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Supporting Caregivers in the Face of Adversity: Public Housing Responds
July 26, 2018
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A Trauma Informed Approach
Realize the widespread impact of trauma on residents and staff; Recognize the signs and symptoms of trauma in residents, staff and others involved in the housing system; Respond by integrating knowledge about trauma into communication efforts, policies, procedures, practices and our physical environment; Seek to actively resist the re-traumatization of residents and staff; and Support staff who may have experienced trauma themselves and/or who are supporting program participants who have experienced trauma. So what do we mean by a Trauma Informed Approach? Simply, it is the agency’s hope A Trauma Informed Approach Realizes the widespread impact of trauma on residents and staff; Recognizes the signs and symptoms of trauma in residents, staff and others involved in the housing system; Responds by integrating knowledge about trauma into communication efforts, policies, procedures, practices and our physical environment; (We are in the early stages of developing strategies to ensure that the agency’s programs, processes, practices and physical environments avoid re-traumatization and creates opportunities for residents and staff to thrive.). Seeks to actively resist the re-traumatization of residents and staff; and Supports staff who may have experienced trauma themselves and/or who are supporting program participants who have experienced trauma.
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Trauma Informed Care Timeline
BOC adopts the “one” Strategic Plan 4/2016 Foundation Building 1/2016 – 8/2016 Organizational Readiness and Assessment 9/2016 – 4/2017 Rethinking the Work 3/2018-5/2018 Supervisory Training and Development 10/2017 – 3/2018 Cross Department Collaboration 5/2017 – 12/2017 Development, Onboarding and Training 6/2018 – 1/2019 Ongoing Rolling Program Launch 2/2019 Phase Two and Continuous Improvement 2/ /2019 See notes
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Thank you! Kitty Miller Kitty.Miller@homeforward.org 503-802-8511
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The integration of trauma-informed care practices at Fairfax county department of housing & Community Development Presented by Stefanie Q. Bass, MSW Family Self-Sufficiency Coordinator, The PROGRESS Center
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What is Trauma-informed care (tic)?
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; Responds by fully integrating knowledge about trauma into policies, procedures, and practices; and Seeks to actively resist re-traumatization A trauma-informed approach can be implemented in any type of service setting or organization. Being trauma-informed does not mean we are therapists, or that we are providing a therapeutic intervention. It merely means that we have an awareness of trauma and the potential impacts, and this changes how we view the work we are already doing. Fairfax County Trauma Informed Community Network SAMHSA 2015
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Origin story for tic IN Fairfax county, Virginia and At HCD
2015 – Trauma-Informed Community Network (TICN) was formed in Fairfax County Fall 2016 – 3 representatives from the Department of Housing & Community Development (HCD) attended a training for Health and Human Services leaders in high-stress, trauma-exposed work environments (facilitated by TICN and presented by Dr. Patricia Fisher, P.H.D.) Spring 2017 – HCD created a trauma –informed organizational change plan as a result of training Fall 2017 – Fairfax County Board of Supervisors designated Fairfax as a trauma-informed community The Trauma-Informed Community Network (TICN) is a multi-disciplinary, multi-agency effort to implement and support Trauma Informed Care initiatives across the Human Services System. It was formed in 2015, and it’s members consist of county government staff, nonprofit partners, staff from the local school system (FCPS), professionals from higher education, private service providers, parent group representatives, etc.
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HCD’s Organizational change plan/systemic approach to tic integration
STAFF TRAINING PEER SUPPORT POLICY/ PROCEDURE PRACTICES Implemented Trauma 101, Mindfulness Monthly Roundtables for direct service staff Resident Services – Project Happiness In Development Film Screening for all staff – Resilience: The Biology of Stress and the Science of Hope Trauma-Informed Spaces Assessment Support procedure for staff following a critical/traumatic incident Trauma-Informed tip sheet for direct service staff
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Trauma Informed Community Building and Engagement
Elsa Falkenburger July 2018
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TWO-GENERATION APPROACH
YOUTH DEVELOPMENT EDUCATION WHOLE FAMILY SUPPORT MENTAL HEALTH PHYSICAL HEALTH EMPLOYMENT TWO-GENERATION APPROACH STRENGTH-BASED COACHING DEEP COLLABORATION HOST Network Summary Overview Graphic—good 1 snap overview of what HOST is
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“This Trauma-Informed Community Building and Engagement model emphasizes thinking critically about how work with communities intersects with the systems and institutions that affect community health and well-being.” “…social service agencies that may have come and gone from a community, because of legitimate funding constraints acknowledge the impact their absence had on a community and researchers openly recognize negative experiences residents may have had with research, provide space for open discussion with the community, and offer a new path forward.” The TICB model was created to capture the approach BRIDGE staff were using to engage with the community, adapting and building upon the trauma-informed service approach, which is largely accepted as essential in the service delivery field.3 They identified strategies for effectively engaging public housing communities affected by trauma and developed programming with these strategies in mind. The Health Equity Institute, with input from HOPE SF residents, collaborated with the Urban Institute to develop a new version of the TICB model, emphasizing that TICB must go hand in hand with promoting community strength and healing. Further, this new version places more emphasis on the structural harms that underlie community trauma and the need for accountability and transparency around these issues. This approach means that social service agencies that may have come and gone from a community, because of legitimate funding constraints acknowledge the impact their absence had on a community and researchers openly recognize negative experiences residents may have had with research, provide space for open discussion with the community, and offer a new path forward. This Trauma-Informed Community Building and Engagement model emphasizes thinking critically about how work with communities intersects with the systems and institutions that affect community health and well-being. Researchers thus need to acknowledge structural racism, intrinsic to systems of government, when designing and facilitating community-based research, and local government staff need to recognize and account for the inequities public agencies and policies have promoted over time. To acknowledge and address community-level trauma, community residents must take the lead in designing and implementing plans for change through equitable participation and accountability among stakeholders. Partners representing traditional positions of power (e.g., government agencies or officials, research institutions, law enforcement) need to provide space for community members to take on leadership roles and support them in these roles. These partners can further leverage their institution’s position of power to benefit historically marginalized communities Building on the idea that individuals exist within a larger community and system, the ultimate goal of the Trauma-Informed Community Building and Engagement model is a community with a strong social fabric, positive health outcomes, meaningful community leadership and vibrant community institutions.
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Principles
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Strategies
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Practices
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