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I am pleased to announce the publication of the book chapter I co-authored with Dr. Karen Rich on Trauma-Informed Systems of Care in the new resource Handbook of Interpersonal Violence Across the Lifespan.
Rich K., Garza M.R. (2020) Trauma-Informed Systems of Care. In: Geffner R., White J.W., Hamberger L.K., Rosenbaum A., Vaughan-Eden V., Vieth V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-62122-7_293-1 "Survivors of interpersonal trauma are vulnerable to risk of re-victimization when seeking help from community agencies such as welfare offices, substance abuse clinics, schools, homeless shelters, medical facilities and criminal justice agencies. Re-victimization of trauma survivors can lead to client dropout, “resistant” behavior, and treatment failure. It can also lead to stress, conflict, burnout, and frequent turnover among staff. Trauma-informed care is a community’s best approach to supporting survivors of interpersonal violence, but many agencies under-estimate its value or lack a comprehensive approach to its implementation. Budgetary concerns, resistance to change, turf issues, hierarchical power structures, lack of training, fears of trauma contagion and negative attitudes towards service recipients contribute to the problems. Interdisciplinary collaboration, investment in prevention, concern for employee wellness and top-down commitment are essential features of trauma-informed agencies. This chapter will present an overview of trauma-informed care, the benefits to clients and providers, obstacles to implementation of best practices, and research initiatives in the field." This handbook is a project of The National Partnership for Ending Interpersonal Violence (NPEIV), an organization I have been a part of several years dedicated to ending interpersonal violence. The chapters in this handbook are comprehensive in covering the most up-to date research on various forms of interpersonal violence. Over 200 authors, clinicians, and researchers contributed to the handbook, with all proceeds benefitting NPEIV. Introduction: The Handbook of Interpersonal Violence Across the Lifespan is a comprehensive state-of-the-science reference work for researchers, practitioners, and policy makers. It is written from a trauma-informed perspective, and utilizes adverse childhood experiences research as its basic developmental framework along with the traumatic effects all forms of interpersonal violence tend to produce. With public health and social justice in mind, this human-rights based handbook also focuses on the overlap and continuum of the various types of interpersonal violence. It integrates all forms of interpersonal violence while dealing with key issues of intersectionality and systems responses. This two-volume handbook is published in collaboration with the National Partnership to End Interpersonal Violence Across the Lifespan, which aims to:
I encourage anyone with an interest in ending interpersonal violence to make a pledge to NPEIV today at www.npeiv.org/donate-2
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Over the past several years I have been collaborating with my colleagues from the National Partnership to End Interpersonal Violence Across the Lifespan: Global Partners for Peace (www.npeiv.org) on how to educate professionals and the community on utilizing pest practices of Trauma-Informed Care. We have been speaking at national conferences like the International Summit on Violence, Abuse, and Trauma (IVAT) in San Diego, CA and Honolulu, HI.
