trauma informed practices - denver public...
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Family Leadership
Institute
Trauma Informed
Practices
Office of Family & Community Engagement | face.dpsk12.org
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What is the purpose of the
Family Leadership Institute ?
Vision Communication
Organizing Values
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Trauma-Informed Practices for
Caregivers
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Goals For Today:
● Develop an awareness of trauma
● Recognize the effects of trauma
● Better understand how trauma-informed practices in schools and at home can support resilience
● How you can use the six pillars of trauma-informed practices in your home
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October 19, 2017
Resolution No.
3831
“The District shall be a Trauma-Informed District and shall
work in a strategic, culturally-responsive, strength-based
preventative way to best meet the needs of our diverse
students, families, and educators that mitigates the impact of
trauma on the social emotional and academic growth of our
students” by providing training, coaching and support in
trauma-informed approaches.
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Six Pillars of Trauma-Informed Practices
Safe and secure
environments
System-wide trauma-informed
competence
Healing, hopeful, honest
and trusting relationships
Cultural Responsiveness
Client voice, choice and self-
advocacy
Support for staff self care
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Caregivers and Educators asProtective Factors
● Caregivers and Educators as
protective factors
● Universal paradigm shift
Mindset shift:
What is wrong with you → What
happened to you?
● Not a “one-size-fits-all” model;
No quick fixes
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Child and Adolescent Health Measurement Initiative. Data Resource Center for Child and Adolescent Health. 2016 National
Survey of Children’s Health (NSCH) data query. Retrieved 2018 from www.childhealthdata.org. CAHMI: www.cahmi.org.
1-in-4 Colorado children
have experienced two or
more Adverse Childhood
Experiences
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Activity:
Communities and Schools as Protective
Factors
Blocks Activity:
In what ways can schools and
communities build student
resilience?
Center on the Developing Child http://developingchild.harvard.edu Frameworks Institute www.frameworksinstitute.org
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What is Trauma?
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What is Trauma?
DSM, NCTSN
Experience of
real or
perceived threat
to life or bodily
integrity
OR the life or
bodily integrity
of a loved one
AND causes
overwhelming
feelings of
terror, fear and
helplessness
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What is Trauma?
“Individual trauma results from an event, series of events, or set of
circumstances that is experienced by an individual as
physically or emotionally harmful or life threatening and that has lasting adverse
effects on
the individual’s functioning and mental, physical, social, emotional, or spiritual
well-being” (SAMHSA, 2014). SAMHSA
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Event(s)
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What Are The Types of Trauma?
Historical
Trauma
Chronic
Trauma
Complex
trauma
Acute
trauma
Historical: Collective and cumulative trauma
experienced by a group across generations and
individuals are still suffering effects: Systemic
oppression, discrimination, harassment, race
based trauma
Chronic: Repeated and prolonged traumatic
experiences: ongoing exposure to family or
community violence, chronic bullying, or long-term
medical issue, chronic stressors
Complex: Multiple traumatic events from early age
often within caregivers system, without adequate adult
support : ongoing physical, emotional, sexual abuse,
neglect, and witnessing domestic violence
Acute: A one time single/ isolated incident: fire, car
accident, one time incident of abuse
National Center on Safe Supportive Learning Environments
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Potentially Traumatic Events
● Accidents
● Physical, sexual abuse
● Childhood neglect
● Abandonment
● Natural disasters
● Domestic violence
(witnessing)
● Community violence
● Medical injury or illness
● Immigration concerns
● Traumatic grief
● Refugee trauma (War or
persecution)
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Potentially Traumatic School Events
● Bullying
● Cyber-bullying
● Weapons
● School Violence
● Lockdowns
● Discrimination
● Harassment
● Gangs
● Fighting
● Witnessing fighting
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Experience
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What’s safe for one may not be safe
for another.
Whether an event is traumatic depends on
the person’s perspective and experience of
the event
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Effects
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Neuroplasticity
The ability of the brain to form and
reorganize synaptic connections, especially in response to learning or
experience or following injury
Traumatic Event
Emotional Response
Short Term Memory
Long Term Memory
New Traumatic
Event
Emotional Response Fight
Freeze
Flight
Trauma’s Impact on Brain and Body
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Normal Reactions to Potentially Traumatic Events:
Preschool Children
● Helplessness
● Uncertainty if there is continued danger
● General fear
● Sleep difficulties
● Separation anxiety
● Traumatic play
● Possible loss in speech and toileting skills
● Changes in appetite
NCTSN, 2011
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Normal Reactions to Potentially Traumatic Events:
School Age Children
● Helplessness
● Concern for safety of self & family
● New fear of people, situations, events
● Teachers might notice change in concentration
● Guilt or shame
● Sleep difficulties
● Reckless or aggressive behavior
● Constant re-telling of the traumatic event
● Difficulty with boundariesNCTSN, 2011
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Normal Reactions to Potentially Traumatic Events:
Adolescents
● Fear, vulnerability, concern seen as “abnormal”
● Guilt or shame
● Sleep difficulties
● Self conscious about their emotional response to event
● Withdrawal from family and/or friends
● Change in concentration and academics
● Reckless or aggressive behavior
● Fantasies about revenge/retribution
● Self destructive and accident prone behaviors
NCTSN, 2011
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Not All Trauma and Traumatic Stress Leads to
Post Traumatic Stress Disorder (PTSD)
We encourage you to seek out professional support
form a trained mental health provider:
Therapist
Counselor
Psychologist
School Social Worker
If there is any safety concerns or your child is
talking about hurting himself/herself seek immediate
care.
