trauma-informed care: strategies for implementing a trauma-informed, integrated health setting micki...

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



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: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: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: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:Develop priorities


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:Implement strategies

Lobby Updates

Trauma-Informed Care: Implementation


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



TrainingsStress management

in the workplaceSupervision to

promote Trauma-Informed Care

Maintaining Compassion Satisfaction



Compassion Satisfaction Group SupervisionAssessment Identify needsDevelop plan Implement

strategiesOngoing evaluation



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


Identify needsGroup feedback Information from

ProQOL, surveyUse answers to

weekly questions to gather needs



Develop planReflection Identification of

strengthsHope-less vs. Hope-

fullPersonal “tank”Pessimism vs.

OptimismPersonal goalsDefining success



Implement strategiesGroup discussionAccountability

partnersActivities

Journals & decoratingPlaying cardsTeam flagsJoy jugMirrors



Ongoing evaluationWeekly self

assessmentAnnual ProQOLReview of goals



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


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?



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

mailto:[email protected]

mailto:[email protected]

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.


http://mha.ohio.gov/

http://wims.mentalhealthfirstaid.org/

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.


http://www.samhsa.gov/

http://www.thenationalcouncil.org/

trauma-informed care: strategies for implementing a trauma-informed, integrated health setting micki...

Documents

trauma informed care

trauma informed care

domains core team

hospital drive

community outreach

thumb drive

lpccserin lucas

domainsassess strengths