This module is focused on trauma and giving ourselves the tools and space to heal from it.
Why? With or without recognizing it, we all carry trauma with us. It can be hard to identify without something which triggers our reaction.
Learning outcomes: You will be able to describe trauma and vicarious trauma. You will also build a self-care plan to help yourself when you feel the effects of trauma. These are tools you can share with other people in your life.
What we will do: We will read, watch videos, create a self-care plan, and share our self-care strategies on Discord!
This module will take 45-55 mins to complete.
Anything that your body feels like you cannot handle: too much or too little of something for too short or too long.
Often times when we think of trauma, we think of Post Traumatic Stress Disorder, or PTSD for short. Before our modern understanding of how prevalent trauma and traumatic experiences can be, this was known as "shell shock," and only a label given to soldiers who came back from the brutality of war and struggled to feel safe or "normal."
Now, we know that not just veterans or survivors of violence can feel these effects of trauma. Think of a time you were unable to sleep because you were worrying money or food. Or even an event you weren't involved in - maybe you drove by a car crash and couldn't shake the imagery or thoughts of what happened out of your heard.
Though these weren't acts of violence directed towards you, the stress and anxiety from any sort fear like this can be traumatizing. And your inability to sleep may be an example of your body having a trauma response - where your body shuts down or freaks out over stress and anxiety.
Safety - we should work to create an environment where concerns are safely brought up and addressed
Trustworthiness and Transparency - we should know what's going on within our own organizations and be up front about it
Peer Support - we should be understanding and empathetic to the trauma others experience and share, and offer ourselves as supports
Collaboration and Mutuality - we should understand the folks we work with as equal partners and changemakers themselves
Empowerment, Voice, and Choice - we should foster an environment where voices are uplifted, and choice is stressed
Cultural Issues - we have to address biases head-on, while accommodating the cultural differences we all have
from Duquesne University School of Nursing "What Are the 6 Principles of Trauma-Informed Care?"
What is a trigger?
Triggers are how we refer to what causes us to have a trauma response. They are threats or events within yourself, family, or environment which cause the adverse reactions which may come with trauma.
Trauma can be triggered by any number of things, and a trauma response can feel like many things, a few we've listed below in our section on symptoms. This variance makes it difficult to pin down when we're feeling traumatized, but regardless of that, we all deserve to feel safe and heal from our traumas.
Vicarious trauma is the result of being exposed and empathically listening to stories of trauma, suffering and violence, caused by humans to other humans (Pearlman and Saakvitne 1995). The trauma response may worsen with repeated exposure to traumatic material. Repeated exposure to traumatic interview material is an unavoidable part of the research process, and vicarious trauma is thought to be a normal process resulting from exposure to such traumatic materials (Campbell 2002; Morrison 2007).
In other words: vicarious trauma is a build up of the burden you carry when helping so many others work through their own trauma and suffering. No one expects you to be impervious to this; instead, we want you to take care of yourself in the same way you do for the people in your life and work. We've outlined simple self-care plan below. If you have self-care techniques you find useful and wish to share, we'd love to hear about them.
Post-Traumatic Stress Disorder (PTSD) symptoms (nightmares, intrusive images and thoughts, emotional numbing) and / or depression (hopelessness, depressed mood, despair);
Alterations in views of themselves, their identity, their society, and the larger world;
Loss of a sense of personal safety and control;
Feelings of fear, anger, and being overwhelmed;
Feelings of guilt and/or diminished confidence in capacities and frustration with the limits of what one can do to improve a situation;
Increased sensitivity to violence;
Altered sensory experiences, such as symptoms of dissociation;
Loss of ability to trust other individuals and institutions;
Inability to empathize with others;
Social withdrawal;
Disconnection from loved ones;
Inability to be emotionally and / or sexually intimate with others;
Lack of time or energy for oneself;
Changes in spirituality and belief systems;
Cynicism;
Loss of self-esteem and sense of independence;
Minimizing the experience of vicarious trauma as trivial compared to the problems of respondents
Take a look at the pdf to the right. This resource is yours to keep - return to it whenever you feel some amount of vicarious trauma.
If you get a chance to read through it, what sticks out as advice to carry with you? There's a lot that can cause, and even more which can result from, trauma. Recognizing the signs within yourself is difficult, but with practice you can find ways to soften them.
Self-care is not selfish, it is essential to protect your emotional and physical well-being. In order to do the work, we must take care of ourselves first. There are four types of self-care:
Watch this YouTube video about self-care and why it is important.
One example is grounding activities to regulate your physical and emotional reactions. Practice with this video (only 5 minutes long!)
Take a look at some examples of self-care the Urban team does in the drop downs below.
