Case Study Analysis: Implementing Trauma Informed Care CHCMHS013

This case study examines the implementation of trauma-informed care across three different scenarios involving individuals and families facing various forms of trauma, including war, homelessness, sexual abuse, and substance abuse. The assignment addresses breaches of the Human Rights Act and Disability Discrimination Act, emphasizing patient-centered care and the importance of health policy development and professional education to eliminate discrimination. It explores the assessment of individuals through communication skills, body language, and active listening, highlighting the impact of social isolation and its consequences on mental and physical health. The case study delves into the potential for re-traumatization and provides recommendations for specialized care, including referral strategies, negotiation skills, and empowerment. The document emphasizes the need for individualized care plans, safe environments, and the importance of building trust through effective communication. The solutions provided focus on the specific needs of each scenario, promoting positive outcomes and reducing the impact of traumatic experiences.

Running head: COMMUNITY SERVICES TRAUMA
COMMUNITY SERVICES TRAUMA
Name of the Student
Name of the University
Author Note

1
COMMUNITY SERVICES TRAUMA
Q1. In the case scenarios it can be seen that the aspect of the Human Rights Act 1986 has
been breached (Eoc.sa.gov.au. 2019). The trauma care should be considering of the Human
Rights Act 1986 and the Disability Discrimination Act 1992 should be considered for the care
providence along with the NMBA standards that is the patient centred care providence as
well (Nursingmidwiferyboard.gov.au. 2019, Legislation.gov.au. 2019). Based on these
considerations the trauma care should be provided as these will effectively help in the
improvement of the condition of the patients.
Q2. Based on the three scenarios the clients were either from different religion and homeless
or from LGBT community and also from the homeless substance abusing people. Hence, in
all these cases the general approach of the people would be negligence and thus isolating
these people. The negligence and discrimination based on religion, culture and the sexual
stigma. Hence, the health care access of these people is very much predictable as they are
discriminated by majority of people. The condition of the health care access can be seen with
affected with several discriminative behaviour of the care professionals (Machtinger et al.,
2015). Hence, the health outcome of people from these kind of backgrounds are in negative
condition. Based on this context it can be stated that requirement of health policy
development and also the elimination of the discrimination by educating the care
professionals should be considered as well.
Q3. A person’s condition can be assessed by the implementation of the body language
assessment skills and also the communication strategies. Positive communication with the
person can be able to provide the proper knowledge about the condition of the patients.
However, proper listening skills and attentive nature of the counsellor can be able to develop
the trust between themselves. Thus the experience of the person should be analysed with
proper listening. After the listening to the person the counsellor should be able to consider the
most important aspects that would be needed for the patient and eliminate the factors

2
COMMUNITY SERVICES TRAUMA
collectively as every aspect cannot be provided to the patient. However, the collaboration of
the deductive skills of the counsellor play a crucial role in the trauma reduction of the patients
(Green et al., 2015).
Q4. People experienced trauma have felt discrimination from the social surrounding as of the
practices they opt for. Based on this context it can be stated that people affected with trauma
would be socially isolated. Hence, the people would develop metal distresses and also
neglecting behaviour towards diet, physical condition and most importantly adhere to
substance abuse. These conditions would develop several chronic diseases in the body
including cardiovascular disease, pulmonary disease and also the psychological distresses
such as the bipolar disorder, delusion, depression, and also anxiety (Machtinger et al., 2015).
Q5. In case of first scenario the family could possibly be experiencing the flashback if they
will be sent back to the place from where they came from. The factor of the re-victimisation
or re-traumatisation would be triggered if in scenario two James would be sent back to Bob
and the violence would take place eventually by Bob. Thus the flashback or re-experience of
the sexual abuse from his uncle would develop the re-traumatisation of James. Moreover, in
scenario three if Hannah would be sent back to her father and mother she will again be
abused and if she brought back to the streets there will be a chance for Hannah to be raped.
All these factors should be considered for the improvement of the mental state of the patients
and also delivering the adequate solutions for addressing the conditions of the patients in
three scenarios. The aspect of the flashback and the trauma attack would be considered for
the improvement of the clients (Green et al., 2015).
Q6. The patients of these three scenarios should be provided with different trauma specialised
care depending on the trauma characterisation and the mental condition of the patients. In
case of scenario one the family should be collaboratively referred for the future assessment

