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Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma...

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Trauma Informed Care Dr Kimberly I Fielding 11th Annual DEC Conference October 9, 2014
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Page 1: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

Trauma Informed Care

Dr Kimberly I Fielding

11th Annual DEC ConferenceOctober 9, 2014

Page 2: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

A A ““RootRoot--toto--FruitFruit”” IssueIssue

Page 3: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

The AThe A--Frame Ladder of Trauma Informed CareFrame Ladder of Trauma Informed Care

Supported by ScientificResearch

44‐‐TraumaTrauma‐‐InformedApproachInformedApproachacultureofpromotingrecovery

33‐‐TraumaResponsiveTraumaResponsiveaconsistentformofbehavior22‐‐TraumaSensitiveTraumaSensitiveabletorecognize(havea“traumalens”)

11‐‐TraumaAwareTraumaAwareunderstandthetopic

TICisliketherungsofaladder;anorganizationappliesefforttoreachthetop.

The ART and SCIENCE of TIC

The Skill of Use in Everyday Situations

Page 4: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

1. Trauma Aware1. Trauma AwareWhatisTraumaticStress?

ascomparedwithPositive,Tolerable,andToxicStress

Expectations Resourcesthe IDEAL the REAL

The bigger the gap, the bigger the stress

Page 5: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

5

AFTER

EmotionalCognitiveSocialSpiritualFinancial

EEvent or series of events

EExperienced1st Hand2nd Hand3rd Hand

AAdverse Effects

T t t t t

BEFORE

EmotionalCognitiveSocialSpiritualFinancial

1. Trauma Aware1. Trauma AwareDefinition:the3Es

Page 6: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

1. Trauma Aware1. Trauma AwareObjectLesson:SodaPopBottle

Page 7: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

1. Trauma Aware1. Trauma Aware

What kinds of events can be so overwhelming that they provoke

traumatic stress?

Page 8: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

2. Trauma Sensitive2. Trauma SensitiveLife Keeps Happening

shaking up our thoughts and feelings “Being on Guard” has become a way of life

for the developing brain.

ALERT—poppingourtop

AVOID—keepingalidonit

Page 9: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

2. Trauma Sensitive2. Trauma Sensitive

What are some of thesigns and symptoms of

popping our topand/or

keeping a lid on it?

Page 10: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

3. Trauma Responsive3. Trauma ResponsiveOpportunities in assisting children have healthy

EXpreSSSSSSion!Adults Infuse Capacity Building by

remaining calm, differentiating (not taken personal), tuning in, role modeling, andcorrect and build

The 5-gallon Jug Metaphor

Page 11: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

3. Trauma Responsive3. Trauma Responsive

SURVIVEavoid/alert

THRIVEexploration/achievement

11

2

33

Page 12: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

3. Trauma Responsive3. Trauma Responsive

“Bio-behavior”encourages front brain activity versus activating the brain stem

“Correct and Build”on existing competencies for managing “thinking, feeling, and doing”

“Green Light” WordsFocus on CAN DOversus “nots, knotts, and naughties”

N3

Page 13: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

4. Trauma Informed Approach4. Trauma Informed Approach

The germ of the kernel contains all the genetic information, some nutrients, and oil needed to

enable germination and early growth.

Addressing the Kernel of Trauma

FROM TOUncontrolled, Shared Control,Unplanned Having a Plan

Page 14: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

4. Trauma Informed Approach4. Trauma Informed Approach

Supportive environments as physically and psychologically safe with “caring but firm limits”

Trauma-informed staff to address environmental barriers

Provide reflective supervision, professional training, and mindfulness to address secondary traumatic stress

Addressing the Kernel of Trauma

Page 15: Trauma Informed Care Dr Kimberly I Fielding 11th Annual ... · The A-Frame Ladder of Trauma Informed Care Supported by Scientific Research 4‐Trauma‐Informed Approach a culture

Dr Kimberly I [email protected]

Workshop Evaluation: https://willsplaceproject.mimh.edu/

New Blog of Metaphors:http://www.freemanhealth.com/Blog


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