2. >>0 >>1 >> 2 >> 3 >> 4 >> Seeking Patience: Implementing Trauma Informed Care

3. >>0 >>1 >> 2 >> 3 >> 4 >> 8

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11. START

12. >>0 >>1 >> 2 >> 3 >> 4 >> Do you know when something just fits? Informed Seeking Safety Trauma Informed Care and Seeking Safety

13. >>0 >>1 >> 2 >> 3 >> 4 >> So now that we knew what it was called, we had to embrace it Staff Team Board of Management and Stakeholders Participants

14. >>0 >>1 >> 2 >> 3 >> 4 >> Seeking Staff Understanding Trauma Building awareness of Seeking Safety into daily work Noticing staff ‘relationships’ with ‘trauma’

15. >>0 >>1 >> 2 >> 3 >> 4 >> Secondary Trauma “Changes in the inner experience of service providers that come about as a result of empathic engagement with the participant’s experience of trauma.” Institute for Health and Recovery

16. >>0 >>1 >> 2 >> 3 >> 4 >> Vicarious Trauma, Vicarious Resilience and Self-Compassion (Maurice Fenton, 2016) “It is important to recognise that neither clients nor the negligent helpers are responsible for VT. Rather it is an occupational hazard, a cost of doing the work” (Pearlman & Caringi in Courtois & Ford, 2009:205 ) “We propose here that helpers’ personal distress and emphatic responses, if processed adequately, can result in growth for both client and helper.” (Pearlman & Caringi in Courtois & Ford, 2009:205)

17. >>0 >>1 >> 2 >> 3 >> 4 >> To have the capacity and capability to care for others we must first take care of ourselves.

18. SELF CARESELF CARE Do you: 1.Eat a healthful diet? 2.Get annual medical check-ups? 3.Get enough sleep? 4.Spend within your financial means? 5.Get adequate exercise? 6.Do something pleasurable everyday? From page 179, Seeking Safety

19. >>0 >>1 >> 2 >> 3 >> 4 >> Seeking Support (and Safety Proofing the Organisation) “Trauma-informed services are not specifically designed to treat symptoms or syndromes related to sexual or physical abuse or other trauma, but they are informed about, and sensitive to, trauma-related issues present in survivors.” —Jennings, 2008

20. >>0 >>1 >> 2 >> 3 >> 4 >> Is your project/service

21. >>0 >>1 >> 2 >> 3 >> 4 >> TIC (Trauma Informed Care) is not an additional practice. TIC is an approach, a philosophy, and a cultural change in the way current practices are delivered.

22. >>0 >>1 >> 2 >> 3 >> 4 >> Core Organisational Elements Client choice: a person-centered approach gives individuals a menu of dignified choices. Collaboration: a partnership not hierarchical approach; the service provider must earn a client’s trust so they can work together on an agreed plan. Empowerment: Helping survivors re-learn or learn for the first time to speak out.

23. >>0 >>1 >> 2 >> 3 >> 4 >> Core Organisational Elements System-wide education and training: all staff are involved. Peer involvement: It values recovery and trauma- informed perspectives by placing a worth on building skills with peer support.

24. >>0 >>1 >> 2 >> 3 >> 4 >> Core Grounding Services are grounded in safety, trustworthiness, choice, collaboration, and empowerment, trauma- informed services are designed to be welcoming and hospitable for all individuals while avoiding client re- traumatisation (Harris & Fallot, 2001).

25. >>0 >>1 >> 2 >> 3 >> 4 >> Systems… Becoming Trauma-Informed at the Systems Level To make culture, policies, and procedures more trauma-informed at a systems level, the following domains need to be addressed (Harris & Fallot, 2001). –Administrative commitment –Training –Hiring and human resource practices –Policies and service delivery practices

26. >>0 >>1 >> 2 >> 3 >> 4 >>

27. TIC and MI

28. >>0 >>1 >> 2 >> 3 >> 4 >> TICMI Emphasis on safety, respect and acceptance while avoiding re- traumatisation Emphasis on safety, respect and acceptance while avoiding confrontation Emphasis on listening and believing the client Emphasis on reflective listening to ensure accurate understanding Emphasis on understanding the person and her symptoms in the context of her life experience, culture and society Emphasis on individuals being the experts in their own lives Emphasis on collaboration, power sharing and empowerment Emphasis on ‘what has happened’ rather than ‘what is wrong’ Emphasis on exploring experiences and avoiding labelling Emphasis on strengths and resiliency over pathology Emphasis on supporting self-efficacy through affirmations Emphasis on maximising choices and survivor’s control over recovery Emphasis on supporting autonomy and increasing perception of choice

29. Seeking Participants PTSD assessment ACES score

30. >>0 >>1 >> 2 >> 3 >> 4 >> Patience Art Drama Mindfulness Kindness

31. >>0 >>1 >> 2 >> 3 >> 4 >> What are the words you do not yet have? What do you need to say?…There are so many silences to be broken. Audre Lorde

32. >>0 >>1 >> 2 >> 3 >> 4 >> No Feeling is Final Rainer Maria Rilke

33. >>0 >>1 >> 2 >> 3 >> 4 >> You are not responsible for being down, but you are responsible for getting up Jesse Jackson

34. >>0 >>1 >> 2 >> 3 >> 4 >> Watch your thoughts; they become your words. Watch your words; they become your actions. Watch your actions; they become your habits. Watch your habits; they become your character. Watch your character; it becomes your destiny Frank Outlaw