Developing Trauma Informed Services for Psychosis A Multidisciplinary Journey Towards Healing

A multidisciplinary group of clinicians explore the connections between traumatic experiences and psychosis, charting the development of a series of interventions designed for both inpatients and outpatients over the course of two decades. Developing Trauma Informed Services for Psychosis details how clinicians developed a trauma committee in a public mental health facility and implemented trauma informed policies and practices, including assessments and multimodal treatment options. Chapters outline trauma informed approaches that include individual, group, and family modalities. Emphasis is on core aspects of programming such as building safety, establishing trusting relationships, and empowerment. One survivor’s descriptive account as well as service users’ and therapists’ experiences are brought to life through personal narratives and fictionalised vignettes. This volume advocates for a multidisciplinary approach that fosters the development of unique treatment paradigms and leads to a dynamic interplay between verbal and creative arts therapies. This book will be of interest to clinicians, administrators, students, caregivers, and anyone interested in the intersection between therapy and the arts.

Introduction Kristina Muenzenmaier, Mara Conan, Gillian Stephens Langdon, Toshiko Kobayashi, and Andres R. Schneeberger Section 1: Foundations of a Trauma Informed Approach in a Psychiatric Facility 1. The Relationship between Trauma and Psychosis: Historical Background and Theoretical Issues Kristina Muenzenmaier and Andres R. Schneeberger 2. Life Experience Behind & Beside Symptoms Mary Auslander 3. Discovering Trauma Histories in People with Psychosis Leads to Political Action Kristina Muenzenmaier, Andres R. Schneeberger and Mary Auslander 4. Implementing Hospital-wide Trauma Assessments Kristina Muenzenmaier, Mara Conan, Gillian Stephens Langdon, Toshiko Kobayashi and Joseph Battaglia 5. Formation and Development of the Trauma Committee Kristina Muenzenmaier, Gillian Stephens Langdon, Mara Conan, Toshiko Kobayashi and Joseph Battaglia 6. Widening the Circle of Care: Trauma Programme for Staff Kristina Muenzenmaier, Toshiko Kobayashi and Joseph Battaglia Section 2: Trauma Informed Interventions: From Fragmentation to Integration 7. Exploring a Group Therapy Approach for Healing from Complex Trauma Mara Conan, Kristina Muenzenmaier, Gillian Stephens Langdon and Toshiko Kobayashi 8. Implementing a Trauma Informed Approach on an Inpatient Unit Kristina Muenzenmaier, Gillian Stephens Langdon, Toshiko Kobayashi, Mara Conan and Joseph Battaglia 9. Trauma-Informed Care in Outpatient Clinics Mara Conan, Gillian Stephens Langdon, Toshiko Kobayashi and Kristina Muenzenmaier 10. Family Therapy Model for Treating Trauma in People with Serious Mental Illness Madeline Seifter Abrams and Kristina Muenzenmaier 11. Towards an LGBTQI+ Affirmative and Trauma Informed Approach in People with Psychosis Andres R. Schneeberger Section 3: Trauma Informed Interventions: Collaboration with Creative Arts Therapies Opens Up New Doors in Trauma Treatment 12. Music Therapy: Exploring a Structured Trauma Informed Group Therapy Model Gillian Stephens Langdon, Gina Kijek and Stacie Aamon Yeldell 13. Interweaving Words and Music in Music-Verbal Therapy Trauma Groups Gillian Stephens Langdon 14. Developing Structured Art Therapy Groups to Treat Complex Trauma Toshiko Kobayashi and Kimberly Michaud 15. Folding and Unfolding: Expanding Trauma Focused Art Therapy Toshiko Kobayashi, Amara Clark, Eunhong Park, Ping-Rong Chen and Kamila Agi-Mejias 16. Trauma Informed Dance/Movement Therapy: Embodied Moving and Dancing Kelly Long 17. Conclusion Kristina Muenzenmaier, Mara Conan, Gillian Stephens Langdon, Toshiko Kobayashi and Andres R. Schneeberger

Kristina Muenzenmaier is associate clinical professor of psychiatry and behavioral sciences at the Albert Einstein College of Medicine, USA. Her clinical and research interests focus on public psychiatry and childhood trauma in people with serious mental illness and psychosis. Mara Conan was asistant professor of psychiatry and behavioral sciences at the Albert Einstein College of Medicine, USA (2003-2014). She has worked for over 30 years as a psychologist in public psychiatry with individuals who were diagnosed with psychotic disorders. Gillian Stephens Langdon is an adjunct professor and internship supervisor in the Music Therapy Department at New York University, USA. A pioneer of music therapy, she has worked for over 40 years with people experiencing psychosis and trauma. Toshiko Kobayashi is an onsite supervisor and guest speaker at New York University. She worked for many years as an art therapist both in the United States and internationally. She developed Expressive Origami Therapy® and is president of the Origami Therapy Association. Currently, her focuses are intergenerational trauma and self-care. Andres R. Schneeberger is an associate clinical professor at the University of California San Diego, Department of Psychiatry, USA. His main clinical and research interest focus is on mental health care delivery, measurement-based care, aggression, coercion and complex traumatisation in minority populations and people with serious mental illness.