Trauma Informed Practice

Posted: April 4th, 2019

SP2 2023
Trauma Informed Practice
Assignment due date: Sunday, 21 May 2023, 11:59 PM
Assessment 2 Case Study: – assessment and intervention
Judy has been referred to you by the Department of Correctional Services as part of her parole conditions and the following information has been provided by Judy’s parole officer.

Client information
Judy is a 54-year-old Aboriginal woman who has recently been released from prison after a 20-year sentence for the murder of her husband William. She is the mother of 4 children and 7 grandchildren.
Judy grew up in a household where family violence was prevalent. She experienced physical, emotional, and psychological abuse from multiple family members throughout her childhood and adolescence.
Despite her difficult upbringing, she completed year 12 at high school and eventually started her own family with William.
Throughout Judy’s 15-year marriage, William was a perpetrator of domestic and family violence. This happened most nights after William had been drinking heavily and in front of their children.
One night during an argument with William, Judy took a sharp knife from the kitchen sink and stabbed William in the chest. William collapsed on the floor and died. This was witnessed by Judy’s 3 daughters and son Billy who was 5 years of age.
During the judicial process Judy was found guilty of murder despite her defense team providing intimate details of the violence that occurred during her marriage to William.
Her youngest daughter Melissa now aged 29 is a heavy drug user and has had her 2 children removed by the Department of Child Protection. This is very distressing for Judy due to the shame she feels about her own children being placed in the “welfare system” when she was incarcerated. Although they are on talking terms the relationship is strained due to Judy being made aware of the violence Melissa’s partner inflicts upon her
Judy’s other children do not live locally and did not support Judy during her incarceration. Judy’s son Billy now aged 25 blames Judy for the death of his father and refuses to speak with her or acknowledge the violence that occurred in the home. Judy has reported on several occasions that not being involved in the lives of her children and grand children causes her great distress.
Whilst incarcerated Judy did receive visits from a member of her local community “Aunty Annie” who kept her updated about her children and ensured that they were provided with cultural support. Judy was able to live with Aunty Annie upon her release however just last week Aunty Annie died in hospital after contracting Covid 19.
Judy has been asked by the Housing SA to vacate the premises in 14 days as there is a family in need of accommodation.
Since Annie’s death Judy has begun drinking heavily due to feelings of great sadness as well as various trauma symptoms relating to the domestic violence and her time in prison where she was targeted by other prisoners and was also sexually assaulted by a female prison officer. Judy also blames herself for her children not wanting to see her.

The day you first meet Judy
You are a social worker in a small Non-Government Organisation that supports women who have recently been released from prison.
While finishing up with an appointment that has gone longer than expected you hear a woman shouting at the receptionist stating that she has been kept waiting for too long in this “dump”.
You walk into the reception room and see a woman who is clearly upset walking toward the exit door. You also notice that your receptionist is on the phone to the police regarding Judy’s threatening behaviour.
You realise that the woman is your next client Judy, and has been kept waiting for 25 minutes

Case study instructions
The purpose of the case study task is for you to explain what your trauma informed assessment of the client’s presentation would be and your rationale for this assessment and an intervention plan. Remember, trauma theory needs to inform your response.

Initial contact with Judy
How do you immediately respond to the situation occurring in the reception area?
What physical features of the room where you will work with Judy reflects a trauma informed approach?

Part 1 – Assessment
You will need to include the following:
A biopsychosocial assessment and case formulation. This involves an identification of the trauma/s in Judy’s life and situation.
What are the factors impacting Judy’s mental health and well-being?
An analysis of the influence of contextual factors in Judy’s life and her reported psychosocial functioning
You will also need to demonstrate your understanding and management of risk faced by Judy.

Part 2 – Treatment/Intervention planning
To demonstrate your trauma informed practice skills, you will need to develop an intervention plan highlighting the following elements:
• What are Judy’s needs?
• Establish the influence and priority of factors affecting Judy’s mental health and wellbeing
• Establish the goals of treatment/intervention with Judy and preferred strategies to achieve them
• Identify and mitigate potential risk factors
Important reminder. In your responses you will need to demonstrate your understanding of trauma theory and how it has informed your practice while completing your assessment and intervention plan.

