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www.SafePlace.org
A Training Initiative on Trauma-Informed
Care and Children with Intellectual and
Developmental Disabilities (IDD)
www.SafePlace.org
Our Commitment to Individuals with Disabilities
Since 1974, SafePlace has served thousands of children and adult survivors of domestic and sexual violence in Austin and Travis County.
Since 1996, the Disability Services Program of SafePlace has provided local, state and national trainings to over 50,000 people, including children and adults with disabilities; parents and guardians; staff of crisis, victim, and disability services; and child welfare and criminal justice professionals.
Disability Services is collaborating and maintaining partnerships to serve people with disabilities with several organizations.
www.SafePlace.org
2014 Recipient of Trauma-Informed Care Grant
We currently have an opportunity to work with The Hogg Foundation for Mental Health, the National Child Traumatic Stress Network, and the Texas Council of Community Centers to specifically promote trauma-informed care for children in Texas who have co-occurring intellectual and developmental disabilities and mental health needs.
This grant initiative can help increase awareness of the impact of trauma on children with intellectual and other developmental disabilities, and build capacity to provide trauma-informed care.
www.SafePlace.org
A Training Program
The Hogg Foundation for Mental Health at the University of Texas at Austin awarded a 3-year grant to Safe Place to support:
1. development of a comprehensive training curriculum and toolkit to increase the awareness and provision of trauma-informed care for children with Intellectual and other Developmental Disabilities (IDD) who also have mental health needs, and
2. implementation of statewide training program using this newly developed curriculum.
www.SafePlace.org
Training Program Goals
Promote awareness of the impact of trauma on children with IDD
Build Texas expertise on trauma-informed care for children with IDD
Improve mental health treatment for children with IDD who have experienced trauma
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Children with Disabilities in Texas
In 2010, of the 4,373,967 school-aged children,
aged 5 to 17, in Texas:
5.5% in metro areas had a disability; and
5.9% outside metro areas had a disability.
http://www.census.gov/prod/2011pubs/acsbr10-12.pdf
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What is the Problem?
Individuals with Intellectual and Developmental Disabilities (IDD) experience abuse, neglect, institutionalization, restraint and seclusion, abandonment, bullying and other forms of maltreatment at higher rates than the general population.
Failure to recognize the impact and role of trauma associated with these experiences in the challenging behavior exhibited by some children with IDD, can exacerbate past trauma and cause new trauma—both can compromise their ability to meet their potential.
In this context, trauma-informed care refers to the ability of care providers to recognize the impact of trauma on a child’s development and behavior.
www.SafePlace.org
The Adverse Childhood Experiences Study
As a result of one study conducted by the Centers for Disease Control and Kaiser Permanente Health Systems, indisputable evidence is available that the effects of violence and trauma in childhood —when there is no intervention—can result in chronic physical and mental health difficulties in adulthood and even early death.
Violence can also continue across generations when there is no intervention to interrupt the cycle.
The ACE Study: http://www.acestudy.org/
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Dr. Francine Shapiro (2001) defines two types of trauma: “big T” and “little t”
“Big T” trauma refers to what we commonly think of as trauma like war or natural disaster; and
“little t” trauma refers to incidents such as getting teased as a child, put downs, criticisms, or getting rejected by your first love. People who live with someone emotionally abusive experience “little t trauma” on a daily basis.
These experiences wears down self-esteem and impacts the nervous system.
Eye Movement Desensitization and Reprocessing (EDMR): Basic principles, protocols, and procedures. Shapiro, F. (2001)
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Impacts of Abuse
The impact of abuse in the
lives of children with
disabilities is not that
different than children
without disabilities.
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Some Examples of the Impacts of Abuse
Regression in behaviors
Eating and sleep disturbances
Feeling angry, overwhelmed, numb, withdrawn, detached, or crying for no apparent reason
Fear of being alone , being with a particular person, being touched
Unusual or inappropriate expressions of affection
Hyper alert and vigilant in watching actions of abuser
Exhibits an exaggerated, startled response
Posttraumatic play and ‘acting out’ with coping behaviors that may include cutting or self-injury
Indicators or Reactions to Abuse or Neglect Factsheet by Disability Services ASAP (A
Safety Awareness Program) of SafePlace, Austin, Texas, 2000
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Trauma effects:
Relationships
Ability to be present
Interpretation of the world
Emotions
Perception of the abuser
Identity
Trauma and Recovery: The Aftermath of Violence--from Domestic Abuse to Political Terror by Judith Herman, 1997
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“Trauma is not what happens to us, but what we can hold inside about what happens to us.” (Peter Levine, 2010)
“When we experience danger without possibility of defending ourselves through fight or flight, and then if after the danger is past we do not have an opportunity to resolve that defensive response (when we can’t shake it off) we can experience a physical and emotional shutdown and a sense of helplessness in the face of danger.”
