1. Healing from Childhood Trauma
Trauma Informed CARE Incentives
at Penn Foundation…
Instilling hope. Inspiring change. Building community.
Lynette V. Reed, LCSW, MRPYC
May, 18, 2017

2. Trauma Informed Care… Define as….
Trauma Informed Care is a strengths-based framework that is grounded in an understanding of and responsiveness to the impact of trauma…it emphasizes physical, psychological and emotional safety for both providers and survivors and creates opportunities for survivors to rebuild a sense of control and empowerment.” - Hopper, Bassuk & Olivet, 2010
Agency Wide Initiatives (training and Collaboration)
Recovery Center (OP, Inpatient, MES)
OPMH (Adult and Children’s services)
Crisis Services
Village of Hope
Case Management
Autism Center
Spiritual Support Services
Leadership teams from various dept.
(Trauma Champions and Dream Team)
Working with community agencies to help inform, serve and align care
(BC C&Y, GVH, Judicial, law enforcement, colleges)
Evidence Based Practice Guiding care in each Dept.

3. Importance to screen for Adverse Childhood Experiences ….
ACEs…..

4. Screening for Trauma and Resilience…
85% of clients report 1 or more traumatic experiences.
Resiliency = ability to cope successfully in the face of significant change and adversity or risk.
Protective Factors
Environment
Behaviors
Natural abilities or interests

5. Phases to Trauma Treatment…
Phase 1: Safety and Stabilization
Phase 2: Processing Memory and becoming aware
Phase 3: Reconnection and Realignment
Phase 4: Thriving with support of the community

6. Phases 1: Safety and Stabilization
Connect to resources…. (Build Strong Therapeutic Alliance)
Biopsychosocial Assessment with Trauma-informed Staff
Assigned to Trauma informed therapist
Other helping services …Recovery Coach, Health Connections, Peer Support Program, REACH (IPR), Mobile Psychiatric Rehabilitation (MPR), Wrap-around, Family based, Day Springs (spiritual based care)
Encourage self-care
Sleep, diet, grooming/hygiene, exercise
Medical needs addressed (Health Connections)
Focus on sensory and emotional awareness
Body Sensations – Trauma keeps the body hostage
Emotional experiences – triggering emotion

7. Continued Phase 1… Education on trauma and emotional regulation
Psycho -Ed of “trauma brain”
Emotional Regulation Group
Practice alternative stress reduction modalities encouraged.
Mindfulness/ Meditation
Yoga/ Body Alignment exercises,
Expressive Art/ Music / Psycho-drama
Grounding behaviors (tapping, EFT, fidgets)
Animal Assisted Therapy

8. Phase 2: Processing Memory –Building deeper Awareness
Acknowledge Experience
Begin to understand Attachment Patterns
Integrate new coping strategies
TREM group, G-Trem, CBT trauma treatment for children
Pace that is Safe….Not necessary to tell story and risk re-traumatized
EMDR, Progressive Counting for targeted memories
(help to see beginning middle and end)
Allows for brain to realign and reset alarm

9. Phase 3: Reconnection and Realignment with self
Develop a more accurate sense of self
Develop awareness of negative thoughts about self and others. – offer alternative perceptions.
Build new patterns of thought and behaviors
Work on setting safe and effective boundaries in new/old relationships
Take safe risks in new responsibilities and relationships
Advanced Trauma Group, DBT, Wellspring Clubhouse, Art REACH, Job Coaching

10. From Surviving to Thriving…
Entering into the community with resiliency and hope.
Wellness plans that are monitored by therapists and support services that help to integrate back into community.
Wellspring Clubhouse (job assistance, education assistance, and support in specific life goals.
REACH (IPR) (job search, housing and educational support)
Mobile Psychiatric Recovery (MPR) – specific rehabilitation challenges
Village of Hope (VOH) – dual diagnosis placement to guide towards recovery in safe environment with emphasis on behavioral change.
Stories from “Instilling Hope” (Annual Report )

11. Trauma Informed Care = “Its not what is wrong with you
Trauma Informed Care = “Its not what is wrong with you?… What is what happened to you.” Bloom, S