The Substance Abuse and Mental Health Services Administration

SAMHSA Stakeholder Feedback

(CLOSED) Strategic 2: Trauma and Justice

This forum is closed.

The ideas and comments below are part of the feedback received during the development of SAMHSA’s Strategic Initiatives. The final document that reflects the input provided in these forums is available at: http://store.samhsa.gov/product/SMA11-4629.

Questions about this forum can be directed to newmedia@samhsa.hhs.gov

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  1. PAIMI Role in Trauma Informed Care

    I am disappointed that the roles of Protection and Advocacy for Individuals with Mental Illnesses (PAIMI) staff were not included in this section or any where else in this document. In many states, PAIMI staff, in partnership with trauma survivors, have been at the forefront of pushing for trauma informed services across settings. In states that claim to have trauma informed services, PAIMI monitors facilities to see if this is indeed true. As almost all of the people held in facilities are already traumatized, prevention of further re-traumatization is paramount.

    32 votes
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      0 comments  ·  Flag idea as inappropriate…  ·  Admin →
    • 1 vote
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        1 comment  ·  Flag idea as inappropriate…  ·  Admin →
      • De-stigmatize the effects of trauma through public education on the biological roots of trauma.

        One of the strongest forces keeping people from seeking or accepting help for post-trauma effects is the myth that these effects are signs of being weak, cowardly, or "crazy." With a basic understanding of the very logical processes that the body and brain go through to keep us alive and functioning under stress -- and the effects of those processes once danger subsides -- people often begin to drop that sense of shame and self-blame, connect with others, and consider getting help. As they gain a better understanding of human resilience, they begin to connect with their own resilience, and…

        3 votes
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          1 comment  ·  Flag idea as inappropriate…  ·  Admin →
        • FASD- the connection is cause and effect

          The relationship between FASD, corrections, justice system and criminal/violent behaviour is well established. Those with FASD may be victims or perpetrators. FASD is the CAUSE of these issues. To discuss these topics without acknowledging the role of FASD is like discussing all the effects of vehicle accidents without acknowledging the role of alcohol

          7 votes
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            1 comment  ·  Flag idea as inappropriate…  ·  Admin →
          • 2 votes
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              1 comment  ·  Flag idea as inappropriate…  ·  Admin →
            • 12 votes
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                1 comment  ·  Flag idea as inappropriate…  ·  Admin →
              • 1 vote
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                  0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                • Include Older Adults

                  Trauma in older adults is an important issue to address and act on in a comprehensive prevention strategy. According to the best available estimates, between 1 and 2 million of Americans age 65 or older have been injured, exploited, or otherwise mistreated by someone on whom they depended for care or protection. Elder abuse adversely impacts mental and physical well-being in several ways and may lead to increased use of medical and social services. As the population ages, the frequency of occurrence of elder mistreatment will undoubtedly rise (National Academy of Sciences, 2003). Specific strategies for preventing and treating elder…

                  1 vote
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                    0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                  • view childhood trauma as a life-altering event

                    Develop methodologies for ER and other trauma staff to help parents guide children through traumatic events. Childhood trauma - even "simple" trauma, such as a broken bone - can have long-term developmental and psychological effects. Children often are "left to heal" and are not provided adequate coping mechanisms. An idea would be to provide a framework for trauma staff to assist parents and children in dealing with traumatic events.

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                    • Tie trauma identification & tx of parents to services for their high-risk children

                      Parenting often reflects adults own childhood trauma. Tie treatment of trauma in parents to the impact on their children in a family based model that treats parents with children simultaneously.

                      3 votes
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                      • More attention to vicarious trauma

                        More attention to vicarious traumatization, as social service workers are too often overlooked in policy. As mroe veterans return home we should pay close attention to how health care workers react to those who were in combat.

                        16 votes
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                        • Include the education system under 2.2.1 #2

                          There is emerging evidence that PTSD and anxiety disorders as the result of childhood trauma may be mis-labeled as ADHD. School psychologists and counselors who assess for this should also be using trauma assessments

                          3 votes
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                            0 comments  ·  Flag idea as inappropriate…  ·  Admin →
                          • 7 votes
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                            • Featl Alcohol Syndrome is a mental illness in child/adult /animal abuse and

                              A Canadian study has indicated that 23% of canadian inmates have problems with prenatal Alcohol exposure. The researchers suspect that number would be 50% with proper validation. Reduce the number of people in prisons by preventing Fetal Alcohol Syndrome/Spectrum Disorders.

                              5 votes
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                              • 4 votes
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                                • 5 votes
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                                  • 2 votes
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                                    • 5 votes
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                                      • Review research at www.filicidepa.org re: trauma & filicide. Involve us please.

                                        A history of childhood trauma is a risk factor for maternal and paternal filicide.

                                        4 votes
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                                        • 6 votes
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                                          (CLOSED) Strategic 2: Trauma and Justice

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