Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care...
Transcript of Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care...
![Page 1: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/1.jpg)
Module 2: Why is Trauma Informed Care Important?
Mandy Davis
![Page 2: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/2.jpg)
Agenda
BE GENTLE:New territory ahead
BE GENTLE:New territory ahead
BE GENTLE:New territory ahead
BE GENTLE:New territory ahead
BE GENTLE:New territory ahead
![Page 3: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/3.jpg)
Agenda
•Review a bit of Prevalence Data
•How this Data Affects People Engaging in Our Services
•How this Affects us Doing Our Work
![Page 4: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/4.jpg)
Trauma Informed Care
“A program, organization, or system that is trauma-informed:
realizes the widespread impact of trauma and understands potential paths for recovery;
recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and
responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization.”
(SAMHSA’s Concept of Trauma and guidance for a Trauma-Informed Approach, 2014 http://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf)
![Page 5: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/5.jpg)
Trauma Informed Care
“A program, organization, or system that is trauma-informed:
realizes the widespread impact of trauma and understands potential paths for recovery;
![Page 6: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/6.jpg)
Trauma Informed Care
“A program, organization, or system that is trauma-informed:
realizes the widespread impact of trauma and understands potential paths for recovery;
recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and
![Page 7: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/7.jpg)
Trauma Informed Care
“A program, organization, or system that is trauma-informed:
realizes the widespread impact of trauma and understands potential paths for recovery;
recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and
responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization.”
(SAMHSA’s Concept of Trauma and guidance for a Trauma-Informed Approach, 2014 http://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf)
![Page 8: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/8.jpg)
Trauma Informed Care
“A program, organization, or system that is trauma-informed:
realizes the widespread impact of trauma and understands potential paths for recovery;
recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and
responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization.”
(SAMHSA’s Concept of Trauma and guidance for a Trauma-Informed Approach, 2014 http://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf)
![Page 9: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/9.jpg)
Trauma includes:
![Page 10: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/10.jpg)
Trauma includes:
Systemic oppression and
targeted violence
![Page 11: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/11.jpg)
Trauma includes:
Systemic oppression and
targeted violence
Ageism, racism, ableism
![Page 12: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/12.jpg)
Trauma, adversity, and toxic
stress used interchangeably
![Page 13: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/13.jpg)
Trauma, adversity, and toxic
stress used interchangeably
All three have similar impacts
on our ability to engage in
services and on our wellness
![Page 14: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/14.jpg)
Why is TIC Important?
![Page 15: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/15.jpg)
Why is TIC Important?
• Trauma is pervasive
![Page 16: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/16.jpg)
In a national sample, 60% of 0-17 year olds experienced or witnessed maltreatment, bullying, or assault within the past year.(Hamby, Finkelhor, Turner, & Ormrod, 2010)
Children with disabilities are more than twice as likely to experience physical abuse than children without disabilities.(Baladerian, Colemand, & Stream, 2013)
Lesbian, gay, bisexual, and transgender individuals experience higher levels of childhood sexual assault, childhood physical assault, and emotional maltreatment compared to their heterosexual peers.(Andersen & Blosnich, 2013; Rothman, Exner, & Baughman, 2011)
53% of sampled incarcerated women met criteria for lifetime post-traumatic stress disorder.(Cutrone, 2010; Moloney, van den Bergh, & Moller, 2009)
Over half of incarcerated men, 56%, reported experiencing childhood physical trauma.(Wolff & Shi, 2012)
![Page 17: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/17.jpg)
62% of Oregonians who responded to the Adverse Childhood Experience question on a survey experienced at least one Adverse Childhood Experience.(Oregon Health Authority, n.d)
A higher Adverse Childhood Experience score was associated with increased tobacco use, increased risk of respiratory diseases, depression, and suicide.(Oregon Health Authority, n.d)
65% of social workers had at least one symptom of secondary traumatic stress.(Bride, 2007)
Almost 41% of surveyed licensed clinical social workers met criteria for post-traumatic stress disorder.(Caringi et al., 2017)
![Page 18: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/18.jpg)
Nurses who do hospice work, of those, 79% have moderate to high rates of compassion fatigue.(Abendroth & Flannery, 2006)
82% of emergency room staff nurses met criteria for secondary traumatic stress.(Duffy, Avalos, & Dowling, 2015)
Immigration judges have higher burnout levels than hospital physicians and prison wardens.(Lustig, Karnik, Delucchi, & Tennakoon, 2008)
In 2016, more officers died of suicide than from gunfire and traffic accidents combined.(http://www.badgeoflife.com/)
Early childhood educators have 30 - 40% annual turnover rates. (Totenhagen et al., 2016)
![Page 19: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/19.jpg)
Why is TIC Important?
• Trauma is pervasive
• Trauma differentially affects us
![Page 20: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/20.jpg)
Why is TIC Important?
• Trauma is pervasive
• Trauma differentially affects us
• Trauma impacts how people approach service
![Page 21: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/21.jpg)
![Page 22: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/22.jpg)
People may come to us
activated due to:
![Page 23: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/23.jpg)
![Page 24: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/24.jpg)
Trauma informed care sometimes includes trauma
specific services
![Page 25: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/25.jpg)
Trauma informed care sometimes includes trauma
specific services
Applying trauma informed care helps service providers
not to flip their lid
![Page 26: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/26.jpg)
Trauma informed care sometimes includes trauma
specific services
Applying trauma informed care helps service providers
not to flip their lid
When both service user and service provider feel
activated, who often loses out is the person with less
power—the service user.
![Page 27: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/27.jpg)
Why is TIC Important?
• Trauma is pervasive
• Trauma differentially affects us
• Trauma impacts how people approach service
• Service systems have often been traumatizing for service users
![Page 28: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/28.jpg)
What are the different variables
that may be activating to those
who access services?
![Page 29: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/29.jpg)
What are the different variables
that may be activating to those
who access services?
The lobby
![Page 30: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/30.jpg)
What are the different variables
that may be activating to those
who access services?
The lobby
The intake process
![Page 31: Module 2: Why is Trauma Informed Care Important? Mandy Davis · 2019-02-19 · Trauma Informed Care “A program, organization, or system that is trauma-informed: realizes the widespread](https://reader033.fdocuments.us/reader033/viewer/2022050123/5f9cf356980e096f3909f6d4/html5/thumbnails/31.jpg)
What are the different variables
that may be activating to those
who access services?
The lobby
The intake process
What service providers
represent and their visible
identities