The Four Pillars of Sanctuary

Similar documents
Danni Lapin, LCSW-R Leani Spinner, LCSW-R September 2016 ANDRUS

2017 National Association of Social Workers. All Rights Reserved.

The Sanctuary Model. Steve Carlson, PsyD Minnesota Center for Chemical and Mental Health

THE SANCTUARY MODEL: CREATING, DESTROYING, AND RESTORING SANCTUARY

Trauma Informed Care for Educators

Trauma Informed Care. PHN Brisbane. South. Youth Health Forum. Presented by: Nikki Hill (Practice and Quality Training Coordinator)

Trauma in Organisations:

Describe the Adverse Childhood Experiences study (ACES) and the core principles of trauma informed care

AN INTRODUCTION TO TRAUMA INFORMED CARE. County of Delaware

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

The Co-Occurring Disorders Treatment Program

Trauma and Homelessness Initiative

Trauma: From Surviving to Thriving The survivors experiences and service providers roles

Responding to Traumatic Reactions in Children and Adolescents. Steve Minick Vice President of Programs

ACEs and Homelessness. Trauma-Informed Care awareness training Erica Smith, MA, MPH October 2018

Trauma Introduction to Trauma-Informed Care and The Neurosequential Model

Child Welfare System Relevance Level:

The ABC s of Trauma- Informed Care

TRANSFORMING THE CARDS DEALT. Trauma and the ACE Study

Trauma-Informed Practices for Engaging Women Who Use Substances

HOPE AND HEALING BY DESIGN. Professional development strategy

CULTURE-SPECIFIC INFORMATION

Trauma They MUST have it?? Foster Care Conference Hobart 2010 Bryan Jeffrey MOAT: Mental Health

Trauma-Informed Environments to Promote Healing. Laurie Markoff, Ph.D. Institute for Health and Recovery URL:

The ABCs of Trauma-Informed Care

Both Sides of the Desk: Trauma-Informed Services in the Child Support Program

Creating Trauma-Informed Services and Organizations: An Integrated Approach

From cycles of shame in self-harm to compassionate psychotherapy groups.

Truly trauma informed: creating safe environments

The Split Personality. and inner Healing

Didactic Series. Trauma-Informed Care. David J. Grelotti, MD Director of Mental Health Services, Owen Clinic UC San Diego May 10, 2018

Compassion Resilience. Sue McKenzie WISE and Rogers InHealth

Leading the Change from Control to Collaboration: Restraint & Seclusion Reduction

HerCircle Women s Trauma-Informed Therapy Group Support Facilitator

Creating and Sustaining a Trauma Informed Approach. Re n e e D i e t c h m a n L e s l i e W i s s

Creating Opportunities for Success: Working with Trauma Survivors in the Shelter Setting

Trauma and Children s Ability to Learn and Develop. Dr. Katrina A. Korb. Department of Educational Foundations, University of Jos

5/9/2016 COMPLEX TRAUMA OVERVIEW COMPLEX TRAUMA: DEFINED

Trauma informed care. EAST LOS ANGELES WOMEN S CENTER Zara Espinoza Veva Lopez

Dr Elspeth Traynor Clinical Psychologist

Psychological First Aid

EMDR WITH COMPLEX TRAUMA. Alexandra (Sandi) Richman

Panel One Child Trauma: Setting the Stage Elizabeth Thompson, Ph.D. The Family Center at Kennedy Krieger Institute April 4, 2013

BURSTED WOOD PRIMARY SCHOOL

Promoting and protecting mental Health. Supporting policy trough integration of research, current approaches and practice

Trauma Informed Care: The Do's and Don'ts of Serving Survivors of Intimate Partner Violence

Implementing Trauma Informed Care within a Primary Health Care service setting. Sarah Haythornthwaite Danielle Dyall Anthony Ah Kit

How We Are Meant To Be

Post-Traumatic Stress Disorder

SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT

Story Shifters DR. BARBARA WARD

ADDRESSING THE TRAUMA OF WORKING IN PUBLIC HEALTH

SELF in Schools: Problem Solving through the Sanctuary Model. Leani Spinner, LCSW-R Danni Lapin Zou, LCSW-R October 2017 ANDRUS

Peer Support. Introduction. What is Peer Support?

