Trauma Informed Care in Mental Health for Physical- myassignmenthelp

Question: Discuss about theTrauma Informed Care in Mental Health for Physical. Answer: Introduction Trauma- informed care is essential in effective mental health nursing. Trauma informed care involves the recognizing, understanding, and reacting to trauma. The model of care emphasizes on the emotional, physical, and psychological safety of the patients and the nurses. Further, trauma informed care identifies the physical and emotional issues, disorders, and conditions related to trauma. In this case, nurses who apply this model recognize the many complexities of the effects of trauma and formulate strategies on how to handle them. Having this in mind, the essay will discuss on how trauma informed care guides the provision of mental health nursing. How trauma-informed care helps guide and inform the provision of mental care in Australia at a policy level and for consumers. Understanding Trauma Trauma-informed care has been adopted as an approach to help guide mental health practice in Australia both at a policy and consumer level. First, this approach provides an understanding of trauma to mental care providers and this is important in promoting mental recovery. International evidence has revealed that a trauma-informed care approach provides awareness to mental health about the complexity of childhood, adolescent and adult trauma (Muskett 2014). A wealth of research findings shows that the implications of complex trauma are not only embedded at infancy but throughout an entire life cycle. Trauma-informed care recognizes that trauma is a result of several vulnerabilities and it affects multiple aspects of a victims life over a lifespan (Classenand Clark 2017).A mental health care facility with a trauma-informed care system is competent enough to recognize and attend to consumers who are traumatically affected by any overwhelming experiences. With trauma-informed care, long standing trauma can be treated and its adverse effects intercepted. This system helps to coordinate and integrate recovery-oriented services with other elements of mental-health care when delivering to trauma survivors. A better understanding of trauma dynamics that are prevalent in consumers helps the providers of mental health care to design systems that accommodate the vulnerabilities of trauma survivors (Huckashorn and Lebel 2013). Reducing re-traumatization Additionally, trauma-informed care strives to do no harm by avoiding re-victimizing or re-traumatizing consumers in mental-health. Instead, survivors are taken as unique people who have undergone very difficult situations and managed them to their level best. Trauma-informed care acknowledges that receiving mental health care can be traumatic to consumers. Undergoing involuntary hospital admissions, being scheduled, coercion, force, restraint practices and seclusion, mistreatment by staff can all constitute primary trauma while receiving or accessing mental health services (Isobel and Edwards 2017). Integrating a trauma-informed care approach to mental health services helps in reducing such cases of re-traumatization and re-victimization of consumers. It fosters power sharing and collaboration between the staff and consumers and this gives trauma survivors some sense of control (Wilson, Hutchinson and Hurley 2017). This approach helps to ensure that mental health services are not onl y designed to eradicate symptoms of emotional, sexual or physical abuse, but encourages staff to be sensitive and do no further harm to consumers. It is a model characterized by safety and it emphasizes on skill acquisition and strength-building rather than the exclusive management of symptoms (LeBel and Kelly 2014). Increased positive outcomes Further, the integration of trauma-informed programs and mental health leads to achievement of better outcomes. Various studies and pilot programs have established the fact that the use of a trauma-informed model helps in reducing psychiatric symptoms (Watson, Thorburn, Everett and Fisher 2014). They have shown major improvement in consumers daily functioning, reduction of trauma and mental health symptoms and decrease in hospitalization as well as crisis intervention. Besides these positive patient outcomes, a trauma-informed care approach might have desirable effects on household stability and a decline in the use of crisis-based services (Kelly, Boyd, Valente and Czekanski 2014). Research has also found that consumers tend to be more satisfied when mental health organizations are trauma-informed. Additionally, providers realize desirable outcomes in their facilities since trauma-informed care is cost-effective as it costs less than standard services. They also report greater succe ssful collaboration among stakeholders and greater self-efficacy among consumers. Moreover, supervisors utilizing this approach report that there is improved staff morale coupled with more effective services as well as fewer negative events (Donisch, Bray and Gewirtz 2016). How will this approach influence your mental health nursing practice? This trauma-informed care approach will guide me during my mental health nursing practice. The approach gives me an understanding that traumatic events such as domestic violence, elderly abuse, sexual abuse and combat trauma can have long-term adverse effects on the emotional, physical and emotional well-being of a person. With this, I will be in a better position to support consumers with mental health issues as I uphold the principles of trauma-informed care. For instance, I will ensure that my patients and their family members feel physically and psychologically safe by fostering patient-centered communication. I will refrain from restraint practices, seclusion, coercion or using force on my patients. Instead, I will cultivate trustworthiness and transparency by respecting my patients autonomy and refraining from unnecessary restraining practices, coercion or seclusion. Also, I will uphold collaboration and mutuality by emphasizing that all staff members as well as patients are al l equal and none is superior to the other. Additionally, I will empower my consumers by identifying their individual strengths