Identifying Evidence

In Jean’s case, trauma is analyzed across the home and rehabilitation center settings. She was raped by her neighbor two years ago, which has caused PTSD. The evidence-based practice provides methods to improve her quality of life. Evidence-based approaches to PTSD – also known as manualized trauma-informed care intervention enables patients to process thoughts and feelings related to the traumatic event. Some of the manualized trauma-informed care interventions viable for Jean are anxiety management and group therapy.

Jean will need a homecare provider at home since her children live in different states and she is widowed. Home care service applies where the patent is not institutionalized and provides both clinical intervention and assistance with ADLs (Shi et al., 2010). A home care assistant will help Jean through anxiety management through cognitive therapy. The caregiver may facilitate Jean to interact with several trustworthy neighbors, which will change her negative perception about them. This is also known as exposure-based intervention, where a patient interacts with stressful stimuli (Lancaster et al., 2016). The caregiver may involve such neighbors in providing Jean with assistance on ADLs to replace negative thoughts with realistic ones. The cognitive approach, as such, helps patients suppress former thoughts and create new perceptions. Prolonged exposure to good neighbors will relieve her of the trauma.

Within a rehabilitation center, Jean will access relaxation-based psychotherapy and group therapy to treat PTSD. The goal of relaxation-based psychotherapy is to make Jean feel safe in the environment through anxiety management (Lancaster et al., 2016). It will be challenging for her since the rehabilitation center has many strangers. However, relaxation-based psychotherapy enables patients to get used to challenging situations (Kaczkurkin & Foa, 2015). For instance, anxiety-provoking situations may help Jean master her anxiety over people with some similarities with her offender. Group therapy is also possible in the rehabilitation center, where trauma awareness and understanding are promoted. In group therapy, Jean will gain resilience to living around other people and cope with the rape experience. It enables rape victims to share their experiences, realize that they are not alone, and process their experiences (Chivers-Wilson, 2020). Both interventions will enable her to realize the robust security which has made her home safe.

References

Chivers-Wilson, K. (2020). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. Mcgill Journal Of Medicine, 9(2). https://doi.org/10.26443/mjm.v9i2.663

Kaczkurkin, A., & Foa, E. (2015). Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Anxiety, 17(3), 337-346. https://doi.org/10.31887/dcns.2015.17.3/akaczkurkin

Lancaster, C., Teeters, J., Gros, D., & Back, S. (2016). Posttraumatic Stress Disorder: Overview of Evidence-Based Assessment and Treatment. Journal Of Clinical Medicine, 5(11), 105. https://doi.org/10.3390/jcm5110105

Shi, L., Singh, D., & Shi, L. (2010). Essentials of the U.S. health care system (2nd ed.). Jones & Bartlett Learning.