War Veterans

Table of Contents

INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
CONCLUSION................................................................................................................................1
REFERENCES................................................................................................................................2
SLIDE-2
INTRODUCTION and Road map
We are delighted to release the “Recovery-Oriented Practices for Trauma-Informed Care”
paper. In today’s session, I will briefly present why it is crucial to incorporate the recovery-
oriented perspective as a part of trauma-informed care and why the latter makes a real
difference in the lives of clients with trauma histories (Bills et. al., 2023). More specifically
the presentation will have several components which are as follows: It will be essential to
first define what is meant by trauma-informed care and how it applies to clients of complex
trauma. We shall later present findings from our systematic review of trauma-informed care
and recovery treatment plans intending to build a body of evidence for antecedents and
PTSS impact monitoring and health improvement outcomes. We will also explain the
specific interventions recommended for the overall systemic recovery of patients with
complicated trauma which include peer support interventions that involve the use of self-
management strategies on trauma symptoms, CBT and EMDR therapies among others
(Peterson, 2023). Consequently, in the subsequent part of the paper, we will outline the plan
for the organisation of recovery-oriented approaches under the umbrella of trauma-informed
care in the context of staff development, policy extensions, and quality initiatives. Finally,
we will describe the importance of the indicated strategy for the development of the
recovery-oriented approach in trauma-informed care, as well as the potential consequences
concerning clients with trauma history. Our hope then would be to provide a beneficial
pointer to recovery practice when operating under TIC as well as explicate how this results
in an increase in quality of life for those struggling with complicated trauma.

SLIDE-3
Background:
Population and Demographics and Trauma
Since the presentation is intended for War veterans who had complex trauma, it is vital to
use the Trauma Informed and Recovery Orientated approach (Carr, Hamlett & Hillbrand,
2024). Military veterans are in a unique category of people who have been exposed to

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several stressors including combat experiences, traumatic events and the burial of friends.
As we saw these experiences could lead to mental health issues like post-traumatic stress
disorder, depression or anxiety (Champagne, 2020). The posttraumatic stress disorder
prevalent in war veterans can be expressed in several manners owing to aspects such as
threat of death, physical assault, threatened control or physical restraint, and social isolation.
Like any other trauma, PTSD leads to alteration of personality, interpersonal relationships
and overall health.

SLIDE-4
Now we will discuss some barriers that make it difficult for healing practices based on
trauma-informed and recovery-oriented practices in war veterans. These barriers
include:
 Lack of information about such traumas and their impact on the states of people’s
psyche
 Lack of training furthermore incentives provided to its practising providers
One of the objects people hold about mental health:
 It is difficult to convince the veterans to look for help since they may have pride
wounds or shame or regret over their conduct in battle.
 Limited chance to access services that cater for their culture especially those that
concern war veterans.

SLIDE-5
As we all know there are some legal and ethical considerations in every aspect, so, It
may also be the case that to make practice more trauma-informed there may be
organisational restrictions such as:
 Smaller variation in the value as the treatment factor is concerned
 The failure of communities and families to have adequate cash to afford trauma
treatment services
 Lack of action that emanates from top organizational leadership

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Such barriers hamper the capacity to render the perfect trauma-informed care which would
meet the needs of war veterans (Cleary et. al., 2020).

SLIDE-6
Recommendations for Evidence-Based Practices to Support Trauma-Informed,
Recovery-Oriented Care
Organizational Culture:
Foster community awareness of trauma by including techniques of effective communication,
careful use of evidence and policy review among the staff through Internet and offline
promotions (Ezra & Mazor, 2021).
 Help ensure that the wider population become aware of the self-narratives of trauma
and advocate for traumatized workers to either leave the organization or stay within
the organisation to be served by the traumatized workers.
 Ensure that clients’ needs, choices and preferences are considered while formulating
and planning for treatment goals and services.

SLIDE-7
Policy and Procedure:
1. Develop and write a policy statement that operationalises trauma-informed practice in the
organisation, specifies the training staff need concerning the application of the approach and
outlines the roles of clients in the process.
2. The same standard as used in the assessment of clients should also be employed in the
screening for the identification of clients who have been exposed to trauma for their needs to
be incorporated in the intervention plan.
3. Develop safety measures to ensure the clients’ safety; the measures should note how to
handle such incidences, the resources to offer to the clients and other relevant information.

SLIDE-8
Professional Practice:

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  Deliver exercise in shock-absorbed cognitive behavioural therapy (TF-CBT) and also
offer exercise in judgement crusade desensitization and reusing (EMDR) conduct.
 The client will have to obtain obtainable Aristocrat provision whereby other
customers have been qualified as well and who have approved through similar
torment to substitute the sensation of disgrace with the sensation of closeness.
 Teach the clients how to manage PTSD symptoms including, Mindfulness (Gueta,
Chenm & Ronel, 2022). This is where the client is taken through a process of
focusing his or her mind on the present instead of stressing over past events or future
events.
 Properly consult the other services to meet all the client’s needs, which include
physical, emotional and psychological.
Integration of the above practices assists in supporting clients who have faced trauma
through embracing trauma-informed and recovery-orientated practices. This entails having
an environment that is friendly to the clients, the establishment of friendly policies for
clients, and the formulation of friendly treatments for the clients.

