Supporting Clients Following Trauma: Practical Tips and Case Study
At MRO, we often work with clients who have experienced traumatic events like motor accidents resulting in fatalities or significant losses. This session aims to discuss how sudden loss and grief can impact individuals, provide practical tips for working with trauma survivors, and emphasize the importance of self-care for preventing burnout. A case study involving a family affected by a recent motor vehicle accident is examined to highlight challenges and strategies in supporting clients through trauma.
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Presentation Transcript
MRO Rounds: Supporting clients following trauma MRO Rounds, May 2021 - supporting clients following trauma
At MRO we are often referred clients who have either been involved in a traumatic event (catastrophic motor accident) where there may have been a fatality or a significant loss (amputation / spinal cord or brain injury). The purpose of today s session is to provide an opportunity for us to share together our experiences working with clients in this space, and collate some practical suggestions on services and tips to help equip our teams on this topic. Today s Session MRO Rounds, May 2021 - supporting clients following trauma
Key questions for discussion: 1.How does someone present when there is sudden loss and grief? 2. How can this impact their adjustment and the rehab process? 3. Practical tips in working with clients who are suffering trauma and loss and the role of case management 4. Preventing burnout the importance of self care, mentoring and team work 5. Useful links to resources and services MRO Rounds, May 2021 - supporting clients following trauma
With your current caseload, do you have someone who has experienced a traumatic loss? MRO Rounds, May 2021 - supporting clients following trauma
Case Study: Tim Referral received for a local family: MVA March 2021, female deceased Sarah 55 yo Tim Sarah s husband (not involved in the accident but has a claim for psychological condition) 15 yo daughter (with spinal injuries from the MVA and at Westmead Hospital, 2 month admission) who was trapped in the vehicle - has been accepted into ICARE 2 grandsons (FT custody) aged 5 and 10, one who was trapped in the MVA; the other who climbed over the deceased to exit the vehicle. Nil physical injuries but psychological symptoms (sleep/mood/travel) MRO Rounds, May 2021 - supporting clients following trauma
Issues identified at INA (2 months post MVA) Daughter was still in hospital in Sydney; boys were at Ronald McDonald house with other grandparents; husband had returned home with plans for boys to start school the next week. Nil psychological treatment had been arranged for husband or boys at time of INA Mother s day that weekend; boys returning for first time home post MVA after being in Sydney Significant change in roles: husband has never managed schooling, homework, household tasks, paying bills, internet/email MRO Rounds, May 2021 - supporting clients following trauma
Issues identified cont Nil contact had been made with the school regarding boys returning the next week House in dissarray; housework/home maintenance/yard had not been attended to Husband had # foot playing soccer 2 weeks before our assessment (in moon boot) Paperwork lost in the MVA about the custody of the boys Poor IT skills and management of financial / work / insurer matters Unclear future - ? RTW MRO Rounds, May 2021 - supporting clients following trauma
How does someone present when there is sudden loss and grief? Reference: Sudden Loss Support Kit (Tasmanian Government) Note Beyond Blue mentions triggered emotions by memories or occasions can have varying effect; waves of grief. This grief and emotional state can impact their adjustment and the rehab process MRO Rounds, May 2021 - supporting clients following trauma
Reference: Sudden Loss Support Kit (Tasmanian Government) pg 15 MRO Rounds, May 2021 - supporting clients following trauma
How can grief impact a clients adjustment and the rehab process? MRO Rounds, May 2021 - supporting clients following trauma
What things do you need to consider when initially meeting someone who has had a traumatic event? Grief - how to support the bereaved - Better Health Channel MRO Rounds, May 2021 - supporting clients following trauma
What things do you need to consider when initially meeting someone who has had a traumatic event? Be clear on introducing who you are and your role Acknowledge the situation and let them know you are there to support them I am sorry for your loss and appreciate that us talking about things today may be hard for you Give them opportunity to take a break / consider breaking assessment into two parts if needed (ie face to face and follow up at home) Provide written information if appropriate Ask them what their needs are how can I help support you , what their top 5 things are Understand who is in their support circle MRO Rounds, May 2021 - supporting clients following trauma
Are there any differences in how you might conduct or approach the assessment with a person who has had a traumatic event? MRO Rounds, May 2021 - supporting clients following trauma
What are the roles of the case manager in supporting grieving families? Australian Guidelines for the prevention of Acute Stress Disorder and PTSD: Chapter-2-Trauma-and-trauma-reactions.pdf (phoenixaustralia.org) Psychosocial support and stabilisation may improve functional ability and facilitate recovery by addressing and minimising associated problems such as homelessness, social inactivity, high-risk behaviours, and unemployment. Targeted clinical and disability management interventions may assist people with PTSD improve their role functioning, and develop skills and resources specific to their individual needs with the aim of averting, preventing further, or reducing, disability associated with the disorder. MRO Rounds, May 2021 - supporting clients following trauma
Role of Case Manager cont Therefore, attention should be paid to social reintegration and vocational rehabilitation needs during the initial assessment and treatment planning phase. In some cases, this may include supporting the individual s capacity to stay at work or facilitating return to work as soon as is practical, even if on restricted work duties. It should also involve review of, and if necessary, intervention to optimise the person s social support networks. MRO Rounds, May 2021 - supporting clients following trauma
Role of Case Manager cont The practitioner should assess immediate needs for practical and social support and provide education and referrals accordingly. Appropriate goals of treatment should be tailored to the unique circumstances and overall mental health care needs of the individual and established in collaboration with the person. From the outset, there should be a collaborative focus on recovery and rehabilitation between the person and practitioner, and where appropriate, family members MRO Rounds, May 2021 - supporting clients following trauma
PREVENTING BURN OUT compassion fatigue = repeated exposure to the traumatic experiences of others, combined with the high levels of distress often seen when people recount their experiences Self Care: skill and competency development and maintenance including regular supervision, establishing and maintaining appropriate emotional boundaries with people with PTSD, and effective self-care. Maintain a balanced and healthy lifestyle and respond early to signs of stress. Consider case load and case mix, and speak to TL if you need to reallocate a file / get support / discuss referring for social work or additional assistance MRO Rounds, May 2021 - supporting clients following trauma
RESOURCES Grief - how to support the bereaved - Better Health Channel Beyond Blue Grief and Loss PDF handout Chapter-2-Trauma-and-trauma-reactions.pdf (phoenixaustralia.org) https://www.neaminational.org.au/find-services/ https://www.sane.org/information-stories/facts- and-guides/post-traumatic-stress-disorder ACI Mental Health Trauma informed care and mental health in NSW (2019) Sudden Loss Support Kit (Tasmanian Government) MRO Rounds, May 2021 - supporting clients following trauma
