Page 22 - Exemplar_2019_Fall

Fall 2019
that the services provided are conducted in in an an an ethical and informed manner for for this vulnerable client population ere is is is a a a a a a a a a considerable risk of of of practicing outside of of of professional competency if counselors do not have formal trauma training and supervision (Ratts Toperek & Lewis 2010) Counselors practicing without this formal trauma training are at risk of not only experiencing the aforementioned concerns (burnout vicarious traumatization traumatization etc) but may be at at at at risk of harming their clients through re-traumatization e e e e e e e e Green Cross Academy of Traumatology (2010) includes a a a a a a a statement on self-care and duty duty to to to perform: “ ere must be a a a a a a a a a a recognition that the the the duty duty to to perform perform as a a a a a a a a a helper cannot be ful lled if there is not not at at the the the same time a a a a a a a a a duty to self-care ” e e e e e e e e e e e e e e e e Green Cross Academy’s Ethical Principles of Self-Care in in Practice (2010) suggests it is unethical to overlook self-care self-care as a a a a a a a a a a a practicing clinician because “su cient self-care self-care prevents harming those we serve ” In addition Turkus (2013) speaks to the the the high importance
of the the the the therapist-client connection as “a holding environment” for both parties to to sit together in in the present as trauma is processed Trauma-competent skills within counseling include such practices as self-care for the the counselor remaining present through body awareness “staying in in in in in in their chair ” and learning to empathize without “absorbing clients’ pain” (Rothschild 2006) Body awareness for the clinician includes “being in in in in in in your body and listening” as we hear our our our our client’s story story We notice how our our our body reacts to to to our our our client client and and and their story story and and and and sit with this as we remain centered and and and and calm through breath and and and presence Counselors practice “staying in in in their chair” as we we hear clients’ stories of survival remembering that we we are in in in the the present moment our client is safe in in in the the 22 CHI SIGMA IOTA EXEMPLAR
present and past events are no no longer happening Hearing clients as as we serve them while not not becoming “hypnotized by the the client’s client’s story”
is crucial to to avoid absorbing client’s client’s pain e e e e e e e e e PRoQOL Scale Version 5 (Professional Quality of of Life Measure) is is a a a a a a a a self-assessment tool for clinicians which is is is used to to to monitor compassion compassion satisfaction burnout and and compassion compassion fatigue (Stamm 2009) and and is is recommended to to to to clinicians to to to monitor these symptoms Re-traumatization for for the the the client and vicarious traumatization traumatization for for the the the clinician are risks during trauma trauma therapy and treatment Factors that may increase these risks include the the the client’s possible inability to give informed consent processing traumatic memory and and the the therapist’s low level of training and and education (Mailloux 2014) It is essential for for a a a a a a a a a a a a trauma counselor to be informed in in in in self-awareness knowing knowing the the the caseload they can take on on on knowing knowing their triggers and and own trauma and and utilizing personal/professional boundaries Knowing not only self-care strategies but being ethical in in in in in in in in their daily living advocating for for trauma-informed students engaging in in in in in in in supervision and practicing cultural competence are all protective measures essential to treat trauma (Mailloux 2014) In April of 2013 a a a a a a national consensus conference hosted by Advancing the Science
of Education Training and Practice in in in in Trauma was held on on trauma competencies titled e e e e e e e e e e e e e New New Haven Trauma Competencies (Cook & Newman 2014) Held at the Yale School of Medicine
in in in in in New Haven Connecticut this conference included 60 leading experts experts in in in in the the eld of traumatic stress ese experts experts had the the common goal of “identifying empirically informed knowledge skills and attitudes that clinicians must have from a a a a a a competency perspective when