Thursday, July 9, 2015

Supporting Our Families Through Complex Trauma.

By Griselda Williams, Mental Wellness Manager

I recently read an article from the National Child Traumatic Stress Network. The article explored Complex Trauma in adults and children who have experienced homelessness. Complex Trauma was identified as “exposure to multiple traumatic events, often of an invasive interpersonal nature”, i.e. physical, sexual and emotional abuse, neglect, community and domestic violence. The article lists things to look for in parents who are traumatized when they enter a shelter or housing assistance program:
  •  Easily overwhelmed, irritated, or withdrawn
  • May suddenly “fly off the handle” or “shut down” (called numbing emotions)
  • May be disorganized in thought or speech or have trouble remembering detail, completing parenting tasks, attending appointments and/or following through on requests
  • Difficulty separating emotions from those of their children and may have difficulty providing what their children need, like a sense of safety and structure
  • May lack knowledge of appropriate developmental stages in their children
  • Repeated trauma may impair the ability to be open to participation in available services
 Focusing on the parent reactions due to trauma is helpful for me as a mental health provider. This list helps me remember that if a parent does not appear to engage with staff right away, the impact may be a result of trauma. When the parent appears too anxious to focus on tasks or regularly forgets appointments or action steps related to goals, the impact of trauma may be the barrier. Sometimes we as staff may think that a parent does not want to engage in our program but what may really be impacting them is their traumatic event history. If we think back to a really traumatic time in our lives, i.e. the death of a loved one, job loss, an assault or divorce , we may have had a difficult time focusing, or we may appear withdrawn to others. Perhaps we had a difficult time returning to work after the trauma or we engaged in behaviors that were not supportive to us at the time. It was probably difficult to function well but given that we were responding from a “trauma point of view” we too may have reacted as the parent we see in our program. The authors of the article had recommendations for those of us in the helping field:
  •  Work with families to enhance a sense of safety
  • Take time to build trust
  • Listen without judgement
  • End policies that have unintended negative consequences
  • Adopt a harm-reduction approach
 The article suggested that we remember that traumatic experiences may make it difficult for our families to form trusting relationships in a brief amount of time. How many times have we as staff remarked that it took a parent a few months to fully engage in our program, develop trusting relationships and move forward on goals. The great thing is the parent was able to do so, once they felt safe in the village and felt that staff were here to support them not hurt them. 

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