Chosen Blog

2 September 2021

From “Trauma Informed” to “Trauma…”

Chosen - Adoption | Foster & Orphan Care Outreach | Mentoring

Loss hurts. Neglect and abuse cut deep. Early childhood trauma leaves lasting scars. Whether the baby in the womb adopted at birth, the 3-year-old being raised by grandparents, or the teenager in foster care, all children who have been separated from birth parents have experienced some level of trauma. As a result, these kids often face emotional, social, behavioral, spiritual, and academic challenges that easily confuse and overwhelm caregivers.

Trauma and ACEs

Research on childhood trauma yields two conclusions: 1) Trauma is prevalent—more than half of Americans report having at least one adverse childhood experience (ACE);¹ and, 2) exposure to trauma at any point in life can limit human potential, compromise the quality of life, create health problems, and shorten life expectancy.

The connection between ACEs and trauma is well documented. As a result, interest in trauma-informed care for families of vulnerable children has grown substantially. Such approaches are characterized by integrating an understanding of trauma throughout a program or organization to enhance the quality, effectiveness, and delivery of services provided.

From Trauma-Informed to Trauma-Responsive Care

To address ACEs and the resulting trauma, practitioners must be trauma-informed. But a more significant level of trauma responsiveness is required to holistically meet the needs of individuals who have experienced adversity. ¹ The distinction between being-trauma-informed and trauma-responsive is important:

  • Trauma-informed care recognizes the presence of trauma symptoms and, when creating a family treatment plan, acknowledges the connection between trauma, behaviors, and family interactions.

  • Trauma-responsive care is the application of being trauma-informed. This “next step” of the treatment process is delivered according to the unique needs of the person who has experienced trauma, as well as the caregivers and family unit.

Implementation is the difference between trauma-informed care and trauma-responsive care. Before operating a piece of machinery, did you read the manual? Are you briefed on all risks and safety measures? If so, then you are informed. When you operate that machinery, are you adhering to all procedures and safety measures you have learned? If a part of the machinery isn’t working as expected, are you using the manual to troubleshoot? You are only being responsive with the application of knowledge.

How Does Chosen Implement Trauma Responsive Care?

At the forefront of trauma-responsive care since 2016, Chosen’s care staff is comprised of trauma-informed care managers who deliver services in a trauma-responsive format to the families we serve. Informed principles are the basis for our responsive practices. Our life-on-life approach is characterized by tailored, compassionate care as we walk alongside families on their journey toward healing. Our care team looks at every component of program delivery, including:

  • Therapeutic Resources
  • Crisis Support
  • Individualized Parent Coaching
  • Method of Delivery
  • The way our Values are Communicated
  • Trauma Education
  • Clinical Assessments
  • Personalized Case Management
  • Language Choice
  • Therapeutic Resources
  • Trauma Education
  • Crisis Support
  • Clinical Assessments
  • Individualized Parent Coaching
  • Personalized Case Management
  • Method of Delivery
  • Language Choice
  • The way Our Values are Communicated

Our Chosen care managers customize every Weekly Action Plan and Trauma-Informed Action Plan® (TAP®) to the unique needs of families. These plans are based on pre-service clinical assessments, along with conversations that occur during parent coaching sessions.

Additionally, our use of dosing, which gives families control over the duration and frequency of their services, allows us to respond appropriately to their needs. Perhaps most importantly, our development of deep, authentic relationships with our families facilitates our trauma-responsive services.

For our Chosen families, accountability is an aspect of trauma-responsiveness. Our care managers hold parents accountable to their TAP®. We give families actionable tasks, then ensure follow-through by asking directly about their tasks during subsequent care sessions. Often, clients tell us they complete their tasks because they know their care manager will ask about it each week. Acting on information is what moves families from trauma-informed to trauma-responsive.

If you know a family who has been touched by the child welfare system, and is in need of care that is tailored to their needs, share Chosen with them today.

 ¹ Bynum, L., et al. (2010). Adverse childhood experiences reported by adults — five states, 2009. Morbidity and Mortality Weekly Report, 59(49), 1609-1613.

¹ Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., … & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet Public Health, 2(8), e356-e366.

 ¹ Bloom, S. L. (2016). Advancing a national cradle-to-grave-to-cradle public health agenda, Journal of Trauma & Dissociation, 17(4), 383–396. doi.org/10.1080/15299732.2016 .1164025

Over 50% of Americans report experiencing one adverse childhood experience, or ACE. According to the CDC, ACEs can:

  • compromise quality of life
  • create health problems
  • & even shorten life expectancy.

To address ACEs and the trauma resulting from them, practitioners must be trauma informed. But being informed is not enough—in order to meet the needs of these individuals who have experienced adversity, a more significant level of trauma responsiveness must be achieved.¹ There is an important distinction between being informed and being responsive. Simply put:

  • Being informed means the trauma is taken into consideration when a treatment plan is developed for a family.
  • Being responsive indicates that the entire treatment process has been rethought and is delivered according to the individual needs of the person who has experienced trauma.
 
The distinction between informed care and responsive care boils down to implementation; before operating a piece of machinery, did you read the manual? Are you briefed on all risks and safety measures? Then you are informed. But when you operate that machinery, are you adhering to all procedures and safety measures you have learned? Only with careful implementation are you truly being responsive.

How Does Chosen Implement Trauma Responsive Care?


Chosen’s care staff is comprised of trauma informed care managers who deliver services in a trauma responsive format to the families we serve; our informed principles are the basis for responsive practices. Chosen has been at the forefront of trauma responsive care since the formalization of our programs in 2016. Our life-on-life approach, which calls us to walk alongside families on their journey toward healing, is indicative of the individualized, customized approach that we take to working with every family. To be trauma responsive, our care team looks at every component of program delivery. This includes:

  • method of delivery
  • language choice
  • & the way our values are communicated
 
Specifically at Chosen, care managers tailor every Weekly Action Plan and Trauma-Informed Action Plan® (TAP®) the unique needs of families. These plans are based on a combination of pre-service clinical assessments, along with conversations that occur during parent coaching sessions.

Additionally, our use of dosing, which gives families control over the duration and frequency of their services, allows us to respond appropriately to their needs. Perhaps most importantly, our development of deep, authentic relationships with our families facilitates our trauma responsive services.

For our Chosen families, accountability is a form of trauma responsiveness. Our care managers hold parents accountable to their TAP®. We give families actionable tasks, then ensure that they follow through by asking directly during care sessions. Often, clients tell us that they complete their tasks because they know that their care manager will ask about it each week. Acting on being informed is what moves families from trauma-informed to trauma-responsive.

If you know a family who has been touched by the child welfare system, and is in need of care that is tailored to their unique needs, share Chosen with them today.

¹ Bloom, S. L. (2016). Advancing a national cradle-to-grave-to-cradle public health agenda, Journal of Trauma & Dissociation, 17(4), 383–396. doi.org/10.1080/15299732.2016 .1164025