Active Ingredients for Trauma Informed Care Child Protection Summit Orlando, Florida Frank Kuhn and Thomas Endres
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1 Active Ingredients for Trauma Informed Care 2015 Child Protection Summit Orlando, Florida Frank Kuhn and Thomas Endres
2 Crest Pro-Health Fluoride Anticavity Toothpaste, Mint - 6 oz
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4 What s in our toothpaste?
5 Essential Element: Organizational congruence around a set of evidence-based principles
6 Evidence Informed Program Model Based on existing research and best practices Set of principles that guide policy, procedures, and practices Well articulated, evidence-based theories of change Lee & Barth (2011)
7 Basic Principles - CARE Model Developmentally focused Family involved Relationship based Competence centered Trauma informed Ecologically oriented
8
9 Essential Element: Organizational culture and climate congruent with evidence-based principles
10 ORGANIZATIONAL SOCIAL CONTEXT (OSC) Domain Dimensions Scales Culture Climate Rigidity Proficiency Resistance Stress Engagement Functionality Centralization Formalization Responsiveness Competence Apathy Suppression Emotional Exhaustion Role Conflict Role Overload Personalization Personal Accomplishment Growth & Advancement Role clarity Cooperation Work Attitudes Morale Job satisfaction Organizational Commitment
11 Essential Element: Ability to identify pain-based behavior, respond to provide support and avoid re-traumatization
12 Trauma Informed Care We need to shift our thinking from What is wrong with you? To What happened to you? Sandra Bloom Sandra Sandra Bloom
13 Recognizing Pain-Based Behavior Impulsive outbursts Aggressive acts Inability to tolerate uncertainty or ambiguity Withdrawing or running away Self-injury Traumatic re-enactment Flashbacks
14 Responding to Pain-Based Behavior 1.Listen to the children talk about their feelings 2.Watch for triggers or signs of reenactments or flashbacks 3.Give the child choices and a sense of control 4.Teach children to express their emotions and resolve conflicts through discussion and negotiation
15 Creating a Culture of Nonviolence 1. Establish a consistent, predictable structure (routine) to the day 2. Provide a secure base 3. Discuss expectations, rules, and limits in advance so that children understand what is expected 4. Avoid activities or events that may trigger the child s stress response 5. Provide activities that promote future orientation such as caring for animals, plants, and people
16 Understanding Oneself and Emotional Competence Self-awareness: being aware of personal goals, values, beliefs, and rules Self-motivation: taking the initiative to develop new skills and abilities Empathy: understanding others and seeing their perspective (worldview) Social skills: developing relationships Self-regulation: the ability to manage emotions
17 Trauma & Stress Creating a Holding Organization Support & Holding People do well if they can 16
18 Adapted from R. Kegan & L.L. Lahey, Immunity to Change (2009) Self-transforming Mindset Socialized Mindset Selfauthoring Mindset Increasing complexity
19 Essential Element: Developmental relationships
20 Criteria of Developmental Relationships Attachment Reciprocity Progressive complexity/gradual shift in power Participation/inclusion The active ingredient of effective interventions Li & Julian (2012)
21 progressively#more#complex reciprocal strong#and#enduring#emo9onal#a6 achment balance#of#power#gradually#shi1 s
22 AcTve'Ingredient:#Developmental#Interac9ons# High$ Med$ $$$$Enduring'AUachment' Progression' Balance'of'Power'ShiW' Reciprocal' InteracTon' Low$ Developmental$Process$
23 Essential Elements: - Organizational congruence around a set of evidence-based principles - Organizational culture and climate congruent with principles - Ability to identify pain-based behavior and respond therapeutically - Developmental relationships
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