1. Trauma-Informed Care: Perspectives and Resources
Federation of Families Conference
November 22, 2014
Sherry Peters, MSW, ACSW
Senior Policy Associate
National Technical Assistance Center for Children’s Mental Health
Sharon LeGore
Founder and President
MOMSTELL, Inc.

2. Objectives
Provide background and history of the free on-line trauma-informed care resource tool
Provide an interactive overview of the tool
Preview sections of video interviews
Provide information on trauma-informed care such as:
What is trauma and trauma-informed care?
Adverse Childhood Experience (ACE) Study and Resiliency
Family and Youth Perspective

3. Introductory Video to the Tool

4. 9 Introductory Videos 8 Modules LINKS TO THE TOOL: or
Partnership with JBS International
9 Introductory Videos
8 Modules

5. Other Summary Documents
5 Issue Briefs
7 Sets of Annotated Resources
Example of video from Module 1:
Understanding the Impact of Trauma
25 Content Videos

6. Youth and Family Perspectives
Mariola will play youth and family video clip.

7. What is Trauma?
Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

8. What Does it Mean to be Trauma-Informed?
Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

9. Principles of a Trauma-Informed Approach
Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

10. Guidance for a Trauma-Informed Approach
Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

11. Definition of Trauma-Informed Child- and Family-Service System
A trauma-informed child- and family-service system is one in which all parties involved recognize and respond to the impact of traumatic stress on those who have contact with the system including children, caregivers, and service providers. Programs and agencies within such a system infuse and sustain trauma awareness, knowledge, and skills into their organizational cultures, practices, and policies. They act in collaboration with all those who are involved with the child, using the best available science, to facilitate and support the recovery and resiliency of the child and family.  
  Source: National Child Traumatic Stress Network. Retrieved from

12. Definition of Trauma-Informed Child- and Family-Service System, Continued
A service system with a trauma-informed perspective is one in which programs, agencies, and service providers:
routinely screen for trauma exposure and related symptoms;
use culturally appropriate evidence-based assessment and treatment for traumatic stress and associated mental health symptoms;
make resources available to children, families, and providers on trauma exposure, its impact, and treatment;
engage in efforts to strengthen the resilience and protective factors of children and families impacted by and vulnerable to trauma;
address parent and caregiver trauma and its impact on the family system;
emphasize continuity of care and collaboration across child-service systems; and
maintain an environment of care for staff that addresses, minimizes, and treats secondary traumatic stress, and that increases staff resilience.

13. Essential Elements of a Trauma-Informed Child Welfare System

14. Multi-Tiered Approach to Trauma-Informed Care in Schools
e.g.TF-CBT
e.g. CBITS
e.g. screening, attention to transitions, calming activities

15. Adverse Childhood Experience (ACE) Study
One of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life health and well-being.
Collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego.

16. ACE Study Continued Initial phase 1995 to 1997
More than 17,000 participants
completed a standardized physical examination and completed a confidential survey that contained questions about childhood maltreatment and family dysfunction, as well as items detailing their current health status and behaviors
No further participants were enrolled, but medical status of the baseline participants tracked over time.

17. 10 Adverse Childhood Experiences Studied
Childhood abuse
Emotional
Physical
Sexual
Neglect
Household Situations:
Parental separation or divorce
Household substance abuse
Household mental illness
Mother treated violently
Incarcerated household member

18. Adverse Childhood Experiences are Common

20. Antidepressant Prescriptions

21. Suicide Attempts

22. Adult Alcoholism

23. Teen Sexual Behaviors

24. Consequences of Lifetime Exposure to Violence and Abuse

25. More information about Finding Your ACE Score and Resiliency Score

26. What is your ACE Score What is your total ACE Score? __ 0 __ 6
Worksheet to calculate ACE Score
__ __ 6
__ __ 7
__ __ 8
__ __ 9
__ __ 10
__ 5
POLLING QUESTION (multiple choice with one response)

27. What Is Your Resilience Score?
Developed by the early childhood service providers, pediatricians, psychologists, and health advocates of Southern Kennebec Healthy Start, Augusta, Maine, in 2006 and updated in February 2013.
Mark Rains and Kate McClinn created the 14 statements with suggestions from members of the group.
Scoring system was modeled after the ACE Study questions.
Content based on research studies over 40 years including Emmy Werner
Purpose is limited to parenting education - not developed for research.

28. Self-Care Resources
Screen shot of resources

29. Importance of Peer Support

30. Importance of Culture

31. Importance of Youth and Family Voice and What Helps

32. Addressing the Whole Family

33. Why Is it Important To Do This Work?
Video clip from interview with Sandra Bloom about Healing