Implementing Cultural Competence in a Trauma Informed Setting for African-American Emerging Adults with Co-occurring Disorders

by Fred Dyer, PhD, CADC

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The aforementioned title of this post reminds those of us who are working with African American Emerging Adults with Co-occurring Disorders, and/or those who desire to, that due to the early exposure of Adverse Childhood Experiences (ACE'S) and their impact psychiactrically, behaviorally and developmentally, when working with African Emerging adults it is necessary to be able to respond to the trauma in their lives in a culturally competent/sensitive manner.

 Laura Brown{2008} reminds us of the importance of cultural competence  in trauma informed care by stating that "Healthcare delivery of services for emerging adults  cannot be all inclusive without embracing, the need  for cultural competence/sensitivity, and even the best practices lack efficacy when culture is not incorporated as a trauma-informed solution. Additionally failure to bring cultural competence to the table can lead to missteps in genuinely helping African American emerging Adult trauma survivors or worse can result in deepening the wounds of trauma, creating secondary and tertiary traumas that are more painful than the original because they are appraised by victims and survivors as unnecessary wounds.

 As with other important topics time nor space affords the appropriate amount of time to discuss. However any discussion/treatment of trauma must and should include: Historical trauma and culturally competent/ sensitive practice parameters for healing historical trauma.

The following are a few principles for implementing culturally competent/sensitive trauma informed -care with African- American emerging adults with co-occurring disorders. 1. connect clients with resources they trust including types of professionals and traditional healers, 2. help clients to restore a sense of safety, 3. connect clients with elders who lived thru traumatic events and who managed trauma, discrimination, and setbacks, 4. remember it is important to ask clients "what the event means to them. It is clear that addressing cultural competency and utilizing cultural sensitivity in a trauma -informed setting with African - American emerging adults with co-occurring disorders is no longer an exception, but rather an expectation.

MY Recovery Story . . .

by

Jamelia Hand, MHS, CADC, MISA 1

Editor's Note: The first blog post of 2018 is the story of a daughters love for her father before and during her Fathers active addiction and the daughter finding her life purpose in the midst of her fathers addiction.

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So, I show up to work one day and EVERYTHING was falling apart...

It was 32 below zero (wind chill factor) in Chicago, IL and I was the ONLY person who came to my office to work on this day. When I checked the voicemail there were 3 messages (my entire staff) stating that trouble with car, trouble at home, sickness, prevented them from coming to work. I also received a voicemail from my boss which stated "We're going to go in a different direction with the new project". So, the project that i'd been researching and developing for 2 weeks had to be redone. And did I mention that the project proposal was due by the close of business on the next day? I started the coffee maker and headed over to the hospital to make my daily rounds. I'm an addictions counselor by trade but was working as a supervisor at a detoxification program for patients who wanted to begin their addiction recovery journey. I walked from my office to the hospital a few feet away and greeted everyone in the emergency department (all 4 of them).. I then went upstairs to the unit where I find out that there was only 1 physician, 1 nurse who was divided between 2 floors, and 34 patients. I gauged the "climate" on the unit and gave the doctor a little bit of a pep talk before what could be assumed to be a stress-filled day...(click here to continue reading this post).

 

Recovered Or Recovering?

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The big book of Alcoholics Anonymous uses the word Recovered 28 times. There has been a debate the past half century as to whether or not persons in recovery are recovered or recovering. I have posed this question in seminars and participants never  unanimously agree. All agree that if a person dies while in recovery, they are recovered!  

This blog post is dedicated to 5 African American Addictions counselors who spent years in service to others both professionally and personally prior to their death. I knew each of them personally. This is my tribute to them.

Richard Black---Died last week. In the August 2017 story of the month in this museum I introduced him as my brother in law. The last 3 decades of his life were dedicated to helping facilitate recovery in his role as an addictions counselor and volunteer service work.

"Brother" Earl Cannamore---An elder in the addictions field and mentor to many. Earl use to say, "I'm the greatest substance abuse counselor in the world!" He took pride in his work. The word enthusiasm comes from a Greek word which means, "the God within." Brother Earl was the most enthusiastic person I ever met. His clients were fortunate. Earl's legacy includes the multiple recovery videos he created which have outlived him. Earl died in 1995.

Rasheed Akbar---I owe my families recovery to Rasheed Akbar! He was my uncle Isaac's counselor whom was first in our family to recover. He was also my brother's counselor. Just as addiction runs in families, so does recovery! Numerous family members are now in recovery. We no longer have "drunk parties" as a family. We have sober parties. Thank you Rasheed! Rest in peace.

Reverend Elliott Lyons--I met Elliot when I was a young addictions counselor. He was in the winter of his career. I remember hearing scores of persons in recovery credit Elliott with helping to facilitate their recovery. I remember him responding to this feedback with such humility. 32 years ago my wife and I married. We were in different religions and wanted to select a minister to officiate our wedding ceremony who would be non-judgmental of religious differences. We selected Reverend Elliott Lyons, a man who demonstrated an awareness of Gods "bigness" by helping people from all walks of life, secular and religious with their recovery.

Greg Yarborough-- Greg counseled with a rhythm! James Brumley and I as newer counselors marveled at how Greg charismatically  counseled 4 or 5 clients at the same time in the milieu. The magic of how he worked is difficult to explain. I am sorry that counselors today never witnessed this. It was something to see!