3
COMMUNITY SERVICES TRAUMA
and also fostering choice for them to choose the place they want to live. In case of scenario
two James should be empowered and also educated for the self-advocacy. In case of the third
scenario Hannah should be provided with education and empowerment collaboratively
referred to some facility where she can be advocated and also safe from the cases of the re-
traumatisation (Papadopoulos & Shea, 2018). In order to convince the patients of these three
scenario the counsellor should be able to use positive tone for the communication and also
use the negotiation skills. The negotiation skills will be able to influence the minds of the
client and the trauma services can be provided properly.
Q7. The referral should be done by the counsellor with priority basis and focused on the
improvement of the people of the scenarios. The patients would be referred for the trauma
services in different facilities and the counsellors should be able to check whether there is any
change or not by individually interviewing the patients in approximately one moth interval.
The interval should be regular s the changes should be assessed. The referral would be
provided on the basis of the requirement of the patients (Green et al., 2015).
Q8. Every referral is developed based on the requirement of the patients and providing the
care needed for the reduction of the traumatic behaviour of the patients. The services
recommended for the patients would focus on the issues of the patients and following the
identification of the issue the facility would provide the referred service based on the
requirement. For the scenario one family the requirement of new place to live and providing
the choices for them is required as they lost everything in the war and trying live their life
properly. On the other hand the empowerment and self-advocacy will help James from
scenario two would be able to educate him for forgetting the past ill experiences and also
properly living the life by motivating him. Moreover, the self-advocacy would be helpful in
the self-management process of the person (Green et al., 2015). Other than all these
empowerment is very much required for the girl Hannah in order to reduce the substance

4
COMMUNITY SERVICES TRAUMA
abuse and also suicidal activities of her. Moreover, she needs a safe place to live thus the
collaborative referral for her would be considered as priority.
Q9. If a person is provided with general care in case of the trauma affect the person would be
in risk of the re-traumatisation. The risk of the compulsory treatment, restraint and also
seclusion would be leading to the social isolation and the re-experience of the violence and or
other things which can trigger the trauma and lead to the re-traumatisation for the patients.
Hence, the general care providence should be neglected and the process of the care should be
focused on the empowerment and self-management development of the patient (Raja et al.,
2015).
Scenario one
Q10. I was communicating with them about the issues they are facing and the recommended
ways to handle these issues. In order to do so I had used soft, positive tone when speaking
with them. I also listened to their concerns with proper attention and also did not use any
abusive language and also avoided to neglect them. Moreover, I have used different
communication strategies including non-verbal and verbal which will help them to talk about
the issues they are facing and the trust development between us. The non-verbal
communication was based on the gestures and the positive expressions that was used for the
empathy providence. Hence, on this way I was using cultural competence skills when talking
to them (Papadopoulos & Shea, 2018).
Q11. Here, Hanan and Madina and their child Saba experienced trauma due to many
incidents including losing a son and brother. They lost their only son Razi in the war and they
also lost their home and assets and move out from their own country and live in a detention
facility in present condition. Thus it can be seen that the grief and loss is the factor which
includes the death of loved one as well as losing the dreams and familiar circumstances as

5
COMMUNITY SERVICES TRAUMA
well. The psychological condition of the family was shattered by the incidents of war in their
country and also unfamiliarity of the new circumstances of the detention facility. Hence, it
can be stated that they experience a severe amount of loss including the death of family and
their home and other important staffs and all these aspects play a key role in the traumatic
experience they are facing (Raja et al., 2015).
Q12. The conversation highlighted many important aspects of trauma of the family. Based on
the condition and the experience of the family I can provide feedback them with positive
conversation and also showing them empathy. Moreover, it can be stated that the process of
the feedback will be helpful in the process of the data recording and also helping the family
to move to Australia to live (Papadopoulos & Shea, 2018). Hence, it can be stated that the
feedback should be focused on providing positivity of the conversation so that the traumatic
experience of the family can be reduced.
Q13. In order to show empathy based on the past and present experience of the family I
should be able to analyse the conditions first and then try to use positive conversations and
also provide them motivations. The empathy and support should be provided by these factors
and also showing positivity of the future and other aspects that can be helpful for them to
understand the condition and requirements needed by them to address the situation and lessen
the traumatic experience as well. The empathy can be provided by verbal or non-verbal
communication to the family and also showing the positive conditions of life. However, the
empathy showing factor is dependent on the knowledge and skills I have developed (Raja et
al., 2015).
Scenario two
Q14. There are different kind of experience regarding trauma among men and women.
Gender is an important aspect for the trauma informed care as well as the trauma of the

6
COMMUNITY SERVICES TRAUMA
different gender is caused by different experiences and also the effects of the trauma are
different. Thus in the scenario there are different kind of traumas experienced by James
including sexual abuse, physical violence and homelessness. All these factors are different
from the trauma experienced by Sophia when she saw James was being abused by Bob and it
is different kind of trauma for the female child as well. These can be highlighted as the
different kind of traumas in the scenario (Papadopoulos & Shea, 2018).
Q15. Interpersonal relationship among people play a key role in the development of the
person. The living of the person would be influenced by the interpersonal relations. Hence,
sudden violence from the related or familiar person can cause severe trauma on the mental
context of the person. The psychological distress will develop the trauma and creates a
condition which will lead to negative experience and mental disorder development including
depression, social isolation and also effecting the healthy living practice of the person
(Machtinger et al., 2015).
Q16. In order to develop safe relationship with the patient and the providing him a safe
environment I need to focus and listen to him properly. In this case I need to use the verbal
and non-verbal communication strategies along with proper listening and empathetic
communications as well. On this context it can be stated that proper listening, utilising
positive and motivational phrases, showing empathy and also providing him with some
possible solutions for future would be helpful in the positive safe relationship build up
between James and me. Hence, the trust would also be developed between the patient and me.
Based on this trust and the safe relationship I can control the traumatic behaviour of the
patient and also provide him with mental support (Raja et al., 2015). Moreover, the trauma
informed care strategies should be implemented for the consideration of the safe environment
for the patient as well.