"Movement and dancing!" - Lauren
"I like going for a walk or going into some body of water. It helps me feel connected to nature and my body to feel my legs working or water rolling over me." - Sam
"Grounding techniques like in the video above to slow down fight/flight response. I like to feel the table or chair and count my breaths." - Bree
"Stretching, deep breathing, and epsom salt baths." - Russ
"Going outside and noticing three things I find beautiful (practicing being present)." - Lauren
"When I'm feeling down, I think of the things in my day that have gone well. It helps me recenter that things may be bad in the moment, but I'm still surrounded by comforting things." - Sam
"Yoga: I take a class with my favorite instructor whose goal is to get us all out of heads and stay present." - Bree
"Art therapy in a group setting." - Russ
"Making food with friends." - Lauren
"Sometimes I just really need to talk to my dad. He understands me and we can just talk about anything." - Sam
"Art, board games, or trivia with friends." - Bree
"Cooking for friends or going out to eat with family." - Russ
"Letting myself feel what I'm feeling instead of pushing it down (often with help from my therapist!)" - Lauren
"Music is something I deeply connect with on so many levels. I can find the right song for any mood that just gives me the room to feel." - Sam
"Thinking or talking about things that happened throughout the day/week and noting how they made me feel - the physical reactions like feeling hot or heightened heart rate." - Bree
"Hugging on my dog, looking at childhood photos, and writing my father (RIP) letters." - Russ
Activity: Create a self-care plan
Copy this text and outline a private self-care plan for you to refer back to throughout the project (or continue to fill out your Google Doc):
1) Identify potential triggering content that may come up during the project:
2) When such content comes up, what will you do to prepare yourself?
3) While reading/watching such content, what will you do to stay calm?
4) What will you do if the content or situation becomes too distressful?
5) What resources are available to you? (feel free to review and refer to the list of mental health resources for each site location below)
In this next print out, we'll combine the last two sections into one document. Save a copy of it to your computer and phone and fill it in as much as you feel comfortable. Don't worry about sharing this with anyone, this is for you to have for your comfort and safety.
Mental Health Resources
Below we've compiled a list of a few mental health resources accessible in each site location. If you or a youth program participant you are working with need help accessing mental health care, please feel free to refer to this list and reach out with any questions or concerns:
CM1
Georgia Peer Support “Warm Line”: 888-945-1414
The Georgia Crisis and Access Line: 1-800-715-4225.
Fulton County provides comprehensive mental health and addiction treatment services for residents of Fulton County, regardless of ability to pay
Georgia mental health resources for children, young adults, and families
The Office of Children, Young Adults & Families (OCFY) supports Georgia’s System of Care (SOC) for uninsured children and young adults, or those with SSI Medicaid, and their families that are accessing the public behavioral health system
The Harris Center 24/7 Crisis and Access Line: 713-970-7000
Provides mental health services for Harris County residents regardless of ability to pay
City of Houston Youth Mental Health Guide
Provides education about mental health for youth audiences and a comprehensive list of mental health resources available for youth in the area
Crisis Line: 205-323-7777
Youth Talk Line: 205-328-5465
Provides mental health services to children, youth and adults through the Brief Psychiatric Care Clinic, Western Mental Health Clinic, Craig Crisis Care Center, and other resources.
Low-to-no cost local treatment options
Provides list of low cost counseling options in Birmingham
CM2
Mental Health Warm Line: 601-586-3073 or 866-300-7948
The Jackson Free Clinic is a student run non-profit that offers medical, dental, and psychiatric services, physical therapy, and occupational therapy to uninsured patients in the Jackson metro area
Hinds Behavioral Health Services Mobile Crisis Response Team
The 24/7 Mobile Crisis Response Team is comprised of mental health professionals who assist Hinds County residents with mental health crises
NFusion Metro is a youth program that provides mental health resources to youth ages 0-21 and their families through activities, groups, counseling, and peer support.
Crisis Connections King County Local Line: 206-461-3222
24 Hour Crisis Line: 1-866-427-4747
Washington Warm Line: 1-877- 500-WARM (9276)
Teen Link: 866-833-6546
King County Community Mental Health Resource Guide
List of low-cost mental health resources including help lines, how to connect to a counselor, and other available resources
Peer-Run Mental Health Talk Line: 855-845-7415
24/7 Access Line: 888-245-3333
24/7 Crisis Intervention Line: 628-217-7000
Drop-in Centers
Provides list of help lines and local organizations providing mental health resources to youth and young adults in San Francisco
Arizona Statewide Crisis Hotline: 1-844-534-4673
Maricopa County Crisis Hotline: 1-800-631-1314
Peer Support Warm Line: 602-347-1100
Teen Lifeline: 602-248-8336
Sliding scale mental health providers
Provides list of mental health providers offering low-cost or sliding scale mental health services throughout the state
NAMI Valley of the Sun Resource Table
Searchable table with mental health resources available in Phoenix and throughout the state
Teen Lifeline's Local Resources
List of mental health resources for teens in Arizona
The Takeaway: Trauma is unfortunately pervasive in our society. This trauma information training can only give you words and tools. The rest of the healing, for you and your mentees, comes from your strength, experience, and willingness to be an agent of growth and change for your community. Keep your self-care plan handy, either physically or mentally. Taking care of yourself is more important than anything revolving around research - always put yourself first!