A Traumatised Organisation: The system as a client

Dec 2024

Written by Noel Macnamara Glenys Bristow

The concept of organisations as living systems is not new. Extensive work, particularly in the area of systems thinking, has brought this perspective into the limelight.

Out-of-home care (OOHC) organisations are living systems, alive with thoughts, feelings and values (Senge et al., 2004). Being alive, they are vulnerable to stress, particularly toxic and repetitive stress. Toxic stress undermines the organisation’s capacity and culture for safety and trust.

As a result, our systems frequently replicate the very experiences that have proven to be so toxic for the people we are supposed to treat.

What is organisational culture?

Organisational culture is the social or normative glue that holds an organisation together. It impacts on all areas or organisational life; the way in which work is done; relationships between organisational members, right across, up, and down the organisation; how we feel about our work and each other; and subsequent care our children, young people and families receive.

There are two distinct parts to organisational culture:

  1. Overt: All the things you can see: the symbols (religious logos etc.), mission, vision, standards, policies, rules, principles, regulations, ceremonies, and laws that govern the behaviour of a system as a whole – both programs within the system, and individual members of the system.
  2. Covert: All the things you can’t see. According to Egan (1985), they are the unwritten ‘oughts’, ‘shoulds’, ‘musts’, ‘dos’, ‘don’ts’, and taboos. They are also rituals and ceremonies, that aren’t usually part of induction.

When two or more systems, whether individuals, groups, or organisations, have significant relationships with one another, they tend to develop in similar ways:

  • They can begin to pick up on each other’s thoughts, feelings and behaviours. Members of the organisation can act on these feeling without even realising it! (Smith, Simmons & Thames, 1989).
  • The staff can become discontented and disconnected from the organisation. The organisation is no longer a safe place. Staff may criticise and collectively call the management team ‘management’ rather than previously used individual names or nicknames and relationships.
  • A negative organisational culture turns back on ‘the management’ because they’re the ones who should be helping us to feel safe, and they’re not. They might not have even seen or be aware of what’s going on. Quarrels start, and this is where you get increasing gossip in areas where people accumulate, making coffee, on line chats etc. The conversation will no longer be creatively about the organisation’s processes and missions and services; it will be about people and staff. As a result, many human service delivery networks are functioning as ‘trauma-organised systems’ (Bentovim, 1992).

Just as the encroachment of trauma into the life of an individual client is an insidious process that turns the past into a nightmare, the present into a repetitive cycle of re-enactment and the future into a terminal illness; in a parallel way, toxic stress insidiously has an impact on an organisation. In such cases, you may find that people, teams, or the culture of the organisation itself, can become:

  • reactive or crisis-driven
  • avoidant, numb, detached or dissociated (either emotionally or from the organisational mission, or both)
  • polarised in its thinking e.g., them vs us / good vs bad etc
  • unreflective
  • lacking in trust
  • too busy to think or feel
  • defensive
  • on edge and hyper-vigilant
  • physically and emotionally unwell
  • confused, lost, alone and disoriented
  • dysregulated
  • chaotic
  • frozen and frustrated
  • rigid and inflexible (which includes striving for perfectionism)
  • mournful and grief-stricken
  • helpless and depressed
  • disconnected, disintegrated
  • incoherent and fragmented

de Soir (2015) talks about how the organisation’s protective emotional membrane can be pierced by trauma. Trauma can also be absorbed and taken in while at the same time leaking and spilling out. This makes the organisation unwell, unhealthy, or have a compromised immune system. The organisation will give off signals and signs when it’s unwell, distressed, struggling or dysregulated, operating in survival mode, and will have developed ways to cope and protect itself. This leaves staff feeling vulnerable and helpless.

Carroll (2012) describes how, without reflection, processing, and ongoing plans for change, trauma can be experienced by the organisation as badly ingested food, swallowed, and then regurgitated later. Silence and lack of understanding about trauma hurts both young people and organisations, scarring both the culture and longevity of workers.

YOUNG PEOPLE
STAFF
ORGANISATION
Feel unsafe
Feel unsafe
Is unsafe
Angry / aggressive
Angry / aggressive
Punitive
Helpless
Helpless/disempowered
Stuck (unfilled and wrongly filled positions)
Hopeless
Hopeless
Helpless
Hyperaroused
Hyperaroused
Missionless (Lost its way)
Fragmented
Fragmented
Crisis driven
Overwhelmed
Overwhelmed
Overwhelmed
Confused
Confused
Valueless
Depressed
Depressed
Directionless
Toxic and repetitive stress
Toxic and repetitive stress
Traumatised organisation
Fight, flight and freeze
Sick leave, burnout and loss of experienced staff to industry
Traumatised and systemically dysfunctional organisation

Working with Organisational Trauma

There is no single answer to addressing organisational trauma and there is very little in the literature to help.

The role of leaders and of leadership is central when dealing with traumatising events and with systemic organisational trauma. Leaders’ interpretation and framing of events as well as their approaches and actions, strongly influence cultural dynamics.