The Sanctuary Model, Creating Safety for an Out-of-home Care Community

Resilience in the RTW Context

NARM NEUROAFFECTIVE RELATIONAL MODEL. a complete theoretical approach & clinical model for treating complex trauma. HEALING DEVELOPMENTAL TRAUMA

Breaking the Silence PRESENTER: SARAH SUPER, M.ED.

Compassion Fatigue/ Secondary Trauma:

6/8/2018. What do you think of when you hear the word trauma? What type of events are traumatic?

Sixteen Principles For Building a Sustainable and Harmonious World

Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?

Building Resilient Communities through Trauma Informed Congregations. Healing Connecting Restoring

Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders

Module 2: Types of Groups Used in Substance Abuse Treatment. Based on material in Chapter 2 of TIP 41, Substance Abuse Treatment: Group Therapy

Advancing Compassion Resilience. Jason Mims Parklawn Assembly of God and Emptrain Sue McKenzie WISE and Rogers InHealth

Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders

Ecological Analysis of Trauma ~~~~~ Presented by: Francine Stark

Rainbow Dots WELCOME! As you enter the room, please take a post-it note. On the post it note please write one of the following:

POLICY NAME: Spiritual, Moral, Social and Cultural Development STATUS: Recommended DATE OF REVIEW: September 2013

Trauma Informed Parents

ENGAGING AND SUPPORTING FAMILIES IN SUICIDE PREVENTION

Trauma-Informed Services

Stress Reactions & Coping Mechanisms Honor Guard. Presented by the Military & Family Life Counselors

PTSD Ehlers and Clark model

Innovations and Trends in Organizational Responses to Trauma

Emily C. Brown, LPC-S, NCC Jennifer Young, LPC

Generic Structured Clinical Care for individuals with Personality Disorders

Harm Reduction for the Harm Reductionist: Self-Care. Harm Reduction in the House: It s not just about Drugs September 13, 2013

CONVERSATION GUIDE: ACTIVITIES FOR STAFF MEETINGS AND IN-SERVICE TRAININGS

REGULATOR RELIEF. Jacqueline Rowe, MA, BS, NHA Director Bureau of Human Services Licensing

From ACEs to Assets. Fostering Resilience to Improve Outcomes. Best Practice Seminar

What recovery means: Independent living. Control of symptoms. Active remission of substance use. Competitive employment

Description of intervention

Component-Based Psychotherapy

Trauma-Informed Approaches to Substance Abuse Treatment in Criminal Justice Settings. Darby Penney Advocates for Human Potential July 8, 2015

Trauma Informed Care. Creating a Trauma Informed Organization

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims

Working with complex trauma: The impact on the therapist. Anne R Douglas 7 th March 2013

Complex Trauma in Children and Adolescents

Group Interventions For Complex Trauma: UKPTS March Dr Lisa Reynolds: Greater Glasgow and Clyde Trauma Service: The Trauma and Homelessness

Elevate Montana Adverse Childhood Experiences Study Summit 5/29 & 5/30/2014

Healing from Trauma Young Adult and Family Perspectives and Recommendations December 18, 2014 Georgetown National Webinar Series

Addressing Emotion Dysregulation for More Effective Learning

The eight steps to resilience at work

Everyone deserves a suitable, affordable home!

Spiritual, Moral, Social and Cultural Development Policy

Schema Therapy and The Treatment of Eating Disorders. Presented by Jim Gerber, MA, Ph.D Clinical Director for Castlewood Treatment Centers Missouri

SELF - CARE FOR HUMANITARIAN HELPERS. Elizabeth Rutten-Turner, LMSW Saint Alphonsus Center for Global Health and Healing

Transcription:

The Four Pillars of Sanctuary Pillar 1: Shared Knowledge - Trauma Theory: scientifically-grounded knowledge about trauma, adversity, and attachment. The Sanctuary Model is a blueprint for individual and organisational change. At its core, it promotes safety and recovery from adversity by creating a trauma-informed community. The model recognises the impact trauma has, not only on those who seek services, but equally on the people and systems who provide those services. It identifies that trauma may result from both lived experiences and ongoing, cumulative or intangible experiences, like racism and poverty. Trauma theory suggests many behavioural symptoms we see, are a direct result of trying to cope with negative experiences. To effectively support our clients in their change and growth, Sanctuary helps us to move from a position of blame to one of questioning. Instead of asking "what s wrong with you?, we ask what s happened to you?. This is the first step in recognising how the past influences people s current behaviours. Sanctuary also recognises that just as people are susceptible to adversity, so too are organisations. We can often draw a parallel between the way a person and an organisation reacts to trauma. Traumatised individuals will withdraw and disconnect from their community. Organisations facing financial or political pressures will also respond with detachment, rigidity and autocratic decision-making. Intervening in this parallel requires shifting organisational behaviours and thinking to align with trauma-informed practices. Sanctuary provides the blueprint to accomplish this alignment.