Based on the work of Peter Levine work and Somatic Experiencing (SETI);
Material developed by Maggie Kline & Kris Downing
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Trauma-Informed Care
Trauma-informed care is an approach to engaging children and adults with histories of trauma that recognizes the trauma symptoms and acknowledges the role that trauma has played in each person’s lives.
Instead of asking “What’s wrong with you?” the trauma-informed care provider asks, “What happened to you?”
Behaviors and symptoms associated with mental illness may develop as a coping response - an understandable adaptation to terrible events.
www.SafePlace.org
Core Values of Trauma-Informed Care
Safety: Will I be safe here–physically and emotionally?
Trustworthiness: Can I believe in you to tell me the truth and be honest?
Choice: Will I be able to make decisions?
Collaboration: Will you tell me what to do or will you work with me?
Empowerment: Will you support me to find and use my voice?
Adapted from Fallot, R.D., (2011) Washington, DC. Paper presented at Institute of Medicine Conference.
www.SafePlace.org
Promoting Trauma-Informed Care for Children With Intellectual and Other Developmental
Disabilities and Mental Health Needs
A Collaboration:
Hogg Foundation for Mental Health
National Child Traumatic Stress Network
Texas Council of Community Centers
SafePlace - Austin/Travis County Domestic and Sexual Violence Center
www.SafePlace.org
Project Overview
SafePlace will work with the National Child Traumatic Stress Network (NCTSN) to:
1) assist with development and pilot-testing of a comprehensive training curriculum, and
2) provide training statewide to family members, people with disabilities, teachers, disability service staff and others involved in the care of children with intellectual and other developmental disabilities (IDD) who have experienced abuse, neglect, medical trauma, abandonment, bullying, etc.
www.SafePlace.org
Phase I (February 2014 – July 2015)
1. Convene expert panel meeting
2. Develop training curriculum/toolkit
3. Pilot-test training curriculum/toolkit in 3 Texas communities.
www.SafePlace.org
Phase I
Expert panel meeting will include parents of children with disabilities, child advocates, child/school psychologists, pediatricians, researchers, educators and professionals from disability organizations and in-patient settings, and representative from the Department of Education, Office of Special Education and Rehabilitative Services, and other stakeholders.
www.SafePlace.org
Phase I
The National Child Traumatic Stress Network staff, informed by the expert panel representatives, will develop a training curriculum and toolkit.
www.SafePlace.org
Phase I
SafePlace is collaborating with the Texas Council of Community Centers to engage 3 local mental
health and Intellectual and Developmental Disability (IDD) centers in urban and rural Texas to host, recruit participants and secure training sites for pilot testing the newly developed curriculum and toolkit.
www.SafePlace.org
Phase II (August 2015 – January 2017)
Implement a statewide training program:
1. Recruit and select hosts for trainings
2. Conduct train-the-trainer training event(s)
3. Community stakeholders training
4. Conduct webinars
www.SafePlace.org
Cultural and Linguistic Considerations
SafePlace policies and services take into account the culture, values and traditions of the individuals and communities we serve; along with issues of race, ethnicity, age, language, sexual orientation, gender, gender identity, disability and literacy.
This project will reflect models of trauma-informed service delivery that can be adapted to the needs of diverse populations.
SafePlace project staff will select accessible training venues and meet reasonable disability-related needs for accommodations.
www.SafePlace.org
Expert Panel
Trainings to increase awareness of the effects of trauma and to promote trauma-informed care for Texas children with
co-occurring intellectual and developmental disabilities and mental health needs
www.SafePlace.org
Phase II
Texas Council of Community Centers 39 local centers
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Phase II
Train-the-Trainer Education
10-20 participants selected based on their commitments to train others and build their community’s capacity to provide trauma-informed services to children with IDD and mental health needs
Community Stakeholders
Up to 50 participants
Comprehensive introduction to trauma-informed care for family members, advocates, teachers, providers, direct service staff and others in the life of children with disabilities
Training Day 1 Training Day 2
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Phase II
Web Conference/Training
Training designed to increase trauma-informed awareness and skills
Reach family members, teachers, direct service staff, etc. who support of children with IDD and Mental Health needs in urban and rural areas in Texas
www.SafePlace.org
…contact us if you are a local authority
interested in hosting a pilot test or training event!
www.SafePlace.org
www.SafePlace.org
Trauma-Informed Values
www.SafePlace.org
Trauma-Informed Values
www.SafePlace.org
Trauma-Informed Values
www.SafePlace.org
Trauma-Informed Values
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Trauma-Informed Values
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CHILDREN
www.SafePlace.org
Michelle (Shell) Schwartz, M.A. Director of Disability Services
512.356.1627 (v)
SafePlace is ending sexual and domestic violence through safety, healing and prevention for individuals, families and our community.
24-hour Hotline - 512.267.SAFE 512.385.0662 (fax)
For Deaf/HH/Deaf-Blind community, please use relay/VRS www.SafePlace.org
Cema Mastroleo, M.Ed. Disability Services Training Manager
512.356.1588 (v)