1. Behavioral Health is Essential To Health, Prevention Works, Treatment is Effective, People Recover

2. Alternatives 2013 Building Inclusive Communities: Valuing Every Voice December 4–7, 2013 Austin, TX 22

3. Promoting Resilience and Well-Being Through a Trauma-Informed Lens William Kellibrew The William Kellibrew Foundation 33

4. “One Word” We’ll be doing an exercise called “One Word.” 4

5. Core Values Please review the Core Values handout. 5

6. SAMHSA’s Wellness Initiative Goals – Raise awareness of early mortality rates; – Promote ways to improve health behaviors; – Incorporate the Eight Dimensions of Wellness into our recovery; and – Enhance quality of life and increase longevity through wellness. 6

7. The Eight Dimensions of Wellness Adapted from Swarbrick, 2006. 7

8. Trauma: An Individual Experience 8 William

9. My Wellness and Recovery Journey William Kellibrew Documentary Piece http://vimeo.com/59721525 Personal impact of trauma and violence 9

10. My Wellness and Recovery Journey Where I am today: 10

11. My Wellness and Recovery Journey Where I am today: 11

12. Media View of Trauma: 1984 The Washington Post – “Police also reported receiving a call from Kellibrew’s 10-year-old son, William, who they said witnessed the shootings but was unhurt.” – “Alexander said she [Jacqueline Kellibrew] was especially proud of her 10-year-old son William Kellibrew, who police said witnessed the shooting but was unhurt.” 12

13. Media View of Trauma: 2013 The Daily Beast – “A police officer took the uninjured child from the car.” USA Today – “A 1-year-old girl was in Carey's car, though she avoided serious injury and was taken into protective custody.” CBS News – “Carey's young daughter, who was in the car during the entire chase, was rescued unharmed after the shooting.” CNN – “Although Miriam Carey was shot while driving with her baby girl, the child was uninjured.” 13

14. A National Crisis Children exposed to violence: – Number approximately two out of every three; – Are more likely to be repeat victims of violence; – Are more likely to abuse drugs and alcohol and suffer from depression, anxiety, and posttraumatic disorders; and – Are more likely to have trouble in school and engage in criminal behavior. Sources: U. S. Department of Justice, n.d.; Listenbee et al., 2012. 14

15. African American Community as a Microcosm of Trauma Violent crime affects black youth ages 12 to 19 significantly more often than their white peers. This includes: – Child abuse or neglect (three times more likely); – Victims of robbery (three times more likely) (Bureau of Justice Statistics, 2006) ; and – Victims of homicide (five times more likely) (Baum, 2005). For black youth ages 15 to 24, homicide is the leading cause of death (Voisin, 2007). 15

16. Institute on Domestic Violence in the African American Community (IDVAAC) In 1993, a group of scholars and practitioners formed the Institute on Domestic Violence in the African American Community (IDVAAC) with a mission to work with society to understand and end violence in the African American community. 16

17. IDVAAC Knows Its Community African Americans disproportionately experience stressors that can create violent conditions in the home. The founders agreed that the mainstream “one-size-fits-all” approach to domestic violence services would not suffice. 17

18. IDVAAC Works With Its Community Current initiatives include: – Cultural Competence & Domestic Violence; – Fatherhood & Domestic Violence; – Safe Return Initiative, Prisoner Re-Entry; – African American Domestic Peace Project; – Spirituality, Faith & Domestic Violence; – Healing From Domestic Violence; and – Adult Children Exposed to Domestic Violence. 18

19. Resilience and Wellness Resilience – The capability of a strained body to recover its size and shape after deformation caused especially by compressive stress – An ability to recover from or adjust easily to misfortune or change Wellness – The quality or state of being in good health, especially as an actively sought goal 19

20. Trauma-Informed Care Trauma-informed care: – Is a new form of evidence-based interventions and service delivery; – Is implemented by multiple service providers; and – Identifies, assesses, and heals people injured by, or exposed to violence and other traumatic events. Adapted from Substance Abuse and Mental Health Services Administration, 2012a, 2012b. 20

21. Trauma-Informed Services Trauma-informed services occur when caregivers: – Understand the impact that exposure to violence and trauma have on victims’ physical, psychological, and psychosocial development and well-being; – Recognize when an individual needs help to recover from trauma’s adverse impacts; and – Respond in helping ways that reflect awareness of trauma’s adverse impacts and consistently support the individual’s recovery from them. Adapted from Substance Abuse and Mental Health Services Administration, 2012a, 2012b. 21

22. Discussion What are your definitions or reality of the following concepts? – Resilience – Wellness – Trauma-informed care, practices, and approach 22

23. Discussion Using trauma-informed approaches to achieve and maintain resilience and wellness: – Understanding, commitment, and practices (Hodas, 2006) Understanding trauma includes appreciating its prevalence and common consequences. Service providers need to understand the whole child or person, not just focus on the problems and the concerns. Services represent more than a mechanism to address symptoms and behaviors. In a broader sense, services need to promote understanding, self-control, and skill building. Service provision is not an impersonal process. 23

24. Discussion Unique needs and experiences facing youth, including health care access, trauma- informed care, spirituality, and legal needs: – White House Youth Summit; African American Youth and the Affordable Care Act – Cross-systems approach to creating and sustaining trauma- informed systems of care; – The intersection of faith and youth; and – The need for more Voice and Choice in different systems, including the criminal justice, juvenile, and judicial systems. 24

25. Discussion Supporting all young trauma survivors as valued members of our diverse communities: – Voice and Choice – Resilience – Strength-based versus deficit-based approach Identifying and recognizing child strengths Promoting resilience in children and youth Source: The University of Texas at Austin Institute on Domestic Violence and Sexual Assault, n.d. 25

26. Discussion Supporting all young trauma survivors as valued members of our diverse communities: – “…the basic psychological motive, or cause, of violent behavior is the wish to ward off or eliminate the feeling of shame and humiliation — a feeling that is painful and can even be intolerable and overwhelming — and replace it with...a feeling of pride.” Source: Gilligan, 2003. 26

27. “One Word” Now that we have discussed trauma, resilience, and wellness, we will repeat the “One Word” exercise. 27

28. Thank You “To the world we may be one person, but to one person we may be the world.” – Anonymous “You Raise Me Up” was made famous by Josh Groban. 28

29. Resources African-American Youth and Exposure to Community Violence: Supporting Change From the Inside www.psysr.org/jsacp/Thomas-v4n1-12_54-68.pdf Engaging Women in Trauma-Informed Peer Support: A Guidebook www.nasmhpd.org/Publications/EngagingWomen.aspx NASMHPD Resource Management Guide: Impacts of the Affordable Care Act on Coverage for Uninsured People With Behavioral Health Conditions www.nasmhpd.org/Meetings/NASMHPD_RMG.aspx Report of the Attorney General’s National Task Force on Children Exposed to Violence www.justice.gov/defendingchildhood/cev-rpt-full.pdf Responding to Childhood Trauma: The Promise and Practice to Trauma-Informed Care www.nasmhpd.org/docs/publications/docs/2006/Responding%20to%20Childhood%20Trauma%20- %20Hodas.pdf SAMHSA’s Wellness Initiative www.samhsa.gov/wellness State Roadmap to Peer Support Whole Health & Resiliency www.nasmhpd.org/docs/publications/Roadmap_v6.pdf 29

30. References Baum, K. (2005). Juvenile victimization and offending, 1993–2003. Washington, DC: Bureau of Justice Statistics. Bureau of Justice Statistics, U.S. Department of Justice. (2006). Criminal victimization in the United States, 2005 statistical tables [Tables 3, 4, 9, 10]. Washington, DC: Author. CBSNews.com. (2013, October 5). Miriam Carey, identified Capitol Hill car chase driver, was taken for mental-health evaluation. Retrieved from http://www.cbsnews.com/8301-201_162- 57606111/miriam-carey-identified-capitol-hill-car-chase-driver-was-taken-for-mental-health- evaluation/http://www.cbsnews.com/8301-201_162- 57606111/miriam-carey-identified-capitol-hill-car-chase-driver-was-taken-for-mental-health- evaluation/ CNN Staff. (2013, October 4). Capitol Hill shooting: Who was Miriam Carey? CNN.com. Retrieved from http://www.cnn.com/2013/10/04/us/dc-shooting-miriam-carey/http://www.cnn.com/2013/10/04/us/dc-shooting-miriam-carey/ Daly, M. (2013, October 4). What pushed Miriam Carey to a Capitol Hill tragedy? The Daily Beast. Retrieved from http://www.thedailybeast.com/articles/2013/10/ 04/what-pushed-miriam-carey-to-a-capitol-hill-tragedy.htmlhttp://www.thedailybeast.com/articles/2013/10/ 04/what-pushed-miriam-carey-to-a-capitol-hill-tragedy.html Gilligan, J. (2003). Shame, guilt, and violence. Social Research: An International Quarterly, 70(4), 1149–80. Retrieved from http://socialresearch.metapress.com/link.asp?id=4veyqx7eycpbhttp://socialresearch.metapress.com/link.asp?id=4veyqx7eycpb 30

