trauma informed systems

Information about trauma informed systems

Published on October 21, 2014

Author: CPEIP

Source: authorstream.com

Content

Systems Changes to Mitigate Trauma & Toxic Stress: Systems Changes to Mitigate Trauma & Toxic Stress 1 Trauma Informed Care State & Local Workgroups: Trauma Informed Care State & Local Workgroups Florida Children and Youth Cabinet State Trauma Informed Care Workgroup composed of 144 state agency employees with local workgroups Trauma Informed Care Statewide & Local Groups: Trauma Informed Care Statewide & Local G roups State Trauma Informed Care Workgroup composed of 144 state agency employees with local workgroups Regional trainings from National Child Traumatic Stress Network and Tonier Cain, National Center for Trauma Informed Care Local strategic plans for trauma informed care Systems Changes to Mitigate Trauma & Toxic Stress: Systems Changes to Mitigate Trauma & Toxic Stress Education on the impact of trauma across systems Increased trauma screenings Expanded evidence based treatments Trauma lens across systems 1. Widespread Education on the Impact of Trauma: 1. Widespread Education on the Impact of Trauma 5 Training to a variety of groups including Florida’s Children’s Cabinet, webinars for physicians, judges, law enforcement, schools, child welfare, and more. Training on the Adverse Childhood Experiences Study (ACE) Study: Training on the Adverse Childhood Experiences Study (ACE) Study Largest Investigations Ever Conducted to Assess the Relationship of Early Adversity and Adult Health with more than 50 published scientific articles. http://www.cdc.gov/ace/index.htm 6 Trauma in Florida’s DJJ Population: Youth reporting no ACEs 1,793 Youth reporting one or more ACEs 62,536 Trauma in Florida’s DJJ Population Sample Size 64,329 Baglivio , M., Epps, N., Swartz, K., Huq , M. S., Sheer, A. & Hardt , N. (2014). The prevalence of adverse childhood experiences (ACE) in the lives of juvenile offenders. Journal of Juvenile Justice , (3)2. Data Shows Very High Adverse Childhood Experiences ACE Score Florida’s DJJ 0 2.8% 1 10% 2 16% 3 21% 4 + 50% 7 National Child Traumatic Stress Network: National Child Traumatic Stress Network at www.nctsn.org/ National Child Traumatic Stress Network Jack Shonkoff, MD, Harvard University: Jack Shonkoff , MD, Harvard University 9 Explains the Impact of Toxic Stress to the Developing Brain 9 Untreated trauma is the root of the intergenerational transmission of adversity.: 10 Untreated trauma is the root of the intergenerational transmission of adversity. Slide11: Trauma Website in Progress Nurturing Relationships: Nurturing Relationships 12 A powerful buffer against adversity and the damage it inflicts on the child’s stress response system. 2. Increased Trauma Screening: 2. Increased Trauma Screening 13 List of Trauma Screening Tools: List of Trauma Screening Tools Insert list of trauma screenings from lit review and chart from Celeste’s MMA paper attachment 3. Expand Evidence Based Treatments: 3. Expand Evidence Based Treatments Databases for Evidence-Based Programs & Models National Child Traumatic Stress Network California Evidence-Based Clearinghouse for Child Welfare SAMHSA’s National Registry of Evidence-Based Programs & Practices Maternal, Infant, and Early Childhood Home Visiting ZERO TO THREE. Helping Babies from the Bench: Using the Science of Early Childhood Development in Court. 15 Head Start Trauma Smart:: Head Start Trauma Smart: 16 Video also available at http ://www.rwjf.org/en/grants/grantees/head-start-trauma-smart.html An innovative program with evidence based trauma therapy in the classroom. 4. Trauma Informed Care Across All State Agencies and systems: 4. Trauma Informed Care Across All State Agencies and systems 17 Trauma Informed Care : Trauma Informed Care 18 Have I considered whether trauma has played a role? Ask trauma informed questions Use a trauma lens to understand behavior Screen as part of services Ensure emotional safety Avoid re - traumatization Consider trauma in all decisions (childcare placement, referrals, etc). Trauma Lens Across Systems: Mental Health Education Health Domestic Violence Delinquency Early Childhood Substance Abuse Child Welfare Judicial Trauma Lens Across Systems 19 Trauma Informed Judge and System: Have I Considered Whether Trauma Has Played A Role in….? 20 Trauma Informed Judge and System What would a trauma informed therapeutic approach look like?: What would a trauma i nformed t herapeutic approach look like? 21 Through The Trauma Lens: If we don’t see each parent, each child , each DV petitioner and respondent through a trauma lens, we become part of the institutional re - traumatization. Through The Trauma Lens 22 Slide23: 23 Trauma Informed Child Welfare Untreated trauma is the root of the intergenerational transmission of trauma Trauma Informed Health Care: Trauma Informed Health Care Have I Considered Whether Trauma Has Played A Role in….? Smoking Drinking Maternal Depression Obesity Trauma Informed Home Visiting: Trauma Informed Home Visiting Maternal and prenatal health, infant health, and child health Child development & school readiness Parenting skills Knowledge of child development outcomes Referrals to community services Positive behavior management Reduce accidents and emergency room visits 25 Home Visiting Can Help Parents Improve: Trauma Informed Early Care & Education: Signs of Trauma in Toddlers Biting , kicking, tantrums, unprovoked aggression Lack of verbal skills to express emotions Disengagement with others Indiscriminate preferences of caregivers Skill regression Trauma Informed Early Care & Education Trauma-Informed Early Intervention: Trauma-Informed Early Intervention Trauma Informed Schools: Trauma Informed Schools 28 Trauma Informed Department of Juvenile Justice: 29 F.S. Chapter 985.02 (8) TRAUMA-INFORMED CARE. Department should use trauma-informed care as an approach to treating children with histories of trauma. TIC assists service providers in recognizing the symptoms of trauma and acknowledges the role trauma has played in the child's life.    Services for children should be based on an understanding of the vulnerabilities and triggers of trauma survivors that traditional service delivery approaches may exacerbate, so these services and programs can be more supportive and avoid re-traumatization . Department should use trauma-specific interventions designed to address the consequences of  trauma in the child and to facilitate healing . Trauma Informed Department of Juvenile Justice DJJ Leadership Trauma Informed Care Trauma Informed Policies in DJJ: 30 Trauma Informed Policies in DJJ Trauma informed DJJ: Florida Department of Juvenile Justice, Detention Services Trauma informed DJJ 31 The Prevention of Early Adversity: The Prevention of Early Adversity … has enormous potential for society’s problems. Physical Health Problems Mental Health Problems Crime & Delinquency Addictions Poor Parenting Capacity Academic & School Problems 32 Tonier Cain Video: Tonier Cain Video Openfilm . Healing Neen . Clearwater FilmFest . Available at http://www.openfilm.com/videos/healingneen 33 “It’s the most important opportunity for the prevention of health and social problems and disease and disability that has ever been seen.”: Time: 0 :52 “It’s the most important opportunity for the prevention of health and social problems and disease and disability that has ever been seen.” - Vince Feletti 34 Slide35: FSU Center for Prevention & Early Intervention Policy, Tallahassee , Florida Thank you! 35

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