Trauma Informed Child Welfare ADG

Information about Trauma Informed Child Welfare ADG

Published on July 25, 2014

Author: CPEIP

Source: authorstream.com

Content

PowerPoint Presentation: Trauma Informed Systems: Child Welfare Trauma-Informed Child Welfare: Trauma-Informed Child Welfare PowerPoint Presentation: Child Welfare: The Need Early Adverse Experiences: Physical Health Problems Mental Health Problems Crime & Delinquency Addictions Poor Parenting Capacity Academic & School Problems …lead to a multitude of societal p roblems: Early Adverse Experiences PowerPoint Presentation: 5 Trauma Informed Child Welfare Untreated trauma is the root of the intergenerational transmission of trauma Are Our Infants & Toddlers in Child Welfare Thriving?: Are Our Infants & Toddlers in Child Welfare Thriving? PowerPoint Presentation: Source: Stein , Zima, Elliott, Burnam , Shahinfar , & Fox, et al. (2001) 7 90 % of children known to the foster care system have been exposed to trauma. Unhealed Trauma Linked to Mental Health Problems: Unhealed Trauma Linked to Mental Health Problems 63% of Foster Children Have Mental Health Problems At least one diagnosis in lifetime Source: National Survey for Child and Adolescent Well-Being II (NSCAW ) White , Havalchak , Jackson, O’Brien & Pecora , 2007. PowerPoint Presentation: 54% < Age 5: Infants are Florida’s Largest Age Group 9 Most Maltreated Children Have Developmental Problems: Most Maltreated Children Have Developmental Problems PowerPoint Presentation: 11 Shawn insert the NSCDC slide on Persistent Stress Changes Brain Architecture 11 What Will Likely Be Done?: Traditional Plan for Dirty House Case: Place children in relative care Mom cleans up the house Worker checks on family 3x week What Will Likely Be Done? Is this sufficient to change the trajectory for this family? Trajectory for Mom with Her Untreated Adverse Early Childhood Experiences: Trajectory for Mom with Her Untreated Adverse Early Childhood Experiences 13 Adulthood ACEs Suffers Psychiatric Problems Is Depressed Battles Addictions Adolescence ACEs Has Mental Health Issues Sexually Active & Becomes Pregnant as a Teen Smokes Childhood ACEs Witnesses Domestic Violence Experiences Child Abuse & Neglect ACE Study: ACE Study Physical abuse Emotional abuse Sexual abuse An alcohol and/or drug abuser in the household Someone who is chronically depressed, mentally, ill, institutionalized, or suicidal One or no parents Emotional or physical neglect ACEs Questionnaire The Relationship of Adverse Childhood Experiences & Adult Health Using A Trauma Lens to View the Intergenerational Cycle of Child Maltreatment: Time: 1 :06 Using A Trauma Lens to View the Intergenerational Cycle of Child Maltreatment 15 PowerPoint Presentation: Child Welfare: The Vision Trauma-informed care is needed in every step of the child welfare system, starting with the child’s removal from the home to visitation and potential reunification. : Trauma-informed care is needed in every step of the child welfare system, starting with the child’s removal from the home to visitation and potential reunification . 17 Shifting from Case Management to Healing Intergenerational Trauma: Shifting from Case Management to Healing Intergenerational Trauma “If we use science and do our jobs well, we can change the tragedy that brings children and families into our courtrooms into an opportunity to heal.” - Judge Cindy Lederman Trauma Mandates: Trauma Mandates Adoption & Safe Families Act Chapter 39 F.S. Title 19 of SSA & EPSDT The Child and Family Services Improvement and Innovation Act of 2011 Promoting Social and Emotional Well-Being for Children and Youth Receiving Child Welfare Services Tri-Agency Letter on Trauma Informed Treatment July 11, 2013 letter to State Child Welfare, Medicaid and ADMH Directors N ew guidance to encourage the integrated use of trauma-focused screening, functional assessments and evidence-based practices to improve the well-being of children and families who have experienced trauma Bryan Samuels, Commissioner Administration for Children, Youth & Families Safety Permanency Well-Being Child Welfare: Practice: Child Welfare: Practice PRACTICE Healing Trauma for Infants & Toddlers in Child Welfare: Healing Trauma for Infants & Toddlers in Child Welfare Circuit 2 Trauma Informed Redesign: Circuit 2 Trauma Informed Redesign In-Depth Assessment of Child Well-Being: In-Depth Assessment of Child Well-Being Promoting Parent Child Interactions : Promoting Parent Child Interactions Circle of Security Building Capacity