7
COMMUNITY SERVICES TRAUMA
Scenario three
Q17. Interpersonal trauma is a factor that affect the mental state drastically and leads to the
state of bipolar syndrome as well. In this condition the person feels non-communicable pain
and also distresses that can be termed as the inner voice as well. The trauma of abuse, loss of
loved ones and also the factors of the unwanted incidents along with un-fulfilment leads to
the condition of the social isolation and negligence and develops the suicidal behaviour or
self-harm. Based on this condition it can be stated that the person is frustrated, depressed and
anxious along with vigorously traumatised (Machtinger et al., 2015). Thus the suicidal
behaviour should be eliminated by regular counselling and positive communication with the
person.
Q18. It is needed to listen to the patient attentively and help her to develop the trust and thus
opening up to me. On this context I can show motivating and positive behaviour and
communication to the person for understanding the point of view of the person and also
providing her with a safe environment. After listening to the person I need to show her
empathy and kindness then we should discuss about the substantial abuse she is opting is
actually harmful for her and also providing her the knowledge about the future issues of the
practice. Based on this conversation I should eventually communicate the relation between
the trauma she is experiencing and mental health issues. It can be stated that Hannah is
traumatised by several abusive experiences faced by her. On this context it can be highlighted
that the social stigma and the condition of loneliness affected the mental state of the person
and lead her to the substance abuse which also creates a hallucination or delusion in her mind
that affect the thinking process and leads to the suicidal behaviour. All these things should be
conveyed to her by regular sessions and also positive communication strategies (Raja et al.,
2015).

8
COMMUNITY SERVICES TRAUMA
Q19. Working trauma affected people will lead to several aspects such as sudden trauma or
panic attacks, self-harming intent development in the patient’s mind, violating intent, sudden
fall or black outs of the patients and even deaths of patients depending on the severity of the
condition. Thus the counsellor needs to seek medicinal support, hand support that is utilising
supportive person to restrain the patient from violating him or herself and also the counsellor.
Hence, it can be stated that the process of the counselling for the trauma affected patients
should have different counter measures (Papadopoulos & Shea, 2018).
Q20. In order to handle a client in distress the counsellor should be able to assess the mental
condition of the person through the body language first then develop the strategy of
communication. The communication strategy would be focused on the development of trust
development and helping the patient to be eased in the session. Hence, the process of the
communication should be considering of positive verbal communication strategy and non-
verbal empathetic communication strategy. The conflict resolution, negotiation, diffusing and
de-escalation skills should be considered as well such as non-judgemental communication,
elimination of negative comment, based on the assessment of patient’s mental condition
agreeing with the decisions of the patient, and finally showing the patient the wrongs about
his or her decision and thus escalating the patient and showing the better way of solving
situations (Raja et al., 2015). Response of the counsellor towards the patient’s traumatic
behaviour and also interactions of people with traumatic experience would be responded
positively and showing them empathy and motivation would be helpful in the development of
the mental positivity of the patient.

9
COMMUNITY SERVICES TRAUMA
References
Eoc.sa.gov.au. (2019). Australian Human Rights Commission Act 1986 | Equal Opportunity
Commission. Retrieved 28 September 2019, from
https://eoc.sa.gov.au/resources/discrimination-laws/australian-laws/australian-human-
rights-commission-act-1986
Green, B. L., Saunders, P. A., Power, E., Dass-Brailsford, P., Schelbert, K. B., Giller, E., ... &
Mete, M. (2015). Trauma-informed medical care: A CME communication training for
primary care providers. Family medicine, 47(1), 7.
Legislation.gov.au. (2019). Disability Discrimination Act 1992. Retrieved 28 September
2019, from https://www.legislation.gov.au/Details/C2005C00526
Machtinger, E. L., Cuca, Y. P., Khanna, N., Rose, C. D., & Kimberg, L. S. (2015). From
treatment to healing: the promise of trauma-informed primary care. Women's Health
Issues, 25(3), 193-197.
Nursingmidwiferyboard.gov.au. (2019). Registered nurse standards for practice. Retrieved 28
September 2019, from
https://www.nursingmidwiferyboard.gov.au/documents/default.aspx?
record=WD16%2F19520&dbid=AP&chksum=ga2EcHDo5OKLhC%2BTVHZh2Q
%3D%3D
Papadopoulos, I., & Shea, S. (2018). European refugee crisis: psychological trauma of
refugees and care givers. International Journal of Migration, Health and Social
Care, 14(1), 106-116.
Raja, S., Hasnain, M., Hoersch, M., Gove-Yin, S., & Rajagopalan, C. (2015). Trauma
informed care in medicine. Family & community health, 38(3), 216-226.