TRAUMA INFORMED CARE THROUGHOUT THE JUDICIAL SYSTEM LEANNE GRAHAM, M.A. EXECUTIVE DIRECTOR. Objectives. Practical skills to enhance interactions

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1 TAUMA INFOMED CAE THOUGHOUT THE JUDICIAL SYSTEM LEANNE GAHAM, M.A. EXECUTIVE DIECTO Objectives Practical skills to enhance interactions Increase knowledge of normal reactions to abnormal situations Increase ones understanding of the trauma informed care model Increase knowledge of ways to empathetically communicate with victims and witnesses 1

2 Trauma Informed Care A Best Practice Approach EALIZING ECOGNIZING ESPONDING ESISTING the prevalence of trauma how trauma affects all individuals involved with the program, organization or system by putting this knowledge into practice Seeks to actively resist retraumatization SAMHSA,

3 VICTIMIZATION = TAUMA Homicide Home Invasion Stalking Kidnapping ape Human Trafficking Domestic Violence Arson Aggravated Assault Child Sexual Assault EALIZE Abduction Voluntary Manslaughter Normal eactions to an Abnormal Situation Physical Cognitive Emotional Behavioral Spiritual Chills Confusion Fear Withdrawal Emptiness Thirst Nightmares Guilt Antisocial Loss of meaning Fatigue Uncertainty Grief Unable to rest Doubt Nausea Blaming Panic Pacing Unforgiving Fainting Disorientation Denial Lashing out Looking for magic Twitching Forgetfulness Anxiety Hiding Loss of direction Vomiting Lethargy Agitation Nagging Cynicism Dizziness Boredom Irritability Lack of intimacy Apathy Weakness Spacing Out Depression Using people Chest pains acing mind Intense anger Increased drug use Headaches Dull senses Apprehension Increase in drinking ElevatedBP Poor problem solving Overwhelmed Change in speech patterns ash Heightened Bad temper alertness Foot tapping Lowered alertness Crying spells estlessness Increased Discouraged awareness Indigestion Decreased awareness Muscle aches Insomnia ECOGNIZE 3

4 Trauma Map Auto pilot eplaying Sorting it out Putting it in place ACUTE ECOIL ECONSTUCTION ECOVEY Numb Denial Frozen Fright ECOGNIZE Anger Fear Denial Guild Blame Frustration Confusion eenacting Feeling e-exposure Asking questions Smarter Stronger Wiser Logical New Normal Exposure ECOGNIZE 4

5 Who is impacted? ECOGNIZE Victim How we are perceived What we do What we say What we think Advocate, Social Worker, Prosecutor, Nurse, Judge, Teacher ESPOND Perception Pyramid 5

6 POM ESPOND Professional Insensitivity Can occur to professionals who work with the public sector over long periods of time Some are not aware of how often they forget what the victim is going through. Professionals who are not empathetic towards their clients may have difficulty working with them. Some use past experiences as justification to assume they are all alike - stereotyping Victims perceive professional s actions as the action of the entire agency, or system itself. Providing equitable service across the board is warranted even when one s personal beliefs object. CISIS INTEVENTION Safety & Security Ventilation & Validation Predication & Preparation ESPOND National Organization for Victim Assistance 6

7 Empathy: ESPOND Communication Tell the victim, I m sorry David was murdered. Be mindful of you your tone and questioning; put yourself in the victim s shoes Acknowledge the frustration they must be going through Acknowledge the length of time that has passed between incident and today Be attuned to triggers: Anniversary dates, holidays, court dates Honesty: Do not make promises you can not keep If you say you will do something - Do it Vocabulary: Information: ESPOND Communication DO use the word murdered not killed DO use the word murdered not, DUI, accident or a crash DO use the victim s name, not the deceased, not the body Prompt; don t let them read about it in the paper Explanation of why decisions were made Provide narratives of what victims are about to see when viewing photographs 7

8 Process Verdict The Judicial System Normal to you is not normal for victims Uncomfortable setting Anxious around so many people What about what they want? Not Guilty: Delusional, Outrage, Isolation, ear of retaliation Guilty: Immediate reaction leads to worry about sentencing Sentencing Limited or light sentences may result in the same feelings of a not guilty verdict Victim Impact Statements Parole ESPOND Appeal educing e-victimization victimization occurring at different points in time ESIST e-victimization: Advancing Theory and Method. University of Georgia 8

9 ESIST See Smell Taste Touch Hear TIGGES People Songs Specific Foods Specific Alcohols Flowers Dates / Month Pictures Seasons IT S NOT ABOUT YOU EALIZING ECOGNIZING ESPONDING ESISTING the prevalence of trauma how trauma affects all individuals involved with the program, organization or system by putting this knowledge into practice Seeks to actively resist retraumatization SAMHSA,

10 Leanne Graham, Executive Director