Interest Group: Community Service Providers: Room 2 Table #: 1 Name of Team Spokesperson: Brittany Short Term Goal (Timeline for completion must fall within one year from today): Staff training and education: increasing awareness of trauma, its impact and people’s responses Steps to Achieve Goal Completion Date ID lead person Assigned Person Supervisor Create a committee based on working to increase training and education goal Determine what specific areas we need to train on Identify resources, then network with other providers and determine areas of need and strength Develop curriculum, identify trainers and coordinate trainings among various agencies Create infrastructure (how often, how much, resources and $ , evaluation) Evaluate outcomes Revise as needed Provide ongoing resources Expand in additional areas and maintain interest People present at Summit team meeting: for table 1 Anjela Hayes Jude Edmonds Canopy Center Mercy Greenwald Ashley Hayes Brittany Brooks The Early Childhood Initiative Innovative Recovery (MKE) arivera@irnw.net judee@canopycenter.org The Early Childhood Initiative The Early Childhood Initiative mgreenwald@dcpcinc.org ahayes@depcinc.org brittanyb@centerforfamilies.org Interest Group: Community Service Providers Table #: 2 Name of Team Spokesperson: Meo Sohs Short Term Goal (Timeline for completion must fall within one year from today): Gather and utilize trauma survivor input into program planning and develop survivor advisory group Steps to Achieve Goal Completion Date Identify committee members Develop objectives for advisory group Develop protocol for when to hold a meeting Develop plan for providing ongoing support and coaching to advisory group Make plan for how input will be used and communicated to appropriate members Decide logistics and make it accessible (location, transportation, childcare, food, etc.) Develop materials to inform survivors of group purpose and expectations Develop orientation for new group and materials to help Develop survivor recruitment strategy Survivor readiness for participation, recruit survivors and implement group People present at Summit team meeting: table 2 Kristin Burki Domestic Abuse Intervention Services (DAIS) kristinb@abuseintervention.org Opal Tomashevska Meg Sohns DAIS meghans@abuseintervention.org Elena Golden Goodwill DAIS opalt@abuseintervention.org egolden@goodwillsewi.org Assigned Person Interest Group: Community Service Providers Table #: 3 Name of Team Spokesperson: Short Term Goal (Timeline for completion must fall within one year from today): Improve Community Partnerships Steps to Achieve Goal Completion Date Assigned Person Elizabeth Hendricks ID lead person Gather agencies that are interested in becoming part of a trauma informed community Develop a common understanding of trauma impact and treatment Contact agencies who are not currently represented in the community Identify funding sources Identify leadership within the community and form task groups Develop common goals for the community Develop an e-mail listserve People present at Summit team meeting: table 3 Kayla Michals Elizabeth Hendrickson Porchlight Sina Davis Porchlight Alex Kox Off the Square Kelli Malueg Porchlight Dondieneita Simmons Goodman Community Center Dane County Parent Council kmichals@dcpcinc.org ehendrickson@porchlightinc.org sdavis@porchlightinc.org alex.kox@lsswis.org kmalueg@porchlightinc.org dei@goodmancenter.org Interest Group: Community Service Providers Table #: 4 Name of Team Spokesperson: Short Term Goal (Timeline for completion must fall within one year from today): Train staff how to make our child trauma assessments more meaningful and useful Steps to Achieve Goal Completion Date ID lead person, program manager Assigned Person Lori Train TIC Committee staff Jan 1 2013 Lori Train program supervisors Jan 31, 2013 TIC committee Train direct service staff Feb 28, 2013 TIC committee Train leadership and administrative staff March 31, 2013 TIC committee Conduct meeting with TIC committee and leadership to modify policy and procedure to reflect changes June 30, 2013 TIC committee People present at Summit team meeting: table 4 Theresa Schroeder McMunn Theresa.schroeder@commpart.org Kristina Coenen Kristina.coenen@commpart.org Sara Kind sara.kind@commpart.org Carla Helgaas Carla.helgaas@commpart.org Interest Group: Community Service Providers Table #: 5 Name of Team Spokesperson: Short Term Goal (Timeline for completion must fall within one year from today): Steps to Achieve Goal Completion Date See short and long term actions for planning People present at Summit team meeting: table 5 Beth Clemitus Laura Johnson AIDS Network ljohnson@aidsnetwork.org Kristin Hoffschmidt hofschmidt@eri-wi.org Sharon Kilfoy AIDS Network C4F ERI bclemitus@aidsnetwork.org sharonk@centerforfamilies.org