As part of our effort, my Co-Chairs, researcher Dr. Karen Rich, and author Susan Omilian, and I guest edited a special double issue on Trauma-Informed Care for the Journal of Aggression Maltreatment and Trauma. After a long process, the issues went into print this past April and May. We received submissions from countries across the globe and across multiple disciplines including schools, medical settings, law enforcement, and mental health addressing populations such as rape survivors, urban communities, eating disordered populations, and hip-hop dance interventions. Many new advances in trauma-informed care involve combining traditional approaches like policing or medical practice with embedded social workers or medical family therapists. You can read more here for access to the introductions to each special issue: A Trauma Informed Call to Action: Culturally-Informed, Multidisciplinary Theoretical and Applied Approaches to Prevention and Healing, published in Journal of Aggression, Maltreatment & Trauma, Volume 28 Issue 4, is now available for you to access via tandfonline.com. https://www.tandfonline.com/eprint/xp7hATb58iIYt9nwvJU2/full?target=10.1080/10926771.2019.1601144 A Trauma-Informed Call to Action: Culturally Informed, Multi-Disciplinary Theoretical, and Applied Approaches to Prevention and Healing, Part II, https://www.tandfonline.com/eprint/YdxgGXe696q6kBE3F4ub/full?target=10.1080/10926771.2019.1610129 This year at IVATs Trauma conference, we had the privilege of sharing our research along with our co-presenter and new NPEIV co-chair Diana Barnes-Fox. I also co-presented on a Keynote Panel with renowned co-author of the famous ACES study, Dr. Vincent Felitti, along with Child Welfare Advocate Joyce Thomas and moderator Dr. Karen Rich. It is a privilege to work with people so committed to public health, healing wounds, and trauma prevention. I encourage you to join NPEIV at www.NPEIV.org or attend one of the IVAT summits at www.IVATcenters.org if you are interested in violence prevention. At the summit this year some of the survivors of the Parkland shooting held a musical performance, Hawaiian dancers gave an amazing performance at the opening plenary, and famous actor, Vet, Dancing with the Stars performer, author, and trauma survivor JR Martinez served as a Keynote speaker. You will not be disappointed by attending. April is Sexual Assault Awareness month
Depending on one's experience and perspective, many people will say either "sexual assault is rare. I don't really know anyone personally that it has happened to" or "Everybody gets sexually assaulted. It's not a big deal." Neither are true. It doesn't happen to everyone, but it does happen to a significant minority of people. About 20-35% of women experience sexual assault. Most meta-analytic research is on the higher end of this figure. You may see lower "1 in 5" stats coming out of more recent research from NCVS, (which though a robust study, has limitations in how it is done and tends to leave off the most vulnerable.) What we can glean from NCVS data is that sexual assault rates appear to be declining (this study is conducted at regular intervals). People are speaking up about it more. Other studies show men's views about sexual assault and related behaviors have changed considerably in recent decades and that abusive things that men once commonly did without guilt or shame is no longer the case. It is pretty remarkable to see the generational difference between what millenials versus boomers express in terms of misogyny. Both values and behaviors have changed about sexual assault as the public has become more educated and more brave people have opened up about it, reducing the shame that kept it a secret. Sometimes reporting rates increase when we get better at accurately defining and measuring it ( I.e. Sweden, military, St. Louis police) but that does not mean the rates of the crimes actually increase. The lifetime prevalence rate from the CDC & office for victims of crime showed about 43% of women are sexually abused at some point in their life. This takes into account both child and adult sexual victimization. 1 in 6 men are sexually abused before the age of 18. It is rarely talked about. Men often minimize the experience and will say it wasn't abuse or "it wasn't that bad" because a part of them experienced sexual pleasure from the event, but yet they may find themselves acting out in ways similar to most trauma survivors later on. For reference, about 55-70% of people have experienced a traumatic event in their lifetime. 5% of men and 10% of women will meet diagnostic criteria for PTSD at some point. If you want to know more on prevalence rates, look up David Finkelhor. If you want to know more about changing views, look up Mary Koss. If you really want to understand trauma and risk, Take the ACE survey. HTTPS://acestoohigh.com/got-your-ace-score/ How do you get rapists to admit to rape? Basically, don't use the word rape. Some interesting studies have been published with this data. Similarly, if you want to find out how many people have been sexually assaulted, you don't use the word either rape either. Often, labels scare people from admitting to their conscious self what really happened. Check out this link for info on these study results. http://www.upworthy.com/whoa-4-questions-that-got-120-rapists-to-admit-they-were-rapists-5?g=2&c=ufb1
Interesting article on the high prevalence of serial rapists on college campuses. |
AuthorSMegan Garza, MA, LMFT is a certified Specialist in Treating Trauma at a Supervisory level and is Licensed as a Marriage and Family Therapist. She specializes in work with complex trauma, sexual abuse survivors, and relational therapy. Archives
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