Case Study of Lisa: Trauma-Informed Care Approach

Running head: CASE STUDY OF LISA
Name of the Student
Name of the University
Author Note

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CASE STUDY OF LISA
Introduction:
Over the decade, the need for a trauma-informed care approach is intensifying in order to
gain a broad understanding of the traumatic stress reactions and common responses of trauma
(Barringer et al., 2017). Accumulated researchers highlighted that when trauma takes place, it
mainly affected the values and beliefs of them have about their surroundings. Health
professionals, in this case, are required to use a trauma-informed care approach in order to
understand how trauma affects the perception of individuals in order to provide support to them
(Levenson, Willis & Prescott, 2016). The purpose of this paper is to explore the comprehensive
nature of the mental health issues with the assistance chosen case scenario of Lisa. This paper
will illustrate the issues underlying Lisa condition by incorporating the TICP principle:
The identified issues:
The insecurity because of lack of family support:
The case study highlighted that Lisa‘s parents were not supporting her relationship with
her boyfriend which made her moving in with John. The presence of family support is crucial
for resilience from the drug addictions because of the emotional and motivational factors which
will make a patient feel empowered and comfortable for adhering to the treatment. Hence, as per
the third TICP principle of peer support and mutual self-help, the lack of peer support is the
potential issue highlighted in case of Lisa. As discussed by Fite et al. (2016), he lack of family
exposed the patient to the psychological distress and they feel insecure, helplessness resulted in
the involved in the drug addictions for coping up with the stress as observed in the case study.
Moreover, family is the primary caregiver who assists to adhere to the treatment procedure. As
per the trauma care principle, she lacks the empowerment, self-esteem, and confidence for self-

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CASE STUDY OF LISA
management. In this case, since her mother was the one who timely provided education to her,
the absence of a mother is a crucial issue behind the missed medications and involving in the
substance issues. As per the principle of trauma care approach, the empowerment is crucial
factors which individuals gain because of the family support (SAMHSA., 2019). Nurses must
aim to adhere to the third principle of trauma-informed care approach and develop a plan which
incorporates family member in order to empower her, making her center of decision making and
respect her autonomy (SAMHSA., 2019).
Hallucination and paranoia:
From the detailed analysis of the video, it was identified that hallucination is highlighted
as one of the crucial issues that required clinical assistance. Lisa stated that she was constantly
hearing voices which gave her warning of protecting her from her boyfriend. It might happen
that the lack of prescribed dosage and substance abuse resulted in the reappearance of the
psychological and physiological effects associated with the drug. Lisa stated that she had a
significant number of cameras which concerned her of continuous vigilance. It affected her
mental peace and the safety which further made her sleep in the garden with the knife under the
pillow in order to protect her. She also stated that she had the constant fear of being watched by
someone resulted in made her sleep outside. In the current context, the fear is one stressor which
affected the wellbeing of Lisa and disrupts the mental peace. As per the second principle of TIC,
trustworthiness and transparency are crucial in order to reduce the feeling of paranoia which will
further restore the trust of the patient and assist the patient in the engaging social activities
(SAMHSA., 2019). Because of the feeling of fear she developed she had developed that issues
regarding trustworthiness and transparency which made her feel unsafe (Sweeney et al., 2018).
Therefore, health professionals are required to consider these two factors while providing care.

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CASE STUDY OF LISA
Relapse associated with the use of cannabis:
The lack of ability to the adhere to the prescribed medications because of the reasons
discussed above is the reason behind the engagement to the substance abuse which further
contributed to a number of psychological and emotional effects. According to the principle, fifth
Principles of TIC (empower, voice and choice ) nurses are required to recognize the strength
of the patient with the collaboration with the family members so that patients are encouraged to
feel empowered and see themselves as the unique individuals (SAMHSA., 2019). In the current
context, the sense she was paranoid, had trust issues and lack of family support, the recovery
plan is required top design by sticking to the plan.
Resolving the issues with the collaboration of mental health nurses:
Taking insight of identified issues, mental health nurse are required to involve themselves
in the recovery plan of Lisa by incorporating the following factors:
Person and family-centered care approach by incorporation of peers:
Taking insight of the issue which is lack of family support which contributed to the
engagement in the substance abuse, the recovery plan is required to incorporate the second
principle of TIC in order to support faster recovery. As discussed by Berliner and Kolko
(2016), presence of family in the recovery process administer the feeling of self-worth and
reduce the level of detrimental emotional such as helplessness, worthlessness, and insecurity as
well as the involvement to the substance abuse. Therefore, considering the principle of trauma-
informed care, the incorporation of the family members and boyfriend in the recovery plan by
mental health nurse is required to support recovery. In this case, mental health nurse is required
to involve the Lisa in the education procedure which involves the need for a collaborative