What is Sanctuary?
description
Transcript of What is Sanctuary?
![Page 1: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/1.jpg)
What is Sanctuary?
Shay Williams, M.Ed., LPC-S, LCCA
![Page 2: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/2.jpg)
FOUNDERS OF THE MODEL: THEN AND NOW
![Page 3: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/3.jpg)
THE SANCTUARY MODEL
In a nutshell…..Sanctuary is a treatment and organizational change model that integrates
trauma theory with the creation of therapeutic communities which provide safety for both clients and the staff who work with them.
![Page 4: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/4.jpg)
A perspective that asks: “what’s happened to you?” rather than “what’s wrong with you?” when organizing goals and assessing strengths and challenges
A belief that adversity is an inherent part of human life, and that many of the behaviors that lead clients to care are directly related to those experiences – and that people and groups of people can heal from those experiences
BASIC BELIEFS OF THE SANCTUARY MODEL
![Page 5: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/5.jpg)
NonviolenceEmotional IntelligenceSocial LearningOpen CommunicationSocial ResponsibilityDemocracyGrowth & Change
THE SEVEN COMMITMENTS
![Page 6: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/6.jpg)
S.E.L.F.
Safety
Emotions
Loss
Future
![Page 7: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/7.jpg)
Traumatization occurs when both internal and external resources are
inadequate to cope with external threat.
Van der Kolk, 1989
![Page 8: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/8.jpg)
A collaborative effort of Kaiser Permanente and The Centers for Disease Control
Vincent J. Felitti, M.D.Robert F. Anda, M.D.
THE RELATIONSHIP OF ADVERSE CHILDHOOD EXPERIENCES TO
ADULT HEALTH STATUS
![Page 9: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/9.jpg)
CHILDHOOD ADVERSITY BY CATEGORIES(18 years or younger)
Abuse Household
Psychological (by parents) Substance Abuse
Physical (by parents) Mental Illness
Sexual (anyone) Parental separation/divorce
Emotional neglect Mother Treated Violently
Physical neglect Imprisoned Household Member
![Page 10: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/10.jpg)
PERCENT OF PARTICIPANTS EXPOSED TO AT LEAST ONE ADVERSE CHILDHOOD EXPERIENCE
67%
33%Those reporting no exposure
Those reporting exposure to at least one ACE
![Page 11: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/11.jpg)
ACE SCORE
These numbers may suggest that 2/3 of the
U.S. population may have been exposed to at least one adverse
childhood experience!These numbers may
suggest that 2/3 of the people who come to us for services may
have been exposed to at least one adverse
childhood experience!
![Page 12: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/12.jpg)
ACE StudyStrong, graded relation to childhood adversity in
childhood:
Smoking Attempted suicideCOPD RevictimizationHeart Disease Teen pregnancyDiabetes FracturesObesity PromiscuityHepatitis Sexually transmitted
diseaseAlcoholism Poor job performanceOther substance abuse Poor self-rated healthDepression Violent relationships
![Page 13: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/13.jpg)
ACES & INTERPERSONAL VIOLENCE
As the number of ACE increases the number of co-occurring or “co-morbid” conditions increases.
As the number of violent experiences increases, the risks of victimization among women and perpetration by men also increase by about 60% to 70%.As the ACEs score increases the likelihood of revictimization – of being raped, of being assaulted - increases steadily
![Page 14: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/14.jpg)
DiseaseDisability Social Problems
High Risk Behaviors
Social, Emotional, Cognitive Problems
Childhood Adversity
![Page 15: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/15.jpg)
Out of 350 people working in social services
Psychological abuse (Parents) 37%Physical abuse (parents) 29%Sexually abused 25%Emotional neglect 35%Physical neglect 12%Substance abuser in household 40%Separated from one/both parents 41%Witnessed DV 21%Imprisoned household member 10%
It’s Not Just the Clients
![Page 16: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/16.jpg)
Most neural network
development occurs after
birth
Genes just supply basic
blueprint
TRAUMA ALTERS THE WAY THE BRAIN WORKS
![Page 17: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/17.jpg)
So by age 10 a child’s value
system is already
embedded in the child’s brain
Bottom line: THE
ENVIRONMENT PHYSICALLY
CHANGES THE BRAIN
Chronic Stress Crises
Chronic Hyperarousal
TRAUMA ALTERS THE WAY THE BRAIN WORKS
![Page 18: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/18.jpg)
Hypersensitivity to even
minor threatExtremist thinking
Respond to many things as threat to
life – aggression
and impulse control
Attention to threat while ignoring less threatening,
but important
information
TRAUMA ALTERS THE WAY THE BRAIN WORKS
![Page 19: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/19.jpg)
Interferes with normal emotional &
cognitive development
Emotional states too intense to handle
Reinforced by helplessness and need for control
TRAUMA ALTERS THE WAY THE BRAIN WORKS
![Page 20: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/20.jpg)
substance abuse violence self-
mutilation risk taking Impaired parenting
POOR EMOTIONAL MANAGEMENT LEADS TO:
![Page 21: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/21.jpg)
DISSOCIATIONDisruption in the normal integration of thoughts, feelings, memories, identityNormal life process – autopilot; Very efficient – let’s us do two things at once
Important response to trauma
State of shock – buffers and protects central nervous system
Prevents death from overwhelming feelings
Amnesia
Prolonged “shock” : Emotional numbing
In extreme cases beginning in childhood – splits in personality
![Page 22: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/22.jpg)
DissociationAlexithymia – No words for feelings
Haunted by the past:
flashbacks, nightmares,
body memories
Traumatic Reenactment - Revictimization
TRAUMA ALTERS THE WAY THE BRAIN WORKS
![Page 23: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/23.jpg)
SO WHAT DO WE DO????
We change the question from:
•“What’s Wrong With You?” to “What’s Happened To You?”
We create a trauma-sensitive
culture
•recognizing symptoms as survival skills
We give them a different
experience
•Create a compassionate, trauma informed environment
![Page 24: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/24.jpg)
THE SANCTUARY MODEL TOOLKITCommunity meetings
Psychoeducation Groups
Red Flag Meetings
Safety Plans
Self Care Plans
Team Meetings
Treatment Planning Conference
ProQol Scale
![Page 25: What is Sanctuary?](https://reader036.fdocuments.in/reader036/viewer/2022062811/568161e3550346895dd1fed0/html5/thumbnails/25.jpg)
Thank You!!!