{"id":1184,"date":"2020-05-13T14:55:01","date_gmt":"2020-05-13T14:55:01","guid":{"rendered":"http:\/\/sites.rutgers.edu\/shp-shpri\/?page_id=1184"},"modified":"2020-10-05T16:20:17","modified_gmt":"2020-10-05T16:20:17","slug":"trauma-informed-care-universal-precautions","status":"publish","type":"page","link":"https:\/\/sites.rutgers.edu\/shp-shpri\/trauma-informed-care-universal-precautions\/","title":{"rendered":"Trauma Informed Universal Precautions"},"content":{"rendered":"<h3><\/h3>\n<h3 style=\"text-align: center\"><strong>Department of Health, Division of Behavioral Health Services<\/strong><strong>\u00a0<\/strong><\/h3>\n<h3 style=\"text-align: center\"><strong>Trauma Informed Universal Precautions<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p><iframe loading=\"lazy\" title=\"Introduction to Trauma Informed Universal Precautions\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/TnKMd5IiVh8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h4><\/h4>\n<h5>Key principles of a Trauma Informed Care (TIC) approach include organizational safety, trustworthiness, transparency, cultural sensitivity, collaboration and empowerment among and between staff and patients (SAMHSA, 2019).\u00a0 Adoption of TIC is an on-going process that requires <u>full leadership support<\/u>, commitment, extensive learning, supervision, accountability, and a change in attitude with several core beliefs and values. It is also important to be aware of current trauma related challenges, as we are adjusting to COVID-19 or other widespread crises. Leadership embraces a TIC culture, leads through example, provides training and unlimited support towards a successful implementation of five core areas:<\/h5>\n<p>&nbsp;<\/p>\n<h5 style=\"padding-left: 120px\"><strong>1. Take into consideration the impact of pervasive crises (i.e. COVID-19)<\/strong><\/h5>\n<h5 style=\"padding-left: 120px\"><strong>2. Use therapeutic communication<\/strong><\/h5>\n<h5 style=\"padding-left: 120px\"><strong>3. No room for judgements<\/strong><\/h5>\n<h5 style=\"padding-left: 120px\"><strong>4. Create a healing environment<\/strong><\/h5>\n<h5 style=\"padding-left: 120px\"><strong>5. Practice self-care<\/strong><\/h5>\n<h4><\/h4>\n<h4><strong>\u00a0<\/strong><\/h4>\n<h4><strong><u>Take into consideration the impact of pervasive crises <\/u><\/strong><\/h4>\n<ul>\n<li>\n<h5>Crisis awareness: everyone is affected physically, emotionally, psychologically, cognitively, and\/or financially in some way or another<\/h5>\n<\/li>\n<li>\n<h5>All our stress levels are much higher and applying coping skills might feel more difficult<\/h5>\n<\/li>\n<li>\n<h5>Our loss of normalcy comes with grieving and forces us to adjust<\/h5>\n<\/li>\n<li>\n<h5>Adaptation should be individualized and not be rushed<\/h5>\n<\/li>\n<li>\n<h5>Establishing a new level of safety is essential towards healing trauma and preventing retraumatization<\/h5>\n<\/li>\n<li>\n<h5>Heightened emphasis needs to be placed on applying Universal Precautions during these traumatic times<\/h5>\n<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><\/h5>\n<h4><\/h4>\n<h4 style=\"text-align: left\"><strong><u>Use therapeutic communication<\/u><\/strong><\/h4>\n<ul>\n<li>\n<h5>Be aware of your body language and evaluate what it might be conveying<\/h5>\n<\/li>\n<li>\n<h5>Inform the patient who you are and what you are going to be doing with them<\/h5>\n<\/li>\n<li>\n<h5>Don\u2019t be authoritarian in your communication instead convey a collaborative approach<\/h5>\n<\/li>\n<li>\n<h5>Identify and support personal choice and personalize your reactions to the specific needs of the patient<\/h5>\n<\/li>\n<li>\n<h5>Never yell or raise your voice when working with patients<\/h5>\n<\/li>\n<li>\n<h5>Always