Presented by Cara Mullenix-Artigue - Rhonda Saenz - Anna H. Gray Trauma Informed Care: Why It Matters, How to Change Culture, and Where to Go Next Presented by Cara Mullenix-Artigue - Rhonda Saenz - Anna H. Gray Welcome everyone and get a sense of who is in the room. What centers are represented and what kinds of staff members or other are represented. May want to do an icebreaker at this point. Maybe as part of the introductions .

Principles of Trauma Informed Care Safety Trustworthiness and Transparency Collaboration and Mutuality Empowerment, Voice and Choice Peer Support Cultural Responsiveness

Why Trauma Informed Care We have known since World War I that Trauma has an impact Shell Shock Battle Fatigue Post Traumatic Stress Disorder Adverse Childhood Experiences Study was published in 1998 Shows that trauma has an impact over the lifespan Trauma affects physical well being Trauma is pervasive I suggest this be short and to the point. Just ensure that everyone has a sense of the impact of trauma.

Why Trauma Informed Care Trauma has a significant impact on worldview, which can lead to an disempowering sense of self and how we function in our environment.

Why Trauma Informed Care Experiencing Traumatic events does not end at age 18. Trauma is cumulative Trauma is transgenerational Trauma is historical Trauma is personal We are all affected by trauma

Trauma-informed 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.

Implementation at Helen Farabee Centers Being part of the CCBHS Pilot Organizational Self-assessment Initial areas of focus Implementation strategies (affecting cultural change) Needed adjustments along the way The importance of a strong person with lived experience compnent

Implementation at Helen Farabee Centers Challenges and barriers Attitudes Pushback on change Infrastructure limitations Need for policy and procedure change Implementation inside of the Performance Contract Framework Quality Management Utilization Review Standards of Care

Implementation at Helen Farabee Centers Lessons learned Continued challenges Tweaks for the future

Some challenges of cultural change It sounds good and I do not have the time to consider it We know the people we serve and what they need This does not fit with the latest mandate It will impact billable hours and we have enough difficulty with that I will have to alter my view of myself and how I fit in to this new environment Don’t rock the boat, at least it is floating right now Too many changes at once are driving me up a wall

Why it matters The stress response and mental health For staff For people served

The importance of Self-Care Secondary Traumatic Stress System re-traumatization

Trauma Informed Care and Self-Care There is no trauma informed environment without self-care For staff For people served What would this look like in your work setting?

Wrap up and contact information Anna H. Gray ahgray59@gmail.com Cara Mullenix-Artigue mullenixc@hellenfarabee.org Rhonda Saenz saenzr@hellenfarabee.org