficking
Relations with Others
● Not trusting others
● Pulling back from
offered support
● Vulnerability to ongoing victimization
● Be aware of victim’s confusion about relationships
● Do not take it personally if victim appears distrustful
● Provide opportunities for control and empowerment
● Be aware of safety
Systems of Meaning
● Dismissing the utility of following through on criminal prosecution
● Denial of previously-held beliefs
● Reflect understanding on their described viewpoint
● Hold beliefs in positive outcomes
● Look to connect resources across spiritual and religious backgrounds
possible medical, mental health, social,
using an MDT approach means promoting change by collaborating with community and government agencies and sharing resources such as professional expertise, funding, and direct services to survivors and their families. Therefore, TIC for the requires the awareness, education, and coordinated efforts of clinicians and of the MDT agencies and resources supporting survivors within the community to effectively provide comprehensive and
IMPLEMENTING TRAUMA- INFORMED CARE INTO PRACTICE: CHALLENGES
Applying TIC principles to care of HT
in practice. When approaching an encounter with a TIC focus, the goal should be establishing trust rather than eliciting a disclosure and “rescuing”
the child or adolescent from his or her
effectively screening for potential HT;
in a 2013 study of homeless youth who were screened for potential HT, one respondent said, “It doesn’t matter what questions you ask. If I like you, I will tell you. If I don’t, I won’t.”41 Rapport building is paramount; unfortunately, most their patient schedules to build trust and rapport, creating potentially ineffective
and can also create emotional burnout, especially for clinicians. When survivors present with these concerns, there is a mix of elicited responses from all parties involved, including both MDT members and survivors; some may respond with depression or emotional numbing,
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