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Summarize the information below: Empowering Families Within Community Utilizing a Trauma-Informed Approach This project is supported by Grant #15P JDP-22-GK-03063-JJVP. Awarded by the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice. The opinions, findings, conclusions and recommendations expressed in this presentation are those of the presenter(s) and do not necessarily reflect those of the Department of Justice. Native Child Advocacy Resource Center Vision: Every Native Nation has a coordinated response to child maltreatment that honors their cultural values, empowers healing, and contributes to a healthy community Presentation Roadmap Providing an overview of SAMHSA’s main principles of a trauma-informed approach Recognizing how a trauma-informed approach is useful within programs serving children & families impacted by trauma Gathering ideas on how to uplift a trauma-informed approach through daily processes What does a Trauma-Informed Program look like? 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 (SAMHSA) Trauma impacts within Native American Communities Although AI/AN children make up just 1% of all children in the United States, they are 2.7% of all children who are placed outside their homes in foster care. ( Source: Puzzanchera & Taylor, 2021) AI/AN children have the highest rate of victimization of child abuse/ neglect. AI/ AN children rates of victimization are 13.8 per 1,000 in the population of the same race/ethnicity. (Source: ACF, Child Maltreatment 2023 report) A Trauma-Informed Approach Starts by Using The 4 Rs Realizes the widespread impact of trauma and understands potential paths for recovery Recognizes the signs and symptoms of trauma in youth, individuals, families, and community Responds by fully integrating knowledge about trauma into policies, procedures, and practices Seeks to actively resist re-traumatization What is Trauma? Trauma occurs when an individual experiences an intense, recurring, and /or prolonged event or events that threatens or causes harm to their emotions and/or physical well-being. (National Child Traumatic Stress Network- NCTSN) Types of Trauma Acute trauma: a single traumatic event that is limited in time Chronic trauma: refers to the experience of multiple traumatic events; may be varied and/ or longstanding events Complex trauma: prolonged exposure to multiple traumatic events, may be varied-often occurring within the caregiving system Historical trauma: results from prolonged events/experiences that have an impact on a group people based on their collective identity Intergenerational trauma: experienced by one family across two /more generations Principles for a Trauma-Informed System Safety Trustworthiness Collaboration & Mutality Empowerment, Voice & Choice Peer Support Cultural, Historical, Linguistic, and Gender Responsiveness (SAMHSA) Resist Re-traumatization Use of force and coercion Harsh, punitive discipline practices Seclusion and restraint Rigid rules Lack of privacy and confidentiality Unsafe environments Being talked at or talked down to Abuse by staff Abuse towards others in the service environment Feeling trapped Using confusing language and terminology Disrespectful language and tone towards youth and families Policies and procedures that shame, devalue, disrespect, and otherwise disempower youth and families Youth and families having limited voice in decision-making about care Inadequate treatment interventions that do not address traumarelated needs Issues of bias, discrimination, and related disparities and disproportionality across systems (Goldsmith, Martin, & Smith, 2014; Harris& Fallot, 2001; Jennings, n.d.; Prescott, Soares, Konnath, & Bassuk, 2008) Trauma-Informed Care Trauma-Informed Systems principles and practices support reflection in place of reaction, curiosity in lieu of numbing, self-care instead of self-sacrifice and collective impact rather than siloed structures.” – Epstein, K, Speziale, K, Gerber, E, & Loomis, B (2014) Benefits of a Trauma-Informed Approach • Increases engagement and trust • Improves treatment outcomes • Reduces re-traumatization risks • Enhances staff well-being • Uplifts supportive & safe environments • Better overall service delivery (SAMHSA) Goals of a Trauma-Informed Approach • Create environments that are physically, psychologically, emotionally, spiritually, and culturally safe • Minimize power differentials • Maximize opportunities for choice and control • Use honest, respectful, and transparent communication • Maximize consistency and predictability One Nation’s perspective: Incorporating a Trauma-Informed Approach Tulalip Tribes Tulalip, WA Family Advocacy Division Mission: Strengthening our families together while upholding our traditional values Steps to review when developing a Trauma-Informed Approach • Acknowledging the program’s role in mitigating trauma impacts within the community • Empowering Staffs Trauma-Informed lens • Building Safety within Relationships • Reviewing policies, procedures and tribal codes with a TI lens Acknowledging Our Role in Mitigating Trauma Are we potentially a source of trauma/past trauma? How do we communicate with our families? Are there past experiences with us that may invoke trauma responses? Does the community generally trust our programs? Are we transparent with our processes? How does the community perceive program services? Empowering Staff to be Trauma-Informed Intentional space for regular one on one and group supervisory guidance Monthly internal trainings Ensuring staff are able to develop a Trauma-informed lens & build a common language Providing training & supporting continuous education Empowering staff requires taking care of them Making sure staff understand how secondary traumatic stress impacts them and offering resources Supporting ongoing self-care Providing an inhouse traumaexpert to our staff Promoting an open- door policy with staff Building Safety within Relationships We want our families to feel as if they can trust us- Do what we say we are going to do and know our resources Making sure staff are aware of own trauma responses that may impact serving our families in the best manner Meeting individuals where they are Being intentional in listening to our families Consider Tribal Codes, Policies and Processes • A review of our policies – do they support a trauma-informed approach • Implementing Code changes that reflect community values • Intentional language shifts- e.g. parenting time vs. visitation • Recognize impact when families share their story, and being respectful in how we gather information for our forms Examples of Trauma-Informed approaches • Making sure we are meeting families in safe and comfortable environments for them • Face to face visits with our families-demonstrates we are accessible to them • Walking with them to access resources-warm handoffs to other services • Ensuring therapy services utilize trauma-informed approaches • Providing trauma-informed education to community and families we serve Trauma-Informed care Involves Infusing culture • Referring clients to culturally informed parenting interventions and giving choice to parents of where they are referred • Providing activities and cultural items to individuals that they feel is healing for them (journaling, sage kits, beading, drumming, etc) • Intertwine culture, beliefs and history intoany Evidenced Based Programs (EBPs)(cultural best practices). We strategically allow opportunities/time to discuss how they are doing & what they have experienced within these structured programs • Provide culture related events Trauma-Informed Care Creates Safe Spaces Through Physical Environments: • We strive to have a friendly and welcoming space • Gear physical building space towards the clients we serve Through Collaboration: • Intentional space to meet with families to discuss solutions • Ongoing collaborating with a trauma expert on cases • Safeguarding against re-traumatization Additional Considerations WhenWorking with Families • Avoiding transfer of cases when possible • Parent luncheons – allows opportunity for celebrating parent’s accomplishments and acknowledge hard work • Being mindful of safety when scheduling visits/ appointments • Ongoing safety assessments • Protecting confidentiality • Mitigate trauma within the program processes – Providing emotional support throughout every step of the process, physically accompanying clients to court and other meetings Trauma Informed Care Empowers our Children • “We must acknowledge that we are all related. When one child is hurt, we all hurt. And the opposite is true as well; When one child is protected and loved, put in a place of honor, we all benefit.” Elsie Boudreau, LMSW, Alaska Native Justice Center
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