Trauma-Informed Care:
Perspectives and Resources
Federation of Families Conference
November 22, 2014
Sherry Peters, MSW, ACSW
Sharon LeGore
Senior Policy Associate
National Technical Assistance Center for Children’s Mental
Health
Founder and President
MOMSTELL, Inc.
Objectives
Provide background and history of the free on-line traumainformed 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
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Introductory Video to the Tool
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LINKS TO THE TOOL:
http://gucchdtacenter.georgetown.edu/TraumaInformedCare/
or http://trauma.jbsinternational.com/traumatool
Partnership
with JBS
International
8 Modules
9
Introductory
Videos
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
Other
Summary
Documents
5 Issue
Briefs
7 Sets of
Annotated
Resources
Example of video from Module 1:
Understanding the Impact of Trauma
25 Content
Videos
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
Youth and Family Perspectives
http://gucchdtacenter.georgetown.edu/TraumaInformedCare/Module6.html
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
What is Trauma?
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
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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.
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© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
Principles of a Trauma-Informed Approach
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.
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© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
Guidance for a Trauma-Informed Approach
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.
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Definition of Trauma-Informed Childand 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
Definition of Trauma-Informed Childand Family-Service System,
Continued
A 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
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Multi-Tiered Approach to Trauma-Informed Care
in Schools
e.g.TFCBT
e.g.
CBITS
e.g. screening, attention to
transitions, calming activities
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
Adverse Childhood Experience (ACE) Study
One of the largest investigations ever
conducted to assess associations
between childhood maltreatment
and later-life health and well-being.
Collaboration between the Centers
for Disease Control and Prevention
and Kaiser Permanente's Health
Appraisal Clinic in San Diego.
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
ACE Study Continued
• 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.
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10 Adverse Childhood Experiences Studied
• Childhood abuse
• Household Situations:
– Parental separation or
divorce
– Household substance abuse
– Household mental illness
– Mother treated violently
– Incarcerated household
member
– Emotional
– Physical
– Sexual
• Neglect
– Emotional
– Physical
http://www.cdc.gov/ace/prevalence.htm#ACED
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Adverse Childhood Experiences are Common
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Antidepressant Prescriptions
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Suicide Attempts
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Adult Alcoholism
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Teen Sexual Behaviors
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Consequences of Lifetime Exposure to
Violence and Abuse
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More information about Finding Your ACE
Score and Resiliency Score
http://acestoohigh.com/gotyour-ace-score/
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What is your ACE Score
What is your total ACE Score?
Worksheet to calculate ACE Score
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© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
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.
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Self-Care Resources
http://gucchdtacenter.georgetown.edu/TraumaInformedCare/Module3Resources.html#Self-Care
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY
Importance of Peer Support
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Importance of Culture
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Importance of Youth and Family Voice
and What Helps
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Addressing the Whole Family
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Why Is it Important To Do This Work?
Video clip from interview with Sandra Bloom about Healing
© 2014 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY