What is Sanctuary?
description
Transcript of What is Sanctuary?
What is Sanctuary?
Shay Williams, M.Ed., LPC-S, LCCA
FOUNDERS OF THE MODEL: THEN AND NOW
THE SANCTUARY MODEL
In a nutshell…..Sanctuary is a treatment and organizational change model that integrates
trauma theory with the creation of therapeutic communities which provide safety for both clients and the staff who work with them.
A perspective that asks: “what’s happened to you?” rather than “what’s wrong with you?” when organizing goals and assessing strengths and challenges
A belief that adversity is an inherent part of human life, and that many of the behaviors that lead clients to care are directly related to those experiences – and that people and groups of people can heal from those experiences
BASIC BELIEFS OF THE SANCTUARY MODEL
NonviolenceEmotional IntelligenceSocial LearningOpen CommunicationSocial ResponsibilityDemocracyGrowth & Change
THE SEVEN COMMITMENTS
S.E.L.F.
Safety
Emotions
Loss
Future
Traumatization occurs when both internal and external resources are
inadequate to cope with external threat.
Van der Kolk, 1989
A collaborative effort of Kaiser Permanente and The Centers for Disease Control
Vincent J. Felitti, M.D.Robert F. Anda, M.D.
THE RELATIONSHIP OF ADVERSE CHILDHOOD EXPERIENCES TO
ADULT HEALTH STATUS
CHILDHOOD ADVERSITY BY CATEGORIES(18 years or younger)
Abuse Household
Psychological (by parents) Substance Abuse
Physical (by parents) Mental Illness
Sexual (anyone) Parental separation/divorce
Emotional neglect Mother Treated Violently
Physical neglect Imprisoned Household Member
PERCENT OF PARTICIPANTS EXPOSED TO AT LEAST ONE ADVERSE CHILDHOOD EXPERIENCE
67%
33%Those reporting no exposure
Those reporting exposure to at least one ACE
ACE SCORE
These numbers may suggest that 2/3 of the
U.S. population may have been exposed to at least one adverse
childhood experience!These numbers may
suggest that 2/3 of the people who come to us for services may
have been exposed to at least one adverse
childhood experience!
ACE StudyStrong, graded relation to childhood adversity in
childhood:
Smoking Attempted suicideCOPD RevictimizationHeart Disease Teen pregnancyDiabetes FracturesObesity PromiscuityHepatitis Sexually transmitted
diseaseAlcoholism Poor job performanceOther substance abuse Poor self-rated healthDepression Violent relationships
ACES & INTERPERSONAL VIOLENCE
As the number of ACE increases the number of co-occurring or “co-morbid” conditions increases.
As the number of violent experiences increases, the risks of victimization among women and perpetration by men also increase by about 60% to 70%.As the ACEs score increases the likelihood of revictimization – of being raped, of being assaulted - increases steadily
DiseaseDisability Social Problems
High Risk Behaviors
Social, Emotional, Cognitive Problems
Childhood Adversity
Out of 350 people working in social services
Psychological abuse (Parents) 37%Physical abuse (parents) 29%Sexually abused 25%Emotional neglect 35%Physical neglect 12%Substance abuser in household 40%Separated from one/both parents 41%Witnessed DV 21%Imprisoned household member 10%
It’s Not Just the Clients
Most neural network
development occurs after
birth
Genes just supply basic
blueprint
TRAUMA ALTERS THE WAY THE BRAIN WORKS
So by age 10 a child’s value
system is already
embedded in the child’s brain
Bottom line: THE
ENVIRONMENT PHYSICALLY
CHANGES THE BRAIN
Chronic Stress Crises
Chronic Hyperarousal
TRAUMA ALTERS THE WAY THE BRAIN WORKS
Hypersensitivity to even
minor threatExtremist thinking
Respond to many things as threat to
life – aggression
and impulse control
Attention to threat while ignoring less threatening,
but important
information
TRAUMA ALTERS THE WAY THE BRAIN WORKS
Interferes with normal emotional &
cognitive development
Emotional states too intense to handle
Reinforced by helplessness and need for control
TRAUMA ALTERS THE WAY THE BRAIN WORKS
substance abuse violence self-
mutilation risk taking Impaired parenting
POOR EMOTIONAL MANAGEMENT LEADS TO:
DISSOCIATIONDisruption in the normal integration of thoughts, feelings, memories, identityNormal life process – autopilot; Very efficient – let’s us do two things at once
Important response to trauma
State of shock – buffers and protects central nervous system
Prevents death from overwhelming feelings
Amnesia
Prolonged “shock” : Emotional numbing
In extreme cases beginning in childhood – splits in personality
DissociationAlexithymia – No words for feelings
Haunted by the past:
flashbacks, nightmares,
body memories
Traumatic Reenactment - Revictimization
TRAUMA ALTERS THE WAY THE BRAIN WORKS
SO WHAT DO WE DO????
We change the question from:
•“What’s Wrong With You?” to “What’s Happened To You?”
We create a trauma-sensitive
culture
•recognizing symptoms as survival skills
We give them a different
experience
•Create a compassionate, trauma informed environment
THE SANCTUARY MODEL TOOLKITCommunity meetings
Psychoeducation Groups
Red Flag Meetings
Safety Plans
Self Care Plans
Team Meetings
Treatment Planning Conference
ProQol Scale
Thank You!!!