ABSTRACT

This chapter presents information relevant to a number of people with dissociative identity disorder (DID); and concerns in a composite way as to enable the maintenance of confidentiality for the individuals. Safety is always an issue for people with DID, who have survived abuse and trauma, often in a family context, and usually with some continued threat. The stories and the information informing the plans are those found most often with the client group. The implications for support staff of the emotional developmental model of understanding are significant. There are four elements to the trauma-informed care (TIC) model and all needed equal attention if the plan was to have a chance of succeeding. The first element is a safe place to live. The second component of a therapeutic package is enough staff to establish a safe team. The third component is staff training and support. The fourth, and final, piece of the puzzle is individual therapy.