1. Women and Trauma Federal Partners 9/29/2015

2. Goals of P4G Raise community awareness by presenting a common vocabulary for trauma and trauma responsive service provision Use data to inform action Change expectations of programs and service provision, embedding trauma responsiveness in our community agencies, institutions, programs, and policies

3. Resilience Resilience is afforded by meeting each person’s Mazlow’s hierarchy of needs These are: Physiologic needs, safety needs, belonging needs, self- esteem needs Anyone in a caregiving role without these needs met for themselves will need support from agencies, institutions, and programs to provide these needs for others We think of trauma as failure to meet Mazlow’s hierarchy of needs

4. Parents,Caregivers / preK ages 4-5 Pregnant women Parents,Caregivers/ ages 0-3 Parents, caregivers Parents,Caregivers /K-8 HS students Life Course Approach

5. Easy part/ Hard part Relatively easy to identify and refer victims of trauma Hard to identify and refer perpetrators Open your mind: don’t ask, “What’s wrong with him/her?”; instead ask “What happened to him/her?” Remember that perpetrators were victims first

6. Where should we start?

7. Mobile Outreach Clinic Stops

8. County Sheriff Call Volumes

13. The University of Florida launched the Mobile Outreach Clinic in January of 2010 Stops 6 at-risk neighborhoods around Alachua County

14. Client Satisfaction Survey Questions From Pathways to Resilience “Experience of Service” measure, developed by Dr. Michael Ungar, School of Social Work, Dalhousie University, Nova Scotia, Canada “Think of a service you offer children, youth, families, and answer these questions from the perspective of your clients…” Use a Likert scale

15. Overall, I am satisfied with the services I received

16. The questions get harder as they get more trauma responsive… I had a say in how this service was delivered to me I could get the service when I needed it The location of the service was convenient Staff respected my religious and spiritual beliefs

17. Staff spoke in a way that I understood Staff were sensitive to my cultural and ethnic background I am now better able to cope when things go wrong There was a service I needed but I could not get

18. Trauma responsive prostate cancer screening: Lessons learned from women

19. Trauma responsive recommendations for prostate cancer screening “Is this a good day for the examination?” “Is there anyone you would like to have with you in exam room?” “Would you prefer a male or female provider?” “You are in control of the pace of this exam. Ask us to stop at any time.”

20. For further information Nancy Hardt, MD hardt@enhancecommunities.org 352-559-3667