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