The meeting focused on trauma-informed approaches for client interactions, featuring scenario role-plays led by counselor Lori Marov and actors as clients.
Core trauma-informed competencies were reviewed, followed by demonstrations of initial intake, handling self-injury, and discharge planning.
Each scenario debriefed best practices such as client empowerment, validation, transparency, and maintaining client choice.
Recommendations were made for practitioners to prioritize safe relationships, self-regulation, and collaborative planning to support client growth and agency.
Action Items
None identified. (No specific tasks, deliverables, or owners were assigned during the session.)
Trauma-Informed Core Competencies and Empowerment
Trauma-informed practice focuses on restoring client control, offering choices, and supporting empowerment rather than directing client actions.
Practitioners are encouraged to focus on client strengths and resilience, not deficits.
Transparency and client education are emphasized, including the rationale for questions and interventions.
Building safe, collaborative, and non-judgmental relationships is foundational; practitioners should validate feelings and model self-regulation.
Practitioners must recognize that maladaptive behaviors often stem from attempts to survive trauma and help clients understand these links.
Counselor explained the purpose of trauma-related questions and gave the client control over what to share, including the ability to pass on questions or take breaks.
The intake prioritized the client’s sense of safety, set expectations, and maintained non-judgmental validation (e.g., recognizing the strength shown in leaving abusive relationships).
When client discomfort arose, the practitioner paused the assessment and helped the client identify self-soothing strategies (such as spending time with a pet).
Confidentiality was clarified, and exceptions were explained when client concerns arose.
Practitioner connected past trauma to current challenges, normalizing the client's experiences and encouraging openness.
Concluded by checking the client's emotional state and developing a basic safety plan for after the session.
Scenario 2: Addressing Self-Injury with a Trauma-Informed Lens
Practitioner validated and explored the client’s emotional experience and triggers for self-injury, focusing on understanding the sequence of events.
Emphasis was placed on not challenging the client's reasonable mistrust and instead joining with their perspective.
Practitioner assessed the client’s ambivalence about self-injury to determine readiness for change and collaboratively outlined next steps.
Identified emotional triggers (e.g., people touching food, invasive questioning) and discussed possible alternative coping strategies, to be explored further in future sessions.
Practitioner highlighted the importance of using the client’s own language and apologizing if missteps occur.
Scenario 3: Trauma-Informed Discharge Planning
Practitioner explored the client’s confidence in maintaining sobriety and discussed both past unsuccessful supports and new potential supports (e.g., anger management, church).
The client’s ambivalence and potential risks of returning home were addressed, and all choices were presented as the client’s decision.
The practitioner refrained from directive planning, instead offering to accompany the client to review alternative treatment programs, bridging trust and safety.
The session modeled robust referral by reducing barriers to engagement with new supports, respecting the client’s autonomy.
Emphasis was placed on collaborative planning and honest dialogue regarding pros and cons, increasing likelihood of successful client follow-through.
Decisions
Reinforce trauma-informed methods — All practitioners are to prioritize empowerment, transparency, validation, and collaboration in client interactions, based on the scenarios and debriefs.
Open Questions / Follow-Ups
Should additional training be provided to address specific language sensitivities and ensure consistent understanding of trauma-informed terminology?
Are there opportunities to formally integrate safety planning and robust referral practices into the organizational policy for all client transitions?