Dr. Sara O'Byrne:

We cannot press pause on people's development. The issues are live and happening as a result of earlier experiences. There is also intergenerational trauma and the impact of trauma across generations. This has been well-researched and it is known that if trauma is not repaired within a generation it has an opportunity to influence the next. It is certainly advisable and welcome that family members are included in this regard.

With regard to trauma-informed supports and interventions there are well-established principles on how to include survivors in the design of schemes. There should be a range of therapeutic options that fit the person's experience. Talking therapy will not be an option and will not be suitable for all survivors. In the scheme we will need approaches that are somatic or body-oriented in their approach. This is with regard to repairing the early trauma I spoke about. Having a range of options included in the schemes is advisable with regard to counselling.