trauma-informed care: perspectives and resources federation of families conference november 22, 2014...

Trauma-Informed Care: Perspectives and Resources

Federation of Families Conference November 22, 2014

Sherry Peters, MSW, ACSWSenior Policy AssociateNational Technical Assistance Center for Children’s Mental Health

Sharon LeGoreFounder and PresidentMOMSTELL, Inc.

© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY2

Provide background and history of the free on-line trauma-informed care resource tool

Provide an interactive overview of the tool

• Preview sections of video interviews

Provide information on trauma-informed care such as:

• What is trauma and trauma-informed care?• Adverse Childhood Experience (ACE) Study and Resiliency• Family and Youth Perspective

Objectives


Introductory Video to the Tool

© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

9 Introductory

Videos8 Modules

Partnership with JBS

International

LINKS TO THE TOOL:http://gucchdtacenter.georgetown.edu/TraumaInformedCare/

or http://trauma.jbsinternational.com/traumatool


5 Issue Briefs

7 Sets of Annotated Resources

25 Content Videos

Example of video from Module 1: Understanding the Impact of Trauma

Other Summary

Documents


http://gucchdtacenter.georgetown.edu/TraumaInformedCare/Module6.html

Youth and Family Perspectives




What is Trauma?

7

Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.http://store.samhsa.gov/product/SMA14-4884?from=carousel&position=4&date=09032014

http://store.samhsa.gov/product/SMA14-4884?from=carousel&position=4&date=09032014


What Does it Mean to be Trauma-Informed?

Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.


Principles of a Trauma-Informed Approach



Guidance for a Trauma-Informed Approach


Definition of Trauma-Informed Child- and Family-Service System

A trauma-informed child- and family-service system is one in which all parties involved recognize and respond to the impact of traumatic stress on those who have contact with the system including children, caregivers, and service providers. Programs and agencies within such a system infuse and sustain trauma awareness, knowledge, and skills into their organizational cultures, practices, and policies. They act in collaboration with all those who are involved with the child, using the best available science, to facilitate and support the recovery and resiliency of the child and family.

Source: National Child Traumatic Stress Network. Retrieved from http://www.nctsn.org/resources/topics/creating-trauma-informed-systems

http://www.nctsn.org/resources/topics/creating-trauma-informed-systems

Definition of Trauma-Informed Child- and Family-Service System,

ContinuedA service system with a trauma-informed perspective is one in which programs, agencies, and service providers: 1. routinely screen for trauma exposure and related symptoms; 2. use culturally appropriate evidence-based assessment and treatment for

traumatic stress and associated mental health symptoms; 3. make resources available to children, families, and providers on trauma

exposure, its impact, and treatment; 4. engage in efforts to strengthen the resilience and protective factors of

children and families impacted by and vulnerable to trauma; 5. address parent and caregiver trauma and its impact on the family system; 6. emphasize continuity of care and collaboration across child-service

systems; and 7. maintain an environment of care for staff that addresses, minimizes, and

treats secondary traumatic stress, and that increases staff resilience.

Essential Elements of a Trauma-Informed Child Welfare System

13


e.g. CBITS

e.g.TF-CBT

e.g. screening, attention to transitions, calming activities

Multi-Tiered Approach to Trauma-Informed Care in Schools


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Adverse Childhood Experience (ACE) Study


• Initial phase 1995 to 1997• More than 17,000 participants

– completed a standardized physical examination and completed a confidential survey that contained questions about childhood maltreatment and family dysfunction, as well as items detailing their current health status and behaviors

• No further participants were enrolled, but medical status of the baseline participants tracked over time.

ACE Study Continued


10 Adverse Childhood Experiences Studied

• Childhood abuse– Emotional– Physical– Sexual

• Neglect– Emotional– Physical

• Household Situations:– Parental separation or divorce– Household substance abuse– Household mental illness– Mother treated violently– Incarcerated household

member

http://www.cdc.gov/ace/prevalence.htm#ACED




Adverse Childhood Experiences are Common


Antidepressant Prescriptions


Suicide Attempts


Adult Alcoholism


Teen Sexual Behaviors


Consequences of Lifetime Exposure to Violence and Abuse


http://acestoohigh.com/got-your-ace-score/

More information about Finding Your ACE Score and Resiliency Score

http://acestoohigh.com/got-your-ace-score/


What is your total ACE Score? Worksheet to calculate ACE Score

__ 0 __ 6__ 1 __ 7__ 2 __ 8__ 3 __ 9__ 4 __ 10__ 5

What is your ACE Score

http://acestudy.org/yahoo_site_admin/assets/docs/ACE_Calculator-English.127143712.pdf


What Is Your Resilience Score?

• Developed by the early childhood service providers, pediatricians, psychologists, and health advocates of Southern Kennebec Healthy Start, Augusta, Maine, in 2006 and updated in February 2013.

• Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group.

• Scoring system was modeled after the ACE Study questions.

• Content based on research studies over 40 years including Emmy Werner

• Purpose is limited to parenting education - not developed for research.


http://gucchdtacenter.georgetown.edu/TraumaInformedCare/Module3Resources.html#Self-Care

Self-Care Resources




Importance of Peer Support


Importance of Culture


Importance of Youth and Family Voice and What Helps


Addressing the Whole Family


Why Is it Important To Do This Work?

Video clip from interview with Sandra Bloom about Healing

trauma-informed care: perspectives and resources federation of families conference november 22, 2014...

Documents

traumainformed approach

traumainformed care

impact of trauma

samhsas concept of trauma

substance abuse

georgetown university

georgetown university

comtraumatool slide