Post on 04-Sep-2020
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This webinar offers 1.0 Continuing Education Credit. To earn CEC credit, participants must have attended the entire session and completed evaluation/post-test questions. Certificates of completion will be emailed within 10 business days of course completion.
Understanding Trauma-Informed
Care in the Context of an
Adoption Program
Allison Kunkel & Christy Reppe
Catholic Charities of the Diocese of La Crosse
OBJECTIVES• Participants will be able to define trauma
and the different types of trauma.• Participants will become familiar with signs
and symptoms of trauma.• Participants will explore the parallel process
of trauma, resilience, and recovery among children, families, providers, and systems.
• Participants will practice strategies for cultivating resilience (and regulation) in self, team, and clientele.
Influences/ResearchWisconsin Hawthorn ProjectInfant, Early Childhood, and Family Mental HealthDr. Daniel Siegel, Interpersonal NeurobiologyDr. Bessel van der KolkDr. Gabor MatéRobin Wall Kimmerer, Braiding SweetgrassNCTSNSAMHSADr. Bruce Perry
Agenda
• Defining trauma, underlying assumptions and its impacts
• Understanding parallel process, regulating interventions, & burnout
• Integrating knowledge & tools: organizational change
• Q&A
Defining trauma, underlying assumptions and its impacts
Training Principles/Underlying Assumptions• Experience shapes who we are.
• Relationships are the crux of Trauma-Informed Care.
• We are hurt in relationship and we heal in relationship.
• Behavior is communication.• All behavior is an attempt to find regulation.
• Humans tend to be pleasure-seeking and pain-avoidant.
• Trauma and oppression are inherently connected.
• We all cause harm.
• Trauma is experienced (and processed) in the body.
Trauma Defined
• Many definitions
• Is subjective
The Three E’s of Trauma
Event
• Events / circumstances cause trauma.
Experience
• An individual’s experience of the event determines whether it is traumatic
Effects• Effects of trauma include adverse physical,
social, emotional, or spiritual consequences.
SAMHSA, www.nasmhpd.org/sites/default/files/NCTICTraumaCurriculum_PPT_8_18_2015.pdf
Trauma’s Impacts
• Disrupts the nervous system
• Dis-integrates sense of safety, belonging, dignity, purpose, and/or understanding of the world
• Pervasive and prevalent
• Interrupts relationships
• Growth and learning
Types of Trauma
• Interpersonal Trauma
• Historical Trauma
• Intergenerational Trauma
• Environmental & Disaster Trauma
• Developmental, Attachment, & Early Childhood Trauma
• Institutional & Systemic Trauma
• Complex Trauma
• Chronic Trauma
• Medical Trauma
• Refugee Trauma
• Traumatic Grief & Loss
• Social & Societal Trauma
• Immigration Trauma
• Birth Trauma
• Vicarious Trauma
• Secondary Trauma
• Domestic Violence
• Community Violence
• War, Terrorism, & Political Violence
• Abrupt, Uncontrollable Change
• Maltreatment & Abuse
• Human Trafficking
• Torture
• Neglect
• Bullying
• Death and Loss
Signs and Symptoms
SAMHSA, www.nasmhpd.org/sites/default/files/NCTICTraumaCurriculum_PPT_8_18_2015.pdf
Understanding parallel process, regulating interventions and burnout
Parallel Process
And the child(ren) can internalize the holding and balance self-regulation (learn that they are okay and the world is okay).
And then hold the child(ren)…
So the caregiver can hold/contain their self...
So we can hold the caregiver…
We can learn to hold ourselves…
SAMHSA’s Trauma-Informed Care Principles
• Safety
• Trustworthiness & Transparency
• Peer Support & Mutual Self-Help
• Collaboration & Mutuality
• Empowerment, Voice, & Choice
• Cultural, Historical, & Gender Issues
Regulating Intervention: Play
• Games
• Dance/Movement
• Art
• Music
• Paint/Draw/Sculpt
• Poetry
Regulating Intervention: Nature
• Nervous System Regulation
• Fascination & Play
• Resiliency & Stress Recovery
Regulating Interventions: Mindfulness
• Body Scan
• Breath Work
• Awareness Exercises
Burnout and Employee Turnover
16 Warning Signs
Feeling helpless and hopeless
A sense that one can never do enough
Hypervigilance
Diminished creativity
Inability to embrace complexity
Minimizing
Chronic exhaustion/physical ailments
Inability to Listen/Deliberate avoidance
16 Warning Signs Continued
Dissociative moments
Sense of Persecution
Guilt
Fear
Anger and Cynicism
Inability to empathize/numbing
Addictions
Grandiosity: An inflated sense of
importance related to one’s work
Integrating knowledge & tools: organizational change
What are we doing in our program and in the organization?
Does trauma really affect us?
CDC-Kaiser
Nationwide
survey
CCLSE survey
# participants 17,000 45
1 or more ACEs 64% 74%
3 or more ACEs 22% 40%
4 or more ACEs 12.5% 29%
The Four R’s of a Trauma-Informed Environment
SAMHSA, www.nasmhpd.org/sites/default/files/NCTICTraumaCurriculum_PPT_8_18_2015.pdf
Trauma Aware Trauma Sensitive Trauma Responsive Trauma Informed
Organizations become aware of how prevalent trauma is and begin to consider that trauma might impact their clientele and staff.
Organizations scan the environment for the principles of trauma-informed care (safety, choice, collaboration, trustworthiness, empowerment); build consensus around the principles; consider the implications of adopting the principles; and prepare for change.
Organizations highlight the role that trauma and resilience play in people's lives. Staff changes routines and organizational infrastructure.
Organizations make trauma-responsive practices the norm. The trauma model is embedded and no longer depends on a few leaders. The organization works with other partners to strengthen collaboration around being trauma- informed.
Realizes Recognizes Responds Resists
From WI Department of Children’s Mental Health Collective Impact Trauma-Informed Care Workgroup https://children.wi.gov/Pages/Integrate/TraumaInformedCareWorkgroup.aspx
First Steps
Learn from other Catholic Charities agencies and other organizations that have implemented a trauma-informed approach
Initial & on-going training of TIC committee, management, staff & volunteers
Initial & on-going assessment of:-Organizational Leadership-Human Resources-Environment-Direct Services
Organizational Implementation
● Ongoing training of management and all staff:
TIC Committee is on all management team and
all-staff agendas
● Incorporating into PQI, HR, strategic planning:
agency survey questions, hiring/interview
questions, orientation/training for new staff and
volunteers
● Environmental assessments
● Explore opportunities for grants/collaboration
to further support TIC initiatives and grow
resources
What does Trauma Informed Care look like in Adoption, Pregnancy Support and Post Adoption? Does it Matter?
P
Pregnancy Support and Adoption
Recharge Together
Self- Care
P
Meetings & Events
Family supportStaff support
Questions?