WELCOME [] · TF-CBT typically includes parents or caregivers in treatment. Snapshot of Outcomes...
Transcript of WELCOME [] · TF-CBT typically includes parents or caregivers in treatment. Snapshot of Outcomes...
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WELCOME
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Grounding
Practice
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Trauma Informed and Mindfulness Cornerstones to Organizational Culture
Monica Martinez, Chief Executive Officer Inbal Yassur, Clinical Director
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Why this topic is important
In 5 Seconds (please excuse the language)
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From Trauma Inducing to Trauma Reducing Stress and it’s impact on all of us Navigating stress Responding not reacting – in the face of challenges Building personal and organizational resiliency
Today’s Explorations
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At Encompass, you can change the world…
It starts in our community!
Encompass is the largest community-based, nonprofit organization with 40 programs county-wide providing services in behavioral health, family and social well-being, early childhood education,
housing, and more.
We believe change is not only possible, it’s scalable -- resulting in big social impact.
We exist to create pathways toward equity in these areas while serving our neighbors with compassion and dignity.
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Values
Awareness
Trauma Informed
Person Centered
IMPACT
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Becoming Trauma Informed
OUR JOURNEY
the impact of trauma and toxic stress
Realize
racial disparities and notice
where trauma shows up
Recognize
by integrating practices and revising our
policies
Respond
accidental re-traumatization
within our interactions
Resist
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THE FUERTE PROGRAM
Familias Unidas En Respecto, Tranquilidad y Esperanza/
Families United in Respect, Tranquility and Hope
A Collaborative Partnership between Encompass Community Services and the Santa Cruz County
Probation Department
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Four to six month intensive program that aims to address the mental health needs of youth on probation through the use of Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Increase parental capacity and skills to care for and address the mental health needs of their children involved in the justice system Address the unmet needs of family members through linkages to community resources
PROGRAM OVERVIEW
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Who is FUERTE Serving? **All data from July 1, 2015-December 31, 2016 for 25 youth served
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FUERTE Evidence Based Practices
Trauma-Focused
Cognitive Behavioral
Therapy (TF-CBT)
Motivational
Interviewing (MI)
Intensive Case
Management
Treatment Matching
Evidence Based Practices
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a model of psychotherapy that addresses the unique needs of child with PTSD symptoms, depression, behavior problems, and other difficulties related to traumatic life experiences. TF-CBT is a short-term treatment approach that can work in as few as 12 sessions. TF-CBT typically includes parents or caregivers in treatment.
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Snapshot of Outcomes **All data from July 1, 2015-December 31, 2016 for 25 youth served
17 of the 25 youth have completed the program:
o 76% Successful Completion—13
o 24% Unsuccessful Completion—4
76% did not recidivate (as defined by an arrest for a new law violation)
65% showed improvements in at least 3 life domain functioning areas on
the Child and Adolescent Needs and Strengths Assessment (CANS)
82% of families reported satisfaction with mental health services
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Practice Awareness of Breath
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“Put on your own
oxygen mask first.”
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How and where do I experience stress in my body?
How does stress manifest itself in
communication/relationships?
Let’s make a U - Turn
What causes me stress?
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Traumatic events-
violence, suicide, deaths
Staff and Budget Cuts!!!
Technology and Paperwork demands
Lawsuits, reforms, task-
driven vs. relational
Feeling unsafe with clients
Staff Turnover
Not enough time for
collaboration or supervision
Client needs vs. payer models of
care
Trauma-Organized Systems: Chronic Stressors and Collective Trauma
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“Stress occurs when pressure exceeds your perceived ability to cope”. S Palmer, 1999.
Body – Increased heart rate, Sweaty palms, Shallow breath, Tense muscles Mind - Tunnel vision/Narrow focus, Inability to concentrate
Behavior - Impulsive, Reactive, Self Protective
What is stress?
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Toxic Stress and Health Equity
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From Dysregulation to Regulation
Thinking Brain Makes informed, rational decisions
Survival/Emotional Brain (Limbic system) Protective instincts: Flight/Flight/Freeze
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Trauma Toxic Stress
Overwhelming Feelings
Coping Strategies
Meaning Making
Ruta Mazelis: http://www.healingselfinjury.org
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Trauma affects organizations and systems as well as communities and individuals
CLIENT
STAFF
ADMINISTRATION
ORGANIZATION
GOVERNMENT FUNDERS THE PUBLIC
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TRAUMA ORGANIZED TRAUMA INFORMED HEALING ORGANIZATION
Reflective Collaborative Culture of learning Making meaning out of
the past Growth and Prevention
Oriented Relational Leadership
CLIENT
STAFF
ADMINISTRATION
ORGANIZATION
GOVERNMENT FUNDERS THE PUBLIC
Shared Language Foundational Understanding
of Trauma Understanding of the nature
and impact of trauma Understanding racial
disparities and insidious trauma
Reactive Reliving/Retelling Avoiding/Numbing Fragmentation Authoritarian Leadership Us vs. Them
TRAUMA INDUCING TO TRAUMA REDUCING
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FROM TO
Reactive Responsive, Co-regulation
Reliving / Retelling Culture of learning
Avoiding / Numbing Reconnection
Fragmentation Collaborative
Us vs. Them (Dehumanizing) Compassion
From Trauma Organized to Healing Organization
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PAUSE
STRECH
REFLECT
QUESTIONS?
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Resiliency The ability to bounce back from challenging situations
And effectively adapt to change and thrive
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Trauma and stress
“Wear a groove in the
brain”
Mindfulness practices create
new pathways
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WHAT IS
MINDFULNESS?
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“Mindfulness is a way
of being in wise and
purposeful relationship
with one’s experience,
both inwardly and
outwardly.”
MINDFULNESS IS NOT
o Positive thinking
o Just another relaxation
technique
o Going into a trance
o Clearing your mind
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“One of the most effective means for working with that moment when we see the gathering storm of our habitual tendencies is the practice of pausing, or creating a gap. We can stop and take three conscious breaths, and the world has a chance to open up to us in that gap. We can allow space into our state of mind.” - Pema Chodron
Resiliency skill - Mindful Pause
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“…learning to observe ourselves in real time. As we pay attention, we begin to see ourselves (and others) more clearly. And, based on our clear-seeing, we are able
to make wise choices—so we can act rather than react.” Pamela Wise, Appropriate Response
Seeing clearly
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Not enough
time
Rehearsing
Multitasking
Comparing
Filtering Judging
Identifying
Advising
Blocks to Listening
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From Mindless Listening to Mindful Listening
“Listening takes a combination of intention and attention. The intention part is having a genuine interest in the other person – their experiencing, view, feelings, and needs. The attention part is being able to stay present, open, and unbiased as we receive the other’s words – even when they don’t line up with our own ideas or desires.”
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Mindfulness and Heartfulness
become the default mode
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What will help me
remember
to pause?
Reflection
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“The world needs every one of us to show up in our fullness.” Jon Kabat-Zinn
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THANK YOU!