This book is about the experience of individuals who have been abused or who have abused others, but it also traces the way an abusive experience can organize a family or professional system so that changes are difficult to achieve. The author has been in the forefront of the child abuse field for many years, and he discusses in this volume the way his thinking has changed to incorporate the ideas from the feminist movement and the constructionist family therapists. He looks at the way victimizing actions and the traumatic effects of abuse combine to create a trauma-organized system, which includes the individual, the family, the professional helpers, the community, and the cultural values. The author describes the characteristics of these systems and a diagnostic procedure to help the workers plan the treatment.

Managing Trauma in the Workplace looks at the impact of trauma not only from the perspective of the employees but also from that of their organisations. In addition to describing the negative outcomes from traumatic exposure it offers solutions which will not only build a more resilient workforce but also lead to individual and organisational growth and development. This book has contributions from international experts working in a variety of professions including teaching, the military, social work and human resources. It is split into four parts which explore: the nature of organisational trauma traumatized organisation and business continuity organisational interventions building resilience and growth. Managing Trauma in the Workplace is essential reading for anyone with responsibility to help and support workers involved in distressing and traumatic incidents as a victim, supporter or investigator.

This is the third in a trilogy of books that chronicle the revolutionary changes in our mental health and human service delivery systems that have conspired to disempower staff and hinder client recovery. Creating Sanctuary documented the evolution of The Sanctuary Model therapeutic approach as an antidote to the personal and social trauma that clients bring to child welfare agencies, psychiatric hospitals, and residential facilities. Destroying Sanctuary details the destructive role of organizational trauma in the nation's systems of care. Restoring Sanctuary is a user-friendly manual for organizational change that addresses the deep roots of toxic stress and illustrates how to transform a dysfunctional human service system into a safe, secure, trauma-informed environment. At its heart, The Sanctuary Model represents an organizational value system that is committed to seven principles, which serve as anchors for decision making at all levels: non-violence, emotional intelligence, social learning, democracy, open communication, social responsibility, and growth and change. The Sanctuary Model is not a clinical intervention; rather, it is a method for creating an organizational culture that can more effectively provide a cohesive context within which healing from psychological and socially derived forms of traumatic experience can be addressed. Chapters are organized around the seven Sanctuary commitments, providing step-by-step, realistic guidance on creating and sustaining fundamental change. "Restoring Sanctuary" is a roadmap to recovery for our nation's systems of care. It explores the notion that organizations are living systems themselves and as such they manifest various degrees of health and dysfunction, analogous to those of individuals. Becoming a truly trauma-informed system therefore requires a process of reconstitution within helping organizations, top to bottom. A system cannot be truly trauma-informed unless the system can create and sustain a process of understanding itself.

Organizational Trauma and Healing is written for organizational leaders, consultants, and other practitioners interested in helping organizations become stronger. It gives them concepts and tools to strengthen their organizations and to help the organizations to heal from organizational trauma. The book describes the inherent influence of organizational work on organizational patterns and culture and connects that influence to trauma and traumatization. It introduces a framework to analyze organizational realities in broad and deep ways and strategies to avoid or mitigate danger of traumatization as well as improve organizational health and sustainability. The authors offer theory and practice based on more than thirty years of work with not-for-profit and government organizations.

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

This book is a practical guide to developing resilient learners by equipping educators with trauma informed practices and behaviour support strategies.

Trauma is defined as a sudden, potentially deadly experience, often leaving lasting, troubling memories. Traumatology (the study of trauma, its effects, and methods to modify effects) is exploding in terms of published works and expanding in terms of scope. Originally a narrow specialty within emergency medicine, the field now extends to trauma psychology, military psychiatry and behavioral health, post-traumatic stress and stress disorders, trauma social work, disaster mental health, and, most recently, the subfield of history and trauma, with sociohistorical examination of long-term effects and meanings of major traumas experienced by whole communities and nations, both natural (Pompeii, Hurricane Katrina) and man-made (the Holocaust, 9/11). One reason for this expansion involves important scientific breakthroughs in detecting the neurobiology of trauma that is connecting biology with human behavior, which in turn, is applicable to all fields involving human thought and response, including but not limited to psychiatry, medicine and the health sciences, the social and behavioral sciences, the humanities, and law. Researchers within these fields and more can contribute to a universal understanding of immediate and long-term consequences–both good and bad–of trauma, both for individuals and for broader communities and institutions. Trauma encyclopedias published to date all center around psychological trauma and its emotional effects on the individual as a disabling or mental disorder requiring mental health services. This element is vital and has benefited from scientific and professional breakthroughs in theory, research, and applications. Our encyclopedia certainly will cover this central element, but our expanded conceptualization will include the other disciplines and will move beyond the individual.

For the last thirty years, the nation's mental health and social service systems have been under relentless assault, with dramatically rising costs and the fragmentation of service delivery rendering them incapable of ensuring the safety, security, and recovery of their clients. The resulting organizational trauma both mirrors and magnifies the trauma-related problems their clients seek relief from. Just as the lives of people exposed to chronic trauma and abuse become organized around the traumatic experience, so too have our social service systems become organized around the recurrent stress of trying to do more under greater pressure: they become crisis-oriented, authoritarian, disempowered, and demoralized, often living in the present moment, haunted by the past, and unable to plan for the future. Complex interactions among traumatized clients, stressed staff, pressured organizations, and a social and economic climate that is often hostile to recovery efforts recreate the very experiences that have proven so toxic to clients in the first place. Healing is possible for these clients if they enter helping, protective environments, yet toxic stress has destroyed the sanctuary that our systems are designed to provide. This thoughtful, impassioned critique of business as usual begins to outline a vision for transforming our mental health and social service systems. Linking trauma theory to organizational function, Destroying Sanctuary provides a framework for creating truly trauma-informed services. The organizational change method that has become known as the Sanctuary Model lays the groundwork for establishing safe havens for individual and organizational recovery. The goals are practical: improve clinical outcomes, increase staff satisfaction and health, increase leadership competence, and develop a technology for creating and sustaining healthier systems. Only in this way can our mental health and social service systems become empowered to make a more effective contribution to the overall health of the nation. Destroying Sanctuary is a stirring call for reform and recovery, required reading for anyone concerned with removing the formidable barriers to mental health and social services, from clinicians and administrators to consumer advocates.

This book provides practical information to design specific intervention strategies aimed at preventing the escalation of violence in any community. It provides both practical advice and theoretical stimulation for introductory students and for senior practitioners of forensic psychotherapy.

Research shows that the therapeutic relationship can offer a catalyst for healing, helping traumatized clients to make sense of and re-build their lives. This book provides practitioners with expert insight into supporting clients' recovery from trauma by placing the therapeutic relationship at the heart of the therapeutic process: - It explores the role of the therapeutic relationship across a wide range of theoretical perspectives, including humanistic, psychodynamic and cognitive behavioural approaches - It brings together specialists from across the globe to provide practitioners with the latest thinking about client-centred work with trauma - It considers particular aspects of psychological trauma, including posttraumatic stress and posttraumatic growth This is the first book to combine trauma recovery with the therapeutic relationship. As such it is an important textbook for everyone with an interest in trauma therapy, whether as an aspect of training or of practice.