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An emerging evidence base, and increased awareness of the effects of trauma on the body, advocates a sensory-based approach to treatment with posttraumatic stress and complex trauma survivors. This paper aims to identify, analyse and summarise the empirical evidence for the sensory-based interventions, which occupational therapists are using in the treatment of adult and adolescent trauma survivors.

An integrative review of the literature was undertaken. Both empirical and conceptual papers were included. An inductive approach and constant comparative method were used to understand and synthesise the research.

The literature search yielded 18 papers describing the types of sensory-based interventions used, sensory processing (SP) patterns and the context and evidence for sensory-based occupational therapy practice with trauma survivors. Nine of the studies were empirical and nine were conceptual and review papers. Themes identified included: atypical SP patterns; type of sensory-based intervention used with trauma survivors; and transdisciplinary treatment programmes can reduce the symptoms of trauma.

Sensory-based interventions with adult and adolescent trauma survivors are emerging as promising areas of practice and research in the literature. Although empirical data is limited, the sensory needs of the body in processing trauma experiences is becoming more recognised and are supported by the atypical SP patterns identified in survivors. A sensory-based, transdisciplinary approach to treatment has the potential to be effective in treating the trauma survivor.

With a skill base in sensory integration and occupational analysis, occupational therapists have much to offer the field of trauma studies. This review begins to address the gap in the literature, recommending more rigorous controlled outcome research with larger sample sizes, person-centred studies focussing on the trauma survivor’s perspective and continuing professional development and mentorship for occupational therapists working with this population.

Human Givens (HG) Rewind technique is a graded trauma-focused exposure treatment for post-traumatic stress disorder and trauma. The purpose of this paper is threefold: first, to describe the technique; second, to provide an outline of its potential benefits; and third, to present some preliminary evidence.

This paper provides an overview of HG therapy and describes the stages of HG Rewind trauma treatment and its potential benefits. Similarities and differences between Rewind and other Cognitive Behavioural Therapy techniques are explored. Possible underlying mechanisms are discussed.

Preliminary evidence suggests that Rewind could be a promising trauma treatment technique and that HG therapy might be cost effective. The findings highlight the need for further research and a randomised controlled trial (RCT) on Rewind is warranted.

During the rewind technique, the trauma does not need to be discussed in detail, making treatment potentially more accessible for shame-based traumas. Multiple traumas may be treated in one session, making it possible for treatment to potentially be completed in fewer sessions.

This UK-based treatment may be cost effective and make treatment more accessible for people who do not want to discuss details of their trauma.

This is the first description of HG Rewind in the peer-reviewed literature. Alternative explanations for mechanisms underlying this trauma treatment are also presented.

This paper aims to discuss the utility of eye movement desensitization and reprocessing (EMDR) therapy as a treatment for children with intellectual disabilities (ID) who have experienced trauma.

Relevant National Institute for Health and Care Excellence (NICE) guidance and literature were reviewed to provide support for the use of EMDR as a treatment for trauma in children with ID.

There is a growing body of evidence which demonstrates that EMDR therapy is successful for the treatment of trauma in adults and children. However, for children with ID, the research is limited despite those with ID being more likely than non-disabled peers to experience trauma such as abuse or neglect.

EMDR can only be facilitated by trained mental health nurses, psychiatrists, psychologists (clinical, forensic, counselling or educational) or occupational therapists or social workers with additional training. Finally, general practitioners who are experienced in psychotherapy or psychological trauma and have accreditation. Therefore, this highlights that there may be a lack of trained staff to facilitate this intervention and that those who are generally working with the client closely and long term such as learning disability nurses are not able to conduct this intervention.

This paper presents an account of NICE guidance and evidence of the efficacy of EMDR as a treatment for adults, children and those with ID.

Psychological trauma has not been considered to be a primary factor in reconciliation, peacebuilding, and (re-)integration into society during and after conflict and with vulnerable groups. Frequently, it is seen by those in leadership “soft” and often has been characterized as “irrelevant” in comparison with such factors as politics and economics.

We believe that bottom-up work is equally important as top-down work, if not more so, in creating viable societies, particularly during and after conflict and with marginalized groups as refugees, people with mental health reactions, former prisoners, and other vulnerable groups. We have seen that people whom we call “peer supporters” under good supervision can function extremely well. In our experience, in many cases, “experts” do not understand the issues and cultural aspects vital to such groups and thus function less well than people with less formal education but who are within the communities concerned.

The CWWPP has developed a highly participatory method known as Pragmatic Empowerment Training (PET) to train and supervise such people.

We stress that these are long-term processes and that current expectations of donors and others for short-term solutions have been unrealistic. We see such work as preventing violence and encouraging integration.

Rwanda established a deinstitutionalization program to end institutional care and transition to family-based care for children. Part of their program involved training local volunteers in an evidence-based, trauma-informed caregiving model, Trust-Based Relational Intervention (TBRI), to provide education, support and TBRI training to caregivers who reunited or adopted children from institutional care in Rwanda. This study aims to describe the process of disseminating a trauma-informed intervention, TBRI, as part of the national deinstitutionalization program in Rwanda.

