YouthBuild Monthly Webinar Series DEVELOPING A TRAUMA INFORMED CARE APPROACH THAT WORKS YouthBuild

Michelle Jones YouthBuild National Liaison U.S. Department of Labor/ETA Washington, DC

Establish a Shared Understanding of Trauma and Trauma Informed Care Review the Impact of Trauma Informed Care Gain Insight into Trauma Informed Care Best Practices and Approaches Identify Trauma Informed Care Approaches for Implementation in Your YouthBuild Program

2:05 | Overview of Trauma and Trauma Informed Care 2:10 | Impact of Trauma Informed Care 2:20 | Best Practices and Approaches 2:35 | Peer Sharing and Discussion in Breakout Rooms 3:10 | Breakout Room Reports and Resource Sharing

Monica Zeno-Martin Shauna-Lee Ruglass Joel Miranda Senior Vice-President for Program Impact YouthBuild USA Somerville, MA Shauna-Lee Ruglass Special Projects Manager and Executive Assistant to the Founder and CEO YouthBuild USA Somerville, MA Joel Miranda Director, Leadership Development and Graduate Leadership YouthBuild USA Somerville, MA

David P. DeMers Executive Director Sacramento Regional Conservation Corps Sacramento, CA

Do you consider your program to be trauma-informed? ## Poll Question Do you consider your program to be trauma-informed? Yes No

Overview of Trauma Informed Care Trauma defined (SAMHSA): ...results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life- threatening with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being. 7 Domains of Trauma Informed Care (National Council for Behavioral Health): 1. Early screening and assessment 2. Consumer-driven care/services 3. Nurturing a responsive workforce 4. Evidence-based/emerging best practices 5. Creating safe environments 6. Community outreach and partnership building 7. Ongoing performance improvement and evaluation

Impact of Trauma (on their brain) There is growing evidence that shows there is a “critical window” of vulnerability to traumatic stress in brain development. From infancy to adolescence, different brain regions undergo bursts of myelination, synapse formation, pruning, and neural networking. Critical brain areas such as the hippocampus, amygdala, cerebellar vermis, corpus callosum, and cerebral cortex appear to be particularly vulnerable, with differential sensitivity over the course of development.

Impact of Trauma (on their brain) Hormonal effects are also at play, as sex hormones can exacerbate or inhibit dysregulation in the limbic system and hypothalamic-pituitary-adrenal axis and may contribute to the higher rates of PTSD seen in girls. Ongoing irregularities of the hypothalamic-pituitary-adrenal axis and cortisol response, with hypercortisolemia in childhood evolving into hypocortisolemia later in life, can also have lasting effects on cognition, behavior, and learning, as well as on physical health. Children with complex trauma histories may develop chronic or recurrent physical complaints, such as headaches or stomachaches. Adults with histories of trauma in childhood have been shown to have more chronic physical conditions and problems.

Impact of trauma (in their communities) According to the National Child Traumatic Stress Network (NCTSN), young people with complex trauma histories may have problems thinking clearly, reasoning, or problem solving. When children grow up under conditions of constant threat, all their internal resources go toward survival. When their bodies and minds have learned to be in chronic stress response mode, they may have trouble thinking a problem through calmly and considering multiple alternatives.

Impact of Trauma (in the classroom) They may find it hard to acquire new skills or take in new information. They may struggle with sustaining attention or curiosity or be distracted by reactions to trauma reminders. They may show deficits in language development and abstract reasoning skills. Young people who have experienced complex trauma have learning difficulties that may require support in the academic environment.

best practices and solutions Oakland School District Trauma-Informed Practices Initiative Project Prevent Grant from the United States Department of Education, and is focused not only on keeping kids in school, but also on providing targeted support and training for those individuals on the front lines of managing childhood trauma: educators. Source: https://chronicleofsocialchange.org/featured/keeping-trauma-informed-teachers-in-oaklands-schools/14975

best practices and solutions “Paper Tigers”: A Documentary about Adverse Childhood Experiences What does it mean to be a trauma-informed school? How do you educate teens whose childhood experiences have left them with a brain and body ill suited to learn? http://www.takepart.com/video/2016/08/11/watch-official-trailer-paper-tigers-pivot

best practices and solutions The White House: My Brother’s Keeper

David P. DeMers Executive Director Sacramento Regional Conservation Corps Sacramento, CA

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SAMHSA’s Trauma- Informed Approach and Trauma-Specific Interventions SAMHSA's six key principles of a trauma-informed approach and trauma-specific interventions address trauma’s consequences and facilitate healing. http://www.samhsa.gov/nctic/trauma-interventions Trauma Exposure Measures and PTSD Assessment Screening Find here a list of trauma exposure measures. These assessment instruments measure the types of trauma a person has been exposed to, or the degree of severity of the traumatic event someone experienced. For each measure, a brief description, sample items, versions, and references are provided. http://www.ptsd.va.gov/professional/assessment/screens/index.asp Trauma Informed Approach Folder The Trauma Informed Approach folder contains resources including: “Adverse Childhood Experiences Questionnaire,” “Burnout Inventory,” “Compassion Fatigue,” “Self-Care Plan Worksheet.” Several resources are courtesy of Lesia M. Ruglass, Ph.D. via the YouthBuild USA 2016 Instructional Leadership Institute http://tinyurl.com/YBILI2016 The Power Source Power Source is a unique book/curriculum/program that helps highly at-risk youth and young adults discover the best in themselves. The program is both preventative and rehabilitative. Power Source can be read by youth on their own, or the concepts, exercises and numerous firsthand stories by youth can be introduced and explored in facilitated groups or during individual counseling. http://lionheart.org/youth_at_risk/the-power-source-program/ Trauma Sensitive Schools: A Whole School Approach Trauma-Sensitive Schools and Safe and Supportive Schools benefit all children. The Trauma Learning Policy Initiative embraces a whole-school approach that enables all children to achieve https://traumasensitiveschools.org/

Michelle Lee-Jones David DeMers U.S. Department of Labor/ETA YouthBuild National Liaison T: 202-693-3932 jones.michelle@dol.gov David DeMers Sacramento Regional Conservation Corps T: 916-229-2327 ddemers@saccorps.org

Shauna-Lee Ruglass Joel Miranda Monica Zeno-Martin YouthBuild USA sruglass@youthbuild.org Joel Miranda YouthBuild USA 617-741-1315 jmiranda@youthbuild.org Monica Zeno-Martin YouthBuild USA T: 617-741-1277 mzenomartin@youthbuild.org

Upcoming Webinars! Match January 17, 2017 2:00pm – 3:30pm EST