practice compassionate listening and take in what patients communicate from their point of view<\/h5>\n<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><\/h5>\n<h4><\/h4>\n<h4><strong><u>No room for judgements<\/u><\/strong><\/h4>\n<ul>\n<li>\n<h5>Do not label a patient\u2019s feeling or behaviors as pathological. It invalidates their emotions and experience<\/h5>\n<\/li>\n<li>\n<h5>Assume that patients don\u2019t feel safe which prompts their particular behavior<\/h5>\n<\/li>\n<li>\n<h5>Assume that patients are coping the best way they know how and don\u2019t take their behavior personally<\/h5>\n<\/li>\n<li>\n<h5>Behavior is always functional and never manipulative or attention seeking<\/h5>\n<\/li>\n<li>\n<h5>Do not blame or shame- patients are in the hospital because they need treatment, help and support<\/h5>\n<\/li>\n<li>\n<h5>Identify patient strengths and help them to use and build on them<\/h5>\n<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><\/h5>\n<h5><\/h5>\n<h4><strong><u>Create a healing environment<\/u><\/strong><\/h4>\n<ul>\n<li>\n<h5>Promote and support each other (patients and staff) through daily positive and meaningful interactions<\/h5>\n<\/li>\n<li>\n<h5>A patient\u2019s diagnosis does not define a person or overshadow his or her life history\/traumas<\/h5>\n<\/li>\n<li>\n<h5>Do not ignore a patient or their needs, instead help find solutions<\/h5>\n<\/li>\n<li>\n<h5>Support patient choice and control when possible<\/h5>\n<\/li>\n<li>\n<h5>Avoid unpleasant\/punitive interventions (e.g., seclusion, restraints, yelling)<\/h5>\n<\/li>\n<li>\n<h5>Convey that healing and recovery is possible<\/h5>\n<\/li>\n<li>\n<h5>Keep noise levels low<\/h5>\n<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><\/h5>\n<h4><\/h4>\n<h4><strong><u>Practice self-care<\/u><\/strong><\/h4>\n<ul>\n<li>\n<h5>Know your own traumas and triggers and how they might interfere with your working with patients<\/h5>\n<\/li>\n<li>\n<h5>Know and understand your own traumatic reactions and how to minimize them in the work environment<\/h5>\n<\/li>\n<li>\n<h5>Have a self-care plan and use it regularly<\/h5>\n<\/li>\n<li>\n<h5>Utilize peer support and clinical supervision to address feelings regarding patient interactions<\/h5>\n<\/li>\n<li>\n<h5>Assume staff have traumas and use TIC practices with those who you interact with<\/h5>\n<\/li>\n<li>\n<h5>Utilize training and other resources leadership provides for effectively teaching and applying self-care<\/h5>\n<\/li>\n<\/ul>\n<h5><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>Department of Health, Division of Behavioral Health Services\u00a0 Trauma Informed Universal Precautions &nbsp; Key principles of a Trauma Informed Care (TIC) approach include organizational safety, trustworthiness, transparency, cultural sensitivity, collaboration &hellip; <a href=\"https:\/\/sites.rutgers.edu\/shp-shpri\/trauma-informed-care-universal-precautions\/\" class=\"\">Read More<\/a><\/p>\n","protected":false},"author":998,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-custom.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1184","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Trauma Informed Universal Precautions - Institute for Inpatient Psychiatric Rehabilitation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.rutgers.edu\/shp-shpri\/trauma-informed-care-universal-precautions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trauma Informed Universal Precautions - Institute for Inpatient Psychiatric Rehabilitation\" \/>\n<meta property=\"og:description\" content=\"Department of Health, Division of Behavioral Health Services\u00a0 Trauma Informed Universal Precautions &nbsp; 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