CHCCSL013 - Implement Trauma Informed Care - Gary Case Study - Community Assessment Answer

Assessment Task:

CHCCSL013: Implement Trauma Informed Care  Assessment Answer

Scenario Stage 1
You are a school based counsellor and a 16 year old male, Tom, comes to you because of a violent act in the classroom – he threatened his teacher and trashed her class, after he was caught in the male toilets, performing a consensual sex act on a 13 year old male student. An odour of alcohol and possibly an inhalant, is also evident. According to his student file, he has had repeated episodes of truancy and two suspensions for violent outbursts. He has been in the custody of Department of Child Protection for the past 5 years, due to sexual and physical abuse by his mothers’ boyfriend, when he was 11. His mother has a history of amphetamine use and several prostitution charges/convictions and Tom witnessed her being beaten by her boyfriend, often resulting in her hospitalisation. Tom is in your office, in extreme distress and although he is denying anything happened in the male toilets, he says he needs and wants counselling, to help his anger. Describe how you addressed the following during the initial interview process.

• used at least 6 key communication techniques to gather more information
• examples of using non-judgmental language
• communicated information about the impact of trauma to him in an age sensitive way
• explained your mandatory reporting obligations
• explained your role, boundaries, limitations and his expectations
• discussed privacy, confidentiality and disclosure
• explored your concerns about the immediate allegations, as well as his other behaviours

Case Study
Gary is 28 years old and a bricklayer, but has only had casual employment and has been unemployed now, for three months and he and Julie are renting a room, in a shared house with another couple. Gary has been physically abusive towards his female partner, “Julie”, who is 22 years old, resulting in the Police being called by the neighbours. After the last episode of violence towards her, Julie said that she would leave him if he did not seek help to change his behaviour and stop his physical abuse. Incidents of this abuse include slapping and pushing her, spitting at her, shouting insults to her face, making humiliating comments towards her in public.

Gary's history revealed that he and his siblings were beaten severely by his Father, throughout his childhood. He has had previous relationships, that ended as a result of his violent and abusive behaviour. According to Gary no serious harm has occurred, as he has not been officially charged by police for assault. He claims that his abusive behaviour is “under control” and stated “Julie would not have stayed with me if I was a wife basher. I am not like my Dad” Gary is being referred to you and is minimising the impact of his actions on Julie. What are your plans for working with Gary for the next 3 sessions? What are the ethical dilemmas here for you? How will you develop behaviour change strategies, using trauma informed practice? What are your Duty of Care and legal obligations, in regards to safety for you, Jenny and Gary?
Outline how you introduced Gary’s trauma into the sessions and how you worked with him to understand the impact it has had on decisions he made throughout his life.
Describe how you will introduce conflict resolution and negotiation techniques to Gary?

Part 1

You work at a Sexual Assault Service and have been asked to supervise a new staff member, who is going to be observing you in several counselling sessions, as part of their Counselling studies. You decide to develop a student handbook for them, which will help them understand the different aspects of the client/community worker relationship as well as trauma informed client care. At a minimum, make sure you include the following information:

• How to prepare and gather information before a newly referred client arrives for their appointment

• How to build initial rapport and make client feel comfortable

• Effective communication techniques, used in therapeutic counselling work

• All legal and ethical requirements, your role and your boundaries and limitations

• The different counselling theories, including trauma informed care practices

• Communication of information about the impact of trauma, to clients in a culturally and age sensitive way

• Strategies to eliminate, minimise and/or manage potential triggers to traumatisation and re-traumatisation in relation to service provision

• Strategies that promotes trauma informed principles and practices in the workplace to other workers

• Ways they can contribute to the development of policies, to reduce or minimise experiences of vicarious trauma

• Ways the service proactively review its’ programs, services and plans to minimise potential issues or incidents

• The importance of the documentation requirements

• Ways the service gets feedback from clients regarding the service provision

• The identification and response to urgent emergency issues,

• How to identify indicators of client issues beyond scope of own role and the need for referral

• Ways to monitor, review and end the counselling relationship

Conduct research regarding trauma and address the following points, providing statistical data to support your statements.

• The prevalence of trauma in the general population

• Definitions of trauma and complex trauma and its impacts

• Values and core principles of trauma informed care

• How trauma impacts the development of those affected

• The dynamics of interpersonal violence and the relationship to trauma

• The ways in which individuals cope and manage the impact of trauma

• The potential for and causes of re-traumatisation, when accessing or receiving services (including the use of compulsory treatment, seclusion and restraint)

• Role of triggers and 'flashback' (re-experiencing), re-victimisation and re-traumatisation

• Links between suicidality, mental health issues, self-harm and interpersonal trauma

• Significance of loss and grief for people who have experienced trauma

• Gender differences in the application of trauma informed care

• Common beliefs and attitudes towards people who experience interpersonal violence and how this impacts on their access to services

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