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Objectives

• Explore the impact of trauma and complex trauma

• Compare and discuss the practices of trauma informed care vs. non-trauma informed care

• Identify ways to reduce further trauma while working with children and families

• Discuss statewide and agency initiatives designed to implement trauma informed systems

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Circuit 10 Mission and Vision

•Mission: Raise public awareness to assure understanding, commitment, and practice of trauma informed care in all environments in Polk, Highlands, and Hardee Counties.

•Vision: Polk, Highlands, and Hardee Counties will be trauma informed.

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TraumaWhen trauma occurs early in life,

children do not develop the capacity to regulate their experience…to calm

themselves down when they’re upset, to sooth themselves, to interact in

appropriate ways with other people to learn from their behavior.

Margaret Blaustein, 2004

Director of Training, The Trauma

Center at JRI, Brookline, MA

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Effects of Abuse or Neglect

According to a National Institute of Justice study, abused and neglected children were 11 times more likely to be arrested for criminal behavior as a juvenile, 2.7 times more likely to be arrested for violent and criminal behavior as an adult, and 3.1 times more likely to be arrested for one of many forms of violent crime (juvenile or adult) (English, Widom, & Brandford, 2004).

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Trauma-Informed Care (TIC) provides a new model under which the basic premise for organizing services is transformed

from:

to:

What has

happened to

you?”

“What’s wrong with

you?”

“What’s wrong with

you?”

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Exposure to trauma

Trauma can be :• A single event• A connected series of events• Chronic lasting stress

Trauma is under reported and under diagnosed( NTAC, 2004)

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Trauma can occur at any age

Trauma can effect any age

• Race• Gender • Ethnicity • Social economic groups• Community• workforce

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Protective Factors

• Parental Resilience

• Social Connections

• Knowledge of parenting and child development

• Concrete support in times of need

• Nurturing and attachment/social and emotional competence of children

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Your Response Key

Non-Trauma Informed Response

Positive Outcome

TriggerNon-Trauma Informed Response

Negative Outcome

Trigger

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Trauma Informed Practice

Trauma Informed• Recognition of high

prevalence of trauma• Recognition of primary and

co-occurring trauma diagnosis

• Assess for trauma histories & symptoms

• Recognition of culture and practices that are re-traumatizing

Non-Trauma Informed• Lack of education on

trauma prevalence and “universal” precautions

• Over-diagnosis of schizophrenia and bi-polar Disorder, Conduct Disorder, and Singular addictions

• Cursory or no trauma assessment

• “Tradition of toughness” valued as best care approach

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Strategies and Initiatives

• Initiative to ensure agencies, policies and procedures are trauma informed

• Disaster Response• Crisis Intervention Training for Law

Enforcement Officers• Infant Mental Health• Technical Assistance to providers• Interagency Agreements

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Strategies and Initiatives

• Prevention effort which allow children to stay in the home

• Eliminating multiple placements for children in out of home care

• Ensuring that children and their families are assessed for trauma, mental health, substance abuse, and co-occurring mental health and substance abuse disorders.

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Strategies and Initiatives

• Ensuring that children and families receive services and supports that are evidence based

• Ensuring that children and families are empowered to be a part of the planning

• Being sure that everyone involved is trauma informed – workers, families, foster parents, and others.

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Inter-agency collaboration

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Questions & Comments???????????????????????????

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References• Department of Children and Families, State of Florida n.d. 2010.

• Department of Children and Families, Office of Family Safety - Jane B. Streit, Ph. D.

• English, D. J., Widom, C. S., & Brandford, C. (2004). Another look at the effects of child abuse. NIJ journal, 251, 23-24.

• University of Florida, Child Welfare Training Academy, 2010