Objectives

2. Objectives Explore the impact of trauma and complex trauma Compare and discuss the practices of trauma informed care vs. non-trauma informed care Identify ways to reduce further trauma while working with children and families Discuss statewide and agency initiatives designed to implement trauma informed systems

3. Circuit 10 Mission and Vision . • Mission: Raise public awareness to assure understanding, commitment, and practice of trauma informed care in all environments in Polk, Highlands, and Hardee Counties. • Vision: Polk, Highlands, and Hardee Counties will be trauma informed.

4. Trauma When trauma occurs early in life, children do not develop the capacity to regulate their experience…to calm themselves down when they’re upset, to sooth themselves, to interact in appropriate ways with other people to learn from their behavior. Margaret Blaustein, 2004 Director of Training, The Trauma Center at JRI, Brookline, MA

5. Effects of Abuse or Neglect According to a National Institute of Justice study, abused and neglected children were 11 times more likely to be arrested for criminal behavior as a juvenile, 2.7 times more likely to be arrested for violent and criminal behavior as an adult, and 3.1 times more likely to be arrested for one of many forms of violent crime (juvenile or adult)(English, Widom, & Brandford, 2004).

6. Trauma-Informed Care (TIC) provides a new model under which the basic premise for organizing services is transformed from: to: “What’s wrong with you?” What has happened to you?”

9. Exposure to trauma Trauma can be : • A single event • A connected series of events • Chronic lasting stress Trauma is under reported and under diagnosed ( NTAC, 2004)

10. Trauma can occur at any age Trauma can effect any age Race Gender Ethnicity Social economic groups Community workforce

11. Protective Factors Parental Resilience Social Connections Knowledge of parenting and child development Concrete support in times of need Nurturing and attachment/social and emotional competence of children

12. Your Response Key Non-Trauma Informed Response Negative Outcome Trigger Positive Outcome Non-Trauma Informed Response Trigger

13. Trauma Informed Practice Trauma Informed Non-Trauma Informed Recognition of high prevalence of trauma Recognition of primary and co-occurring trauma diagnosis Assess for trauma histories & symptoms Recognition of culture and practices that are re-traumatizing Lack of education on trauma prevalence and “universal” precautions Over-diagnosis of schizophrenia and bi-polar Disorder, Conduct Disorder, and Singular addictions Cursory or no trauma assessment “Tradition of toughness” valued as best care approach

17. Strategies and Initiatives • Initiative to ensure agencies, policies and procedures are trauma informed • Disaster Response • Crisis Intervention Training for Law Enforcement Officers • Infant Mental Health • Technical Assistance to providers • Interagency Agreements

18. Strategies and Initiatives • Prevention effort which allow children to stay in the home • Eliminating multiple placements for children in out of home care • Ensuring that children and their families are assessed for trauma, mental health, substance abuse, and co-occurring mental health and substance abuse disorders.

19. Strategies and Initiatives • Ensuring that children and families receive services and supports that are evidence based • Ensuring that children and families are empowered to be a part of the planning • Being sure that everyone involved is trauma informed – workers, families, foster parents, and others.

20. Inter-agency collaboration

21. Questions & Comments???????????????????????????

22. References • Department of Children and Families, State of Florida n.d. 2010. • Department of Children and Families, Office of Family Safety - Jane B. Streit, Ph. D. • English, D. J., Widom, C. S., & Brandford, C. (2004). Another look at the effects of child abuse. NIJ journal, 251, 23-24. • University of Florida, Child Welfare Training Academy, 2010