Trauma-Informed Care:Strategies for implementing a trauma-
informed, integrated health setting
Micki Lamb, LPCC-SErin Lucas, LISW-S
Early Childhood ProgramsPresents
Trauma-Informed Care:Strategies for implementing a trauma-informed,
integrated health setting
Micki Lamb, LPCC-STrauma-Informed Care CoordinatorHopewell Health Centers, Inc.90 Hospital Drive, Athens, OH 45701
Erin Lucas, LISW-SEarly Childhood Programs DirectorHopewell Health Centers, Inc.90 Hospital Drive, Athens, OH 45701
Trauma-Informed Care
• Restroom location• Cell phone reminder• Feel free to pass notes
Refrain from side bar conversations
• Respect each otherOpinionsFeedback on videosDuring activities
Housekeeping: Setting the stage for success
Trauma-Informed Care
Trauma-Informed Care
Agenda: Setting Expectations for the day
Objectives• Understand and identify processes used to
assess and plan for implementing Trauma Informed Care practices within a community mental health setting.
• Describe the role of Compassion Satisfaction group supervision to promote staff self-care in the Trauma Informed Care process.
• Identify specific action steps to take in order to begin implementing trauma-informed care principles at their job sites.
ActivityFold a piece of paper into thirds
1. What do I know?2. What do I want to know?3. What did I learn?
Gather ChampionsAssessment of
agency needsDevelop prioritiesSubcommittees Implement
strategies
Trauma-Informed Care
Trauma-Informed Care:Process
Educate and motivate upper administration
Invite Core Team members that are already champions of trauma-informed care, whether or not they identify as such
Select potential team members from several disciplines or strata within the agency
Start small and branch outward
Trauma-Informed Care
Trauma-Informed Care:Gather Champions
Survey agency strengths and needsSelect a model that identifies
domainsAssess strengths and needs in
each domainExample:
National Council TIC Learning Community, or the Trauma-Informed Organizational Self-Assessment on your thumb drive.
Trauma-Informed Care
Trauma-Informed Care:Assessment of agency needs
• National Council domains Early screening and
comprehensive assessment of trauma
Consumer driven care and services Trauma-informed, educated and
responsive workforce Provision of trauma-informed,
evidence-based and emerging best practices
Create safe and secure environments
Engage in community outreach and partnership building
Ongoing performance improvement and evaluation
• OMHAS key principles Safety Trustworthiness and
transparency Peer support Collaboration and
mutuality Empowerment,
voice, and choice Cultural, historical,
and gender issuesTrauma-Informed Care
Trauma-Informed Care:Domains
Core Team identifies where to start based on ease
or urgency of need and develops a behavioral plan for change that identifies who, what, when, how
Evaluation Identify a way that the team or
subcommittee can chart progress completing objectives improvements on surveys
Meetings Suggest Core Team meetings at least
every other week. Subcommittees will meet as needed.
Trauma-Informed Care
Trauma-Informed Care:Develop priorities
Trauma-Informed Care
Trauma-Informed Care:Core team and Subcommittees
Core Team identifies where to start based on ease or
urgency of need and develops a behavioral plan for change that identifies who, what, when, how
Develops subcommittees Reports to agency administration Meets at least every other week
Subcommittees Meets as needed to implement strategies Reports back to core team at regular
meetings Chart progress
completing objectives improvements on surveys Other evaluation tool
Subcommittees implement strategies
ExamplesNewsletterLobby updatesTrainingsCompassion
Satisfaction Group Supervision
Trauma-Informed Care
Trauma-Informed Care:Implement strategies
Lobby Updates
Trauma-Informed Care: Implementation
Trauma-Informed Care
Consumer and partner surveys and staff observations Lobby looks like a bus station Nowhere I can sit safely with my back to the wall Not sure where to check in Children’s area meant adults abandoned kids to the toys People staring at me as I enter No green living things in lobby I can’t get out of these couches without help No literal “welcome” to agency Furniture 20 years old, not easily cleaned and de-
stained, dull
Trauma-Informed Care: Implementation
Trauma-Informed Care
TrainingsStress management
in the workplaceSupervision to
promote Trauma-Informed Care
Maintaining Compassion Satisfaction
Trauma-Informed Care: Implementation
Trauma-Informed Care
Compassion Satisfaction Group SupervisionAssessment Identify needsDevelop plan Implement
strategiesOngoing evaluation
Trauma-Informed Care: Implementation
Trauma-Informed Care
Assessment Use of ProQOL
Proqol.org Strengths survey
http://freestrengthstest.workuno.com/free-strengths-test.html
Reflection How are you doing? What have you done to take care of
yourself? What have you done to encourage
someone else? What has someone else done to
encourage you?
