Name
P02- Recovery Focused Approach to Trauma (1.5 CE)
Date & Time
Thursday, March 1, 2018, 10:30 AM - 12:00 PM
Andrea Barthwell
Description
Trauma can take many forms: impersonal, interpersonal, identity, community, or complex and recurring. The childhood forms of abuse, family dysfunction or neglect may lead to an experience of trauma and can cause a child or adult to experience sub-clinical or clinically relevant symptoms associated with heightened stress and an inability to regulate emotions or the more pervasive post-traumatic stress disorder (PTSD). Clinically relevant symptoms can prompt the use of substances, which in turn can 1) mimic the symptoms of other mental disorders, 2) prompt substance use to mitigate symptoms’ severity (self-medicate), 3) create overlapping factors of genetic vulnerability to substance sue disorders (SUD) or damage to areas of the brain with overlapping functions for SUD and mental disorders, or 4) affect adolescent development and mastery of the developmental tasks of adolescence, or promote early onset of use. Studies have reinforced the role of traumatic exposure to the risk of SUD and outline the role of psychosocial and behavioral therapies, along with pharmacological therapies directed at mood and anxiety, in trauma and SUD treatment.

The Substance Abuse and Mental Health Services Administration (SAMHSA) describes nine (9) principles of trauma-informed care: safety, trust, peer support, collaboration, empowerment, voice, choice, culture, history and gender sensitivity. This plenary will explore a recovery-focused approach to trauma-informed care, employing these overlapping principles with a modern approach to recovery-focused care in SUD treatment, also addressing underlying trauma and/or PTSD. Andrea G. Barthwell, MD, DFASAM, will define key terms (trauma, substance use disorders, 12-Step facilitated treatment, and the connectiveness among these terms. The roles of grief-loss counseling, peer support, CBT, holistic strategies, coping skills and pharmacologic therapy in recovery will be explored in a stage-directed approach to recovery from both conditions, allowing for an enhanced ability to identify, own and express one’s emotions.

Upon completion of this session, attendees will be able to:
  • Define trauma, PTSD and SUD, and discuss the connection, causality or risk factors for PTSD and SUD
  • List the brain areas affected by trauma and SUD, and describe the overlapping symptoms arising from trauma and substance use
  • Describe types of trauma and explain links between and among trauma, abuse, neglect and symptomology that mimics or promotes self-medication
  • Describe the bridge between SUD treatment and trauma treatment that creates trauma-informed care.