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Darlene's Interaction With Intrusive Monitoring At Walden Home

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Darlene's Interaction With Intrusive Monitoring At Walden Home
Trauma-informed care was one concept which agencies can implement into their practices, training, policies, and procedures to help minimize the effects of stigmas towards clients who are presenting with co-occurring mental health and substance use disorders with a presence of trauma. Harris and Fallout (2012) outline a trauma theory to help agencies create a trauma-informed practice which can help agencies provide client-centered substance use treatment. For substance use treatment, Harris and Fallout (2012) states that shaming, confrontation, intrusive monitoring, and demanding acquiescence to a higher authority are contraindicated for substance use treatment. Unfortunately, the contraindicated measures present in Darlene’s interaction with …show more content…
When Mike left a crystal and love note for another client, he was supported to staff and residents and confronted about his actions. Through supporting, intrusive monitoring became a foundational aspect of the Walden House program which was enacted by all members of the program. Demanding acquiescence to a higher authority can also be seen by the group dynamics. Highly structured and rigorous, the demanding and disciplined nature of the program became the higher authority which clients turned to, hoping to change their substance use habits and behaviors. The contraindicated practices which existed within the structure of the Walden House program created barriers which may have ultimately contributed to Mike’s …show more content…
Integrative explanations could have helped the intake receptionist at The Haight Ashbury Place Free Clinic know that the defensiveness exhibited by Darlene may have been due to a history of being turned away, making her feel the need to be defensive in case of rejection. Integrative explanations could have helped the receptionist to understand that Darlene’s loud voice could be a result of the methamphetamine she was using or her desire to be louder than the voices she was hearing. A knowledge and understanding of the intersections of mental health, substance use, and trauma could have provided the receptionist the ability to take a deep breath and meet Darlene where she was at instead of creating a power

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