16 hours ago Leah Dredge Week 6 Discussion 1 COLLAPSE I have used the ACE score
16 hours ago Leah Dredge Week 6 Discussion 1 COLLAPSE I have used the ACE score framework with youth (as appropriate to their age and understanding) in practice and have found it to be a useful introduction to trauma during the psychoeducation portion of treatment. I was first introduced to the ACEs years ago as a youth public librarian. It was discussed at a conference as part of an effort to help educators and librarians understand what trauma may look like in the general population. I remember taking the test for the first time and being taken aback by my score. Then I immediately worried about my future health! Which is a reaction to the score that I have seen in others also. The beauty in the tool is that it allows for the respondent to score themselves, without the clinician needing to see it or score it. I did that routinely, to create a sense of safety for clients. They were free to share their score, or keep it to themselves if they liked. Often they would remark about an item, and that led the way for discussion around something they had not yet considered to be “traumatic” and how it could be for some people and why. Sometimes they would use the item as a starting off point to discuss experiences that they had had, or knew someone close who had. It creates an inroad to discussions that may be had later when the participant is more comfortable and ready. I have a personal belief that the 5 elements of trauma informed care: safety, choice, collaboration, trustworthiness, and empowerment should be the basis of any therapeutic relationship, whether there is an indication of trauma or not. For participants who have higher ACE scores, ensuring that care proceeds at a pace that is appropriate for the participant is very important. I felt this was a critical part of “sanctuary trauma” as described by Elizabeth Hudson (nd). If we do not move slowly as practitioners and ensure that our participants feel safe (emotionally and physically), are desiring to share their stories, and trust us, we risk retraumatizing them and doing further harm. There are may ways to implement those aspects into care to help participants. SAMHSA has published an over 300+ manual with methodology and suggestions for competency and implementation (SAMHSA, 2014). Trust is one of the first aspects that I try to establish while building rapport. It is not always easy, but I found that the other pieces often begin to fall into place once a participant decides that they can trust you. References: Hudson, E. (n.d.) “Trauma-informed care”, PowerPoint presentation, retrieved from, http://www.google.com.au/ search?client=safari&rls=en&q=Elizabeth+Hudson,++ Trauma+–+Informed+Care+ppt&ie=UTF-8&oe=UTF8&redir_esc=&ei=gD2oUZGbLfG8iAfd9IDIDg

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