Assaults on the mind/body system affecting several functional areas: Physiological Psych neurological Social emotional

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1 Sushma D. Taylor, Ph.D. Center Point Inc., CEO/President Administration of Children and Families Regional Partnership Grants Close Out Meeting Wednesday, August 22, 2012 Trauma: Assaults on the mind/body system affecting several functional areas: Physiological Psych neurological Social emotional Sushma D. Taylor, Ph.D. Center Point Inc. 2

2 A reaction to an experience that is profoundly emotionally disturbing. Sushma D. Taylor, Ph.D. Center Point Inc. 3 The experience involved actual or threatened harm or serious injury to self or other(s) Sushma D. Taylor, Ph.D. Center Point Inc. 4

3 The event manifested intense fear, helplessness or fih fright. Sushma D. Taylor, Ph.D. Center Point Inc. 5 TRAUMA: Both an event and a response to the event. Sushma D. Taylor, Ph.D. Center Point Inc. 6

4 Response to Stress or Trauma Stage 1 Realization of the occurrence Stage 2 Denial and numbness Stage 3 Ambivalence (between denial and intrusive repetition) Stage 4 Working through to resolution Sushma D. Taylor, Ph.D. Center Point Inc. 7 Treatment Considerations for Women Physiological Factors Psychological Factors Social/Cultural Factors Gender Responsive Issues Sushma D. Taylor, Ph.D. Center Point Inc. 8

5 Evolution of Treatment Models for Women I II III Gender Gender Gender Sensitive Specific Responsive IV Trauma Informed Sushma D. Taylor, Ph.D. Center Point Inc. 9 I. Gender Sensitive: separate groups for women focus on biological issues psychosocial services parenting training i Sushma D. Taylor, Ph.D. Center Point Inc. 10

6 II. Gender Specific: separate facilities special il services/groups onsite childcare women and children programs Sushma D. Taylor, Ph.D. Center Point Inc. 11 III. Gender Responsive: strengths based family focused relational theory trauma sensitive Sushma D. Taylor, Ph.D. Center Point Inc. 12

7 IV. Trauma Informed Services Take trauma into account Avoid activities that trigger trauma reaction Adjust the Organization to support client Allow individuals to manage their symptoms Recognize that every interaction=intervention Sushma D. Taylor, Ph.D. Center Point Inc. 13 Comprehensive services Assessment Case Management Substance Abuse Treatment and Education Self Awareness Sexuality Mental Health Treatment Trauma Treatment Family Healing Relationships Sushma D. Taylor, Ph.D. Center Point Inc. 14

8 Comprehensive services (continuation) Skill building (life skills, employment, edu cation) Parenting Age Appropriate Fetal Alcohol Spectrum Disorder (FASD) Assessment Child Care Services Therapeutic Child Services Transportation Linkages to other agencies as appropriate Sushma D. Taylor, Ph.D. Center Point Inc. 15 Core Program Components Safety (Environment): Welcoming, protective, respectful, sensitive, diverse and empowering. Trauma Informed/Trauma Specific Services A commitment to understanding trauma, its impact on women and no harmful interventions, policies or procedures. Cultural Competency Culturally competent and culturally responsive services. Cultural competency includes, age, sexual orientation, disabilities, religion and racial/ethnic diversity. Sushma D. Taylor, Ph.D. Center Point Inc. 16

9 Guiding principles 1. Gender: Acknowledge that gender makes a difference 2. Environment: Create an environment based on safety, respect and dignity 3. Relationships: Develop policies, practices, and programs that are relational and promote healthy connections to children, family, significant others, and the community 4. Services: Address substance abuse, trauma, and mental health issues through comprehensive, integrated, and culturally relevant services 5. Socioeconomic Status: Provide women with opportunities to improve their socioeconomic conditions and 6. Community: Establish a system of comprehensive and collaborative community services Sushma D. Taylor, Ph.D. Center Point Inc. 17 Co Ed Adult Residential Individual/Group Counseling Education Recreation Family Support Center Point Center Point MULTI-MODAL MODAL SERVICES SYSTEM Perinatal Residential Vocational Re Entry Permanent Housing Individual/Group Counseling Education Recreation Family Support Non Residential Services Vocational Assessment Vocational testing Pre Vocational Training Job Seeking Skills Training Social Skills Training Job Development Pots Employment Counseling Employer Liaison Transitional Housing Satellite Housing Counseling Aftercare Follow Up Outpatient Treatment Intensive Individual/Group Counseling Education Recreation Family Support Sushma D. Taylor, Ph.D. Center Point Inc. 18

