2. Trauma Informed Care Network of Utah Kristan Warnick, CMHC - Founder Healing Pathways Therapy Center 1174 E. Graystone Way, Suite 8 Salt Lake City, UT 84106 Main Office: 435-248-2089 kristan@pathwaysutah.com

3. When we understand the impact of trauma in Utah, what should we do about it?  How do we get the word out?  How do we identify clients with trauma and refer them for appropriate treatment?  How do we find trauma trained mental health providers and trauma informed medical practitioners to help these clients?

4. My Story  Worked as a school psych for 13 years and taught at BYU  Received counseling licensure in 2008  Started private practice  Trained in trauma resolution techniques  Recognized pervasive impact of Big T and Little T trauma  Saw the positive impact of effective trauma resolution techniques with clients

5. APA January 2008 Cover Story: PTSD treatments grow in evidence and effectiveness Prolonged Exposure Therapy Cognitive-Processing Therapy Stress-Inoculation Training Eye Movement Desensitization and Reprocessing (EMDR) Medications http://www.apa.org/monitor/jan08/ptsd.aspx

6. U.S. Department of Veterans Affairs PTSD: National Center for PTSD Cognitive Processing Therapy Prolonged Exposure Therapy EMDR Medicine http://www.ptsd.va.gov/public/treatment/therapy- med/treatment-ptsd.asp

7. Positive Client Outcomes

8. Eye Movement Desensitization and Reprocessing - EMDR  Evidence-based with more that twenty positive controlled outcome studies  84%-90% of single-trauma victims no longer have post-traumatic stress disorder after only three 90- minute sessions  100% of the single-trauma victims and 77% of multiple trauma victims no longer were diagnosed with PTSD after only six 50-minute sessions.  77% of combat veterans were free of PTSD in 12 sessions

9. EMDR Now recognized as an effective form of treatment for trauma and other disturbing experiences by organizations such as: American Psychiatric Association World Health Organization Department of Defense

10. Birth of TICN-U  Realized that many therapists were not trauma trained or trauma informed  Recognized the value of collaborating with trauma informed doctors  October 2013 – heard Vincent Felitti speak about the ACES study, met him, and felt inspired to start TICN-U  January 2014 - Started trauma informed counseling group – Healing Pathways Therapy Center

11. What is TICN-U? Trauma Informed Care Network of Utah An organization formed to educate the community, mental health providers, and medical professionals about the impact of trauma and effective trauma treatment

12. TICN’s Mission To increase awareness and understanding of the impact of emotional trauma, to promote the practice of evidence-based trauma informed mental and medical health care, and to facilitate client and patient access to providers engaged in trauma informed care

13. What is Trauma Informed Care? The trauma-informed approach addresses the consequences of trauma in the individual, to recognize that our past experiences can have an impact on our current physical and mental functioning, and to facilitate healing. Instead of only asking, "What is wrong with you?" it also examines, "What has happened to you?” SAMSHA – Substance Abuse and Mental Health Services Administration

14. What are obstacles to trauma informed care? Lack of awareness about trauma Practitioners who are scared to ask, scared to stir up trauma, not sure how to handle it if it comes up Practitioners who are triggered and have not dealt with their own trauma Lack of knowledge about effective ways to handle and resolve trauma

15. In my training as a family physician, I was told not to pull up the lid on something you don’t have the time and training to deal with, like early life trauma. I am deeply embarrassed in looking back at my career caring for patients…because I followed this advice too often. It’s likely that many of my patients had early life trauma that was probably sitting right below the surface, but I rarely asked. It’s frightening to open up a Pandora’s box in a 10-15 minute visit of an overwhelmed primary care office. I believe ACE scores should become a vital sign, as important as height, weight, and blood pressure. - Dr. Jeffrey Brenner – acestoohigh.comDr. Jeffrey Brenner

16. What does TICN-U offer?  Monthly meetings for mental health, medical, and community members on topics related to trauma  Website: www.ticn.orgwww.ticn.org  List of trauma informed and trauma trained mental health and medical providers  List of trauma related resources

17. Ideas for the future:  Trauma trained crisis response team  Trauma informed training seminars for medical professionals  Promote more trauma screening  Teach simple grounding techniques for triggered clients/patients - so we aren’t scared to ask

18. TICN-U Needs  Website expertise  Expanded directory of providers  Potential board members and volunteers  Expand connections with medical community  Funding  Other ideas

19. Conclusion Looking forward to working with all of you to move forward trauma informed care in the state of Utah

20. For more information contact: Kristan Warnick Healing Pathways Therapy Center 1174 E. Graystone Way, Suite 8 Salt Lake City, UT 84106 435-280-2089 www.healingpathwaystherapy.com Or: Trauma Informed Care Network of Utah www.ticn.org