“An Introduction to the Sanctuary Model” Presented by: Caroline Vinyard, LMHC Robin Turner, RMHCI

Module 1: What is Sanctuary? and Community Meeting Direct Care: Module One Module 1: What is Sanctuary? and Community Meeting © The Sanctuary Institute at Andrus Children’s Center

J. Goldstein, 1994 The Unshackled Organization Direct Care: Module One If you want deeply rooted change, you need to apply deeply rooted methods. J. Goldstein, 1994 The Unshackled Organization What is Sanctuary? The Sanctuary Model is an organizational and treatment intervention based on the tenets of trauma theory and an understanding of systems theory. Sanctuary addresses the ways in which trauma, adversity and chronic stress influence the ways that individuals behave as well as recognizes the ways in which whole organizations can be influenced by trauma, adversity and chronic stress. Sanctuary is based on a set of guiding principles as well as some specific tools that reinforce the philosophy when practiced by the staff and clients on a daily basis. NOTE: This would be an appropriate place to talk about why your organization has decided to undertake implementation of the Sanctuary Model. © The Sanctuary Institute at Andrus Children’s Center

Founders of the model: Then and Now Direct Care: Module One © The Sanctuary Institute at Andrus Children’s Center

Trauma-informed care Fosters a shared language Direct Care: Module One Fosters a shared language Organizes how we talk about treatment Keeps a focus on impact of recurrent stress Keeps a focus on growth and change consistent contact with team members, clients and families Trauma-informed care The Sanctuary Model a © The Sanctuary Institute at Andrus Children’s Center

Direct Care: Module One The Sanctuary model Provides a basic blueprint for developing trauma-informed, therapeutic communities that promote recovery. This is the new operating system for your organization. © Sandra L. Bloom, M.D. CommunityWorks, 2007

Direct Care: Module One The Sanctuary Model In a nutshell…..Sanctuary is a treatment and organizational change model that integrates trauma theory with the creation of therapeutic communities which provide safety for both clients and the staff who work with them. © The Sanctuary Institute at Andrus Children’s Center

Direct Care: Module One The Sanctuary model Takes advantage of what we know about human nature, healing from injury, the power of communities, and the chaotic nature of change. Change is hard. Most organizations fail. © Sandra L. Bloom, M.D. CommunityWorks, 2007

basic beliefs of the sanctuary model Direct Care: Module One basic beliefs of the sanctuary model A belief that adversity is an inherent part of human life, and that many of the behaviors that lead clients to care are directly related to those experiences – and that people and groups of people can heal from those experiences A perspective that asks: “what’s happened to you?” rather than “what’s wrong with you?” when organizing goals and assessing strengths and challenges The Sanctuary Model is based on two very basic assumptions about human beings The first is a recognition that adversity is an inherent part of human experience, and that these experiences shape the way that people behave. More importantly, Sanctuary recognizes the inherent resilience in people and the belief that they can heal. Sanctuary also begins with the premise that appreciating the effects of these experiences means changing the question that we ask about the people we serve and those with whom we work. Often we ask “what’s wrong with that person?” when we question the cause of behaviors or actions. Sanctuary asks us to change the question to recognize the influence of a person’s experiences. Beginning with the premise “What’s happened to you?” rather than “What’s wrong with you becomes a cornerstone of being trauma-informed. © The Sanctuary Institute at Andrus Children’s Center

Emotional Intelligence Social Responsibility Gannondale RTF Direct Care: Module One The Seven Commitments Nonviolence Emotional Intelligence Social Learning Open Communication Social Responsibility Democracy Growth & Change © The Sanctuary Institute at Andrus Children’s Center

S.e.l.f. Safety Future Emotions Loss Direct Care: Module One © The Sanctuary Institute at Andrus Children’s Center

The Sanctuary model TOOLKIT Direct Care: Module One The Sanctuary model TOOLKIT Community meetings Psychoeducation Groups Red Flag Meetings Safety Plans Self Care Plans Team Meetings Treatment Planning Conference ProQol Scale © Sandra L. Bloom, M.D. CommunityWorks, 2007

the goal of treatment is change. If the people we serve do not make substantial and positive changes then our service is not working! If treatment isn’t working maybe it’s US and our systems of care that are the problems, not the children.

Barriers and Obstacles Small Break Out Session Practice Barriers and Obstacles Small Break Out Session

What is Sanctuary going to mean to us? discussion What is Sanctuary going to mean to us?

The Sanctuary Toolkit Community Meetings Safety Plans Direct Care: Module One The Sanctuary Toolkit Community Meetings Safety Plans S.E.L.F. Psychoeducation Red Flag Meetings S.E.L.F. Treatment Planning Team Meetings Sanctuary Toolkit ©Sandra L. Bloom, M.D., 2008

Community Meeting: WhY ? Direct Care: Module One Community Meeting: WhY ? Structure/Routine (Group norm) Predictability Caring for others Bridging The power of the Circle Shared Responsibility Trauma Recovery-Creating Group Safety © The Sanctuary Institute at Andrus Children’s Center

Community Meeting: The Questions Direct Care: Module One Community Meeting: The Questions How are you feeling today? What is your goal for today? Who can you ask for help? Thought for today © The Sanctuary Institute at Andrus Children’s Center