1
Objectives
• Explore the impact of trauma and complex
trauma
• Compare and discuss the practices of trauma
informed care vs. non-trauma informed care
• Identify ways to reduce further trauma while
working with children and families
• Discuss statewide and agency initiatives
designed to implement trauma informed
systems
2
Circuit 10 Mission and
Vision
• Mission: Raise public awareness to
assure understanding, commitment,
.
and practice of trauma informed care
in all environments in Polk,
Highlands, and Hardee Counties.
• Vision: Polk, Highlands, and Hardee
Counties will be trauma informed.
3
Trauma
When trauma occurs early in life, children do
not develop the capacity to regulate their
experience…to calm themselves down when
they’re upset, to sooth themselves, to interact
in appropriate ways with other people to learn
from their behavior.
Margaret Blaustein, 2004
Director of Training,
The Trauma Center at JRI,
Brookline, MA
4
Effects of Abuse or
Neglect
According to a National Institute of Justice study, abused
and neglected children were 11 times more likely to be
arrested for criminal behavior as a juvenile, 2.7 times
more likely to be arrested for violent and criminal
behavior as an adult, and 3.1 times more likely to be
arrested for one of many forms of violent crime (juvenile
or adult) (English, Widom, & Brandford, 2004).
5
Trauma-Informed Care (TIC) provides a new model under
which the basic premise for organizing services is transformed
from:
“What’s wrong
with you?”
to:
What has happened
to you?”
6
7
8
Exposure to trauma
Trauma can be :
• A single event
• A connected series of events
• Chronic lasting stress
Trauma is under reported and under
diagnosed
( NTAC, 2004)
9
Trauma can occur at any age
Trauma can effect any age
• Race
• Gender
• Ethnicity
• Social economic groups
• Community
• workforce
10
Protective Factors
• Parental Resilience
• Social Connections
• Knowledge of parenting and child
development
• Concrete support in times of need
• Nurturing and attachment/social and
emotional competence of children
11
Your Response Key
Trigger
Non-Trauma
Informed
Response
Trigger
Negative
Outcome
NonTrauma
Informed
Respons
e
Positive
Outcome
12
Trauma Informed Practice
Trauma Informed
• Recognition of high
prevalence of trauma
• Recognition of primary and
co-occurring trauma
diagnosis
• Assess for trauma
histories & symptoms
• Recognition of culture and
practices that are retraumatizing
Non-Trauma Informed
• Lack of education on
trauma prevalence and
“universal” precautions
• Over-diagnosis of
schizophrenia and bi-polar
Disorder, Conduct Disorder,
and Singular addictions
• Cursory or no trauma
assessment
• “Tradition of toughness”
valued as best care
approach
13
14
15
16
Strategies and Initiatives
• Initiative to ensure agencies, policies and
procedures are trauma informed
• Disaster Response
• Crisis Intervention Training for Law
Enforcement Officers
• Infant Mental Health
• Technical Assistance to providers
• Interagency Agreements
17
Strategies and Initiatives
• Prevention effort which allow children to
stay in the home
• Eliminating multiple placements for
children in out of home care
• Ensuring that children and their families
are assessed for trauma, mental health,
substance abuse, and co-occurring mental
health and substance abuse disorders.
18
Strategies and Initiatives
• Ensuring that children and families receive
services and supports that are evidence
based
• Ensuring that children and families are
empowered to be a part of the planning
• Being sure that everyone involved is
trauma informed – workers, families, foster
parents, and others.
19
Inter-agency collaboration
20
Questions & Comments
???????????????????????????
21
References
•
•
•
•
Department of Children and Families, State of Florida n.d. 2010.
Department of Children and Families, Office of Family Safety - Jane B. Streit, Ph. D.
English, D. J., Widom, C. S., & Brandford, C. (2004). Another look at the effects of child abuse. NIJ journal, 251,
23-24.
University of Florida, Child Welfare Training Academy, 2010
22