Congratulations Naomi for being the Trauma Informed Practitioner for April 2024.
I'm a social worker within RCT, the team is called intensive intervention East 3. I refer to it just as one of the child protection teams in RCT. There's six of us. We handle our caseloads including care and support and child protection, public law outline and then over to children looked after. So, we do like the whole spectrum of cases at the minute. I've got from pre-birth babies, toddlers and primary all the way to teenagers, 16 plus. So yeah, a big variation, but I do enjoy it. We work with like a whole host of families. I cover a specific patch. That’s basically what my team does. A bit of everything, I do enjoy having the difference of having pre-birth babies all the way through to teenagers. And I think it keeps you on your toes. I know people argue that you could be more specialised in specific areas of age, but I would lose interest there. I enjoy having the spectrum to be able to go back and forth between.
I think the biggest thing I see with my young people, particularly as they're coming into those formative years, is all around peer relationships and they're asking you to function within those, healthily. It’s not just that, it's the way the world they're growing up in now as well. And I think that like the coping strategies which they've got are just not great or non-existent or maladaptive. And then how difficult it is to be a young person, the peer issues are the biggest things I think I deal with, the children who've experienced that early trauma and as well as educational, but again, that's peer issues falling into education.
I know that's like children who have experienced trauma, like they've got chances of lower academic attainment anyway. But what I see a lot is the peer issue being the major barrier to them like successfully age and educationally staying within a mainstream where they can access the best type of education. It's mostly these things, peer issues and relationships and education. It’s self-esteem as well. I think, it all crops down to that self-esteem element and levels of resilience.
A lot of young people, especially who have experienced trauma, their view of themselves and their self-worth is quite damaged. Without repairing that to some degree they're not going to be able to. It's like the hierarchy, isn't it? Unless you get the bases, we're not going to be able to climb up that ladder.
One of the first things I think about this particular girl on my caseload, is a lot around my language and not just mine, but other people's language around when we engage with her. She's got, and I think a lot of young people who have got trauma, have this huge thing around shame and blame. And she finds that really difficult and it lead to a lot of lying, sometimes white lies, sometimes big lies. But I think it's all because of her experience of shame and her experience of being shamed within her family home.
She always feels blamed. I work really strongly at my language. I'm so careful with the words I pick. It's not just that it's around the pace in which I deliver things as well. I like really slow it down and I have to think about how I explain things. I'm really careful, and pre think about how I'm going to explain big pieces of information and then about checking to make sure that's being retained or make sure it's being interpreted in a safe way.
Sometimes information can be where, they could take on board like little snippets of what they want and then catastrophize or their imagination run away. Whereas, I'll really check that. If I think of this girl, I think I got quite a good understanding of her inner working model - how I believe she processes things and how they come out. I try and respond directly to that. So, when I speak with the young people, I'll acknowledge that I believe that that's how they’re thinking. But, I verbalise that to them and then try and respond on their wavelength.
Then one of the other major things I try and do is really put an emphasis on is that all the young people are going to have consequences or they're going to have criticisms on them or given to them. But I try and push that's not an attack on their character or them as a person. I isolated to that being a response to a specific action they've done or a specific behaviour they've done to try and really create that difference between we're not criticising you as the child, we're just criticising that one behaviour because it's not favourable.
I'll try and create a clear difference between those things. Otherwise, it can be an attack of character. Especially ones who’ve experienced trauma, something will happen and then in the environment be, oh, they all hate me. Ohh, they all don't like me now, then they'll create tension about going back into it. And it's about trying to word that then and be like, no, people don't not like you. They don't like how you did that or how you spoke to them in that scenario. I think my focus sometimes is about reminding them you can come back from anything, but it's about how you process and how you come back from it. They find it really hard. I think especially the ones who have experienced a lot of trauma. When I'm thinking about my teenagers specifically, they find it really hard to just admit that they're wrong because I that hasn't been something which they can safely do in certain settings. Maybe there's like a fear of repercussions or fear of punishment or whatever it may be. It's about trying to demonstrate that it's OK to be wrong.
Yes, definitely. I think sometimes I know I've got some children who find silence uncomfortable. I find comfort in silence and I'm like comfortable to sit back because it allows further opportunity. Sometimes they'll come up with a little bit more, but I do know some children who don't appreciate that silence. So it's all about I think in a longer term team, I spend a lot of time with my kids.
So, you do get to know them and, and how they communicate. With some of them sometimes, I can be more straight and other times I’ve got to skirt around the point a little bit to try to come in at an angle which they might understand. It's about knowing the child. But I don't ever pretend I know the child if I don't. So when I'm first getting to know them and know their support network and liaising with their teachers, their family support groups etc. I won't pretend that I know more than I do. Sometimes young people think that we know everything because everyone talks behind their back and that can be something which causes anxiety. I try to just be just honest.
I probably have two things which I always think of. The first one is when I look at something from the offset, I always assume there's more than what I already know. So they always use the iceberg analogy, don't they? And I think, right, OK, this is the trauma I already know about. And I look at that as what's surface level because then I always have to remind myself that no matter how much trauma we already know there has been, there's likely been more. And I always keep that in mind. Then what we know we have on paper, I always assume there's far more that's going on than what we already know about.
And then, second, what I can find frustrating as a person is when you're managing cases, when there's repeated actions by young people, it can be frustrating. We put a lot of work in, but then I'm seeing young people make the same poor decision and it can be really hard. I think using a trauma informed perspective, I just always remind myself and recognise from the offset that their action and their behaviour response is their best effort. If that's my young person, and they have made their best effort to respond cope or manage to whatever has just happened. And I always remind myself of that because then it'll give me time then to sit and think back, reflect and think how I'm going to respond. Because otherwise, I might become frustrated with repeat poor actions. When I sit back and I think that is the best that they can do in that moment with what they've got, the toolkit they've got. That's why sometimes it can become really tiring.
Annmarie nominated me for this and the girl which she did it in response to, I've tried my best to be a biggest advocate because she has nobody else in her family doing that for her. And that's what they need. I just think this poor girl, like everybody deserves to have somebody start stood behind them trying their best. And it just doesn't come from family all the time. It should, but it doesn't.
Thank you Naomi for being MAPSS Trauma Informed Practitioner for April 2024....
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