Waupaca County DHHS Examining Our Journey Chuck Price, Director Shannon Kelly, Deputy Director Kasey Kaepernick, TIC Coordinator Lisa Grasshoff, Rehabilitation Manager

Trauma Informed Care (TIC) Timeline Building the Foundation First Lady Walker Listening Session Consultation with Elizabeth Hudson BHAG Chuck 5 mins…. Stick to it! -Readiness and the why’s behind the decision to become Trauma Informed -Prepared vs Ready

TIC & Leadership TIC & ACEs Training to ALL Management Staff and DHHS Committee Good to Great Book Club (Collins 2001) Creation of TIC Coordinator Position Intentional Recruitment Announcement & Interview Orientation Leadership Charter Chuck- Make it quick boss Tie back to a TIC and responsive Leadership team Domain: Educated and responsive workforce

Waupaca County DHHS Leadership Charter As leaders in our organization, we believe our Core Values guide us in our work with colleagues, clients, and community members. We commit our passion and professionalism to incorporate the following principles in all that we do: We will model a Trauma Informed Approach. We will apply Civility in each interaction. We will inspire Future Leaders and support all those who seek guidance. We promote Collaboration and the building of Trusting Relationships. We seek to be the Center of Excellence in our community. We promise to be strength-based, practice humility, promote equality, spark creativity, encourage and demonstrate compassion, and engage in civic duty as public servants. We strive to deliver superior services, with distinctive lasting impact on the health of individuals, families, and our community. Shannon- Developed while I was on leave As part of being a center of excellence and having a BHAG Shift in perspective must have administration /leadership support Managers pledge = huge impact Speaks again to intentional recruitment Domain: Educated and responsive workforce Importance of a unified leadership group creates a successful shift

Shannon- How we began to use them The turning point- principles developed in late 2013 What is a Mission/Vision? Principles are tangibles for staff Skelton for decision making Human back in Human services 5whys Empathy Lessons Learned: “Not applicable to me” = universal precautions approach

TIC & Staff All Staff Trainings on ACEs, TIC & Resiliency TIC Committee TIC & ACEs in Staffings Secondary Traumatic Stress Training Organizational Effectiveness Case Planning Training Permanency Values Training All Staff Meeting on Becoming a Center of Excellence Shannon & Chuck Domains: Educated and responsive workforce All Staff meeting was an opportunity for stoking fire

TIC & Staff Continued… START/STOP/CONTINUE Environmental Changes SPARKS & Job Crafting Speak Your Peace Civility Tools T.H.I.N.K Kasey and Lisa Domain: Safe and Secure environments

Collective Impact WCC4P Early Childhood Comprehensive Systems Rise Together Mentoring Programs (Internal /External) ThedaCare Plunges Fox Valley Technical College - Early Childhood Mental Health Summit & Students CESA 6 Kasey Domain: Community outreach and partnership building

Community Trainings (Shared Language/Vision) 2014 2015 Community Trainings (Shared Language/Vision) Walworth County DHHS New London School District Student Support Staff Shawano County ThedaCare Plunge Together For Children Conference CESA 6 Fulfilling The Promise Conference Community Care (Waupaca,Outagamie,Calumet) Collective Impact Webinar Indianhead Community Action Agency Head Start Early Childhood Comprehensive Systems Webinar Waupaca County Head Start/Early Head Start Fox Valley Technical College Early Childhood Students Local Church Waupaca High School Teachers New London/Waupaca ThedaCare Plunge New London Intermediate School (5th-8th grade) Fostering Futures Domain: Community outreach and partnership Healthy Families=Healthy Communities Conference UW-Oshkosh Nursing Students Early Childhood Mental Health Summit Waupaca Rotary Club Wisconsin Head Start Association Conference Northern Region Training Wisconsin Counties Human Services Association Waupaca County Heroin Summit Wisconsin Association of Family and Children Agencies New London Rotary

Continuing the TIC Journey Continue with Community Trainings Future Community Collaborations Law enforcement Schools Judicial Foster Care Program Revamp Prevention Programs and Resource Allocation Consumer Voice No more “Rule 84” Chuck and Shannon Foster families that provide a HOME not a service Training for foster care parents in TIC and ACEs How Do you Measure TIC in action? Why? Rule 84 What happens if we don’t ___________ How would I deliver this message to the client/family What are we doing? Continuing the journey!

TIC Impact Empowering Staff Performance Evaluations Discipline Process Personal Impact Staff Feedback & Examples of TIC in Practice Lisa Empowering staff through the 9 TIC Principles Using TIC in our performance evaluations (goal setting, utilizing staff’s spark) Changes to the Discipline process and it’s affect on staff Personal impact (before and after TIC-my journey) Chuck

Outcomes Out of Home Care for Children 33% in RCC Placements 13% County Foster Home Placements 8% Kinship Placements 8% Overall decrease in OOHC Shannon Plants for Permanence BHAG- No children with strangers

Professional Quality of Life Scale (B. Hudnall Stamm) Secondary Traumatic Stress Waupaca= 11.0 (Average:13) Burn Out Waupaca= 19.9 (Average:22) Compassion Satisfaction Waupaca= 39.4 (Average:37) Chuck speak to the improvements since 2012 Staff Retention

“Creating a trauma-informed organization is a fluid, ongoing process; it has no completion date.” – A Treatment Improvement Protocol, Trauma-Informed Care in Behavioral Health Services, TIP 57 SAMHSA