for Infant Mental Health: Building Capacity for Infant Mental Health Training Funding Leadership Harris IMH Training Institute T rained 200+ IMH Specialists Building Capacity for CPP Medicaid Funding for Child Parent Psychotherapy (C PP) Florida Association of Infant Mental Health (FAIMH) Healing Ghosts in the Nursery: Child Parent Psychotherapy : ZERO TO THREE. Helping Babies from the Bench: Using the Science of Early Childhood Development in Court. Healing Ghosts in the Nursery: Child Parent Psychotherapy Excerpt from Helping Babies From the Bench Time: 1:35 Baby Court Team Approaches: Baby Court Team Approaches Baby Court Teams Expedite Permanency: Baby Court Teams Expedite Permanency Safe Baby Court children exited the foster care system approximately one year earlier than matched sample (NSCAW). Reached permanency 2-3x faster . The Miami Child Well Being Court Model: The Miami Child Well Being Court Model Judge Cindy Lederman Dr. Joy Osofsky Dr. Lynne Katz Safe Babies Court Team: Safe Babies Court Team The Safe Babies Court Teams Project has two major goals: Increase awareness among all those who work with maltreated infants and toddlers about the negative impact of abuse and neglect on very young children Change local systems to improve outcomes and prevent future court involvement in the lives of very young children. Zero to Three’s Trauma-Informed Baby Court Approach: Trauma-Informed Baby Court Approach Understanding intergenerational trauma Continuum of mental h ealth s ervices Healing trauma to improve parenting capacity Quality child care & developmental screening Florida’s Existing & Potential Baby Court Teams: Judge Duncan & Judge Bilbrey Judge Polson & Judge Ketchel Judge Gooding Judge Walker Judge Gievers Judge Schack Judge Clayton Judge Tepper Judge Essrig Judge Hayworth Judge Bristol Judge Krier Updated: 05/30/14 Judge Alexander Judge Clark & Magistrate Lord Judge Todd & Judge Moore Judge Kroll & Judge Scher Judge Latimore Judge Lederman Florida’s Existing & Potential Baby Court Teams PowerPoint Presentation: Baby Court Team How-To Manual Trauma Informed Baby Court Teams: Trauma Informed Baby Court Teams Judicial Leadership Trauma lens/trauma informed judge & system Community coordinator who provides child development expertise to the judge and team Pre-removal planning Prominent role of infant mental health services Frequent parent child contact (visitation) Monthly case reviews Evidence based parenting supports Placement & Concurrent Planning Active Court Team Desired Outcomes for Trauma Informed Baby Court Teams: Desired Outcomes for Trauma Informed Baby Court Teams PowerPoint Presentation: Child Welfare: Recommendations The Prevention of Early Adversity: Physical Health Problems Mental Health Problems Crime & Delinquency Addictions Poor Parenting Capacity Academic & School Problems …has enormous potential for society’s problems. The Prevention of Early Adversity Systems Changes to Mitigate Trauma & Toxic Stress: Systems Changes to Mitigate Trauma & Toxic Stress Widespread education about impact of trauma Increased trauma screenings Expansion of evidence based treatments Trauma lens across systems 1. Widespread Education on the Impact of Trauma: 1. Widespread Education on the Impact of Trauma 2. Increased Trauma Screening: 2. Increased Trauma Screening 3. Expansion of Evidence Based Treatments: 3. Expansion of Evidence Based Treatments Infant/Toddler/Child – Parent Psychotherapy Watch, Wait and Wonder Interaction Guidance Circle of Security Incredible Years ABC/Attachment and Biobehavioral Catch-up PCIT/Parent-Child Interaction Therapy Triple P/Positive Parenting Program Yale’s Minding the Baby PowerPoint Presentation: 42 4. Trauma lens across systems Judicial Leaders + IMH Expertise= Baby Court Teams : Judicial Leaders + IMH Expertise= Baby Court Teams PowerPoint Presentation: As a protective factor for maltreatment To foster nurturing relationships To enhance development High Quality Child Care Can Reduce Impact of Trauma 44 Protocol to Ensure Quality Childcare: Protocol to Ensure Quality Childcare Assesses the child care center placement for quality, stability and for how well it provides for the child’s well-being needs. PowerPoint Presentation: It’s easier to build strong children than to repair broken men . -Fredrick Douglas Mimi A. Graham, Ed.D. [email protected]: Mimi A. Graham, Ed.D . [email protected] fsu.edu Director FSU Center for Prevention & Early Intervention Policy Tallahassee, Florida

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