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Just published – January 2024
A compendium of trauma-informed interventions for people who self-injure
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Use the Unsafe Behaviors (UBI) Inventory Tool
Administered at the start and end of 8–12 weeks of trauma-informed supports, the UBI can help recognize and measure a client’s unsafe behaviors reduction and improved safety as treatment outcomes.
Trauma Informed Transformation
Gabriella Grant Consulting (GGC) works to transform publicly funded programs and systems by strengthening their understanding of the broad effects of trauma and providing education on measures to increase safety in the behavior, lives, and communities of all Californians. GGC provides training on a wide variety of topics relevant to the multi-faceted experiences of trauma-exposed populations. GGC also provides services to agencies wishing to develop a trauma-informed framework, including program design, policies, staff development, and data collection and measures.
A key principle of trauma-informed care is recognizing the importance of improved safety. The Unsafe Behaviors Inventory (UBI) is a tool designed by the California Center of Excellence for Trauma-Informed Care (CCETIC) to measure reductions in unsafe behaviors. Administered at the beginning of a client’s participation in trauma-informed supports (“T1”), and again in 8–12 weeks (“T2”), the UBI helps treatment providers and clients themselves to recognize reductions in risky or destructive behaviors. There is an adult version of the UBI (UBI-A) and a youth version (UBI-Y).
Trusted advisor abuse occurs when a person in a position of trust—such as a teacher, faith minister, therapist, doctor, nurse, treatment provider, lawyer, coach, yoga instructor, or financial planner—uses that position to abuse and control a patient, client, parishioner, or athlete. The Stop Trusted Advisor Abuse project goals are educating the general public, holding professionals to a higher level of responsibility, ensuring that accountability systems do a better job of policing abuse within their ranks, and protecting those who rely on providers, whether in publicly or privately funded systems.
Located in Santa Cruz, California, the California Center of Excellence for Trauma Informed Care (CCETIC) is committed to helping trauma-exposed people achieve safety, connection, and empowerment. The Center works towards public advocacy and education through white papers that focus on research-based policies and practices, the Stop Trusted Advisor Abuse campaign, and our IRB-approved Unsafe Behaviors Inventory (UBI) pilot study. The Center also works locally with people exposed to trauma by providing groups that specifically address the impact of trauma on the person.
What is trauma informed care?
Trauma informed care is an approach or framework related to delivering services that acknowledges the impact of trauma and attempts to create a sense of safety within the program. Trauma-informed transformation is a cultural shift, a move toward safety-focused, strength-based, consumer-driven, empowerment-rich programming that allows consumers to take charge of their recovery, addresses unsafe behaviors and prioritizes safety as a platform for recovery.
Trauma informed programs train and support staff to understand the effects of trauma broadly on the population being served and over the lifespan. They assess their program design and policies to ensure that safety is at the core and that potential for re-traumatization is reduced. They also approach critical incidents and problems from a trauma informed perspective to see how to change approaches, such as rules or responses, to prevent escalation, drop-outs, removals, seclusion, restraint and other behaviors that traditionally have been understood as single problems in need of punishment or elimination. Trauma informed programs value consumer input, participation, and inclusion in decision making and staffing. Trauma informed programs recognize that information and choice are the key to empowerment, rather than experts telling people what they should be doing and then deciding if people have passed or failed.
All publicly funded programs can be trauma informed. This is especially true for social services, such as programs addressing mental health, substance abuse, child welfare, foster care, domestic violence, sexual assault, homelessness and criminal justice, but also schools, hospitals, libraries, public transportation, environmental health and animal control. Where public money is spent, higher rates of trauma and trauma-related behaviors are more likely to compromise safety and behavioral change. Therefore, understanding the impact of trauma improves programming and services and makes them more cost-effective for taxpayers.
Trauma specific services have the primary task of addressing the impact of trauma and facilitating trauma recovery. Any agency can choose to become trauma specific. However, if an agency is conducting trauma specific interventions without assessing itself for trauma informed practice, the likelihood of that intervention working is reduced considerably.