Possible contributions leaders can make include providing safety, stability, and resources (not only physical resources but psychological resources such as respect, empathy, and compassion.) With longstanding systemic trauma, they can name suffering and identify organisational patterns in ways that alleviate guilt and suffering; they can offer optimism, confidence, and hope; champion organisational strengths and provide frameworks for making meaning; crucially they can also ask for outside, specialist help when necessary. As Wheatley (2005) observes that, to foster greater health for a living system, we need to find ways to “…connect it to more of itself”.

Working with trauma requires attunement – and so working with the organisation’s culture and processes at a pace the organisation can sustain, is vital to liberate the self-renewing capacities of the system. In other words, the automatic stress response of both individuals and organisations can be overridden by higher-level functions, and more thoughtful adaptations can be made.

This might involve working at two levels:

  1. To create a context for meaning – where people can freely express what they feel, which in turn helps them make sense of events, and imagine a more hopeful future.
  2. To create a context for action – where those who experience, or witness pain and suffering can find ways to alleviate their own and others’ distress in practical ways.

Working with these two levels might be accomplished by exploring the organisation’s history or undertaking some forms of systemic mapping to restore a sense of connection between parts of the organisation; it might also involve experimenting with how to strengthen structures and process or reaching out to non-competing organisations for inspiration and learning.

Integration work is also important – the senior leadership team needs to understand and focus on the dysfunctional patterns or strengthening core identity through a focus on The provision of regular reflective practice groups can be a simple and powerful step, which must of course be integrated with wider cultural transformation interventions.

We have made significant headway in bringing trauma into the light for children, young people and families and to a lesser degree for those working with trauma. However, organisational trauma remains a less known and less understand impact of trauma.

For more information on supporting staff who work with children and young people with complex trauma, don’t miss Noel Macnamara’s popular upcoming workshop Trauma-Informed Supervision exploring how to adapt therapeutic care to the needs of your staff through the supervisory process.

