Date of Award

Spring 5-22-2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Michael Terry, DNP, FNP, PMHNP

Second Advisor

Leslie Sanders, PsyD


Background: The link between trauma exposure and substance use is well established. Seventy-five percent of individuals in substance use treatment report histories of abuse and trauma. Early traumatic experiences or repetitive trauma exposure disrupts a person’s ability to self-regulate which may demonstrate as disruptive behavior or present as physiological symptoms.

Purpose: The purpose of this project was to introduce and increase awareness of trauma and resiliency informed definitions, techniques, and provide resources for staff in a residential treatment setting.

Evidence-based Intervention and Methods: Participating nurses and resident assistants received a one hour presentation on trauma, resiliency, and its associated interventions. The primary interventions reviewed were de-escalation techniques and Community Resiliency Model (CRM) skills developed by Trauma Resource Institute.

Results/Evaluation: Data was collected immediately before and after the presentation as well as six-weeks later. In both data sets, participating nurses noted an increase in their confidence level. Sixty percent reported utilization of de-escalation techniques and CRM skills. A lack of appropriate clinical scenario was cited most frequently as the reason for not utilizing the presented techniques.

Included in

Nursing Commons