1 / 13

Creating Trauma-Informed Systems to Systems Initiatives for Women, Children and Families

Creating Trauma-Informed Systems to Systems Initiatives for Women, Children and Families. 2008 Early Childhood Comprehensive Systems Partners Meeting March 14, 2008. Kath Schilling M.Ed., CAS, LADC I Trauma Integration Specialist Director – Project WAVE Institute for Health and Recovery

ladonna
Download Presentation

Creating Trauma-Informed Systems to Systems Initiatives for Women, Children and Families

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Creating Trauma-Informed Systems to Systems Initiatives for Women, Children and Families 2008 Early Childhood Comprehensive Systems Partners MeetingMarch 14, 2008 Kath Schilling M.Ed., CAS, LADC I Trauma Integration Specialist Director – Project WAVE Institute for Health and Recovery http://www.healthrecovery.org Institute for Health and Recovery

  2. Mission Statement The Institute for Health and Recovery is a statewide service, research, policy and program development agency. IHR’s mission is to develop a comprehensive continuum of care for individuals, youth and families affected by alcohol, tobacco, other drug use, mental health problems & violence/trauma. Our work is based on principles of: • Establishing collaborative models of service delivery • Integrating gender-specific, trauma-informed and relational/cultural models of prevention, intervention and treatment • Fostering family-centered, strengths-based approaches • Advancing multicultural competency with the service delivery system Institute for Health and Recovery

  3. We provide: • Capacity building with existing agencies and systems on numerous issues • Direct care client services grounded in Evidence Based Practices • On-site Group interventions facilitated in a train-the-trainer model • Staff training and technical assistance Institute for Health and Recovery

  4. Systems Change HIV Prevention/Education Homelessness Central Access to Residential Treatment & Housing Trauma Tobacco Education & Treatment Youth Family & Children Screening & Early Identification IHR Services/Programs National and Statewide Systems & Program Development Women RISE (Risk Identification, Strategies & Empowerment) Project RISE (Recovery through Information, Support & Engagement) FLT Project (Families Living Together) Family Residential Treatment Programs Sober Living Programs Community Housing Programs Trauma Integration Services Project WAVE (Women Achieving Vital Empowerment) Shattuck/ hopeFound – Project Genesis Department of Corrections Department of Mental Health TAPE Project (Tobacco, Addictions, Policy & Education) MTCP Smoke-Free Families Initiative Youth Central Intake & Care Coordination SCAP (Suffolk County Adolescent Project) RAYS (Regional Access to Youth Services) SAFE (Strengthening Adolescents ~ Family Empowerment) Parenting & Child Development Nurturing Program – Curriculum Development & Distribution Child Welfare Engagement Project Family Recovery Project SBIRT – Community Health Centers CAPTA Project FASD Projects Institute for Health and Recovery

  5. IHR works across state systems in Massachusetts to integrate trauma-informed and trauma specific practices • The 3 main systems IHR currently works with are: • Department of Public Health (DPH) / Bureau of Substance Abuse Services (BSAS) • Department of Mental Health (DMH) • Department of Corrections (DOC) Institute for Health and Recovery

  6. IHR currently participates in several state-wide trauma-related commissions and policy committees • Governor’s Commission on Correction Reform • Governor’s Commission on Sexual and Domestic Violence • DPH/DMH Emergency Room Access for People with Behavior Health Needs Work Group • DMH Restraint and Seclusion Advisory Committee Institute for Health and Recovery

  7. Trauma: Creating a Paradigm Shift Shift: Towards trauma-informed, trauma-specific family treatment which includes resilience and strengths based prevention and treatment services for children “Incorporating Services for Children Into Substance Abuse Treatment: Paradigm Shifts and Lessons Learned” Beth Reed, Norma Finkelstein, Lisa Russell, Vivian Brown, Nancy Van de Mark Institute for Health and Recovery

  8. System Change Strategies • Build connections at multiple levels with information flowing between them • Bring together diverse constituencies affected by proposed changes • Openly and respectfully discuss differences • Use relational skills to create collaborative and mutually empowering environment in which all members have impact on group’s decisions Institute for Health and Recovery

  9. Department of Public Health / Bureau of Substance Abuse Services (DPH/BSAS) • Goal: All substance abuse treatment programs in MA will provide trauma-informed care • 2002: Provision of trauma-informed care included in terms and conditions of all contracts • 2003: Presented results of WCDVS across state • 2004-2006: • Conducted regional SA/DV summit meetings • Provided trainings on trauma-informed care twice a year – opened to state-wide audiences • NE Regional Conference on Integrating SA, DV, and MH (SAMHSA) • Trauma needs assessment with sample of SUD programs • Offered training on trauma-informed care and trauma-specific interventions to SUD programs upon request Institute for Health and Recovery

  10. DPH/BSAS Trauma Integration Revised Change Plan • Prioritized women, and women and children’s residential treatment programs throughout MA • Held initial state-wide meetings to familiarize SUD programs with family centered trauma initiative • Applied change strategies learned from previous projects including: • Identifying champion for change • Forming change team • Team identifies targets for change • Gathering data before and after change is implemented Institute for Health and Recovery

  11. Implementation of Revised Strategy • Agency submits letter indicating interest • Completes Trauma-Integration self-assessment • Chooses champion – individual at supervisory level responsible for implementing change • Staff, including supervisors, attend four hours of trauma training on site • Champion meets with staff (team) to begin trauma-informed planning • Consultation provided for plan development as necessary • After plan, may request additional training and/or TA • Support provided for plan implementation over following six months, including training in trauma specific groups • Program repeats assessment at end of consultation period. Institute for Health and Recovery

  12. Women, Co-Occurring Disorders and Violence Study (WCDVS) • Three grants in Massachusetts (WELL Project) • IHR put considerable focus on state-level systems change • State Leadership Council • Local Leadership Councils • Organizational Assessment – Trauma Tool-Kit • Included WELL Child Children’s sub-study Institute for Health and Recovery

  13. Project WAVE • SAMHSA/CSAT Targeted Capacity Expansion grant • Targeted women and their children affected by SUDs seeking services for, or fleeing from, interpersonal violence • Worked in partnership with the primary SUD agency on Cape Cod, two domestic violence agencies and Barnstable County • Services delivered at two domestic violence agencies - SUD/Co-occurring disorder screening, outreach, engagement, intervention and care coordination - Seeking Safety, Nurturing Program, WELL Child groups co-facilitated with SUD/DV staff in train-the- trainer model Institute for Health and Recovery

More Related