presentation title - summit pointe...presentation title 2 developing a trauma informed response to...
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Presentation Title
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Developing a Trauma Informed Response
to Tragedy in the Community
Calhoun County 10th Annual Legislative Breakfast
The Kool Family Community Center
Battle Creek MI
June 17, 2016
Kath Schilling M.Ed., CAS, LADC I
Trauma Integration Specialist
Institute for Health and Recovery
www.healthrecovery.org
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Presentation Title
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Definition of Trauma
Extreme stress that creates an
overwhelming sense of terror,
helplessness and horror
An experience of a threat to
life, bodily integrity or sanity
Only the individual can decide
whether an event or experience
is traumatic
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Institute for Health
and Recovery
A normal response to an abnormal event
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Presentation Title
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Presentation TitleThe Impact of Trauma on The Individual
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Spirit
Body
Mind
The way one makes sense
of their world and life
events.
Thoughts, feelings, and
patterns of thought.
The physical aspects of
the individual including
overall health.
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Presentation TitleACE Study
Collaboration between Kaiser Permanente (Felitti) and
the Center for Disease Control (Anda)
17,500 surveyed re: adverse childhood experiences
prior to age 18 against adult health status
Found compulsive use of nicotine, alcohol and injected
street drugs increases proportionally in a strong,
graded, dose-response manner that closely parallels the
intensity of adverse experiences in childhood.
ACEs not only common, but effects were cumulative
A male with an ACE score of 6 or more was 4600% more
likely to become an IV drug user
Felitti and Anda, 1998
Institute for Health
and Recovery
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Presentation Title
Recurrent & severe physical abuse 11%
Recurrent & severe emotional abuse 11%
Contact sexual abuse 22%
Growing up in a household with:
Alcoholic or drug-user 25%
Member being imprisoned 3%
Mentally ill, chronically depressed, or
institutionalized member
19%
The mother being treated violently 12%
Both biological parents NOT present 22%(Felitti, 2003)
Common ACEs
7Institute for Health and Recovery
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Presentation Title
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Past Experience
Present
Future Expectation
The experience is over but the impact continues
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Presentation Title
Integrating Trauma Informed Principles
into a Community Response
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Presentation Title
Trauma Informed means understanding that
individuals, their behaviors and attitudes
develop within the context of their
life experiences, history, culture, and
society.
The Trauma Informed Response
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Presentation TitlePrinciples of Trauma Informed Responses
1. Trauma is central and pervasive; it affects
every aspect of a person’s being
2. Universal precautions should be used; no one
should have to disclose prior trauma to
receive trauma informed care
3. Attitudes, behaviors and symptoms are the
individual’s BEST attempts to cope
4. Goal is to return a sense of safety, autonomy
and control to the individual and community
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Presentation Title
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Multi-layered Public Health Response
NCTSN, 2011
(Adapted from Sheedy & Whittier,
Recovery oriented systems of care, 2009)
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Presentation TitleComponents of Trauma Informed
Public Health Responses
An integrated system of care includes services and
supports that address physical, emotional, and social
well-being.
The coordinated system includes peer support, mental
health, substance use, and primary care services as
well as important community programs.
Integrated systems encourage cross-training, resource
allocation and program development
Desired outcomes resulting from an integrated system
include environmental stability and improved social
and academic functioning.
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NCTSN, 2011
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Presentation TitleStrategies for Implementation
Establish a safe environment
Perform holistic assessment of service needs
Provide information on trauma and trauma recovery
Use an empowerment model; focus on strengths
Support development of healthy relationships; i.e.,
“Are you safe at home? with your friends?”
Build healthy coping skills
Provide access to trauma-specific services
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Presentation Title
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“I’ve learned that people
will forget what you said,
people will forget what you did,
But, people will never forget how
you made them feel.”
Maya Angelou