Orenda Dawn: A Transformative Approach in the Healthcare of Diverse Groups Affected by Trauma

Luana Rodriguez

Description

What does our future hold in a world afflicted by violence? Each year, millions of men, women, and children globally, have endured acts of abuse, neglect, and maltreatment, the majority by the hands of those of whom they have entrusted their health and lives to. The victims believe that their service providers will heal their physical injuries, wounded psyches, and hearts; many of whom have experienced severe and repeated acts of cruelty. The unaddressed psychological and physical effects of these adverse experiences, especially early in life, have shown a connection to many social, emotional, and cognitive impairment, chronic health conditions, using high-risk behaviors as ways of coping. Culture is another specific pattern of being and behavior that gives meaning to the human expressions of care. Culture is an important part of a person's identity and to the process of grieving, expressing pain, fear, and healing. Trauma interacts with a unique set of experiences that each person carries within and brings to their encounter with painful, disruptive events and forms. Learning about culture will give the clinician a better understanding of how to connect with the survivors, appreciate the events of their trauma while supporting recovery, resilience, and empowerment. It is important that healthcare providers understand and examine the meaning of their identities and biases when considering the effects of trauma, and in planning healing strategies for the survivors.

Sujets

• Santé et bien-être
• Santé du quotidien
• Medical
• Médecine
• Healing

Informations

• Publié par: eBookIt.com
• Date de parution: 22 juillet 2019
• Nombre de lectures: 0
• EAN13: 9781456633363
• Langue: English
• Poids de l'ouvrage: 11 Mo

Extrait

Orenda Dawn:
A Transformative Approach in the Healthcare of Diverse Groups Affected by Trauma
A Workbook for the Frontline Healthcare Workforce
 
by
Luana Rodriguez, DNP, CNM, CCTP, SANE
 
 
Copyright 2019 Luana Rodriguez,
All rights reserved.
 
 
Published in eBook format by eBookIt.com
http://www.eBookIt.com
 
 
ISBN-13: 978-1-4566-3336-3
 
 
No part of this book may be reproduced in any form or by any electronic or mechanical means including information storage and retrieval systems, without permission in writing from the author. The only exception is by a reviewer, who may quote short excerpts in a review.
 
orenda
(n.) A   supernatural ,   divine   force within every human being. Always   omnipresent .   It empowers people to change the world in a positive, loving way.   It is the energy that effects change in one's own life.
Iroquoian
 
dawn
(n.) The beginning of a phenomenon or period of time, especially one considered favorable.
Dedication
My work is dedicated to all diverse survivors of violence and trauma. I offer my deepest apologies for all of the heinous experiences you had to endure in your lifetime and for all of the contacts that triggered those experiences again when you sought healthcare.
Please forgive us.

To all those survivors who at their right moment, decided to disclose but yet never returned for help. I hope and pray that you find peace in your heart to come back to us,
for we are truly here for you.
Table of Contents
Dedication
Acknowledgements
Background
The Curriculum
Intended Audience
Mission of This Curriculum
Vision of This Curriculum
The Goal of the Training
Important Considerations for Participants
Training Site
One-Day Agenda
Introduction
Why Learn About Cultural Competence and Trauma-Informed Care?
What is Trauma-Informed Care?
What Occurs When a Survivor is Retraumatized?
How Do We Prevent Retraumatization? (SAMHSA, 2014)
The Principles of Trauma-Informed Care.
What Does the Data Show?
Sexual Violence
How Are the Children Affected?
MODULE 1: The Evidence Speaks
Learning Objectives
The ACE Study
What is your awareness of the ACE Study?
Why is Understanding ACEs So Important?
The Components of the ACE Questionnaire and Scoring
Two Categories of ACEs:
Activities
The Neurobiological Response to Violence
What Trauma-Informed Actions Should I Take as a First Responder?
Epigenetics
MODULE 2: Cultural Competence
Learning Objectives
Sojourner
What is Cultural Competence?
Question to the Audience.
Culture and its Effect on the Response to Violence
Table 1
Becoming Culturally Competent
The Framework of Cultural Competence
Recommended websites.
MODULE 3: Resilience
Learning Objectives
What is Resilience?
Fostering Resilience
Adults
Children
Fostering Resilience in Children
Vicarious Traumatization
Definitions of Terms
References
Appendix A
Appendix B: Cultural Competency Communication Assessment
Appendix C: Cultural Care Plan
Appendix D: Exploring Cultural Concepts: The Culturagram
Appendix E: Devereux Adult Resilience Survey
Appendix F: My Personal Resilience Plan
Appendix G: Parents & Kids on the Road to Resilience
Appendix H: Being Calm
ABOUT THE AUTHOR
 