Pillar 2: Shared Values - Sanctuary Commitments a trauma-informed way of making decisions, problem-solving and planning. Sanctuary s seven commitments are a set of values to guide individuals and organisations away from trauma-reactive behaviours. Traumatised people/groups often experience violence as part of their trauma: physical, psychological, social, moral or cultural. This commitment attempts to give the opposite experience within the community. Traumatised people/groups often experience insensitivity and disrespect regarding their behaviours or feelings. This commitment creates an environment in which community members understand the relationship between past experiences, emotions and behaviours and can respond and react to clients and each other with those relationships in mind. Traumatised people/groups are often isolated as a way to selfprotect and can become engaged in repetitive patterns of thinking and behaviour. This commitment promotes collaborative thinking and problem solving. It works to break dysfunctional and repetitive patterns by seeing other perspectives and ideas. It also lessens the isolating effects of shame by viewing mistakes as positive learning opportunities.

Many definitions of trauma include an overwhelming sense of helplessness during the event which can lead to learned helplessness in the future. Democracy requires active participation and empowerment in the service of replacing helplessness. Secrecy is often a component of prolonged exposure to traumatic experiences (i.e. sexual abuse, parental alcoholism). This commitment creates a community that tolerates expression of emotions and openly explores interpersonal and organisational issues. Traumatised people/groups have often experienced injustice either during or in response to reporting a traumatic event. This commitment focuses on building a community in which people feel a sense of responsibility, and care for each other and the group as a whole and in which people are held accountable for their actions. Traumatised people/groups can become paralysed by their experiences so that they continue to relive or repeat the past in ways that prevent healing or growth. This commitment presents a framework to evaluate current behaviours while focusing on the future by setting achievable goals and breaking dysfunctional patterns.

Pillar 3: Shared Language S.E.L.F. (Safety, Emotions, Loss, Future) Framework: a set of values that lead individuals and organisations away from traumareactive behaviours S.E.L.F. is a problem-solving framework that represents the four dynamic areas of focus for trauma recovery. It offers a trauma-informed way of organising conversations and documentation for clients, families, staff, and administrators by moving away from jargon and towards more simple and accessible language. The framework is also used to solve system and organisational problems in a nonlinear fashion. This means sometimes using the framework out of order when looking at an issue. Often, it makes sense to start with future (where we hope to be) and work backwards from there, considering concerns and possible interventions related to safety, emotions and loss.

Pillar 4: Shared Practice - Sanctuary Toolkit: a set of practical and simple interventions that reinforce the model s language and philosophy. Sanctuary tools are daily practices for staff and the people they serve, to support a decrease in the negative effects of chronic stress and adversity. The tools are adapted and individualised for organisations based on the services they provide and the populations they serve. Below is a sample of some of the Sanctuary Tools. Community Meetings A set of three questions that are posed to each member of a group to start all meetings. The questions are designed to enhance organisational functioning by: promoting feelings of identification focusing on the future rather than the past creating a sense of connection with other staff members. Red Flag Reviews A response to critical incidents that observes certain protocols and that promotes involvement from a wide range of community members. The focus is on solutions rather than problems and creates a system for accountability and action. Safety Plans Visual reminders of emotion management practices represented as a list of activities, techniques or skills. The card is carried and used in situations that may trigger unproductive reactions. Sanctuary Psychoeducation Educational materials and activities that instruct community members about the effects of adversity on the brain, techniques for managing these effects and strategies for creating healthy dynamics in groups. S.E.L.F. Care Planning A framework for creating individualised plans for clients and staff that balances demands of care with the need for mental, spiritual, physical and emotional replenishment and renewal. Sanctuary Core Team A selected group of people within the organisation who manage Sanctuary's roll-out and implementation. They model its values and practices, monitor completion of implementation tasks, and address organisational problems.