“empowering resilient oklahomans”...jan 22, 2019 · 1 systems of care & communities of...
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Systems of Care & Communities of Care
“Empowering Resilient
Oklahomans”
updated Jan. 23, 2019
What is the genesis
or the root cause?
Source: Academy of Pediatrics
https://www.cdc.gov/violenceprevention/acestudy/index.html
https://www.traumamatterskc.org/what-can-i-do.html .
What is the
root cause of
adversity?
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Toxic Stress:
Prolonged activation of
stress response systems
in the absence of
protective relationships.
Sources:
https://developingchild.harvard.edu/science/key-concepts/toxic-stress/
https://www.cdc.gov/violenceprevention/acestudy/index.html
http://ok25by25.org/our-programs/resilience/
Research shows that it is …
Where do we Start?
Opportunity to
Coordinate Tiered Supports:Research shows that > 35% poverty in a community is a tipping point where taxes alone cannot keep up with the complex needs of the citizens. A community-wide coordinated effort is necessary to turn the tide.
In Oklahoma we have 763 zip codes, however there are specific zip codes with more than 500 children under the age of 5 experiencing poverty. We need to have a diversified investment:
• 12 zip codes with 50% or more of families living below poverty
• 43 zip codes with 33% to 49% families living below poverty
• 65 zip codes with 15 to 32% families living below poverty
Updated Resource & Data Mapping Tool: https://www.opportunityatlas.org/
*See “Number of Children for Low-income” overlay with “High Incarceration”7
All Hands On Deck: Braiding Resources with Cross-sector Partnerships
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To Collaborate on Strategies with Abundant & Multiplying
Resources….
we must focus our energy on this question:
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Priceless Question:
How can we offer a menu of equity-based & supportive pathways
(treatment/prevention options) for children, youth, families & staff experiencing
toxic stress who are starting to show signs of distress
before their lives fall apart and need *high-cost services?
*High-cost services= foster care, homeless, jail, prison, etc.
Why Are We Ignoring Toxic Stress? -When should we implement the Crisis Care Continuum?
-What are *“signs of distress” before Intercept Zero?
*Signs of Distress:- suspensions from daycare or Head Start (referral from early childhood education provider) - unexcused absences or suspensions from school (referral from teacher, counselor, principal)- unexcused absences from work (referral from supervisor at work)- delinquent payments (referral from lending institutions; utility companies, landlord, auto loans)- frequent visits to urgent care clinics/emergency room (referral from health care provider)
Where are Windows of Opportunity to Increase “Protective Relationships”? - Engagement Opportunities to Connect & Build Trust with Children, Youth, Families & Staff
- Offer “Menu” of empowering Family Resources, Support Groups, Treatment & Counseling
Business
Community
Financial Child Care/
Head Start
Education/
School
Health/Dental Senior
Care
Law
Enforcement
Behavioral
Indicators of
Human
Instability
& Toxic Stress:
18-65 years
Chronic
Unexcused
absences from
work
Delinquent bills
(utility, rent,
auto, etc.)
Accessing
predatory
lenders
0-5 years
Chronic
Unexcused
Absences
& Suspensions
5-18 years
Chronic
Unexcused
Absences
& Suspensions
Frequent visits to
Urgent Care
or
Emergency
Room
Or emergency
dental
65+ years
Isolation
911 calls
Domestic
violence
Illegal activity
Frontline
Staff –
Opportunity
for Trauma-
training &
develop
process for
Referral:
Supervisor;
Human Resource
Coordinator
Landlords
Utility companies
Lending
institutions
Unemployment
offices
Child Care
Teacher
Teachers
Parent Liaisons
Truancy Division
Nurse/Counselor
Nurse
Physicians
Nurse
Geriatrician
First Responders:
Police
Fire
EMSA
Stabilizing &
Supportive
Resources:
Resource
Coordinator
Support Groups
EAP Programs
Counseling
Substance Use
Treatment
Parenting Skills
Financial Advice
Resource &
Referral
Support Groups
Federal Credit
Union programs
Food Pantry
Resource &
Referral
Support Groups
Home-Visiting
Nurse-Family
Partnership
Resource &
Referral
Coordinator
Support Groups
Counseling
Resource
Coordinator
(Patient
Navigator)
Support Groups
Counseling
Substance Use
Treatment
Parenting Skills
Financial Advice
Resource &
Referral
Support Groups
Senior Centers
near Child Care
Centers
Volunteer
Mentor
Opportunities
Resource
Coordinators
“Handle With
Care”
Resource
Coordinator
Support Groups
Treatment
Counseling, etc.
