This report reviews what is known about the state of the HIV/AIDS in the Vancouver downtown east end, based on the formal literature, current and previous studies from and about that downtown community; summarizes a community consultation process with adults and youth, current and ex- drug users, HIV-positive individuals, and community social and medical service providers; and presents an action plan to reduce the spread of HIV/AIDS among those downtown community members involved in injection drug (heroin and cocaine) use.
Issues discussed in the consultations included physical health, housing, having a sense of belonging and usefulness, information dissemination, public safety, and needs of special high-risk groups. Recommendations are made under such objectives as: ensuring that high-risk persons are connected with and make better use of existing resources; improve shelter and housing conditions; increase community ability to deal with the HIV/AIDS problem; support co-ordination of HIV/AIDS services; and funding. Appendices include survey questionnaires and a background paper on methadone treatment.
"Treating the Trauma Survivor is a practical guide to assist mental health, health care, and social service providers in providing trauma-informed care. This resource provides essential information in order to understand the impacts of trauma by summarizing key literature in an easily accessible and user-friendly format. Providers will be able to identify common pitfalls and avoid re- traumatizing survivors during interactions. Based on the authors extensive experience and interactions with trauma survivors, the book provides a trauma-informed framework and offers practical tools to enhance collaboration with survivors and promote a safer helping environment. Mental health providers in health care, community, and addictions settings as well as health care providers and community workers will find the framework and the practical suggestions in this book informative and useful"
Introduction. 1. Understanding Trauma and Trauma-Informed Care: The Basics 2. Trauma and the DSM 3. Understanding the Complex Picture of Complex Trauma 4. Building an Empowering and Collaborative Relationship 5. Asking About and Responding to Disclosures of Trauma 6. Conducting a Trauma-Informed Assessment 7. Responding to Safety Concerns 8. Psychoeducation and Trauma-Informed Interventions 9. Dealing with Substance Use 10. A Trauma-Informed Approach to Medications 11. Transference and Countertransference 12. Understanding Vicarious Traumatization
Appendixes: A. Posttraumatic stress disorder diagnostic criteria -- B. Acute stress disorder diagnostic criteria -- C. Dissociative identity disorder diagnostic criteria -- D. Trauma and the hijacked brain: the high road and the low road -- E. Window of tolerance -- F. Trigger scale -- G. Modified Karpman's triangle to illustrate common traumatic reenactments -- H. Strategies for getting out of a traumatic reenactment -- I. Self-soothing strategies -- J. Relaxation strategies.