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Helping Your Kids Overcome:
Building Resilience
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Myths To Avoid
● “My love should be enough to erase the effects of everything
bad that happened before.”
● “My child should be grateful and love me as much as I love
him/her.”
● “My child shouldn’t feel love or feel loyal to an abusive
caregiver.”
● “It’s better to just move on, forget, and not talk about past
painful experiences.”
NCTSN 2010
NCTSN, 2010
NCTSN, 2010
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Factors That Impact Resilience:
Internal Resiliency Factors
● Age and developmental age
● Nature of traumatic event
● Child’s perception of danger
● Was child victim or witness
● Relationship with the
perpetrator
● Prior trauma history
● Self esteem
● Ability to regulate emotions
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External Resiliency Factors:
● Caregiver reactions
● Family as a support
● Connection to school
● Connection to community support
● Resources
● Mental health supports
● Continued stressors
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Using The Six Pillars to Create a Trauma-Informed Home
Safe and secure
environments
System-wide trauma-informed
competence
Healing, hopeful, honest
and trusting relationships
Cultural Responsiveness
Client voice, choice and self-
advocacy
Support for staff self care
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Healing Hopeful, Honest, Relationships
● You are probably the most important people in you kids’ lives
● Build connection with your kids● Verbally tell them you are there for
them and believe them● Build empathy● Quality time is important
Best strategy for supporting your child:
Build strong relationships with your
kids
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Creating Safe and Secure Homes:Physical Safety
● Predictable routines ● Structure● Peace corners/small spaces● Art ● Circles● Plan for solving conflict● Regulate your own moods● Keep kids safe ● Have ongoing conversations about
safety
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Creating Safe and Secure Homes: Psychological Safety
● Believe your kids● Remind them it was not their fault● Tell them you love them and this
doesn’t change your love● Use a calm voice ● Help your child understand and
manage overwhelming emotions ● Listen and affirm their feelings● Ask if they want to be alone ● Watch your body language
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Give Your Kids a Voice and Choice
● Allow them to talk about their thoughts and feelings (Let them know your available)
● Help them create a strengths based understanding of their life story (photos of happy moments , journals, videos)
● Give them options - Help them feel powerful in their choices
● Advocate for them as a caregiver leader - obtain necessary resources for them (therapy and groups)
NCTSN, 2010
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Cultural Consideration/Cultura
● Different cultures react to stress and trauma in different ways ● Talk with your kids about ways your particular family and/or
culture deals with pain and struggle● What are our cultural or family strengths that support us● Communicate this info with schools, mental health providers,
medical doctors ● Be involved in your kids treatment ● What kind of community support do we have or need?● Continue to have high expectations for your kids
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Importance of Caregiver Self care \
● Put on the mask first● Parental guilt - seek your own therapy● Have a support system● Am I sleeping and eating● Make a list of things that make you happy● Have your own time - even 10-15 minutes● Ask for help● Empower yourself - Learn more about trauma, it’s
effects and how to help your kids● Be kind to yourself
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Immediate Self-Care: Mantras for Caregivers
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ReferencesCenter on the Developing Child (2015). The Science of Resilience (InBrief). Retrieved from www.developingchild.harvard.edu.
Boyes-Watson, C., & Pranis, K. (2015). Circle forward: Building a restorative school community. Living Justice Press.
Substance Abuse and Mental Health Services Administration (2014, April 25). Trauma-Informed Approach and Trauma-Specific Interventions. Retrieved from
https://www.samhsa.gov/nctic/trauma-interventions
Substance Abuse and Mental Health Services Administration. (2014). Trauma-informed care in behavioral health services. Treatment Improvement Protocol (TIP) Series
57.
Harris, M., & Anglin, J. (1998). Community Connections Trauma Work Group. Trauma Recovery and Empowerment: A Clinician’s Guide for Working with Women in
Groups.
Huang, L. N., Flatow, R., Biggs, T., Afayee, S., Smith, K., & Clark, T. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. Substance
Abuse and Mental Health Services Administration publication.
MacLean, P. D. (1990). The triune brain in evolution: Role in paleocerebral functions. Springer Science & Business Media.
Eluvathingal, T., et al, (2006, June 1). Abnormal Brain Connectivity in Children After Early Severe Socioemotional Deprivation, Pediatrics, Vol. 117 No. 6
Massachusetts Advocates for Children. (2005). Helping Traumatized Children Learn: A Report and Policy Agenda.
National Center on Safe Supportive Learning Environments (2018). Trauma Sensitive Schools Training Package. Retrieved from
https://safesupportivelearning.ed.gov/trauma-sensitive-schools-training-package
National Center on Safe Supportive Learning Environments. Mapping Triggers and Opportunities Activity. Retrieved from
https://safesupportivelearning.ed.gov/sites/default/files/Building_TSS_Handout_3mapping_triggers.pdf
National Child Traumatic Stress Network (2018, March 23). About Child Trauma. Retrieved from https://www.nctsn.org/what-is-child-trauma/about-child-trauma