SLIDE-9
Recommendations for Trauma-Informed, Recovery-Oriented Care
Organizational Culture:

 Promote diversity and employee tolerance in the workplace by training as well as

SLIDE-10
Policy and Procedure:
 Develop clear accessible guidelines for working with traumatized people and staff
members together with the list of clients’ rights (Guha et. al., 2022).

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  Standardized checklists for the case managers should be performed to identify the
Trauma history of the clients.
 Design policies and procedures to meet the objectives that would provide the safety
and protection of clients, which would be the foremost consideration.

SLIDE-11
Professional Practice:
 Include additional training relating to cognitive behavioural therapies that are
trauma-focused or TF-CBT, and EMDR therapy (O'Brien et. al., 2021).
 Offer valued self-identifying services including other people who are in a similar
boat trained to assist.
 Advocating for strategies that can be applied in the practising of self-care in the
symptom of PTSD, for instance, practising mindfulness and relaxation exercises.
 It becomes important to address another service to keep clients on an overall basis.
This entails fostering an understanding of organisational culture, setting the standard which
addresses the needs of the clients and use of broad, effective interventions for the several
concerns that clients display.

SLIDE-12
Importance of recommended practice
Now, let's look at how the suggested changes in organizational culture, policy, procedure, and
professional practice contribute to trauma-informed, recovery-focused care.
First, promoting diversity, tolerance, and open communication plays a critical role. By creating
an empathetic and safe environment, staff and clients can openly discuss trauma, addressing the
social and emotional needs of individuals with traumatic backgrounds. This approach not only
promotes healing but also builds trust, which is fundamental to recovery.
To ensure consistency in care delivery, implementing standardized client assessments and clear
guidelines is essential. These measures enhance the quality and reliability of trauma care. By
clearly defining staff responsibilities, establishing safety protocols, and actively involving
patients in treatment planning, we create a more structured and dependable care system.

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Additionally, specialized training in trauma-focused therapies like EMDR and CBT, along with
self-care techniques such as mindfulness, equips practitioners with the necessary tools to address
PTSD symptoms effectively. This holistic approach ensures that the psychological, emotional,
and physical needs of clients are attended to, which significantly improves client outcomes.
When these modifications are integrated, they create a compassionate, tailored care model that
effectively reduces barriers to recovery. As a result, individuals with complex trauma experience
improved recovery outcomes and an enhanced quality of life.

SLIDE-13
Conclusion
It also must be recognized that healing from trauma is a massive endeavour and therefore, the
imperative to provide the best in trauma-informed, recovery-oriented care. To this end the
following have been incorporated to improve the care of the children; creating an organisational
culture that promotes employee sensitivity towards the children; a policy that outlines the
trauma-sensitive care practice and staff training; other intervention methods used are TF-CBT
and EMDR (Payne, Rologa & Waters, 2024). The other approach which may be employed by
clients in reducing PTSD symptoms includes peer support and self-care. The said elements thus
aid organizational structures to offer an effective and caring style of care to restore a balance of
reciprocal worth and control among clients to improve recovery processes.

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REFERENCES
Books and Journals:
Bills, L. J., Hutchison, S. L., Snider, M. D., Skrzypek, B. E., Minnich, C. L., Korney, J. M., ... &
Herschell, A. D. (2023). Implementing a trauma‐informed system of care: An analysis of
learning collaborative outcomes. Journal of Traumatic Stress, 36(2), 433-443.
Carr, E. R., Hamlett, N., & Hillbrand, M. (2024). Integrating behavioral, psychodynamic,
recovery-oriented, and trauma-informed principles to decrease aggressive behavior in
inpatient care. American journal of orthopsychiatry.
Champagne, T. (2020). Trauma-informed care. Psychosocial occupational therapy, 241-251.
Cleary, M., West, S., Kornhaber, R., Visentin, D., Neil, A., Haik, J., ... & McLean, L. (2020).
Moving the lenses of trauma—Trauma-informed care in the burns care
setting. Burns, 46(6), 1365-1372.
Ezra, A., & Mazor, Y. (2021). Integrating Trauma-Informed Supervision into Psychiatric
Rehabilitation in Times of Shared Traumatic Reality: COVID-19. American Journal of
Psychiatric Rehabilitation, 24(1), 68-87.
Gueta, K., Chen, G., & Ronel, N. (2022). Trauma-oriented recovery framework with offenders:
A necessary missing link in offenders' rehabilitation. Aggression and Violent
Behavior, 63, 101678.
Guha, M. D., Cutler, N. A., Heffernan, T., & Davis, M. (2022). Developing a trauma-informed
and recovery-oriented alternative to ‘aggression management’training for a metropolitan
and rural mental health service. Issues in Mental Health Nursing, 43(12), 1114-1120.
O'Brien, K. M., Dozier, M. E., Lopez, J., & Ruha, A. (2021). A new treatment model for
veterans?: Results from a program evaluation of a recovery-oriented intensive outpatient
program for veterans with heterogeneous diagnostic presentations. Journal of Contextual
Behavioral Science, 19, 57-63.
Payne, L., Rologas, K., & Waters, L. (2024). Embedding Recovery Principles in Staff
Orientation: A New Way of Delivering Multidisciplinary Mental Health
Orientation. Journal of Psychosocial Nursing and Mental Health Services, 1-8.
Peterson, S. (2023). Counseling Strategies for Clients in Recovery From Substance Use
Disorders and Mental Illness. In Facilitating Social Justice, Service Delivery, and
Advocacy Through Multicultural Counseling Competencies (pp. 171-193). IGI Global.

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