Trauma-Informed Care: Compassion Satisfaction Group Supervision
Trauma-Informed Care
Identify needsGroup feedback Information from
ProQOL, surveyUse answers to
weekly questions to gather needs
Trauma-Informed Care: Compassion Satisfaction Group Supervision
Trauma-Informed Care
Develop planReflection Identification of
strengthsHope-less vs. Hope-
fullPersonal “tank”Pessimism vs.
OptimismPersonal goalsDefining success
Trauma-Informed Care: Compassion Satisfaction Group Supervision
Trauma-Informed Care
Implement strategiesGroup discussionAccountability
partnersActivities
Journals & decoratingPlaying cardsTeam flagsJoy jugMirrors
Trauma-Informed Care: Compassion Satisfaction Group Supervision
Trauma-Informed Care
Ongoing evaluationWeekly self
assessmentAnnual ProQOLReview of goals
Trauma-Informed Care: Compassion Satisfaction Group Supervision
Trauma-Informed Care
Use various methods to keep direct service staff current, trauma-informed, and using models to fidelity.
TTCBC may be hosted regionally for various similar agencies to engage in non-identified case consultation, and for education or review of various trauma treatment issues/models. Potential participants are given a written resource to read prior to the meeting. In a live and/or teleconferenced format, one member briefly introduces the topic and help moderate discussion. Then cases can be examined through that lens.
Trauma-Informed Care: Book Club
Trauma-Informed Care
Dear Mental Health Therapists of Athens, Hocking Vinton, Jackson and Washington Counties: Hopewell Health Centers is pleased to announce the beginning of a free trauma treatment book club and peer consultation series. Our hope is to connect local mental health providers of southern Ohio to more information about trauma’s effects and specific treatments, as well as increase fidelity to models with which providers may already be familiar. We plan to teleconference the meetings to all Hopewell behavioral health sites in Athens, Logan, McArthur, Belpre, and Jackson. Potential participants are asked to alert me or the director of the nearest HHC site, so that we can be assured of adequate space. All participants should be prepared to eventually share at least a half hour presentation of a particular trauma treatment topic, sharing a key resource in advance with the group (eg an article by Bruce Perry, a chapter of a TF-CBT book).
Trauma Treatment Peer Consultation/Book Club Second Monday of the Month
First Meeting:
Mon., April 13, 2015, 12-1pm Topic: Trauma Screening
Resources: Any screener you use, may include: UCLA PTSD Reaction Index, TLC Child PTSD Questionnaire, Impact of Events Scale, Child Trust Events Survey, PCL-C, Life Events Checklist,
adult or child questionnaires based on ACES.
We will also plan future desired topics and speaker rotations during this session.
Second Meeting:
Mon., May 11, 12-1pm Topic: NMT
Resource: Perry, Bruce (2009). Examining Child Maltreatment Through a Neurodevelopmental Lens: Clinical
Applications of the Neurosequential Model of Therapeutics, Journal of Loss and Trauma, 14:240-255. Available on the HHC S Drive and via The Child Trauma Academy website, childtrauma.org.
Sincerely, Micki Lamb, LPCC-S Trauma-Informed Care Coordinator Hopewell Health Centers 90 Hospital Dr, Athens, OH 45701 [email protected]
90 Hospital Drive, Athens Oh 45701 Phone: (740) 592-3091 FAX: (740) 594-5642 ________________________________
Access to Affordable, High Quality,
Integrated Health Care for All
Concerns?Questions?
Trauma-Informed Care: Implementation
Trauma-Informed Care
Reflection: Taking key points home with me!
What did I learn today?
What can I do tomorrow?
What can I add next week?What do I need?
What can I add next month?What do I need?Trauma-Informed
Care
Closing: Thank you for your time and attention!
• Evaluation
• Contact Information:Micki Lamb
[email protected] Lucas
[email protected] Trauma-Informed Care
Resources:
• http://mha.ohio.gov OHMHAS provides assessment/screening instruments, environmental TI assessment, information about specific populations, trainings/events, TIC Regional Collaboratives, TtT trauma trainers by region.
• www/compassionfatigue.org Self-tests, suggested readings including “Top 12 Self-Care Tips for Helpers”.
• http://wims.mentalhealthfirstaid.org Search for regional trainings for support staff on mental health/trauma with specific populations.
Trauma-Informed Care
Resources:
• www.samhsa.gov Order or download Trauma-Informed Care in Behavioral Health Services (TIP 57) for trauma and resiliency screening/assessment, creating a TIC organization, building trauma-informed workforce, TIC supervision, secondary traumatization, many resources.
• OMHAS TIC TtT packets and slides• http://www.thenationalcouncil.org Information about TIC
and how to access the TIC learning community.• Muskie.usm.maine.edu/helpkids/SupervisionProject/
INSupervisor Use of supportive supervision to affect compassion satisfaction; use of humor; self-assessment of compassion fatigue.
Trauma-Informed Care