Despite multiple trainings and workshops encouraging trauma informed care, many of our systems and actions do quite the opposite.
Bouncing servive users around services, telling them they are not 'appropriate' for a treatment, excluding those with a personality disorder diagnosis or 'flagging' them on the system as 'high risk' and therefore to avoid.
Expecting people with a long history of trauma to 'open up' in a limited amount of sessions and then blaming them if the therapy 'doesn't work', making services so hard to access and then once accessed, making service users feel like this is their 'one shot'. Having avoidant and
neglectful behaviours on inpatient settings etc. This is not to say that our services say these exact things and are deliberately out to abuse power and be unhelpful, as I think there have been such amazing protocols and work towards improving mental health care in the NHS,
but rather to bring attention to some issues and counterintuitive actions: increasing trauma informed protocols and trainings does nothing if we are ignoring all of the unhelpful nuances in our systems and allowing cultures of neglect and abuse of power to build 🤎
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Sometimes in our services the 'entry requirements' or 'refferal criteria' can be quite rigid and exclusionary. #nhs#mentalhealth#psychology
We know from research that a lot of mental health issues are complex with multiple layers of different difficulties, from trauma to eating disorders to substance misuse.
There are some services that exclude people who have a substance misuse problem, a forensic history, a personality disorder diagnosis, unstable housing situation, physical health issues and so on, as they deem it too 'complex to treat' or in need of other specialist input.