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Higgins (2015) research in Ireland on risk assessment and safety planning in mental health nursing found of risk factors and recovery; 38% rarely considered Intimate Partner Violence.
In considering this need being unmet in individual care plans.
Trauma in mental health services can be more than the sum of its parts.
Trevillion (2012) review found consistent evidence that both men and women with all types of mental disorders report a high prevalence and increased odds of domestic violence compared to people with out mental disorder, with more women likely to experience abuse than men.
Khalifeh (2015) found women and men who were involved with psychiatric service were 2-8 times more likely to experience sexual & domestic violence than the general population.
How their care plan and discharged was handled, even when the services knew about the history of domestic violence and orders.
Admissions and treatment became an extension of the coercive control cycle, as their partner had become more involved the patient’s psychiatric care.
trustworthiness, empowerment, choice and collaboration (Fallot, 2006).
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As discussed in the patient experience of mental health care plans and feeling they were part of the coercive control.Nursing research is increasingly focusing on Trauma Informed Care as a model of care in mental health settings.Isobel and Edwards (2016) nursing research caused me to reflect on how trauma is met in-patient settings.The issue of trauma, in mental health settings, has been increasingly seen as important in recognising it as part of a person’s recovery in an in-patient setting.In this blog I will reflect on the issue of trauma informed care practice and case management work through mental health care plans.The latter involves specialized treatments that some individuals also may need, to address complex trauma-related consequences (Hodas 2006).Unlike trauma centered intervention, where the primary focus of the intervention, trauma informed practice helps survivors ‘develop their capacities for managing distress and for engaging in more effective daily functioning’ (Gold 2001) How do mental health services value trauma as part of psychosocial assessments as equal to psychopharmacological interventions, needs more attention.This could be seen to impact on a patient’s recovery regarding how they trust and feel safe within the service.If this need was continuously unmet and contact with the services focused on psychopathology and not personal experiences.The cherished value of privacy created a powerful barrier to consciousness and rendered women’s reality practically invisible.In considering Trauma Informed Care practice we should distinguish it from trauma-specific treatment.