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In the previous chapter, I introduced you to trauma-informed servant leadership as a unique approach that can be used to operationalise many of the ideas of the trauma-informed approaches in the literature. In this chapter, I build on this work by illustrating how we can extend this model of trauma-informed servant leadership to supervision in order to reduce burnout and secondary trauma in health and social care employees. The literature informs us that not only do employees in this sector have high rates of their own traumas, but secondary trauma is also prevalent in such organisations. An overview of the supervision and secondary trauma literature is briefly provided, followed by a description of how the trauma-informed servant leadership model can be used by supervisors, in conjunction with a supervisor model of servant leadership, to mitigate against these stressful experiences in organisations. Again this chapter not only builds on recommendations from the trauma-informed literature as it pertains to recognising that employees suffer their own personal traumas but I also take a multicultural approach to supervision in the final section of the chapter, thereby operationalising the diversity/multicultural principle in TIA.

Health-care professionals working in inpatient forensic mental health settings are exposed to a range of traumatic and distressing incidents with impacts discussed variously as “burnout”, “compassion fatigue”, “secondary trauma stress” and “vicarious traumatisation”. This study aims to explore the short- and long-term psychological and physical health effects of trauma exposure in the workplace for frontline staff in a forensic setting.

Semi-structured interviews were conducted with 14 nursing staff members working in the male personality disorders care stream in a Medium Secure Hospital.

Thematic analysis yielded five themes: categories of trauma; how well-being is impacted; ways of coping and managing; protective factors; and systemic factors, with sub-themes within each of the superordinate themes.

The findings demonstrate that some staff members were affected both physically and psychologically as a result of trauma-focused work whereas other staff members were unaffected. The psychological and physical health effects were broadly short-term; however, long-term effects on staff member’s social networks and desensitisation to working conditions were observed. A broad range of coping methods were identified that supported staff member’s well-being, which included both individual and organisational factors. Staff member’s health is impacted by exposure to workplace trauma either directly or indirectly through exposure to material, and there is a greater need to support staff members after routine organisational provisions are complete. Staff should receive education and training on the possible health effects associated with exposure to potentially traumatic material and events.

This research has further contributed to understanding the staff needs of nursing staff members working with the forensic personality disorder patients within a secure hospital setting. This research has identified the following service developments: the need for ongoing support particularly after organisational provisions are complete; further prospects to engage in psychological formulations; greater opportunities for informal supervision forums; staff training to understand the potential health impact associated with trauma-focused work; supervisors being appropriately trained and supported to elicit impacts of trauma-focused work on staff members; and additional opportunities to discuss well-being or monitor well-being.

Clinical professionals working with psychologically traumatised children in the care system can experience potential challenges maintaining their own positive psychological health, and when repeatedly being exposed to the traumatic histories of those in their care. The purpose of this paper is to increase the understanding of vicarious trauma and provide a guide for focussing on future research.

This is a systematic literature review, considering 13 articles that met the criteria and identified five main themes linked to secondary traumatic stress/vicarious trauma in staff.

Five main themes were noted. These are: lack of organisational support; lack of health work-life balance; lack of appropriate training; failure to use self-care techniques; and staff failure to share when they are experiencing symptoms.

Various implications are noted from this review. These include: the importance of education and support for staff, to be mindful that newer staff may be considered an “at risk” group for the negative impact of such trauma, and to encourage staff in achieving an effective work-life balance.

This is a focussed systematic review on secondary and vicarious trauma on staff working with children exposed to psychological trauma, such as sexual and physical abuse.

The purpose of this paper is to investigate the moderating role of psychopathy facets on the relationship between traumatic exposure and posttraumatic stress disorder (PTSD) symptomology.

Participants were male prisoners incarcerated in the UK.

The analysis revealed differential associations between the two facets of psychopathy, with potentially traumatic events and symptoms of PTSD. Specifically, neither primary psychopathy nor trauma exposure were significantly related to PTSD, while secondary psychopathy was positively and significantly related with PTSD symptoms. Furthermore, the effect of trauma exposure on PTSD was found to depend on the level of secondary psychopathy. More specifically, trauma exposure was strongly and positively associated with PTSD symptoms for low levels of secondary psychopathy and negatively associated with PTSD symptomology for individuals with high levels of secondary psychopathy.

The findings clarify linkages among psychopathy facets, trauma, and PTSD, and extend the understanding of the presentation of PTSD in male prisoners.

Police officers are exposed to a wide variety of stressors – frequently interacting with people at their worst moments and sometimes absorbing the trauma that victims experience themselves. Investigating sexual assaults reported by adults presents significant challenges given the often high levels of distress experienced by victims paired with the likelihood that no arrest will be made and the low conviction rates. Little research explores the impact this investigatory work has on the detectives who are assigned to these cases.

Using interviews conducted with 42 sexual assault detectives across six jurisdictions designed to understand sexual assault case attrition, the study enhances understanding of the effects of investigating crimes of sexual violence on detectives. Specifically, the aurhors explore their experiences within the context of burnout and secondary traumatic stress.

The current study clearly identifies the incidence of emotional symptoms among sexual assault investigators. During the course of interviews about their decision-making, detectives, unprompted by researchers, manifested symptoms of trauma resulting from their assigned caseloads.

Open-ended interviews offer a promising approach to exploring foundational questions.

Exposure to victims who have suffered the trauma of sexual assault can have a subsequent impact on the job performance and personal life of those who respond to victims in immediate crisis and to those who provide long-term assistance. A plan for future research is detailed to better pinpoint how and when these symptoms arise and interventions that may address their effects.

