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Trauma Informed Student Affairs: Guidance for Non-Therapists
Presenters: Dr. Marcelle Holmes & Dr. Mandy Mount University of California, Irvine
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Presenters Marcelle Holmes, Ph.D. Mandy Mount, Ph.D.
Associate Vice Chancellor Wellness, Health & Counseling Services Mandy Mount, Ph.D. Director CARE
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Learning Objectives Participants will be able to:
List at least three different systems of development affected by trauma Articulate at least two ways childhood trauma affects health risk behaviors and health outcomes List at least three specific behavioral steps they can take to alter their work styles to make their work more trauma-informed
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Adverse Childhood Experiences
Physical, psychological, sexual abuse Household member with substance abuse problem Household member with mental illness Mother treated violently Household member goes to prison Source: The “ACE Study” (Felitti et al., 1998)
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Source: The “ACE Study” (Felitti et al., 1998)
ACE Study Statistics 2/3 of the 8,506 adults surveyed had experienced at least one ACE 6.4% experienced 4 or more Among college-educated population, over 1/4 had experienced at least one ACE Source: The “ACE Study” (Felitti et al., 1998)
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Source: The “ACE Study” (Felitti et al., 1998)
ACE Study Statistics Having at least one ACE increased the odds of: Adult health risk behavior such as Physical inactivity, obesity, smoking, number of sexual partners Disease outcomes such as Depressed mood, heart disease, lung cancer, STD, suicide attempts, skeletal fractures, alcoholism, poor self-reported health Source: The “ACE Study” (Felitti et al., 1998)
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Mechanisms Source: TED.com
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Interpersonal Trauma in College
Among undergrads, 23.1% of females and 5.4% of males experience sexual assault through physical force, violence, or incapacitation Nearly 1 in 30 female students report being victimized before taking their first midterm Sources: AAU Campus Climate Survey & EverFi 2015 Insight Report “Sexual Victimization and Social Norms on College Campus
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Interpersonal Trauma in College
Increased rates among LGBTQ, Native American, and transfer students Students are additionally vulnerable to traumatic interpersonal violence and abuse Source: EverFi 2015 Insight Report “Sexual Victimization and Social Norms on College Campus”
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Effects of Trauma Physical Emotional Behavioral Cognitive Spiritual
Neurobiological Relational
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What Does This Mean for Student Affairs?
Many of our students have been affected by trauma It’s our job to support the growth and development of vulnerable students (and by extension all students) if you share the following beliefs…
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Student Affairs Tenets
The dignity, uniqueness, potential, and worth of each individual Find ways to enhance student learning and whole-person development Source: ACPA—College Student Educators International
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What It Means to Be Trauma-Informed
Acknowledgement – recognizing that trauma is pervasive and impacts individual students and the university environment System emphasizes the following principles: Safety Trust and clarity Choice and control Cultural sensitivity Compassion and support Collaboration Strengths-based Empowerment Source: Klinic Community Health Centre, SAMSHA
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Working Definition in Student Affairs
Designed to support academic mission of the institution Not designed to provide non-clinicians with the tools to treat symptoms or syndromes Informed by understanding of prevalence of trauma and deleterious/growth-enhancing effects of trauma Emphasizes student trust, safety, choice, control
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Working Definitions in Student Affairs
Uses compassionate approach and collaboration Strengths-based holistic approach Avoids inadvertent retraumatization Respect and affirm healthy boundaries Mindful of cultural, historical, gender issues
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Case Study 24-year-old 2nd year undergrad
Lives on campus with daughter ACE – Family violence in childhood Cousin over, not on lease Ex-husband has visitations Threatened/assaulted in marriage
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Case Study Loud verbal exchanges with ex, including cell phone throwing Noise complaints Neighbors report cousin is residing in apartment Staff have forgiven late rent fees in past
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Case Study Staff meet to discuss complaints and cousin
Working on off-campus visitation exchanges Says cousin does not live at apartment Staff restate lease and visitor policies
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Case Study Cousin threatens neighbor
Neighbors complain about marijuana smell Ex-husband seen multiple times Housing calls Michelle in for mandatory meeting at 5:00PM
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Case Study Brings daughter because of no back-up childcare
Grades in jeopardy, potential to lose childcare Staff member says felt lied to and gives advice Referrals to off-campus housing
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Suggestions for Trauma-Informed Approach
Trust and Clarity: Lease termination: Appropriate due to violation of community standards Consider role of past exceptions to rules Review lease terms and consequences orally and in writing Understanding trauma: Potential for impaired memory and executive functioning
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Suggestions for Trauma-Informed Approach
Safety: Cousin may be only support, may also be abusive Potential abuse by ex-husband was not referred to appropriate Title IX or sexual violence support office Choice, Control, Cultural Sensitivity: Consider potential triggers in office Scheduling and child care arrangements impact participation
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Suggestions for Trauma-Informed Approach
Compassion and Support: Michelle may have had no intention of deliberately deceiving staff member Substance abuse may be a violation, but may also be a method of coping with stressors
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Suggestions for Trauma-Informed Approach
Strengths-Based, Collaboration and Empowerment: Housing staff blurred boundaries by offering advice Consider referrals to counseling or health promotion centers, social or case workers – not just other apartment complexes
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Potential Scenarios How do you meet your Title IX obligations in a trauma-informed way when you learn about sexual violence?
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Potential Scenarios Does the financial aid office have a protocol for cases where students claim their parents are or have been abusive? Do they get referred?
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Potential Scenarios How frequently do you mention disability services when a disability is not visible?
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Potential Scenarios How do campus recreation employees approach assists in dance, yoga, and other classes?
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Boundaries and Self-Care
Enhancing student resilience requires self- care “Well meaning Housing staff” offers advice- potential boundary violation Proper nutrition, sleep, exercise, stress management help manage secondary trauma and “compassion fatigue”
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Questions? Dr. Holmes: holmesmc@uci.edu Dr. Mount: mmount@uci.edu
Thank You! Questions? Dr. Holmes: Dr. Mount:
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