"This is Not Just a Job": Tensions in Addressing Trauma in the Neo-Liberal Context

Abstract

Front-line service-providers are finding it challenging to address trauma-related issues within the confines of a shrinking neo-liberal environment. With larger case loads and increased focus on time and efficiency measures, front-line staff have less time available to address the more ambiguous aspects of practice, including trauma. To explore the challenges front-line staff face, a small qualitative study was conducted in which five service-providers took part. The study findings revealed that in working environments that have adopted managerial practices, the implications of 'quantity over quality' are experienced as frustrating and have various implications for the ways in which trauma is addressed. Participants in this study, expressed a deep investment in their working roles which generally has positive implications for service-users, however, the compounding results of a deep personal investment and a prescriptive case-management role may intensify the experience of working with trauma. Finally, while service-providers believe that trauma is something all service-users live with, there is a sense that the issue remains under-recognized in the mental health agency setting. This study suggests that increased trauma-focused education is essential for front-line workers, as is trauma-informed models of practice in the agency. Furthermore, there is a greater need for trauma advocacy and awareness as the issues remains stigmatized, even within the mental healthcare system.