Publications: Trauma, Violence & Mental Health

Healing Families, Helping Systems: A Trauma-Informed Practice Guide for Working with Children, Youth and Families

This guide is concerned with advancing understanding and action about trauma informed approaches that support program and service delivery for/with children, youth and families. This guide is the result of a project of the Ministry of Children and Family Development in British Columbia with the goals of identifying trauma-informed approaches, to raise awareness, and to increase capacity among service providers delivering child and youth services. View PDF

New Terrain: Tools to Integrate Trauma and Gender Informed Responses into Substance Use Practice and Policy


This toolkit provides information about trauma, gender, and sex informed programs, initiatives and projects to share in staff training, program planning and evaluation, and to assist in supporting these approaches in programs and organizations. It also includes specific tools to support practice and policy change. It is one of many publications created as part of the Trauma/Gender/Substance Use Project.

This resource has been made possible by a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.

English version  French version

Grounding Activities and Trauma-Informed Practice

Within trauma-informed organizations and systems, learning grounding activities can be important for clients and service providers alike. This handout offers 10 grounding activities that can be helpful for managing trauma responses.
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50 Trauma, Gender, and Substance Use Cards

These cut-out cards contain key points from the academic research literature on the intersections of trauma, gender, and sex and its role in substance use services and policies. They were developed for a workshop called “Becoming Trauma- and Gender-Informed” held at the Issues of Substance conference hosted by the Canadian Centre on Substance Use and Addiction in November 2017.
English version  French version

Trauma Informed Practice and the Opioid Crisis: A Discussion Guide for Health Care and Social Service Providers


This discussion guide is intended to stimulate further conversation on “becoming trauma-informed” and assist health care and social service providers in considering additional ways of addressing the opioid crisis in their particular context. It is one of many publications created as part of the Trauma/Gender/Substance Use Project.

This resource has been made possible by a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.

English version  French version

Building a Trauma Informed Aftercare Network in Saskatchewan

A summary of meetings at the Family Treatment Centre in Prince Albert to discuss what service providers know about aftercare for women who have completed treatment for substance use problems, and what opportunities exist for enhancing aftercare in a trauma-informed way.

It is one of several resources developed as part of the Trauma / Gender / Substance Use (TGS) project made possible by funding from Health Canada. The views in the guide do not necessarily represent the views of Health Canada.

English versionFrench version

Trauma-Informed Approaches to Seclusion and Restraint Reduction

A discussion guide for service providers and program planners, this resource offers strategies to support organizational change. It includes reflective questions for examining current approaches to seclusion and restraint, determining current trends and impacts, and developing alternatives that are trauma informed.

It is one of several resources developed as part of the Trauma / Gender / Substance Use (TGS) project made possible by funding from Health Canada. The views in the guide do not necessarily represent the views of Health Canada.

View TGS Trauma-Informed Approaches to Seclusion and Restraint Reduction

Trauma-Informed Practice Resource List

Selection of trauma-informed treatment-related resources and curricula. Some focus solely on trauma-informed practices; others incorporate elements of both trauma-informed and trauma-specific approaches.

One of 3 resource lists on trauma, gender, and substance use made possible by funding from Health Canada. Revised May 2019.

View TGS Trauma-Informed Practice Resource list

Repairing the Holes in the Net: Research Summary

RTN SummaryRepairing the Holes in the Net was a 2 year research and system change initiative to improve policy and practice related to care and support for northern women experiencing homelessness, mental health and substance use concerns.

In each of the capital cities of Canada’s three northern territories − Whitehorse, Yellowknife, and Iqaluit − a group of researchers, health care and social service providers, community advocates, and policy makers met monthly to share, learn and collaborate.

This booklet describes how the project participants (who came from diverse government departments and service agencies and included sectors such as addictions, mental health, primary health care, justice, housing, police, income support, child protection, shelters and women’s advocacy) worked to find ways to understand the complexity of homelessness and make shifts in whole systems of service delivery.

View pdf  RTN Summary_August 9 2015

 

What are the Effects of Trauma? – Infographic

trauma_effects

This poster is designed to promote awareness of the effects of trauma in a user friendly way.  Trauma awareness is one of the key principles of trauma-informed practice. This poster has been created in collaboration with the Knowledge Exchange Leads working in mental health and substance use system of care in BC.  Many other types of services, in BC and beyond, working to be become trauma-informed have expressed interest in this poster, and all are welcome to use it.