Assigned Person Interest Group: Community Service Providers Table #: 6 Name of Team Spokesperson: Short Term Goal (Timeline for completion must fall within one year from today): Inclusive quality training for all staff Steps to Achieve Goal Completion Date Identify lead contact Assigned Person Leigna Mandatory regular hours of training each year Build bridge between departments Initial training and orientation packet Interview each program staff, 15 minute check list Field trips to other agencies People present at Summit team meeting: table 6 Amber Van Fossen Salvation Army (SA) amber_vanfossen@usc.salvationarmy.org Alane Conn Melissa Sorensen SA melissa_sorensen@usc.salvationarmy.org Andrea Mitchell SA andrea_mitchell@usc.salvationarmy.org Jessica Grantmar SA jessgrantman@gmail.org Stephanie Tritle SA Stephanie_tritle@usc.salvationarmy.org Karen Potnek SA Karen_potnek@usc.salvationarmy.org Ellen Brock SA ellen_brock@usc.salvationarmy.org Kay Xiong SA kay_xiong@usc.salvationarmy.org Laura Duffy SA laura_duffy@usc.salvationarmy.org SA alane_conn@usc.salvationarmy.org Interest Group: Community Service Providers Table #: 7 Name of Team Spokesperson: Short Term Goal (Timeline for completion must fall within one year from today): could not find goal Steps to Achieve Goal Completion Date Steps noted on short and long term actions in listing in question two below People present at Summit team meeting: table 7 Nancy Saiz Barbara McKinney Barbara@emum.org Amanda Donoth Amanda@emum.org Jessica Waldron jessicawaldron@ladlake.org Brenda Konkel brendaknokel@gmail.com nsaiz@cityofmadison.com Assigned Person Interest Group: Community Service Providers Table #: 8 Name of Team Spokesperson: Short Term Goal (Timeline for completion must fall within one year from today): Address trauma informed care within our agencies and collaborate service providers Steps to Achieve Goal Completion Date Assigned Person Steps noted on short and long term actions in listing below People present at Summit team meeting: table 8 Rebecca Anderson Sarah West Jerilyn Robinson Celia Huerta Rachel Rakowar Early Childhood Initiative (ECI) ECI rebeccaA@centerforfamilies.org sarahw@centerforfamilies.org Catholic Charities Catholic Charities CEI jrobinson@ccmadison.org chuerta@ccmadison.org rachelr@centerforfamilies.org This is a listing of all Community Service Providers (Room 2) input to the two questions. Q1: How is trauma linked to the behaviors you observe and respond to? Learned behaviors that may have once been and currently adaptive but when generalized in all environments become maladaptive Kids who have experienced trauma display frequent misperception and hyper-arousal of their environment as evidenced by: fight/flight/freeze responses, defensive behaviors and maladaptive coping skills. Homelessness, mental illness, brain changes Cultural adjustments, no income, past abuse Presenting problem is often linked or co-occurring with trauma Trauma affects relationships Inhabits trust and therefore inhibits engagement in services Moves inter-generationally Becomes familiar and recreated Trauma compounds Marginalization leads to trauma leads to increased marginalization Trauma behaviors: urgency, not rational, anger, triggers, no trust, not realistic, issue of not feeling safe, lack of consistency is a trigger, generational poverty, lack of self respect and worth No planning for meeting immediate basic needs Typical responses to trauma: duplication of services, we perpetuate, need to build relationships but often lack of collaboration, awareness of triggers, crisis response and not long term planning Cultural norms and traditions can support and reinforce trauma High service provider turnover reinforces trauma Trauma treatment is sidelined to address basic needs, yet failure to meet basic needs creates more trauma Behavior expressed includes: fighting, poor communication, disconnected parenting, poor coping, school difficulties, AODA, lack of supports, generational psycho-social stressors (homelessness, finances, lack of choices, challenges providing stability, lack of control, stigma) Withdrawal and isolation – trigger, judgments focus on others and not on own issues, poor boundaries Behaviors of kids a crisis center are result of trauma at home Trauma impacts behaviors that lead to poor health decisions Can lead to poor decisions around individual and sexual behavior (HIV and HDS) Trauma is the underlying cause of behaviors and why people access AIDES, C4F, ERI services. Behaviors can lead to mental health diagnosis and labels Hyper-vigilance, yelling Forgetfulness, overwhelmed Avoidance, not talking about issue or lack emotion Kids wanting to stay with parent, separation anxiety Kids acting out Making personal connections, the basics (flight, fright, freeze) Learning the