Interest Group: Community Service Providers: Group 1 Table #: 1 Name of Team Spokesperson: not given see roster of participants below Short Term Goal (Timeline for completion must fall within one year from today): Increase awareness of TraumaInformed Care within Center for Families Steps to Achieve Goal Completion Date Inform staff about TIC by providing them with the tapes of the November 2, 2012 Summit training Have all staff do ACE assessment Supervisor meet with staff to discuss ACE assessment experience Determine strategy for use of ACE with families (or some way to get an idea of their trauma) Trauma Informed Care in staff development Develop Center sub-committee to follow-up on action plan People present at Summit team meeting: for table 1 Liz Klober Heather Witter? heatherw@centerforfamilies.org Meghan McMackin Teri Weiland teriw@centerforfamilies.org Fay McClurg faym@centerforfamilies.org elizabethk@centerforfamilies.org meghanm@centerforfamilies.org Assigned Person Mike for all tasks Interest Group: Community Service Providers Table #: 2 Name of Team Spokesperson: Krista Roy Short Term Goal (Timeline for completion must fall within one year from today): Increase smiles and eye contact among staff with consumers Steps to Achieve Goal Completion Date Contact director regarding goal and request meeting with agency - all staff Dec 2012 e-mail staff regarding information including 2 point plan of mutual support and meeting time End of Dec 2012 Hold collaborative planning meeting for implementation Jan 30, 3013 Implement plan including incentive board, tracking by co-workers Jan 30, 2013 Follow-up reflection, check-in meeting to discuss changes Next all staff meeting Keep smiling Follow up survey with staff on effects and feedback (anon) People present at Summit team meeting: table 2 Krista Roys Greg Schumacher Danna Hamlett dhamlett@therainbowproject.net Sara DeBruin kristaroys@gmail.com icepop59@hotmail.com sdebruin@therainbowproject.net Assigned Person Interest Group: Community Service Providers Table #: 3 Name of Team Spokesperson: none given see roster of participants below Short Term Goal (Timeline for completion must fall within one year from today): Increased awareness and education of trauma’s impact on individuals in the community and individuals receiving services Steps to Achieve Goal Completion Date Assigned Person Dispersal of information – succinct, compact, easily understandable and in alternative print formats March 2013 Emily Plan to get together in relaxed, supportive environment in which to begin sharing information to larger groups March 2013 Melissa Individual follow-up on questions, responses, etc from group meeting (case management, therapist, support person) April 2013 All staff Develop or find a brochure for intake folder at MH Center provided by county Jan 2013 Al People present at Summit team meeting: table 3 Sue Moran sue.moran@journeymhc.org Al Olson al.olson@journeymhc.org Betsy Berry betsyb@trhome.org Georgie Nazos georgien@trhome.org Melissa Mennig melissam@trhome.org Lacie Schneider lacies@trhome.org Emily Eisenhardt emilye@trhome.org Interest Group: Community Service Providers Table #: 4 Name of Team Spokesperson: Amber Thompson Short Term Goal (Timeline for completion must fall within one year from today): Increase use of restorative justice remedies instead of punitive to more YWCA programs Steps to Achieve Goal Completion Date Assigned Person Select 3 programs willing to explore restorative justice options Dec 2012 Amber Thompson Meeting with identified programs and housing and restorative justice staff to share methods Feb 15, 2013 Torrie Kopp Mueller Each program come up with implementation plan March 31, 2013 Torrie Kopp Mueller Implement plan April 15, 2013 Program leaders Evaluate August 31, 2013 Torrie Kopp Mueller People present at Summit team meeting: table 4 Amber Thompson athompson@ywcamadison.org Wendy Tougas wtougas@ywcamadison.org Kiesha Young kyoung@ywcamadison.org Julie Larson jlarson@ywcamadison.org Ashley Thorpe thirdstreetintern@ywcamadison.org Jenny Hanson jhanson@ywcamadison.org Heather Haberman hhaberman@needglobal.org Torrie Kopp Mueller tkmueller@ywcamadison.org Kevyn Radcliffe kradcliffe@ywcamadison.org Interest Group: Community Service Providers Table #: 5 Name of Team Spokesperson: none given see roster below Short Term Goal (Timeline for completion must fall within one year from today): Develop a TIC curriculum and training for the community Steps to Achieve Goal Completion Date Get buy-in from community leaders on TIC Have a community-wide planning session. Be inclusive of all. Develop an action plan, committees, and work assignments. Use Tarpon Springs as model. Identify trainers. Secure location, date and funding to put on training. People present at Summit team meeting: table 5 Alphonso Carter alphonsocoperationyouth@frontier.com Mark Ciske mark@emum.org Ann Lewis annl@fsmad.org Teri Varney teriv@fsmad.org Annett Sallay Annette@respectmadison.com Emilie Pinkovit Emilie@respectmadison.com Assigned Person Interest Group: Community Service Providers Table #: 6 Name of Team Spokesperson: Sharon Kilfoy Short Term Goal (Timeline for completion must fall within one year from today): Incorporate TIC approach to supervision with staff at AIDS network Steps to Achieve Goal Completion Date Discuss TIC with executive director to get management buy-in. In a month Get and stay informed with information from TIC summit , list-serve information and further trainings. Add 2 months Discuss TIC with other supervisors and get on same page for one-on-one supervision. Add 3 months Explore with staff how trauma may impact client situation. Add another month Educate and disseminate information to staff Add more time Assess and adjust 2014 People present at Summit team meeting: table 6 Ann Khang Melissa Coulter melissac@cacscw.org Nancy Johnson nancyj@cacscw.org Dave Hunt daveh@cacscw.org Rose Turner roset@cacscw.org Marilyn Feil marilynf@cacscw.org Shannon Kavanagh annk@cacscw.org shannonk@cacscw.org Assigned Person This is a listing of all Community Service Providers input to the two questions. Q1: How is trauma linked to the behaviors you observe and respond to? Inability to regulate emotion Trauma in current relationships, (partner, parenting) Inability to maintain connected healthy relationships Learned antisocial behavior as norm Attachment and trust: between clients, clients and staff, clients in relations Vicarious or re-traumatization of workers How providers are responding to behaviors rather than trauma How to respond to trauma that is underlying Resistance to treatment (coping mechanism) Relationship between sexual/physical abuse and need for services (housing) Manifest depression, mental health issues, anxiety, learned helplessness, external locus of control, expectation of conflict and chaos Ongoing fear of loss/success Low self-esteem Hoarding – clutter AODA concerns Parenting problems Yelling and aggressive behaviors. Using behaviors that have helped with survival that don’t work in most situations. Safety issues (in context of shelter) visible as fights over what appears to be small issues to an outsider Possessions: ownership and space (see above comment) Reactions around gender and exchange of money for services (copay lead to anger) Shut-down response to certain environments (ex. Child crying) Addiction “risky” behaviors. Often associated with above substance use Boundaries (ie. Allowing people into home) Mental health diagnosis (ie. Depression) Attachment issues with children Behavioral, academic, developmental delays Outcomes for employment – quit Related knowledge of conflict resolution Impulsivity Low self-esteem, self-worth leads to suicidal Hyper-arousal “Shutting down” numbness Use of social, governmental supports as safety for internal structure (ie. Hospitalizations or PO) Mistrust, anger, and resentment Follow-through difficulties (ie. Appointments) Echoes from generation to generation Distorts their expectations and perceptions of others Pattern of repeating traumas Affect personal and professional worldviews Hyper alertness/awareness – larger reactions to triggers and stimuli Polarizing effect on relationships to caregivers Affects of trauma extends to outer systems – family, service providers, community, schools, etc. Re-experiencing of trauma at different developmental levels, relationship types Not showing up for obligations Appearing angry for no reason, unproved angry outbursts Oversharing or under-sharing Lack of trust Lying or creative versions of the truth Sensitivity to perceived disrespect Helplessness, hopelessness Defiance Perfectionism Repeated coping techniques i.e. drinking Perceived loss of control Not accepting responsibility, blaming others Depression and anxiety Disassociation Lack of filtering Defensiveness Pessimistic life view Behaviors that seem developmentally inappropriate Lack of self confidence and motivation Physical aggression Taking it out on children Self sabotage Housekeeping, self care issues Unable to maintain healthy relationships Interferes with ability to meet basic needs Behaviors of violence, neglect, substance abuse Inability to get and keep a job, establishing and maintaining schedules and routines Decision making is survival mode, impulsive rather than planned and forward thinking Sexually reactive behavior Food hoarding and also hoarding of possessions Control issues Attachment issues Q2: What are your ideas for making your service area more trauma-informed? Short term actions: o Ask the questions o Respect timing o Staff training TIC and sensitivity/self-care o Resource and referral information, understand what is available in the community o Referrals to counseling and mental health o Entire agency trauma informed and trained in conflict resolution o Assume client has experienced trauma o Gain a greater understanding of how trauma affects people’s ability to obtain and retain employment o TIC training for all staff o Give clients an opportunity to have voice heard o Provide client input into organizational policy making o Review policy restricting clients from volunteering for 24 months – explore validity of this policy o Smiles o Eye contact o Asking clients and participants for feedback o ACE screening for every client, participant and staff member o Staff give clear expectations and explanations o Express empathy o Make sure staff are aware of available resources o Acknowledging our role as “normalizers” o When working with a family, respond to immediate concern while keeping trauma in mind o Informing staff – attend summit o Recognize our own trauma (everyone’s definition of trauma is different. We cannot assume we understand someone else’s trauma.) o Create a welcoming environment Long-term actions o Structum? services o Policy/best practice standards in contracting o Non-judgmental environment o Buy-in from larger community and leadership (funding) o Community wide planning session o Action plan with work assignments and working subgroups o Meeting and partnerships with other agencies o Restorative justice remedies instead of punitive approaches o Continual review of forms, policies, and procedures o Expansion of TIC in job readiness o Specific trauma training for all employees o Increasing resources about trauma o Integration/partnerships with other agencies and systems – grow together united toward a common goal o Longitudinal feedback – collecting stories, telling stories, organized and presented. o Offer more trauma-based education to parents o Develop trauma-response teams between multiple agencies (less than a 48 hour response) o Issue = response to “no shows” or cancellations. Solutions is community standardized response of re-engagement process. o One stop shop for basic need services (food, housing, clothes – one agency) o Team approach – CSP type Pact model o Continued mandatory trainings of TIC for professionals in school, healthcare, criminal justice, and governmental social services o Liaison from police – positive role/provision of needs. A neighborhood officer. o Mental health first aid training requirements o Education to increase awareness of “clients” of trauma’s impact o Scholarship/grant for community individuals to attend with service providers