Last resort:
Prison/Jail
“Stress at home creates stress at work; stress at work creates stress at home”
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Resource Poster to post on back of Bathroom Stall Doors:
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What are Holistic Strategies that Address
Toxic Stress (Untreated Trauma) &
Increase Positive Support Systems?
“Empowering Resilient Oklahomans”*Bridges Framework with a Trauma-informed Equity Lens
https://www.samhsa.gov/nctic/trauma-interventions
https://www.acesconnection.com/
https://www.traumainformedcare.chcs.org/
https://www.nctsn.org/resources/training
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“All Hands On Deck” Approach:
Bridges Framework
Process for each organization
to become Trauma-Informed:
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Resource: Trauma-Informed Care Organizational Assessment http://www.traumainformedcareproject.org/downloadFile.php
Getting Ahead OKC, 2018
Proposed Shared Goal:
• Provide & improve tiered positive supports to individuals with untreated trauma who lack access and/or awareness to those positive supports systems
Empowering Resilient Oklahomans:
Five Year Framework & Call to Action• Increase Awareness: Community level
- Build awareness & trust with regular urban and rural community conversations & cross-sector
trauma-informed trainings to increase inclusion, engagement and empowerment.
- Increase understanding & implementation of proven strategies to address untreated trauma
- Restore civic capacity by empowering local communities to respectfully engage with individuals living
in their community who are experiencing discrimination, barriers to upward mobility and untreated
trauma by creating a Family/Client Advisory Team (8-12 people/organization)
- Promote peer and family support groups for children, youth, adults & staff
• Awareness to Action: Organizational level- Implement trauma-informed environments, policies, and practices with cross-sector workgroups
with feedback from family/client advisory members with lived experience.
- Incorporate Trauma-informed Supervision
- Create framework for a Client Advisory Team (8-12 people/organization)
- Create framework for support groups (for staff, clients and families)
• Action to Access: Individual level- Increase access to empowering family resources via Resource Coordinator (ERN, EAP, etc.)
- Increase trauma-specific evidence-based individual counseling, PEER and FAMILY support groups at
work, in the community, at schools, healthcare settings and prisons.
- Promote S.E.L.F. – C.A.R.E. for leadership, staff, clients and families
with Sleep and slowing down, Exercise, Loving relationships, & Food that is nutritious,
we act with Compassion, Awareness, Respect & Empowerment 18
Process for each organization to implement a
Staff/Client Advisory Team:
• 8-12 people experiencing instability
• 2 Trauma-informed Facilitators who can create a
Culture of Respect & Understanding
• Free Transportation
• Free Childcare
• Free Family Meal
• Monetary Stipend/Respite Voucher
• Meet weekly for first 16 weeks to stabilize (then monthly)
• Referral & Access to individual trauma-specific services for
staff, children, youth and families
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Resource: https://www.nasmhpd.org/sites/default/files/PeerEngagementGuide_Color_REVISED_10_2012.pdf
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➢ Call to Action:
✓ Post “Oklahoma CARES” Resource Poster in your office bathrooms
✓ Watch Resilience Film with your organization
✓ Develop/Enhance a “Trauma-Informed/Resilient Change Team”
✓ Conduct a TIC organizational assessment
✓ Create a Staff/Client Advisory Team (8-12 people/organization)
✓ Learn from trauma-informed trainings & facilitate discussions
✓ Strengthen policy and procedures, including a Resource Coordinator as part
of a Employer Resource Network (ERN) & referrals to Employee Assistance
Programs (EAP), Support Groups, etc.
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Trauma-Informed/
Resilient Process:
Create/Strengthen Internal “Trauma-informed/Resilience
Change Team”
(Champions)
Create/Strengthen a Client Advisory Team
(8-12 people/org)
Strengthen Policy & Procedures with Feedback from Advisory Team,
Staff, Leadership & Community Partners
On-going Trauma-informed/Resilience
trainings & discussions
Implementation(Resource Coordinator,
ERN, EAP, Support Groups, etc.)
*Start Here:
Trauma-informed/Resilient Organizational Assessment
(Measure Impact)
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➢ Additional Resources Upon Request:
*Please share with others & use in collaborative funding opportunities.
updated January 23, 2019
Questions and/or Technical Assistance? Please contact:
Adrienne B. Elder, MPH, CHES
Trainer, Facilitator, & Grant Writer for Coalitions
405-426-5431