Despite the serious and often debilitating consequences of violent crime, most survivors do not receive needed services after the trauma. The most disadvantaged crime survivors, including people of color, people living in poverty, LGBTQ survivors, and non-English speakers are among those least likely to receive support services. Barriers to care include psychological distress, physical injuries, the stigma associated with being a victim, and not knowing where to turn for help. The UCSF Trauma Recovery Center (TRC) model is designed to remove these and other barriers to care. By using a trauma-informed approach to outreach, clinical case management, and evidence-based mental health treatments, the TRC model has been proven both clinically and cost-effective. Outcomes include reducing survivors’ mental and emotional distress, increasing functionality and well-being, and improving survivors’ overall quality of life. This manual is designed to be of use for new TRCs whether they are entirely new programs or are adding services to an existing program structure. It provides the framework for developing different components of the TRC model as well samples of clinical tools such as intake assessments, plans of care, and risk assessment guides. From the philosophy and structure of a TRC to the nuts-and-bolts tools needed to implement clinical services, this manual provides a comprehensive road map for engaging and serving crime survivors from underserved populations.
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Stacey Wiggall, LCSW worked on the TRC pilot study that demonstrated the efficacy of using assertive outreach and clinical case management to engage survivors of violent crime in trauma-informed mental health services. She has previously served as the Clinical Coordinator of the UCSF TRC, and as an appointed member of the San Francisco Mayor’s Office Safer Schools Task Force on Campus Sexual Assault. As the TRC Technical Assistance Coordinator, she supports new and developing TRCs in strengthening their human, institutional and community resources. Alicia Boccellari, Ph.D. is a Professor Emeritus of Clinical Psychiatry in the UCSF Department of Psychiatry, Zuckerberg San Francisco General Hospital (ZSFG). She is also one of the Founders (and the former Director) of the UCSF Trauma Recovery Center (TRC). She is currently the Director of Special Programs at TRC. In addition to her clinical and administrative roles, Dr. Boccellari has conducted longitudinal research and randomized clinical trials on a variety of topics including: Post Traumatic Stress Disorder, traumatic brain injury and homelessness. The goals of this research are to contribute to evidence-based clinical practices, influence public policy, improve healthcare services, and remove barriers to care for underserved populations in the public sector. Allen/Loeb Associates. Tim Allen and Peter Loeb met while doing research at UCSF on how to best share evidence-based practices with service providers. They formed Allen/Loeb Associates in 1985 to provide consultation on manuals, training programs, and evaluation of best practices implemented in real-world settings. Along with helping the TRC develop its manual, Allen and Loeb have worked with other UCSF programs, including the Institute for Health Policy Studies and the Alliance Health Project of the Department of Psychiatry. They currently are collaborating with UCSF to provide post-training support for HIV prevention counselors working in agencies funded by the CDC.
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