1st Edition

Through a Trauma Lens Transforming Health and Behavioral Health Systems

By Vivian Barnett Brown Copyright 2018
    220 Pages 1 B/W Illustrations
    by Routledge

    220 Pages 1 B/W Illustrations
    by Routledge

    Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author’s first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

    Part I;  Introduction;  1. Trauma as a Core Component of Care;  2. Significant Studies on Trauma/Stress and Its Impact;  3. Populations Needing Special Focus;  4. The Impact of Trauma on Different Systems of Care;  5. Trauma-Informed Practice;  Part II;  6. Program Descriptions;  7. Core Components of Trauma-Informed Practice;  8. Stages of Adoption and Inroads to Change;  Part III;  9. Recommended Practice Design Changes;  10. How to Recognize Success;   Part IV 11. Trauma-Informed Practice in Other Systems;  Appendix A: Trauma Resources;  Appendix B: Screening Instruments;  Appendix C: Trauma-Specific Interventions;  Appendix D: Self-Assessments for Organizations;  Appendix E: Health Care Training Resources;  Appendix F: Author’s Interview Protocol;  Appendix G: Revised COJAC Screener


    Vivian Barnett Brown, Ph.D. is the founder and former CEO of Prototypes: Centers for Innovation in Health, Mental Health and Social Services, a multi-facility, multi-service non-profit agency with services located throughout Southern California. Dr. Brown has more than 40 years of experience developing innovative, community-based services, including: community mental health centers; community health programs; substance abuse treatment services; mental health and specialized co-occurring disorders treatment; trauma-informed and trauma-specific services; domestic violence prevention and intervention services; HIV/AIDS outreach, prevention, and treatment services; and services for incarcerated women and recently released men, women, and youth.

    "Through a Trauma Lens harvests the wisdom of those committed to building a truly inclusive, trauma-informed treatment infrastructure in the United States. On these pages, readers meet positive exemplars who have turned pervasive trauma into transformed relationships, both within and beyond their organizations. The book will appeal to those seeking to grow towards organizational change as part of the broader movement for health equity and social justice."
    Nancy D. Campbell, PhD, professor of science and technology studies at Rensselaer Polytechnic Institute in Troy, New York, and coauthor with Elizabeth Ettorre of Gendering Addiction: The Politics of Drug Treatment in a Neurochemical World (2011)

    "Dr. Brown has produced a volume worthy of a prominent place on the bookshelves of health care program administrators and providers. Progressing methodically from a description of the research base for relating trauma histories to current health care issues, Dr. Brown details the principles and practices that can guide the conduct of trauma-informed treatment services, as well as describing issues and strategies for the all-important task of achieving the adoption of trauma-informed treatment by existing systems of care."
    Barry S. Brown, professor (adjunct), University of North Carolina at Wilmington

    "Dr. Vivian Brown is the doyenne of ‘change champions.‘ In Through a Trauma Lens, she makes vivid the intersecting impacts of substance abuse, AIDS, mental illness, cognitive impairment and the reverberating contribution of trauma. Her concept of the burden of treatment—both for clients and providers—is brilliant. Her emphasis on safety bears notice by any program or agency serving any client group."
    Margaret Gatz, PhD, professor of psychology, University of Southern California