You may be interested in: Care system Organisation Supervision

What are the 10 essential elements of the Intensive Therapeutic Care System in NSW?
What are the 10 essential elements of the Intensive Therapeutic Care System in NSW?
Concepts of ‘complexity’ and ‘evidence’ are often heard in discussions that seek to find ways to better meet the needs of traumatised young people requiring more intensive forms of care....
Read more
Coaching and mentoring - The art of giving feedback - Practice guide
Coaching and mentoring - The art of giving feedback - Practice guide
This guide has been developed to support Therapeutic Specialists and Supervisors in Intensive Therapeutic Care in NSW in their development and support of staff. It is a companion to the...
Read more
A model for coaching staff in Intensive Therapeutic Care: A guide for therapeutic specialists and supervisors - Practice guide
A model for coaching staff in Intensive Therapeutic Care: A guide for therapeutic specialists and supervisors - Practice guide
This guide has been developed for use by Therapeutic Specialists and Supervisors who have a role in supporting and developing the practice of staff. It covers the critical elements of...
Read more
The role of emotions in therapeutic care
The role of emotions in therapeutic care
The role of emotions within human service work may at first glance appear to be intuitively obvious and incontestable. Indeed, Howe (2008) described the day of a human service worker...
Read more
How do we create excellence in Intensive Therapeutic residential care practice?
How do we create excellence in Intensive Therapeutic residential care practice?
What creates high quality therapeutic residential care? This is the question often asked of agencies, of staff, of policy makers and of the young people themselves. There is no simple...
Read more
Therapeutic residential workers? Who are we?
Therapeutic residential workers? Who are we?
This blog is to introduce my recent research with therapeutic residential workers. Further blogs and practice guides relating to finding, keeping, acknowledging and celebrating the best person for the job...
Read more
The role of supervision in the trauma-informed journey
The role of supervision in the trauma-informed journey
The intention of trauma-informed practice and care is an increased understanding of how present behaviours and difficulties can be understood in the context of past trauma. The approach offers a...
Read more
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
This guide has been developed to describe the 10 Essential Elements that form the basis for Intensive Therapeutic Care (ITC) service provision in NSW. The 10 Essential Elements have been...
Read more
Client mix and matching in intensive therapeutic care
Client mix and matching in intensive therapeutic care
Young people living in residential care are highly vulnerable and have commonly experienced a significant level of trauma and abuse. They often present with complex needs and a range of...
Read more
What makes a good therapeutic residential care worker? Practice guide
What makes a good therapeutic residential care worker? Practice guide
Trained staff and consistent rostering are essential elements of therapeutic residential care. The purpose of this guide is to consider more broadly what makes an excellent therapeutic residential care worker...
Read more
Achieving effective supervision – Games that supervisors play
Achieving effective supervision – Games that supervisors play
In the previous blog, we discussed how easy it is for the supervisor/supervisee relationship to be consciously or sub-consciously ambushed by power/defensive game play. Kadushin (1968) described games as repetitive...
Read more
Pulse check survey
Pulse check survey
The ITC Pulse Check Survey and Outcome Report provides a point-in-time reflection on the experiences of the reform process by ITC agency staff. To this end, the survey results clearly...
Read more
‘Drop and run’ - the experience of kinship carers in the Australian child protection system
‘Drop and run’ - the experience of kinship carers in the Australian child protection system
Recent research was conducted by the Southern Cross University and the Centre for Excellence in Therapeutic Care (McPherson, Gatwiri, Day, Parmenter, Mitchell & Macnamara, 2022) into the experience of kinship...
Read more
Do ‘no touch’ policies in residential care keep workers and children safe? It’s not that simple
Do ‘no touch’ policies in residential care keep workers and children safe? It’s not that simple
Lyn was 16 and had grown up in foster and residential care. Lyn was interviewed about her experience and views about out of home care. She was extremely positive about...
Read more
‘There was no support’: Getting kinship care support right
‘There was no support’: Getting kinship care support right
We did not and am still not receiving support requested or needed. Case managers or staff change without us being informed. Phone messages left at their offices and drop in...
Read more
Trauma, loss and parenting – care leavers’ experiences of having their own children during transitions from care
Trauma, loss and parenting – care leavers’ experiences of having their own children during transitions from care
This post is written by Jade Purtell, a multidisciplinary researcher and practitioner focused on out-of-home care and transitions from care experiences and policy. This research is funded by an Australian Government...
Read more
Extending care support past age 18 to 21
Extending care support past age 18 to 21
How old were you when you moved out of home for the first time? Did you continue to get support from home, perhaps for an emergency loan, help to file...
Read more
Agenda for Change: Ensuring a safe and supportive out-of-home care system for children and young people in New South Wales
Agenda for Change: Ensuring a safe and supportive out-of-home care system for children and young people in New South Wales
A system in crisis: A call for transformation The out-of-home care system in New South Wales (NSW) should be a safe haven for children, young people and families. It is...
Read more
Hard vs soft skills: which are more important in residential care work?
Hard vs soft skills: which are more important in residential care work?
Not everyone is suited to being a therapeutic residential worker. Working in therapeutic care requires special skills and qualities, some that can be taught or mentored, and others that are...
Read more
Hearts of Gold: Reflecting on Foster Care Week 2023
Hearts of Gold: Reflecting on Foster Care Week 2023
Foster Care Week, observed from September 10-16, is an annual celebration acknowledging the incredible contribution our volunteer foster carers make to the lives of children in out-of-home care. The theme...
Read more
Spotlight on a therapeutic specialist in out-of-home care - Jess Wright
Spotlight on a therapeutic specialist in out-of-home care - Jess Wright
Foster Care Week 2023, celebrated from September 10-16, is an annual celebration of foster carers and their supporters for the contributions they make to the lives of children, young people,...
Read more
Submission to the NSW Advocate for Children and Young People: Special Inquiry: Children and Young People in Alternative Care Arrangements (ACAs)
Submission to the NSW Advocate for Children and Young People: Special Inquiry: Children and Young People in Alternative Care Arrangements (ACAs)
Alternative Care Arrangements are the symptom of a care system in crisis ACAs have no place in a modern trauma-informed and child-centred out-of-home care system. The retention of foster carers...
Read more
The effective and efficient approach to preventing placement breakdowns
The effective and efficient approach to preventing placement breakdowns
For children with complex trauma, the out-of-home care sector is more often reactive rather than proactive or preventative. Not many programs exist to provide significant early intervention support, as opposed...
Read more
Q&A with the trainer: Trauma-informed supervision
Q&A with the trainer: Trauma-informed supervision
Over the recent decades, we have seen leaps in research and practice promoting the importance of taking a holistic trauma-informed approach to caring for children and young people with trauma....
Read more
When systems designed to protect do harm
When systems designed to protect do harm
What comes to mind when you think about the child protection or youth justice system?  Protection and safeguarding? Rehabilitation? Trauma-informed care? These two complex and often interacting systems are intended...
Read more
What you told us about restrictive practices
What you told us about restrictive practices
In July 2023 we asked for your help to better understand how ‘restrictive practices’ were understood and interpreted in therapeutic residential care (TRC) across Australia. Through a blog on our...
Read more
And the recommendations are… systemic reform towards providing therapeutic care, again
And the recommendations are… systemic reform towards providing therapeutic care, again
The Australian Institute of Family Studies recently released a report titled Improving the Safety and Wellbeing of Vulnerable Children: A Consolidation of Systemic Recommendations and Evidence. This report aims to...
Read more
The overlooked crisis of FASD hiding in youth justice and out-of-home care
The overlooked crisis of FASD hiding in youth justice and out-of-home care
In Australia, children and young people with Fetal Alcohol Spectrum Disorder (FASD) in out-of-home care are at critically greater risk of getting involved with the youth justice system. The issues...
Read more