links between behaviors and experiences Defiance Shame (what is left unsaid, the unspoken truth) Fear about feelings The current crisis versus the underlying issues Coping mechanisms instead of “opening the can of worms” Cycles, triggers, intergenerational trauma Living in extremes, differences in males and females Replicating dynamics (familial). Systemic oppression Impacts on parenting, attachment, being available to connect with kids Symptomatic responses (ADLS) Boundaries (maintain, respect, understand) stigma Q2: What are your ideas for making your service area more trauma-informed? Short term actions: o Train agency staff via workshops o TIC approach to supervision with case managers o Awareness of secondary traumatization among staff o Know your own triggers, trauma issue areas. Know yourself. o Incorporate self-care and promote wellness. o Incorporate/develop parent trauma assessments o Train staff how to make our child trauma assessments more meaningful and useful o Complete an agency self-assessment o TIC committee will clearly define agency TIC goals through strategic plan o Staff education o Self-care education o Provider accountability o Self awareness o Review agency practices o Child care and family assessment o Improved partnerships o Involve consumers in planning o Coordinate eviction prevention with rent assistance – one stop shop o Education (video forums and workshops, press releases, speakers bureau, asset map o Acknowledgement – say hello! o Agency evaluation o Acknowledging trauma instead of blaming o Be present for the person o Media response and messages o Inform elected officials (police, judges, sheriff, jail, DOC) and others medical professionals, human services workers, faith community, food pantries, media, etc o Realistic expectations o Get buy-in at the top o Increase trauma knowledge with collaborating service providers, especially in professions or disciplines less likely to know about trauma o Including participants in professional collaboration o Support immediate, basic needs o Change in environment (chairs and paint colors) o Training for all staff o Starting groups o More positive communication (greetings and initial impression) o Increase individual choices, empower (case plans cultural centered versus expectations, person-centered versus agency goals) o Increase self-care for staff o Utilizing trauma survivor input into program planning o Community-wide training o Have organizations assess and re-evaluate practices with TIC lens o Service provider teamwork to help meet all of survivor’s needs o Stay up to date on research o Changing paperwork (what we ask, how we ask it, when we ask) o Changing the approach to engagement o Staff training and education (being aware of triggering and trauma response) o Increase safety planning with families. Increase collaboration with clients. o Resource and referral o Coordinated inclusive treatment planning Long-term actions o Look at and improve policy language o Grant searching and writing o Collaboration with other agencies and organizations o Develop and implement standards for providers in network that identify as TIC providers o Identify key areas in assessment to address and modify o Ongoing and regular evaluation and development of TIC staff in knowledge and intervention means o Improved partnerships o Common trauma-informed language and resources o Self awareness o Intervention training o Communication, brochure, website o Application and interpretation of scales o Not a diagnosis – where to go? o Involve consumer in planning o Staff support and training o Video specific to Madison and Dane County o Increased support for direct service providers (emotional, financial, etc.) o Increase staff retention in helping prof. o Support form insurance companies, educating health care industry o Broaden scope of services and engagement to be more inclusive of marginalized groups o New building environment with more privacy o Maintain consistent TIC training. Put as part of mission statement o Counseling services o Increase funding as a community response o Committee responsible for building agency rapport o Involve individuals in decisions about care and case management o Ensure adequate access to basic needs (housing, food, etc.) o Provide support/intervention after traumatic event to individual and families to prevent long-term harm o Primary prevention of ACEs, root causes of violence o Coordinated inclusive treatment planning o Empowering clients, helping to redefine “client” o Stay up to date on research o Continual review of intakes and assessments o Provide ongoing systems engagement, education, and advocacy o Create collaborative relationships with other service providers o Get community buy-in to create a community response, policy changes and affordable care