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Reply to "Trauma informed hospital system"

You're VERY, very right, Grace, on both counts -- to do a decent job for patients we urgenty need to re-name, re-think, and re-frame what we do. It's bizarre that AOD was considered to be such an "advance", though it rightly acknowledged how important, and how grave, may be the consequences of "alcohol use disorders", certainly as serious, if not more so, than other drugs  -- I've no excuse. To some extent, we are all the products of the systems from whence we came, fortunately not irrecoverably so.  In the hospital-based service in which I last worked, we were all AOD Clinicians. Now it's called the MHAIDS -- MH, Addictions and Intellectually Disability Service -- also not "trauma-informed". Indeed, the official name of the NZ association for counsellors in the field is DAPAANZ, though now offficially called The Addiction Practitioners' Association, Aotearoa-New Zealand, it comes, curiously enough, from Drug and Alcohol Association of Aoteroa, New Zealand. Even compared to Australia, there are national differences in how serious are what drugs are viewed as  "problematic" -- alcohol being the major one here, though we've got a much less "serious" approach to drink driving (again the Downunder term for Drunk Driving -- again, reflecting the, until recently, view of alcohol as being THE drug most often impairing driving, and hence our very poor IMHO approach to helping repeat drink drivers.

 

Again, it's very much viewing things as "the substance" that's problematic, not natural, human processes, and people's struggles with those -- Michael Twohig and colleagues have an interesting, new, approach to one such  that's often problematic -- but it's very much in its early days, too   http://goo.gl/Q13uzy Or the multi-factorially determined "self-medication" of early trauma-related suffering -- the responses to the main article are freely available, and an interesting outside-in look into the overall conceptualisation process, and of how much we all need others in approaching such matters  https://goo.gl/E0YkHH

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