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SWSP3029 > Week 10: Trauma > Flashcards

Week 10: Trauma Flashcards

1
Q

defining trauma

A
  • event so distressing as to overwhelm capacity to assimilate experience
  • must involve exposure to actual/threatened death, serious injury, sexual violence
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2
Q

assuming trauma?

A
  • shouldn’t assume any particular event is experienced as traumatic (never assume PTSD)
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3
Q

single event trauma vs. complex trauma

A

single: serious accident, natural disaster, sexual assault
complex: war, childhood abuse, DV, sexual violence, intergenerational trauma, migration

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4
Q

ecological perspective of trauma * theory

A
  • social lens

- understand how environment affects traumatic experience

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5
Q

sociocultural context of trauma * theory

A
  • understanding what is viewed as trauma in clients’ culture, race and class
  • how trauma is conceptualised and explained, and acceptable ways of manifesting reactions and coping
  • what appropriate sources of help and ways for seeking help
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6
Q

strengths perspective context of trauma *theory

A
  • assessment of and building on client’s personal and environmental resources and abilities
  • use of strategies - on personal, family and community level
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7
Q

normal reactions to abnormal events: what is FAI?

A
  1. Frequent reliving
  2. Avoidance
  3. Increased vigilance
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8
Q

what happens to our bodies during traumatic experience?

A
  • fight, flight or freeze
  • nervous system automatic responses
  • instantaneous
  • instinctive to threats
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9
Q

how to respond to sexual assault in a health setting?

emergency context

A
  • crisis response
  • info. and support, forensic examination, liaison with police, interpreters, forensic examiners
  • follow up counselling, referrals follow up
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10
Q

what is sexual assault (adult focused)

A
  • any behaviour sexual nature towards person NOT given consent or incapable of consent
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11
Q

main role of SW in working with person who has experienced sexual assault presenting at emergency?

A
  • Talk to them about their choices: do they want police involvement/forensics. explain to them these processes.
    psychosocial elements: can they go home? discharge? follow up counselling.
  • if they present alone = contact emergency services/police.
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12
Q

in dealing with traumatic event, when is the appropriate time to intervene?

A

intervention should commence within 24-72

  • early as possible
  • focus on people being able to gain control over their lives because sexual assault is a violation without control
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13
Q

SW crisis care should strike a balance between?

A

survivor’s medical, emotional and legal needs

- medical needs (std’s checkups)

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14
Q

why is the crisis response so important?

A
  • shapes survivors response to assault, impact on their ongoing health and wellbeing and affect legal outcomes.
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15
Q

how to avoid secondary trauma

A
  • mitigate the risk of negative, long-term impacts, gov. responses to sexual assault must be both SENSITIVE AND EFFECTIVE.
  • going to court can be difficult!!
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16
Q

long-term effects of sexual assault

A
  1. physical (stress impacts immune and other physical systems)
  2. psychological health (depression, anxiety, ptsd symptoms, self esteem, risk taking, self-harm)
  3. relational health (family/social conflicts or isolation, decreased work/academic performance, homelessness)
17
Q

important steps for SW to understand trauma and its impact:

A
  1. promote safety - physical and emotional
  2. empowerment and skill acquisition
  3. maximise client control and choice
  4. collaboration - share power
  5. integrate care
  6. healing happens in relationships
  7. recovery is possible
18
Q

opening statement to assault survivor:

A
  • DON’T ask for facts straight away
  • use grounding questions (offer tea, water? warm enough?)
  • talk about memories prior to attack - what they feel, hear smell
19
Q

survivor response to sexual assault will depend on:

A
  • support systems
  • relationship w/ offender
  • degree of violence.
  • sociocultural influence
  • previous experiences w/stress
  • ability to cope w/ stress
  • attitude of those immediately contacted after assault
  • age and development stage (adolescent survivors more vulnerable)
20
Q

social work assessment in emergency context: purpose?

A

ensure safety, stabilise and explore support systems, now and when discharged.

  • enhance natural resilience and coping ability
  • reduce distress and attend to basic needs.
21
Q

social work assessment in emergency context: list of things to do

A
  • initiate contact and engagement
  • immediate safety and comfort
  • stabilisation and arousal management
  • info. gathering: identify immediate psychosocial needs to determine immediate priority needs and concerns - tailor subsequent interventions
  • practical assistance
  • connect w/ social supports
  • info. on coping
  • link w/ collaborative services.
22
Q

3 notes for practice framework informed by trauma

A
  1. understand trauma (single event, complex multiple)
  2. understand long-term health impacts
  3. understand fight/flight/freeze - this is not chosen

SWSP3029 (14 decks)

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