Acknowledgements
I want to express my thanks to all of the staff at the domestic violence organizations for welcoming me and guiding my journey in understanding the effects of trauma. I hope that in the future, my work could be an asset to your mission.
I express much gratitude to mi t í a Jennie, who has been a pillar of strength within my Boricua culture since I was a little girl. Love you dearly.
Special thanks and love to my extended family, Lee, Tony, and Li Li, for listening to the vicarious effects imposed on me when empathizing with the pain of others and always inspiring me to continue on. You were always willing to listen to my emotional outpourings and offer positivity and sound recommendations at any given time. You are all truly appreciated. Thank you.
To my caring, loving, and supportive family in Arizona, Michigan, and Texas who deserves my utmost recognition. Much love and thanks to my beautiful children, Matt and Briana, for listening, having faith in me, and always inspiring me to keep the momentum going. All that I speak of in this work is for you to understand and to change the course of the future for your children. They are our legacy.
Thank you to my sweet pup, Gizmo, for understanding when I could not pet you enough, for these were the times I was working on my book. Now that you have left this earthly plane, just know how much your fur hugs are profoundly missed.
Finally, to my darling spouse Michael, whom I have adored since childhood. Thank you for your presence, encouragement, patience, and unconditional love throughout this time. I could not have done it without you. Te adoro mucho.
Background
What does our future hold in a world afflicted by violence? Each year, millions of men, women, and children globally, have endured acts of abuse, neglect, and maltreatment, the majority of it at the hands of those of whom they have entrusted their health and lives to. The victims, many of whom have experienced severe and repeated acts of cruelty, believe that their service providers will heal their physical injuries, wounded psyches, and hearts. The unaddressed psychological and physical effects of these adverse experiences, especially early in life, have shown to be connected to many social, emotional, and cognitive impairments, chronic health conditions, and the use of high-risk behaviors as ways of coping (Felitti & Anda, 2010).
Historically, the impact of trauma was either not taken seriously or not viewed as a valid source of suffering (Ringel, 2012). The inflexible rules, lack of confidentiality, and practices that place the victim at blame in traditional healthcare and social service systems can provoke feelings of being revictimized (Jennings, 2008). Regardless, recognizing trauma is of the greatest importance when searching for a solution to deal with human distress for those who are aware and understand its impact (Baillot, Cowan, & Munro, 2013) . Staff members may be doubtful and resist practicing trauma-informed care, because they may not know enough about the impact of trauma, are unsure how to respond effectively, or even may have some concerns about their own past or current history of trauma (DeCandia & Guarino, 2015).
 
The Curriculum
The goal of this curriculum is to have the frontline workforce at healthcare organizations acquire knowledge on trauma-informed practice and cultural competence, and to support their role in promoting resilience. The curriculum focuses on the development of skills and expansion of knowledge through didactic and interactive activities. The curriculum is a participant workbook to be used as a reference during implementation. There are three modules on evidence, cultural competence, and resilience with an addendum on vicarious traumatization. The curriculum may be presented as a one-day seminar or two half-days presentations. Each module has learning objectives. Depending on the module, there may be videos, handouts, or activities for trainee participation. The length of the time allocated for the activities will vary depending on the material presented and the degree of participation.
Intended Audience
This curriculum has been prepared for all frontline staff at healthcare organizations including leadership, administrative support, and direct care staff.
Mission of This Curriculum
To educate the healthcare workforce on culturally competent care practices with trauma prevention at its core in order to avert retraumatization and promote resilience.
Vision of This Curriculum
We envision a world in which all culturally diverse survivors of trauma know they are believed, safe, and supported by the hands and hearts of those responsible for ensuring their physical, mental, and social well-being.
The Goal of the Training
The purpose of this training is to help the learner understand how becoming culturally sensitive will improve skills to address the effects of trauma experienced by diverse survivors. Cultural competence is a critical step toward trauma-informed practice, a forerunner leading to the path of resilience. The approach is best implemented by changing conventional health and social care systems to be more responsive to the needs of diverse populations affected by trauma (Betancourt, 2005) shown as follows: The need to encourage the development of a culturally proficient and diverse strategic plan. The importance of implementing intervention through the education of frontline staff using the format of a training curriculum that is racially, ethnically, and culturally diverse and inclusive. The necessity to integrate the use of initiatives that are manageable, measurable, and sustainable.
I mportant Considerations for Participants
In light of the high prevalence of domestic and sexual violence globally, there may be healthcare providers that have also experienced trauma, and thus, may be triggered by this presentation. Please be cognizant and offer support to participants that appear to be experiencing difficulty with the material. Inform the presenter if additional breaks are needed or time for debriefings.
Training Site
The program is to be presented at community healthcare organizations that serve diverse and inclusive communities, especially those who are at a socioeconomic disadvantage or otherwise challenged when accessing healthcare.
 
One-Day Agenda
8:00 – 8:30 am Registration
8:30 – 8:45 am Welcome
8:45 – 10:15 am The Evidence Speaks
10:15 – 10:30 am Break
10:30 – 12:00 pm Cultural Competence
12:00 – 1:00 pm Lunch
1:00 – 2:30 pm Resilience in Adults and Children
2:30 – 2:45 pm Break
2:45 – 3:45 pm Vicarious Traumatization
3:45 – 4:15 pm Closing, Questions, a