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Trauma Informed Practice Guide

Trauma Informed Practice Guide cvrEmily Arthur, Amanda Seymour, Michelle Dartnall, Paula Beltgens, Nancy Poole, Diane Smylie, Naomi North, and Rose Schmidt. Initial draft authors: Cristine Urquhart and Fran Jasiura of Change Talk Associates. British Columbia Centre of Excellence for Women’s Health; BC Ministry of Health, Mental Health and Substance Use Branch; and Vancouver Island Health Authority, Youth and Family Substance Use Services, 2013

The Trauma-Informed Practice (TIP) Guide was developed collaboratively to support the application of trauma-informed principles into practice and policy, by clinics, agencies and groups assisting clients with mental health and substance use concerns in British                                             Columbia. View PDF

Research Summary: Integrating Tobacco Cessation Interventions Into Mental Health, Substance Use and Anti-Violence Services

Research Summary-Integrating Tobacco Cessation Interventions Into Mental Health, Substance Use and Anti-Violence Services British Columbia Centre of Excellence for Women’s Health, 2011

Between April 2010 and March 2011, researchers at the British Columbia Centre of Excellence for Women’s Health, in collaboration with community partners, conducted a study on the feasibility of integrating tobacco treatment and support within mental health, addictions and sexual violence services, in a gender informed way.

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Gendering the National Framework Series (Vol.1): Trauma-informed Approaches in Addictions Treatment

Gendering Nat Framework Trauma Informed Cvr British Columbia Centre of Excellence for Women’s Health (BCCEWH) in partnership with the Canadian Centre on Substance Abuse (CCSA) and the Universities of Saskatchewan and South Australia, 2010

This discussion guide explores coexisting trauma, mental health and substance use problems experienced by girls and women as well as trauma-informed and trauma-specific approaches. It provides: 1) background to the issues, 2) core approaches to providing multi-level support, 3) examples of Canadian promising practices in action.

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IMPART Fact Sheets

Youth, Gender & Substance Use

Young people are more likely than adults to engage in substance use, use substances in hazardous ways, and experience harm as a result of their use. Girls, boys and young people who indentify as transgender or do not wish to be assigned a gender all face unique challenges when it comes to substance use, and effective research,prevention and treatment initiatives for youth need to consider both sex and gender related factors. Download document

 


Transdisciplinarity and Addiction

Addiction is a complex health problem that involves factors spanning the social and the biological. While many lenses, disciplines and sectors are applied to research and treatment of addiction, rarely do these diverse perspectives combine to create shared approaches to research and treatment.

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Sex Related Factors in Substance Use & Addiction

Sex related factors are observed in almost every aspect of addiction, yet most existing biological research employs generic approaches, using males as the norm. Increased inclusion of both male and female research subjects is reducing this disparity, and accumulating evidence reinforces the need for the inclusion of sex (and gender) in research.

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Gender, Trauma & Substance Use

Many people with substance use problems or addictions have experienced trauma.
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Gender-Informed Prevention & Harm Reduction for Substance Use

Effective prevention strategies must respond to the diverse and often intersecting needs of people who are at risk for problematic substance use, such as mental health concerns, poverty, and experiences of trauma and violence.
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Bringing Gender into Substance Use & Addiction

Gender-based factors contribute to the pathways leading to, the physical and social consequences of, and the preferred types of treatment for substance use.

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Demonstrating Progress: Innovations in Women’s Mental Health

Demonstrating Progress smMarina Morrow
British Columbia Centre of Excellence for Women’s Health, 2003

This report describes four innovative mental health demonstration projects designed specifically for women with chronic and persistent mental health problems in four different communities in British Columbia.

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Mainstreaming Women’s Mental Health: Building a Canadian Strategy

Mainstreaming Womens MentalHealth cvrMarina Morrow
British Columbia Centre of Excellence for Women’s Health, 2003

Evidence shows that certain mental illnesses are more prevalent in women, that women utilize mental health services more frequently than men do, and that women would like a wider range of treatment and support options than is currently available. This report outlines the need for both provincial and national health strategies to address the issues distinct to women’s mental health.

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Reasonable Doubt The Use of Health Records in Legal Cases of Violence Against Women in Relationships

BC Women’s Hospital & Health Centre and BC Centre of Excellence for Women’s Health, 2003

The purpose of this study was to undertake a preliminary examination of the use of health records in criminal and civil cases involving violence against women in relationships.

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Violence and Trauma in the Lives of Women with a Serious Mental Illness: Current Practices in Service Provision in British Columbia

Violence and Trauma in the Lives of Women with Mental Illness cvr
Marina Morrow, 2002

This paper documents practice in five mental health care settings with respect to the provision of services to women diagnosed with mental illnesses who are survivors of trauma.

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In the Absence of Consent: Sexual Assault, Unconsciousness and Forensic Evidence

In the Absence of Consent cvrPatricia Lee
British Columbia Centre of Excellence for Women’s Health, 2001

This background report serves to assist sexual assault services in British Columbia in developing informed and thoughtful policy on the complex issue of consent to collect forensic evidence from an unconscious patient/victim who has been sexually assaulted.

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Hearing Women’s Voices: Mental Health Care for Women

Hearing Voices cvr
Marina Morrow with Monika Chappell
The British Columbia Centre of Excellence for Women’s Health, 1999

This multi-level study into the experience of mental health care for women in BC ranges in scope from the voices of consumers to policy makers and includes recommendations for change throughout the system.

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