The Mandt System® not only has a separate chapter on Trauma Informed Services, the concepts Trauma Informed Services are integrated into all the work we do, as our entire program “trauma informed.” Louise Hopkins, a clinical social worker at Sheppard-Pratt Psychiatric Hospital, writes:
Before I started my current job, as a clinical educator, I had spent years in the trenches as a clinician. I saw again and again, trauma survivors being restrained by well meaning staff, with the result that they made a bad situation much worse by triggering flash backs, and by making kids who already felt hopeless, powerless and alone, feel these ways only more so. I very much wanted to address this, and designed a training program using my own experience and reading, including parts of the Sanctuary Model, and parts of the trauma chapter of SAMHSA’s “Road Map to Seclusion and Restraint Free Mental Health.” My training was then adding to our system-wide aggression management training.
Then we discovered Mandt. It wasn’t aggression management plus trauma informed care. It was a truly integrated trauma informed aggression management system. (I am sure the Mandt folks would not consider themselves an aggression management system. They are very careful about language. However, this is a view from the trenches. For years restraint training was called aggression management training, or on a good day aggression prevention and management training.) Mandt does teach restraint, but the focus is on numerous interventions to avoid or contain without restraint. Since the vast majority of our kids are receiving our services because they are survivors of trauma, this is pretty important. As a Licensed Certified Social Worker (Clinical) I consider myself to be above average in my sophistication in childhood trauma theory and research, and have in fact been invited to teach a doctorate level social work course in treatment of traumatized children, despite having only a master’s degree myself. Therefore, I think I know what I am talking about when I say Mandt integrates “state-of the art” research on trauma. It also integrates “state of the art” positive behavioural support research, and a great deal concerning the theories about and research on communication.