Implementing TIC. Katie Young, WAGEC Chris Hartley, Homelessness NSW

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1 Implementing TIC Katie Young, WAGEC Chris Hartley, Homelessness NSW

2 Who are we? Peak agency focused on preventing and addressing homelessness Mission: A NSW where no-one is homeless or at risk of homelessness. What we do

3 Who are we? WAGEC is a non-government, notfor-profit charitable organisation that proudly delivers a range of crisis and early intervention accommodation and support services to women, children and young people, and families who are experiencing or at risk of homelessness and/or domestic and family violence.

4 Homelessness and Trauma The prevalence of traumatic stress in the lives of families experiencing homelessness is extraordinarily high. Often these families have experienced on-going trauma throughout their lives in the form of childhood abuse and neglect, domestic violence, community violence, and the trauma associated with poverty and the loss of home, safety and sense of security Trauma-Informed Organizational Toolkit for Homeless Services

5 What is Trauma? State of high arousal in which normal coping mechanisms are overwhelmed in response to the perception of threat (Cozolino, 2002:270) Trauma is the unique individual experience of an event or enduring conditions in which the individual's ability to integrate his/her emotional experience is overwhelmed and the individual experiences (either objectively or subjectively) a threat to his/her life, bodily integrity, or that of a caregiver or family Only pathological if unresolved following precipitating event/s

6 Trauma Quiz

7 Types of Trauma Single Incident Complex Collective Intergenerational

8 Single Incident An unexpected `out of the blue event - natural disaster, traumatic accident, terrorist attack or single episode of assault, abuse or witnessing of it = Post Traumatic Stress Disorder (PTSD) The symptoms may include recurrent bad dreams, physical reactions, flashbacks, startle reaction, loss of interest in usual activities, avoiding reminders of the event, etc.

9 Complex Trauma Interpersonal Inescapable Repeated Cumulative

10 Impact of the brain on trauma Neural/connections in our brains are influenced by experiences and stimulation It is not nature OR nurture but nature AND nurture Childhood period is when brain is most malleable or plastic. Early care-giving relationships are vital: the organization of the social brain is initially sculpted via parent-child interactions (Cozolino, 2002:217)

11 Experiences of trauma Reaction to trauma and the response to ongoing traumatic experience is relayed from brain to physical body through the central nervous system The ongoing affects of trauma are as much physiological as they are psychological Physical impacts can include: Ischemic heart disease Chronic lung disease or Cancer Chronic emphysema Asthma Liver disease Skeletal fractures

12 Experiences of trauma Problematic symptoms, behaviours and conditions associated with complex trauma are frequently the outgrowth of coping mechanisms which were initially protective, but which have lost their protective function over time and have become injurious to health Neurobiological effects of trauma can include: Disrupted neurodevelopment Difficulty controlling Anger Rage or repression of anger Hallucinations Depression Panic reactions/ Anxiety Multiple (6+) somatic problems Sleep problems Impaired memory Flashbacks Dissociation

13 Trauma-informed organisation Is one that: Designs service systems that accommodate the vulnerabilities of trauma survivors (Fallot and Harris, 2009:3) Delivered in a way that will avoid inadvertent re-traumatisation and...facilitate client participation in the services which affect them (Fallot and Harris, 2009:3) Undertakes evaluation of all components of the system Respects cultural safety Emphasis on skill building

14 View trauma as a defining and organising experience that forms the core of an individual s identity rather than a single discrete event (Jennings, 2004; Fallot and Harris, 2009) What happened to the person rather than what is wrong with the person (Bloom, 2011) Respect for diverse coping mechanisms - understand client behaviours as adaptive attempts to cope Recognise effects of trauma can include `the way people approach potentially helpful relationships (Fallot and Harris, 2009:2).

15 Assist cross agency sector collaboration and improve a woman s journey through a complex system. Membership of SWHA is open to agencies and organisations who are involved in service delivery to homeless women SWHA and Trauma informed care

16 Community of practice Communities of practice are formed by people who engage in a process of collective learning in a shared domain of human endeavour Peer led discussion Focus on practical implementation of TIC

17 SWHA Community of practice Invited participants both managers and case workers Bi-monthly forum, with topics devised by participants

18 Key Learnings on TIC implementation Invited participants both managers and case workers Bi-monthly forum, with topics devised by participants

19 Conclusion

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