Trauma and Trauma Informed Care

Trauma

What is trauma?How prevalent is trauma ?How long does it last?Why should we be aware of it?

Most Important Health Research of the Decade

Kaiser Permanente and U.S. Centers for Prevention and Disease Control (CDC)

Correlated early life trauma to current health status.

Asked ten questions about adverse childhood events

What percentage of people had Childhood trauma? Abuse

1. emotional – recurrent threats, humiliation (11%)

2. physical - beating, not spanking (28%)

3. contact sexual abuse (28% women, 16% men; 22% overall)

Household dysfunction 1. mother treated violently (13%)

2. household member was alcoholic or drug user (27%)

3. household member was imprisoned (6%)

4. household member was chronically depressed, suicidal, mentally ill, or in psychiatric hospital (17%)

5. not raised by both biological parents (23%)

What percentage of people had Childhood trauma? Neglect

1. physical (10%)

2. emotional (15%)

Nevada County

65-70% of Nevada County residents have at least an ACE score of one

One in six have an ACE score of 4 or more

ACE score relationship to the leading causes of deathThe higher the ACE score the higher

likelihood of:Heart diseaseAny cancerStrokediabetes

ACE score relationship to the leading causes of death Emphysema Skeletal fractures Hepatitis / jaundice Premature births Obesity Smoking Alcoholism

ACE score of four or more

21% more likely to live in poverty39% more likely to be unemployed22% more likely not to have a personal

doctor

ACE Study conclusions

The greatest public health threat is child abuse

The effects of adverse childhood experiences are profound and enduring

ACE study does not take into account trauma occurring as an adult.

Trauma Informed Care

Hidden silent epidemicSurvivors have shame, suffer silentlyHow can we best serve this

population?

Trauma Informed Care

Kaiser study in decreasing emergency room visits for high ACE score clients

Sensitively asking and educating.

Post Traumatic Stress Disorder

Exposure to a traumatic event, response involved intense fear, helplessness or horror.

Intrusive thoughts, feelings Avoidance, numbness, feelings of detachment Increased arousal Effects mood, sense of foreshortened future

Trauma Triggers cause relapse or a fall back into a former state

Substance Abuse: sounds, smells, sights, feelings, etc. trigger cravings

Mental Health: Triggering events that brings about a symptom of PTSD

Trauma Informed Institution

Examine our physical layoutsExamine our data processesExamine staff knowledge of what

trauma looks like.

Trauma Triggers

Powerlessness, Trapped, something bigger is

controlling Antidote: Give voice and choiceAcknowledge the past pain

Rebecca Slade530-470-2784Rebecca.slade@co.nevada.ca.us