Paddy McNally is a consultant clinical psychologist who has spent most of his career focusing on applying trauma-informed care principles to those supporting people with learning disabilities. He has published "A Framework for the Implementation of trauma-informed care in Residential and Supported Living Services for Adults with a Learning Disability", which is freely available online.In today's conversation, we talk specifically about the moments of 'stuck-ness' - when the relationships between a person and the team serving them appear to be stuck in circular interactions. This can feel very frustrating to everyone, and lead to feelings of hopeless.Paddy explains how we can understand these moments as being enactments of past trauma being played out unconsciously in the relationships and interactions - or even the organisation or system - around a person. However, once noticed, even a small change in the interaction can bring some relief to everyone.The conversation emphasizes the need for organizational support and reflective practices to create a safe and effective care environment. Ultimately, the significance of human connection in the healing process is paramount. Chapters00:00Introductions02:24Understanding Trauma-Informed Care Principles05:21The Impact of Trauma on Care Relationships08:11Enactments in Care Teams10:58Breaking the Cycle of Trauma in Care13:34The Role of Staff Reflection and Support16:18Creating Safe Spaces for Staff19:03The Importance of Organizational Support21:43Navigating Crisis in Care Settings24:24The Path to Recovery for Care Teams27:03Conclusion: The Human Experience in Care

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