1what is the OTs role in complex trauma
- Acute impatient, school, outpatient settings most likely
- Consider acuity, age, focus of setting
- Is trauma the main diagnosis, or an important comorbid condition?
2“Chronic exposure to multiple traumatic incidents that occur within a relational system, often in early childhood, which impact development and self-awareness (National Child Traumatic Stress Network)”
complex trauma
3what are some possible OT interventions for complex trauma
o Daily routine, ADL’s
o IADL’s
o Coping skills
o Sensory processing, sensory diet
o Emotional regulation
o Social skills
o Cognition and learning
o Schoolwork
o Leisure interests
o Health promotion, physical activity
o Play
o Independent living skills/home maintenance
o Job skills
o Self-esteem
o Tolerating environments and people
o Participation and engagement
o Communication
o Conflict resolution
o Motor skills
o Executive function
o Health management
4what is the OT role in PTSD
- Could be inpatient psychiatric setting, outpatient, any
- Likelihood you will encounter in VA or military healthcare settings
- Consider acuity, age, focus of setting
- Is trauma the main diagnosis, or an important comorbid condition?
5what are the possible OT interventions for PTSD
- Self-management/symptoms management/coping skills
- Sleep and rest, leisure
- Cognitive and executive functions
- Work-related concentration, time management, focus, task execution
- Social participation
6factors that influence prognosis and trajectory of complex trauma
o Amount, duration, intensity, age
o Neurobiologic damage
o Resilience
o Social determinants of health
o Access to care
7what is the etiology of complex trauma
- absent caregiver
- exposure to traumatic events
- maltreatment
- poly-victimization
- violent environment
8what are the signs and symptoms of complex trauma
Impairement to:
- attachment and relationships
- physical health: body and brain
- emotional responses
- dissociation
- maladaptive behavior
- cognition: thinking and learning
- self-concept and future orientation
9what is the course and prognosis for complex trauma
that is dependent on neurobiological damage and resiliency factors
10what are the signs and symptoms of PTSD
• Exposure to actual or threatened death, serious injury, or sexual violence
• Intrusionary symptoms
• Persistent avoidance of triggers of the event(s)
• Negative alterations in cognition and mood after the traumatic event(s)
• Marked alterations in arousal and reactivity