What do others think of this response from a Nurse Educator in Mental Health (who says she's not a clinician):
"The information and research used to inform staff includes; SAMHSA’s concept of trauma and guidance for a trauma informed approach. We also have the SAFEWARDS model that has been implemented throughout our in-patient services, and staff are being trained in SPEC (safe practice, effective communication) 4 day training – with emphasis on TIC, patient centred care and recovery -- (MY NOTE: although they've given NO information about what Qs / responses in the case of specific patient behaviors -- no questions about such things as "exaggerated startle responses" on being woken -- sign of possible PTSD)
I believe the concepts of TIC are included and threaded throughout the training/education being offered as we have fully embraced least restrictive practice and fully endorsed the 6 core strategies (Te Pou), modified from SAMHSA. I believe our services will continue to evolve, and any new information/research utilised to inform best practice for our clients/families and services."
For some bizarre reason there's nothing said about actually asking about experience of trauma / abuse. I'd have thought that, and several other related questions (prior need for hospitalization etc) would need to be the first questions to be addressed -- especially since there're an increasing number of guides, resources, training materials for precisely that. Your thoughts?
(especially since I posted that list of references detailing some research showing, in that study that (a) the vast majority of psych inpatients have such traumatic experiences; (b) most never disclose / volunteer that information until asked; (c) only a bare majority (51%) get asked even when it's in place; (d) stereotypes influence who will and won't be asked -- people with Borderline PD get asked if they've suffered sexual abuse more than others.