1. Presented by Cara Mullenix-Artigue - Rhonda Saenz - Anna H. Gray
Trauma Informed Care: Why It Matters, How to Change Culture, and Where to Go Next
Presented by
Cara Mullenix-Artigue - Rhonda Saenz - Anna H. Gray
Welcome everyone and get a sense of who is in the room. What centers are represented and what kinds of staff members or other are represented.
May want to do an icebreaker at this point. Maybe as part of the introductions .

2. Principles of Trauma Informed Care
Safety
Trustworthiness and Transparency
Collaboration and Mutuality
Empowerment, Voice and Choice
Peer Support
Cultural Responsiveness

3. Why Trauma Informed Care
We have known since World War I that Trauma has an impact
Shell Shock
Battle Fatigue
Post Traumatic Stress Disorder
Adverse Childhood Experiences Study was published in 1998
Shows that trauma has an impact over the lifespan
Trauma affects physical well being
Trauma is pervasive
I suggest this be short and to the point. Just ensure that everyone has a sense of the impact of trauma.

4. Why Trauma Informed Care
Trauma has a significant impact on worldview, which can lead to an disempowering sense of self and how we function in our environment.

5. Why Trauma Informed Care
Experiencing Traumatic events does not end at age 18.
Trauma is cumulative
Trauma is transgenerational
Trauma is historical
Trauma is personal
We are all affected by trauma

6. Trauma-informed
A program, organization, or system that is trauma- informed realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization.

7. Implementation at Helen Farabee Centers
Being part of the CCBHS Pilot
Organizational Self-assessment
Initial areas of focus
Implementation strategies (affecting cultural change)
Needed adjustments along the way
The importance of a strong person with lived experience compnent

8. Implementation at Helen Farabee Centers
Challenges and barriers
Attitudes
Pushback on change
Infrastructure limitations
Need for policy and procedure change
Implementation inside of the Performance Contract Framework
Quality Management
Utilization Review
Standards of Care

9. Implementation at Helen Farabee Centers
Lessons learned
Continued challenges
Tweaks for the future

10. Some challenges of cultural change
It sounds good and I do not have the time to consider it
We know the people we serve and what they need
This does not fit with the latest mandate
It will impact billable hours and we have enough difficulty with that
I will have to alter my view of myself and how I fit in to this new environment
Don’t rock the boat, at least it is floating right now
Too many changes at once are driving me up a wall

11. Why it matters The stress response and mental health For staff
For people served

12. The importance of Self-Care
Secondary Traumatic Stress
System re-traumatization

13. Trauma Informed Care and Self-Care
There is no trauma informed environment without self-care
For staff
For people served
What would this look like in your work setting?

14. Wrap up and contact information
Anna H. Gray Cara Mullenix-Artigue Rhonda Saenz