Table of Contents

Prologue Introduction Chapter 1: Human Service Delivery Organizations: Dead or Alive? Chapter 2: "I Gotta Get out of This Place": Workplace Stress as a Threat to Public Health Chapter 3: When Terror Becomes a Way of Life Chapter 4: Parallel Processes and Trauma-Organized Systems Chapter 5: Lack of Basic Safety Chapter 6: Loss of Emotional Management Chapter 7: Organizational Learning Disabilities, Organizational Amnesia, and Decision-Making Under Stress Chapter 8: Miscommunication, Conflict, and Organizational Alexithymia Chapter 9: Authoritarianism, Disempowerment, and Learned Helplessness Chapter 10: Punishment, Revenge, and Organizational Injustice Chapter 11: Unresolved Grief, Reenactment, and Decline Chapter 12: Restoring Sanctuary: Organizations as Living, Complex Adaptive Social Systems References Index

About the Author

Sandra L. Bloom, MD, is Associate Professor of Health Management and Policy, School of Public Health, Drexel University.Brian Farragher, MBA, is Executive Vice President and Chief Operating Officer, The Andrus Children's Center.