10 Co Ed Adult Residential FamilyLink participants Total participants with an open CPS file at intake: 65.1% Total CPS mothers who retained child custody Vocational Re Entry 36.6% 6% Permanent Housing without separation Perinatal Residential Non Residential Services Transitional Housing Total CPS mothers reunited with children in the program Satellite Housing Counseling 84.6% Total FamilyLink participants successfully 61.9% discharging Total CPS participants successfully discharging 69.0% Aftercare Follow Up Sushma D. Taylor, Ph.D. Center Point Inc. 19 Women Admitted 3% 8% 22% 8% Center Point Outreach Child Protective Services Criminal Justice System Family/Relative/Friend Social/Health Care Services 59% Sushma D. Taylor, Ph.D. Center Point Inc. 20

11 Profile Demographic Percentage Criminal Justice Involvement 56% Childhood Physical/Sexual Abuse 50% Adult Physical Abuse 60% Domestic Violence 63% Parental Substance Abuse Fathers 59% Mothers 50% Siblings 46% Children Retained Custody 81% Sushma D. Taylor, Ph.D. Center Point Inc % 16% 14% 12% 10% 8% 6% 4% 2% Clients Top Five Physical Health Problems at Admission 0% Respiratory System Venereal Disease Heart/Circulatory System Hepatitis, Kidney/LiverPhysical Trauma Sushma D. Taylor, Ph.D. Center Point Inc. 22

12 Education 36% 36% 28% 0% 6th Grade or Less 7th to 12th Grades, no graduation HS Graduate or Completed GED Some College or Voc. Certificate Sushma D. Taylor, Ph.D. Center Point Inc. 23 Employment 100% 92% 90% 80% 74% 70% 60% 50% 40% 30% 20% 6% 10% 0% 26% 0% 0% 1% 0% Employed Unemployed Disability/Out of the Work Force Student Admission Discharge Sushma D. Taylor, Ph.D. Center Point Inc.

13 Co Ed Adult Residential Individual/Group Counseling Education Recreation Family Support 60% 50% Perinatal Residential 40% 30% 20% 22% Non Residential Services 10% Monthly Income Comparison Admission Versus Completion 3% 56% Vocational Re Entry Vocational Assessment Vocational testing Pre Vocational Training Job Seeking Skills Training Social Skills Training Job Development 21% Pots Employment Counseling Employer Liaison 48% 11% 11% 28% 0% Less than $1,000 $1,000 $4,999 $5,000 $9,999 $20,000 Admission Completion Sushma D. Taylor, Ph.D. Center Point Inc. 25 Co Ed Adult Residential Housing Individual/Group Counseling Education Recreation Family Support Transitional Housing 0% 35% Perinatal Residential Subsidized Housing Rent or Own Non Residential Services Homeless 2% 0% Vocational Re Entry 9% Vocational Assessment Vocational testing Pre Vocational Training Job Seeking Skills Training Social Skills Training Job Development Pots Employment 18% Counseling Employer Liaison 56% 80% 0% 10% 20% 30% 40% 50% 60% 70% 80% Discharge Admission Sushma D. Taylor, Ph.D. Center Point Inc. 26

14 Co Ed Adult Residential Individual/Group Counseling Education Recreation Family Support Perinatal Residential 23% Non Residential Services CPS Information at Discharge 4% 5% Vocational Re Entry No change Vocational Assessment Vocational testing Pre Vocational Training Job Seeking Skills Training Social Skills Training Job Development Pots Employment Counseling Employer Liaison 68% Gained Physical Custody Gained Legal Status Gained Physical and Legal Custody Sushma D. Taylor, Ph.D. Center Point Inc Sushma D. Taylor, Ph.D. Center Point Inc. 28

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