31. References Hodas, G. R. (2006). Responding to childhood trauma: The promise and practice to trauma- informed care. Retrieved from http://www.nasmhpd.org/docs/publications/docs/2006/Responding%20to%20Childhood%20Tra uma%20-%20Hodas.pdf http://www.nasmhpd.org/docs/publications/docs/2006/Responding%20to%20Childhood%20Tra uma%20-%20Hodas.pdf Johnson, K., Leinwand, D., & Stanglin, D. (2013, October 5). Official: D.C. suspect thought Obama was speaking to her. USA Today.com. Retrieved from http://www.usatoday.com/story/news/nation/2013/10/04/miriam-casey-connecticut-us-capitol- case-depression-washington/2921377/ http://www.usatoday.com/story/news/nation/2013/10/04/miriam-casey-connecticut-us-capitol- case-depression-washington/2921377/ Listenbee, R. L., Jr., Torre, J., Boyle, G., Cooper, S. W., Deer, S., Durfee, D. T. …Taguba, A. (2012). Report of the Attorney General’s National Task Force on Children Exposed to Violence. Washington, DC: U.S. Department of Justice. Retrieved from http://www.justice.gov/defendingchildhood/cev-rpt-full.pdf http://www.justice.gov/defendingchildhood/cev-rpt-full.pdf Meyer, E. L. (1984, July 3). 3 killed in Capitol Heights shooting. The Washington Post, pp. A1. Retrieved from http://williamkellibrewfoundation.roundtablelive.org/resources/Documents/3%20killed.pdf http://williamkellibrewfoundation.roundtablelive.org/resources/Documents/3%20killed.pdf 31

32. References Substance Abuse and Mental Health Services Administration. (2012a). Trauma definition: Introduction [Webpage]. Retrieved from http://www.samhsa.gov/traumajustice/traumadefinition/http://www.samhsa.gov/traumajustice/traumadefinition/ Substance Abuse and Mental Health Services Administration. (2012b). Trauma definition: Part Three: Suggested guidelines for implementation of a trauma-informed approach [Webpage]. Retrieved from http://www.samhsa.gov/traumajustice/traumadefinition/guidelines.aspx http://www.samhsa.gov/traumajustice/traumadefinition/guidelines.aspx Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29(4), 311–314. The University of Texas at Austin Institute on Domestic Violence and Sexual Assault. (n.d.). A gecko’s guide to building resiliency in child abuse staff & volunteers. Austin, TX: Author. Retrieved from http://www.utexas.edu/ssw/dl/files/cswr/institutes/idvsa/downloads/UT_Gecko_Guide_for_Resiliency _IDVSA.pdf http://www.utexas.edu/ssw/dl/files/cswr/institutes/idvsa/downloads/UT_Gecko_Guide_for_Resiliency _IDVSA.pdf U.S. Department of Justice. (n.d.). Facts about children and violence [Webpage]. Retrieved from http://www.justice.gov/defendingchildhood/facts.html http://www.justice.gov/defendingchildhood/facts.html Voisin, D. R. (2007). The effects of family and community violence exposure among youth: Recommendations for practice and policy. Journal of Social Work Education, 43(1), 51. 32

33. Contact William Kellibrew wkellibrew@williamkellibrew.com www.thewkfoundation.org www.williamkellibrew.com www.apbspeakers.com/speaker/william-kellibrew-iv www.nxgleaders.org 33