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Hospice is a time when people face a life-limiting illness or injury, and it involves a team-oriented approach to medical care, pain management, and emotional and spiritual support of the patient's needs and wishes. It is only within recent years that trauma-informed care has become an important orientation in working with clients in general, and it has eventually been applied to hospice and palliative care as the end of life is a time that may mimic original trauma, exacerbating previously mild PTSD symptomatology and lead to significant distress. It is a time when key memories can be trauma related and the normal process of life review can lead to anxiety, sadness, guilt, or anger. Our E-News Exclusive describes how hospice professionals can practice trauma-informed care that recognizes the symptoms of patients who are experiencing trauma at the end of life. We welcome your comments at SWTeditor@gvpub.com. Visit our website at www.SocialWorkToday.com, like our Facebook page, and follow us on Twitter. — Marianne Mallon, editor Trauma-Informed End of Life Care By J. Scott Janssen, MSW, LCSW In recent years there has been an increasing awareness about the prevalence and impact of traumatic stress reactions and PTSD in the general population. More than one-half of the adults in the United States experience at least one psychological trauma in their lifetime and approximately 25% of those who have will develop PTSD (Feldman, 2006). This has led many social workers to alter their practice in the interests of becoming trauma informed in order to better identify when clients are being triggered by situations that activate (often undisclosed) traumatic stress, and to respond in ways that help them stabilize and move toward healing. Such a trauma-informed orientation is important when working with clients struggling with terminal illness. In one of the few studies to date exploring the intersection of terminal illness and unresolved PTSD, Feldman and Periyakoil (2006) argue that existing PTSD can complicate the dying process in a number of ways, including the following: • The threat to life inherent in terminal illness may mimic the original trauma, exacerbating previously mild PTSD symptomatology and leading to significant distress. • When key memories are trauma related, the normal process of life review can lead to intense anxiety, sadness, guilt, or anger. • Avoidance symptoms and distrust of authority figures can lead to poor medical adherence and strained communication with the medical team. Full Story »   Trauma-Informed End of Life Care Building a Better Practice Moderate Alcohol Consumption — Weighing the Risks Jails Continue To House Inmates In Need of Psychiatric Beds Flint Residents Experiencing Profound Stress, Anxiety, Depression Study Finds Antidepressants Being Prescribed for Much More Than Depression Online Program May Help Prevent Depression in Some People Tech & Tools The nation's top employers and recruiters of social workers advertise in Social Work Today magazine and post their job openings on AlliedHealthCareers.com. Check out the most recent opportunities that have been submitted by employers across the country! Program Directors, Directors of Social Services, Outreach and Admissions, Licensed Mental Health Counselors, Crisis Counselors—Diamond Healthcare, Nationwide

Building a Better Practice Strong clinical skills are not enough to build a successful practice in today's health care environment. One must cultivate marketing, business, entrepreneurial, and technology skill sets while keeping abreast of the latest in federal and state policy. Read more » Moderate Alcohol Consumption — Weighing the Risks Our society normalizes moderate alcohol consumption, so we must ask whether there are really any benefits of daily low to moderate alcohol consumption that outweigh the long-term risks. Read more » Jails Continue To House Inmates In Need of Psychiatric Beds The Washington Post reports that in 25 states surveyed this year by the nonprofit Treatment Advocacy Center, 1,956 inmates were in local jails waiting for psychiatric hospital slots, leaving them in facilities that were not designed to meet their needs at what can be triple the cost of tending to other inmates. Flint Residents Experiencing Profound Stress, Anxiety, Depression According to The New York Times, a team of behavioral health specialists from the U.S. Public Health Service began addressing the mental health problem in February by providing “psychological first aid” to the Flint residents affected by the water contamination problem. Study Finds Antidepressants Being Prescribed for Much More Than Depression The Los Angeles Times reports many physicians are writing antidepressant prescriptions for other conditions linked to depression such as insomnia, pain, migraines, menopausal symptoms, hyperactivity disorders, and digestive systems disorders. Online Program May Help Prevent Depression in Some People NPR reports a study has found that working through an online self-help program can prevent or delay major depressive disorder in vulnerable people. Similar programs have been used to treat depression, but this may be the first one tested to prevent it, the researchers say. Social Work Today's CE program offers social workers the opportunity to earn CEs from the comfort of their homes or offices. Visit www.SocialWorkTodayCE.com today and join the thousands of professionals from across the country who already have taken advantage of this great program. Simply read an issue of the magazine and complete the online exam or the printed exam published in the magazine, and most issue exams will earn 2 CE credits! PLUS, you have the opportunity to earn CE credits from past issues, too!   Imaging Study Shows Promising Results for Patients With Schizophrenia Using MR imaging, a group of researchers have found that the brains of patients with schizophrenia have the ability to fight the illness. Learn more » Social workers care about their clients, but rarely do they have time to care about themselves. Show yourself a little appreciation with field-inspired gear from our Gift Shop. We've got the perfect item for every situation from busy days in the office to at-home visits. Check out our secure online shop today or call toll-free 877-809-1659 for easy and fast ordering. A Secure, Anonymous Résumé Bank Job Alerts Sent to Your E-mail Have a product, service, or educational program you want to market to social work professionals, or an open position that you need to fill quickly? Social Work Today offers many flexible advertising programs designed to maximize your results. From print advertising to e-newsletter sponsorships, website advertising to direct mail opportunities, Social Work Today helps achieve your goals. E-mail our experienced account executives today for more information or call 800-278-4400! Coming up in our September/October 2016 issue is our Education Spotlight. E-mail a sales representative to be part of this unique advertising opportunity. AlliedHealthCareers.com is the premier online resource to recruit social work professionals. Post your open positions, view résumés, and showcase your facility's offerings all at AlliedHealthCareers.com!