Approximate word count for each section
The weighting of each section should indicate how much time and words you should be using to answer the question however below is an approximate word count linked to the weightings on the feedback sheet
Management of the initial situation in the reception area – 150 words
Description of your counselling room in relation to trauma informed practice – 150 words
Assessment – 900 words
Risks – 250 words
Intervention – 700 words
Final summary – 150 words
All references must be written in Harvard referencing style.
An introduction is not required, however please conclude your paper with a brief summary of how you have used trauma informed theory.

______________________
Initial contact with Judy

When I first meet Judy, I am aware that she is upset and has been kept waiting for 25 minutes. I apologize for the wait and explain that I was finishing up with a previous appointment. I ask her if she would like to sit down and have a cup of tea or coffee. I also offer her a tissue if she needs it.

I approach Judy in a calm and respectful manner. I make eye contact and use a soft voice. I avoid making any assumptions about her situation. I let her know that I am there to listen to her and help her in any way that I can.

I am aware that Judy may be feeling angry, frustrated, or scared. I want to create a safe and supportive environment where she can feel comfortable talking about her experiences. I let her know that she is not alone and that I believe her.

Physical features of the room where you will work with Judy reflects a trauma informed approach

The room where I will work with Judy is a small, private office. The walls are painted a soft blue color and there are a few plants in the room. There is a comfortable sofa and a coffee table in the center of the room. There is also a desk with a computer and a printer.

The room is free of clutter and there is no harsh lighting. The temperature in the room is comfortable. The room is quiet and there is no noise from outside.

The physical features of the room are designed to create a safe and calming environment for Judy. The soft colors, the plants, and the comfortable furniture help to create a relaxed atmosphere. The lack of clutter and the quiet environment help to reduce sensory stimulation, which can be overwhelming for people who have experienced trauma.

Part 1 – Assessment

Biopsychosocial assessment and case formulation

Judy is a 54-year-old Aboriginal woman who has recently been released from prison after a 20-year sentence for the murder of her husband William. She is the mother of 4 children and 7 grandchildren.

Judy grew up in a household where family violence was prevalent. She experienced physical, emotional, and psychological abuse from multiple family members throughout her childhood and adolescence.

Despite her difficult upbringing, she completed year 12 at high school and eventually started her own family with William.

Throughout Judy’s 15-year marriage, William was a perpetrator of domestic and family violence. This happened most nights after William had been drinking heavily and in front of their children.

One night during an argument with William, Judy took a sharp knife from the kitchen sink and stabbed William in the chest. William collapsed on the floor and died. This was witnessed by Judy’s 3 daughters and son Billy who was 5 years of age.

During the judicial process Judy was found guilty of murder despite her defense team providing intimate details of the violence that occurred during her marriage to William.

Her youngest daughter Melissa now aged 29 is a heavy drug user and has had her 2 children removed by the Department of Child Protection. This is very distressing for Judy due to the shame she feels about her own children being placed in the “welfare system” when she was incarcerated. Although they are on talking terms the relationship is strained due to Judy being made aware of the violence Melissa’s partner inflicts upon her

Judy’s other children do not live locally and did not support Judy during her incarceration. Judy’s son Billy now aged 25 blames Judy for the death of his father and refuses to speak with her or acknowledge the violence that occurred in the home. Judy has reported on several occasions that not being involved in the lives of her children and grand children causes her great distress.

Whilst incarcerated Judy did receive visits from a member of her local community “Aunty Annie” who kept her updated about her children and ensured that they were provided with cultural support. Judy was able to live with Aunty Annie upon her release however just last week Aunty Annie died in hospital after contracting Covid 19.

Judy has been asked by the Housing SA to vacate the premises in 14 days as there is a family in need of accommodation.

Since Annie’s death Judy has begun drinking heavily due to feelings of great sadness as well as various trauma symptoms relating to the domestic violence and her time in prison where she was targeted by other prisoners and was also sexually assaulted by a female prison officer. Judy also blames herself for her children not wanting to see her.

Factors impacting Judy’s mental health and well-being

Judy has experienced a significant amount of trauma in her life. She has been exposed to physical, emotional, and psychological abuse throughout her childhood and adolescence. She has also been the victim of domestic violence and sexual assault.

Judy’s trauma has had a significant impact on