Break out session Whitney walsh, MS.

This presentation will Provide deeper analysis of the models Talk about maintaining fidelity to model Discuss issues related to this Explore the next steps and (hopefully) motivate audience members to pursue

sanctuary Gold standard model Re-cert every 3 years Creating and maintaining non-violent lives $165,000 30 months Any Yes Gold standard model Re-cert every 3 years Strong emphasis on non-violence

Risking connection Relationship oriented Healing occurs through RICH relationships consisting or respect, information sharing, connection, and hope $8,500- 12,500 plus manual purchase 20 hours completed over 5-half days   or 6 hour training session 20-35 20-40 members No Relationship oriented One week training with additional consultation for purchase Smaller organizations

Thrive Positive community response to trauma survivors promotes resiliency and healing Option 1: $6,600 plus travel for up to 50, $1,500 for each additional group of 50 per trainer   Option 2: $4,500 base Option 3: $3,000 plus travel, $250 per plan to review, $900 for bi-monthly consultation Option 4: Free webinar Option 1: 90 days Option 2: 30 day set up and 1 year support Option 3: 6-9 months after option 2 Any Not typical, but can work with org.

Creating trauma-informed organizations: a toolkit Trauma-informed care begins with foundational underpinnings and policies. $18 plus shipping and handling per booklet Go at your own pace Any No Workbook-type manual Mostly used as a guide for making changes Can technically be used with any size organization but more feasible with smaller ones

Analysis- similarities Identify prevalence and impact of trauma Goal of providing support to trauma survivors in an effective and non-retraumatizing way Basic steps to get there Establish commitment, identify committee, self-assessment, goals and change plan, reassessment

Analysis- framework Sanctuary Risking Connection THRIVE Toolkit Nonviolence and nonviolent healing environments Reducing violence reduces retraumatization Risking Connection RICH relationships (respect, information sharing, connection, hope) THRIVE Community involvement Healing goes beyond formal care systems or service providers Toolkit Assessment based, organizational structure, policies, practices

Analysis- cost Sanctuary Risking Connection THRIVE Toolkit $165,000 $8,500-12,500 depending on size and modality THRIVE Free webinars to $6,600 on-site training Toolkit $21 per manual Can be used in conjunction with other trainings/models

Analysis- time Sanctuary Risking Connection THRIVE Toolkit 30 months to 3 years Risking Connection One week- 20 hour training 6 hour abbreviated format THRIVE Ongoing webinars to up to 9 months training If used all together, 12-18 months Toolkit At organization’s pace

Analysis- size Sanctuary Risking Connection THRIVE Toolkit All organization sizes, most widely used with larger groups Risking Connection 20-35 staff members for full 20-40 for abbreviated THRIVE Community-wide implementation Additional costs for each additional group of 50 people Toolkit Can be used with any size but appears more effective for smaller organizations

Analysis-certification? Sanctuary Yes Risking Connection N/A THRIVE Can work with other groups to provide certification, but not standard Toolkit

Maintaining fidelity Maintaining commitment to keeping up with trauma-informed care Not much in the research Red flags of back sliding Departure of key staff members Reduced budget for TI practices Lack of training for new staff Mission, values, etc. lacking identification of TI/model Then what? Consultation and self-assessments

Self-assessments Creating Trauma-Informed Care Environments: An Organizational Self-Assessment. http://www.cfbhn.org/assets/TIC/youthresidentialself%20assess%20Fillable%20FORM%20%282%29.pdf http://nyspbis.org/RF1617/Workbooks/Trauma%20Informed%20Organizational%20Survey.pdf Creating Cultures of Trauma-Informed Care (CCTIC): A Self Assessment and Planning Protocol https://www.healthcare.uiowa.edu/icmh/documents/CCTICSelf-AssessmentandPlanningProtocol0709.pdf

Self-assessment example

Now what? Solo practitioner There ARE things the individual can do! Read, understand, and utilize SAMHSA guidelines in your everyday practice YOU are the ones carrying out care at the end of the day Take this information back to your site Share with those who can support you Private or group practice: utilize self-assessments Within organization: meeting with supervisor or leaders Get other people motivated Share your passion!

Now what? Organization leader Utilize self-assessments Involve other staff members Assess funds and/or prepare to speak with board members or private investors Solidify why your organization would benefit from and succeed in implementation Energize others to join you

Now what? funders Provide support to practitioners and organizations Help raise awareness of trauma prevalence and importance of TI care Personal changes via self-assessment Use SAMHSA guidelines in creating grants and scholarships Advocate for the need of programs addressing trauma Seek out and support those who are committed to a model

What funders will look for Clear indication of budgeting specifics Mapped out, prepared to discuss cost and how/why they need your help Self-assessments completed Identified goals Clearly defined commitment to trauma-informed care Resonates through mission, values, and policies

Questions? Be trauma-informed!