Just about everyone in the world has experienced something that can be characterized as a trauma. Humans are resilient, and most people recover on their own and function well. Some continue to be affected by trauma long after the fact, and it is not always easy to identify who that may be and how a history of adversity may impact our interactions. There is a difference between trauma-specific care (such as Cognitive Processing Therapy or Prolonged Exposure therapy) and trauma-informed care. Join us and our amazing guest, Dr. Lydia Bartholow, as we discuss trauma-informed care and how we can reorient from a “What’s wrong with you?” to a “What happened to you?” approach and implement psychological “universal precautions” to transform our systems to acknowledge a history of adversity.

Lydia Bartholow, DNP, PMHNP, CARN-AP, is a doctorally prepared psychiatric nurse practitioner specializing in addiction medicine and trauma-informed care. She currently staffs and directs a trauma-informed urgent substance withdrawal management center. She is on faculty at UCSF, where she teaches in the psychiatric nurse practitioner program. She speaks nationally on topics such as co-occurring disorders, harm reduction, and substance use disorder care system improvement. She focuses all parts of her practice on radical public health, harm reduction, and anti-oppression work. Lydia lives in Portland, OR, on Chinook, Kathlamet, Clackamas, and Kalapuya land.

Resources:

1. Lydia Bartholow’s website: https://www.lydiabartholow.com/ (6:58)
2. Trauma-Informed Oregon: https://traumainformedoregon.org/ (33:08)
3. SAMHSA.gov Trauma-informed Care: https://www.traumapolicy.org/topics/trauma-informed-care (33:29)
4. Center for Healthcare Strategies’s Trauma-Informed Care Implementation Resource Center: https://www.traumainformedcare.chcs.org/

Calls-to-action: For example:

1. Trauma-Informed Psychoeducation skill: (from motivational interviewing) Elicit–Provide–Elicit: 1) elicit previous information/experience and ask permission to provide more information, 2) provide new information, 3) elicit their feedback about how they might apply/use/integrate the information provided
2. Check out the resources at Trauma-Informed Oregon and SAMHSA (links above).

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