TraumaInformed Care The Collaborative Change Model Linda Stone

Trauma-Informed Care: The Collaborative Change Model Linda Stone Fish, M. S. W. , Ph. D. David B. Falk Endowed Professor of Family Therapy, Syracuse University flstone@syr. edu

The Collaborative Change Model Barrett, M. J. and Stone Fish, L. (2014). Treating complex trauma: A relational blueprint for collaboration and change. NY: Routledge. Collaboration Stage One: Creating a context for change Stage Two: Challenging patterns and expanding alternatives How traumatic stress influences addictions Skills for Engaged Mindstate Stage Three: Consolidation

Helper’s Journey while Working with Individuals who have experienced Trauma Unreasonable Optimism Judgmental Ruminative Hopeful Discerning Evolving Cynical Naive Stuck in Despair

Stage Two: Challenging Patterns and Expanding Alternatives

Unmanageable stress and the ways we protect ourselves • Fight • Flight • Freeze

Avoidance of Discomfort • • • Difficulty self-soothing Difficulty reasoning Difficulty learning new skills Difficulty making meaning Difficulty with impulse control

Difficulty controlling emotions, thoughts, behavior, and relationships • I experience myself as powerless • I am disconnected from myself, others, and the world around me • I experience myself as devalued • I am out of control

Engaged Mindstate • In an engaged mindstate individuals have access to and incorporate tools that regulate their affect, cognitions, behavior, and relationships. They experience themselves as powerful, in control, valued, and connected to themselves, a support system and to the world around them. They are aware of their strengths, their resources and their vulnerabilities and have developed a skill set to deal with stress. When people are acting from an engaged mindstate, they have self-awareness and other awareness, practice mindsight (Siegel, 2010), are engaged in supportive relationships, and have a meaningful vision of the future.

Resilient Zone Narrow Resilient Zone: small stressors can bump a person into the Low/High Zone (Trauma Resource Institute, Miller-Karas, 2015) Resilient Zone Wide Resilient Zone: greater capacity to stay within your Resilient Zone even when faced with life stressors

Skills for Engaged Mindstate • Mindfulness • Tracking (TRI) • Resourcing (TRI) • Grounding (TRI) • Relationship Building • Confirm • Contradict • Continue

Helping Relationships Confirm

Contradict • Limit Setting and Redirecting Using New Resilient Zone Skills

Continue

Practice • Engaged Mindstate • Think of a time over the last couple of days when you were out of your resilient zone with a client and track what you were sensing (seeing, hearing, touching, smelling, tasting) • Take out your resource and track your experience (seeing, hearing, touching, smelling, tasting) • Think about and write down what you could do differently

Consolidation • Write down a concrete goal you are willing to try to use with clients to build an engaged relationship