Can Do Healthcare - Thinking Differently Together About Trauma Informed Care

strongly recommend asking people what has happened to them, if they are seeking help. We need to ask people what happened to them, give them a caring and compassionate response and see what kind of help people might want or need. The programme in California takes a public health approach and offers people a ‘menu’ of activities that can help them stay well, rather than giving a treatment response or referral to specialist services. These can counteract the consequences of a sensitised stress response, the wear and tear on the immune system, the inability to self-regulate, difficulties in relationships, and offer people support in holistic ways. Warren reflected that we have known for millennia that it is relationships that heal and make a difference, and compassion makes a difference in care. In psycho-social interventions it is the quality of the relationship that consistently predicts outcome – not solely the technical abilities of the person, their years of experience or the type of therapy. We have to make sure it is possible for there to be a quality relationship between the worker and the person they are trying to help, and we have to look after the people that look after people. If our workers have nothing ‘in the tank’ they will have little to offer people from a compassion and relationship perspective. Joblink Plus is fundamentally an organisation that supports people into employment, but they have also developed particular expertise and experience in supporting individuals, families and communities affected by social and economic exclusion, racism and trauma. They have chosen to become trauma informed in what they do. Whilst employment can be beneficial and the relationships in employment can play an important role in recovery in some circumstances, employment may also be a source of trauma. Therefore, in seeking to support people into employment there is a need to be mindful of what is a separate debate around bullying and gaslighting in which some individuals have become badly traumatised by their experience of work. Research tell us that both previous and ongoing trauma are very common in job seekers whose struggle to gain employment may have been prolonged or interrupted. It is often a combination of factors that are causal but when we look at ACE statistics such as unemployment rates, we see that there is a rate of 62% among those with 4 ACEs and no academic qualifications. There are therefore some very particular groups who are at risk of longterm unemployment with the social and economic exclusion that it involves, and with the exposure to 6. Working with Individuals Not in Employment Education or Training (NEET) in a Trauma Informed Way Dr Brodie Patterson, Director Joblink Plus, Tamworth (New South Wales, Australia) Thinking Differently Together | 14