Semi-structured interviews were conducted with ten lay social workers about Rwanda’s care reform and their experience using TBRI. A phenomenological approach was used to qualitatively analyze the interviews.

Analysis revealed five themes centered on the usefulness and universality of TBRI, the power of community in meeting the needs of children and youth and the importance of connection in supporting children who have experienced institutional care.

A global call to end institutional care and shift to family-based care for children has organizations, governments and experts seeking pathways to implement care reform. Although care reform is a complex process, Rwanda created and implemented a deinstitutionalization program focused on spreading the message of care reform and providing sustainable support for caregivers and families.

The chapter focuses on the use of the lived experience when teaching trauma to students who are studying mental health. In order to provide a context for what follows the chapter begins with an overview of how trauma is defined and understood in the research and literature.This is followed by a brief exploration of how ‘ story telling’ and lived experiences of trauma can be used to provide authenticity and increase understanding to students, without it being stressful for them or counterproductive in relation to their learning and learning experiences. Advocating a ‘psychoeducational’ approach to teaching and practice that is informed by the needs of the facilitator, the needs of students, sensitivity, attunement, and transformative learning experiences informs the latter part of the chapter.The chapter concludes with a short, critically reflective examination of practice and makes recommendations for the reader (based on experiential learning) to consider when teaching about trauma in your practice.

The study aims to explore the current experiences of Ukrainian adolescents affected by the Russia-Ukraine war. The study focused on the changes in adolescents’ lives caused by the war, adolescents’ emotional reactions to the disruptions caused by the war, coping strategies employed by adolescents in dealing with disruptions and the role of information technology in supporting new realities and coping strategies of adolescents.

This study relied on semi-structured interviews conducted on Zoom with 27 Ukrainian adolescents ages 10-18. Participants were recruited using the snowball sample and came from various regions of Ukraine. The interview notes and partial transcripts were analyzed using thematic analysis to identify the common and unique patterns in participant responses.

The interview data revealed the signs of traumatic experiences and various stages and methods of coping with them. Participants’ resilience was supported by external factors, including families, communities, continuous schooling, ability to talk to friends, information technology, as well as internal skills, including social competence, problem-solving, critical consciousness, autonomy and a sense of purpose. Participants shared specific recommendations for improving information platforms and online content, e.g. making them more accessible and affordable for Ukrainian users, improving content curation and personalization, creating and promoting Ukrainian content and others.

Research relied on convenience sample of participants who had access to information communication technology (ICT), were aware and had an ability to participate. Field work is needed to reach out to participants without access to ICT.

This study contains broad recommendations for improving information technologies for the use of Ukrainian adolescents.

This research offers three timely account of the first-hand experiences of Ukrainian adolescents affected by the Russia-Ukraine war and can inform future work aimed at improving life conditions for teen population.

This study relied on first-hand reports of Ukrainian adolescents’ experiences, feelings and coping strategies during the first three months of Russia-Ukraine war. The study applied war trauma and resilience frameworks to interpret the findings and translate some of the findings into practical recommendations for the information science community.

This paper aims to explore service-user perspectives of sensory approaches introduced and promoted by the trauma and self-injury service within the National High Secure Healthcare Service for Women (NHSHSW) at Rampton Hospital.

This cross-sectional descriptive study used a semi-structured questionnaire, which was devised for this evaluation and included both open and closed questions. The data collected were then analysed using descriptive statistics and thematic analysis.

The paper evaluates the current use of sensory approaches within the NHSHSW. Sensory approaches were widely used across the service, with essential oils being the most commonly used sensory approach. The use of sensory approaches can be understood according to the following three themes: independence, accessibility and self-regulation. The self-regulation theme contained three sub-themes as follows: safety-seeking, relaxation and reducing distress. The evaluation also highlighted barriers to using sensory approaches and sought service-user feedback as to how these may be overcome.

Participants’ feedback informed changes to practice, such as introducing sensory approaches to service-users earlier in their care pathway and increasing the accessibility of sensory items. These approaches may be of relevance to service provision in other forensic or inpatient settings.

This paper offers a unique contribution to the current literature with its focus on using sensory approaches to ameliorate trauma symptoms, in the context of a forensic setting.

Looks beneath the surface of much of the rhetoric and “ought to be”s of organizational change ‐ a world of learners and change masters ‐ to a “real” perceived and experienced world where managers are struggling with ‐ what for them are ‐ the experienced traumas of change. This is a world where individual managers are attempting to survive the trauma which is more usually associated with disasters or catastrophes, and even abuse. Sets out to clarify the meaning of such terms as trauma, catastrophe, abuse, victim and survivor and their significance in the context of organizational change. Urges the instigators, initiators, implementors and facilitators of change in organizations to face up to and consider the implications of managers’ experienced trauma. Although not arguing against the need for organizations to embark on significant and continuing change attempts, prompts a calculation of the real costs of such changes in terms of their short‐ and long‐term consequences.

This case study illustrates the rehabilitation of a woman who suffered chronic sexual, physical and emotional abuse throughout childhood that resulted in 20 years of secure psychiatric care and a ‘psychopathic personality’ diagnosis. Rehabilitation used a survivor‐orientated approach to resolve symptoms of posttraumatic stress disorder, institutionalisation and a dysfunctional narrative.