and using them as a foundation for promoting mental recovery and healing instead of purely focusing on treating their symptoms. I will provide my consumers with choices and opportunities to share in decision-making platforms in order to cultivate a sense of control in them. Besides this, I will engage my consumers in a collaborative and non-judgmental fashion when discussing their health and behavioral changes. I will encourage peer support by identifying people with similar trauma experiences to build trust, create safety, enhance collaboration and promote recovery. Lastly, I will recognize diversity in gender, cultural and historical issues and eliminate biasness and stereotyping. Examples of how this approach is used or could be used Ralphs Case There are various ways that the trauma-informed care approach could be used. In a certain case scenario, Ralph is an unemployed and homeless individual with a persistent mental problem and co-existing conditions. He has been admitted thrice and placed in a Community Treatment Order. His treatment plan entails monthly injections and frequent check-ups at a clozapine clinic that monitors the medications side effects. Furthermore, he is required to attend weekly meetings with his case manager and undergo monthly checks with his psychiatrist. He was checked into crisis accommodation but left a day later. Since then, he has not attended any of his appointments and has lost engagement with his services. Most of the times, Ralph is usually found at soup kitchen, seated at a corner (Bowie 2013). Using a trauma-informed care approach to assist Ralph, one should identify any past or present traumas that he could have possibly encountered. This could point towards instability, poverty, hunger, physical illness, abuse while on the streets, intrusive control in involuntary environments or in his community or trauma in admissions in mental health facilities. If the mental health facility uses a trauma-informed response, it could begin by working with his strengths by identifying how he survived on the streets. It is important to also identify what has happened to him and what he might be needing. If the medical model being used is not working, identify alternatives that are not coercive in engaging Ralph. Also, check the support that matches well with his needs and goals. Further, it is important to identify his social connections and refrain from making assumptions or trivializing places that he feels safe to be (Bowie 2013). This trauma-informed approach is likely to have different effects on Ralphs outcome. First, is safety because he would feel safe in a stable and safe environment? Second, his physical and mental needs will be met by a regime that he agrees with and one that he can manage. Lastly, he will be in a better position to lead a life he desires (Bowie 2013). Aboriginal people case Another example where this approach can be used is when dealing with Aboriginal people who are twice as likely as non-Aboriginal Australians to report high levels of psychological stress (Machtinger, Cuca, Khanna, Rose and Kimberg 2015). To begin with, reflect on the potential effects that family, community and country disconnection could have had on their emotional and social wellbeing. Afterwards, assess how their strong kinship systems and connection to culture can be a protective factor when faced with distress. It is also important to recognize and acknowledge the resilience found among Aboriginal people and the power of their culture when faced by difficulties (Bateman, Henderson and Kezelman 2013). Summary and Conclusion Becoming trauma informed implies that one is able to recognize that other people have different traumas in the cause of their lives. Traumatized people need understanding and support from the people around them. Most times, survivors of trauma can be re- traumatized, therefore, adequate education and information needs to be passed to communities on the impact of traumas and how to avoid it. Thus, understanding the effect of trauma is imperative in becoming supportive to the community. Reference List Bateman, J., Henderson, C. and Kezelman, C., 2013. Trauma-informed care and practice: towards a cultural shift in policy reform across mental health and human services in Australia, a national strategic direction. Position paper, Mental Health Coordinating Council. Bowie, V., 2013. Trauma-informed care. Youth Studies Australia [online] 32(4), p.81. Classen, C. C., and Clark, C.S., 2017. Trauma-informed care. Donisch, K., Bray, C. and Gewirtz, A., 2016. Child welfare, juvenile justice, mental health, and education providers conceptualizations of trauma-informed practice. Child maltreatment, 21(2), pp.125-134. Huckashorn, K. E. V. I. N., and Lebel, J. L. 2013. Trauma-informed care. Modern community mental health work: An interdisciplinary approach, pp. 62-83. Isobel, S. and Edwards, C., 2017. Using trauma-informed care as a nursing model care in an acute inpatient mental health unit: A practice development process. International journal of mental health nursing, 26(1), pp.88-94. Kelly, U., Boyd, M.A., Valente, S. M. and Czekanski, E., 2014. Trauma-informed care: Keeping mental health settings safe for veterans. Issues in mental health nursing, 35(6), pp.413-419. LeBel, J. and Kelly, N., 2014. Trauma-informed care. Residential interventions for children, adolescents, and families. A best practice guide, pp. 78-95. Machtinger, E. L., Cuca, Y.P., Khanna, N., Rose, C.D. and Kimberg, L.S., 2015. From treatment to healing: the promise of trauma-informed primary care. Womens Health Issues, 25(3), pp.193-197. Muskett, C. 2014. Trauma-informed care in inpatient mental health settings: A review of the literature. International journal of mental health nursing, 23(1), pp. 51-59. Watson, S., Thorburn, K., Everett, M. and Fisher, K. R., 2014. Care without coercion-mental health rights, personal recovery and trauma-informed care. Australian Journal of Social Issues, 49(4), pp.529-549. Wilson, A., Hutchinson, M. and Hurley, J., 2017. Literature review of trauma-informed care: Implications for mental health nurses working in acute inpatient settings in Australia. International Journal of Mental Health Nursing.