1. Trauma Informed Care at CMMHC
Taking an inside look at creating sanctuary for clients, staff and our community.
(Bloom and Farragher, 2011

2. Overview Three Levels of Trauma Why Trauma Informed Care at CMMHC?
Introduction to the Organizational Self-Assessment
Customized Action Plan
Seven Domains of Trauma Informed Care
(Bloom and Farragher, 2011

3. Client Trauma
Adverse Childhood Experiences (ACES) suggest 2/3 of the population has at least one adverse experience
ACES score increases drastically when sexual orientation, gender, ethnicity and socioeconomic status are factored in
ACES scores are associated with both psychological and medical conditions
Trauma Symptoms are adaptive and protect them from subsequent abuse
(Bloom and Farragher, 2011

4. Staff Trauma
CMMHC hires from the general population, thus many of us have experienced our own ACES
Staff can be triggered by our clients and out client’s stories
Secondary Traumatization or Compassion Fatigue
Countertransference and the stress of our work can hinder our ability to be present with clients
(Bloom and Farragher, 2011

5. Organizational Trauma
Organizations are not machines and can also be traumatized
Reflect on how your work environment has impacted your stress during the past 6 months
Work stress decreases innovation, creativity, morale and professional development
It also can influence how present we are with our clients
The Leadership Team at CMMHC believes that staff have been attempting to communicate this to us both directly and indirectly- it is time to listen
(Bloom and Farragher, 2011

6. Expert Model- National Council for Behavioral Health
CMMHC was personally invited to participate in the TIC Learning Community
The board fully funded and supports this initiative
Cheryl Sharp, MSW, ALWF, Senior TIC Consultant has assisted over 800 organizations in implementing Trauma Informed Care
(Bloom and Farragher, 2011

7. Organizational Self-Assessment
The National Council recommends using the OSA with the implementation team to create a shared definition of Trauma Informed Care, gather baseline data and assess the culture of the agency
Steps to sustainability
CMMHC has decided to give everyone the opportunity to take the assessment
We want to hear both what we are doing well to create sanctuary and what we need to work on
(Bloom and Farragher, 2011

8. 7 Domains of Trauma Informed Care
Early Screening and Comprehensive Assessment of Trauma
Consumer Drive Care and Services
Trauma Informed, Educated and Responsive Workforce
Provision of Trauma Informed, Evidenced Based, and Emerging Best Practices
Safe and Secure Work Environment
Engage in Community Outreach and Partnership Building
Ongoing Performance Improvement and Monitoring
National Council for Behavioral Health Organizational Self-Assessment

9. Action Plan CMMHC TIC Tip of the Week Development of Subcommittees
Invitation to Share the work
(Bloom and Farragher, 2011

10. CMMHC TIC Tip of the Week

11. Accomplishments
Environmental Scan and Employee Feedback of all locations in which we provide services
Revised OPMH Client Satisfaction Surveys and created a meaningful process to receive results
2016 OSA all scores improved
Pilot Study for employee orientation recommendations to HR for enhanced training experience
Agency Newsletter was created to enhance communication
Creation of all staff training on core topics of TIC
CMMHC has established itself locally and nationally as a resource for TIC Excellence
Clients survey is the next to be completed, where to results go, Sheila. Setting office goals. Recommendations to HR

12. Visual Representation of TIC
Client Questionnaire Example