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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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!

11. 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

12. 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

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

14. “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