While there is a large literature detailing vicarious trauma for social workers, nurses and doctors, the topic is generally understudied among police officers and specifically detectives despite their repeated contacts with adult victims of violent crimes. This research builds upon the knowledge of burnout experienced by child maltreatment detectives to enhance understanding of sexual assault detectives.

Undertaking qualitative research exploring experiences of trauma can be challenging for all members of a research team. The aim of this article is to document the key challenges faced by researchers and to provide an overview of the key guidelines and processes that have been developed.

Drawing on a range of empirical and published reflective accounts over the past 20 years, this article documents the key challenges researchers undertaking qualitative research face. These accounts are synthesized for the reader and an overview of research guidelines provided.

Qualitative researchers and members of the research team (including research assistants, transcriptionists and research supervisors) undertaking trauma research face many challenges including physical and emotional manifestations. Despite the development of a range of guidelines and protocols, formalized processes are still lacking. Researchers need to be supported to consider the impact of the research on themselves and others within the research team and include these assessments in their ethics and funding applications.

Researching trauma (like many other topics) can be challenging for researchers and it is important that we ensure researchers are not harmed in the research process. Adopting guidelines like those presented in this paper and encouraging formalized processes for researcher risk assessments are paramount.

Discussions about risk to researchers when undertaking qualitative research have existed for many years but they have not always resulted in acknowledgement of development of supportive processes. By bringing together empirical research and reflective accounts from a range of disciplines the issues researchers face can become more visible.

Practitioners, organisations and policy makers in health and social care settings are increasingly recognising the need for trauma-informed approaches in organisational settings, with morbidity and financial burdens a growing concern over the past few years. Servant leadership has a unique focus on emotional healing, service to others as the first priority, in addition to the growth, well-being and personal and professional development of key stakeholders. This paper aims to discuss Trauma Informed Servant Leadership (TISL).

A targeted review of the servant leadership and trauma-informed care literature was conducted. Relevant studies, including systematic review and meta-analysis, were sourced, with the resulting interpretation informing the conceptual model.

Although there are general guidelines regarding how to go about instituting trauma-informed approaches, with calls for organisational leadership to adapt the often cited six trauma-informed principles, to date there has not been a leadership approach elucidated which takes as its starting point and core feature to be trauma informed. At the same time, there is a paucity of research elucidating trauma outcomes for service users or employees in the literature when a trauma-informed approach is used. However, there is a large body of evidence indicating that servant leadership has many of the outcomes at the employee level that trauma-informed approaches are attempting to attain. Thus, the author builds on a previous conceptual paper in which a model of servant leadership and servant leadership supervision are proposed to mitigate against compassion fatigue and secondary trauma in the health and social care sector. The author extends that research to this paper by recasting servant leadership as a trauma-informed model of leadership that naturally operationalises trauma-informed principles.

A lack of primary data limits the extent to which conclusions can be drawn on the effectiveness of this conceptual model. However, the model is based on robust research across the differential components used; therefore, it can act as a framework for future empirical research designs to be studies at the organisational level. Both the servant leadership and trauma-informed literatures have been extended with the addition of this model.

TISL can complement the trauma-informed approach and may also be viable as an alternative to trauma-informed approaches. This paper offers guidelines to practitioners and organisations in health and social care on how to operationalise important trauma-informed principles through leadership.

This conceptual model may help reduce the burden of trauma and re-traumatisation encountered by practitioners and service users in health and social care settings, impacting on morbidity.

To the best of the author’s knowledge, this is a novel approach, the first of its kind.

This paper advances what is known about emotional experiences and challenges when researching work-caused trauma in organisations and illustrates learning for researchers of work-related trauma. Viewing vulnerability as strength could be conceived as an oxymoron. The paper explains how vulnerability can lead to strength for researchers/participants and focuses on researcher reflexivity in relation to one interview with a woman leader in a small-scale qualitative study.

The research protocols of the qualitative study are outlined: pre-interview briefings, participant journaling and semi-structured interviews. Researcher reflexivity, following Hibbert's (2021) four levels of reflexive practice (embodied, emotional, rational and relational), is applied to an interview with a woman leader.

The paper illustrates how research design and recognising vulnerability as strength facilitates considerable relational work and emotional experiences. Researcher reflexivity conveys impact of work-caused trauma on participants and researchers. The paper advances understandings of vulnerability as strength in practice, emotional experiences and challenges of work-caused trauma research.

In this paper, a single case of researcher reflexivity is considered.

There are practical implications for researcher relationships with participants; demonstrating emotional awareness; responding to traumatic stories, participant distress and impact on the researcher; issues of vicarious/secondary traumatic stress; having safe psychological systems; scaffolding a process which recognises vulnerability as strength and becoming personally and methodologically vulnerable; risk of embodied and emotional impact; commitment to reflexivity and levels of reflexive practice.

There is lack of researcher reflexive accounts of practice when studying trauma. Few scholars suggest ways to support researchers in challenging and difficult research. There is silence in research exploring leaders' experiences of work-caused trauma. This paper provides a reflexive account in practice from a unique study of women leaders' experiences of work-caused trauma.

In this chapter, an overview of the trauma-informed approach is described. The background and context to trauma, its impact on the person, and organisational responses are considered. More specifically, I distinguish between trauma specific and non-specific organisations by defining the characteristic of each. This chapter sets the tone for the remainder of the book by introducing a conceptual model for both specific and non-specific trauma organisations. In order to do this, I outline the differential components that are deemed necessary for organisations to be trauma-responsive; in doing so, I introduce the Trauma Ecology Model to the literature, outlining its various components.