Become a Trauma-Informed Community - Revision history

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K.castelo at 18:28, 12 May 2021

2021-05-12T18:28:02Z

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Genafitz at 20:50, 6 February 2020

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 .ACEs Connection: Main information exchange and resources for local, state, and and national ACEs initiatives.<ref>https://www.acesconnection.com/</ref>
-Adverse Community Experiences and Resilience: A Framework for Addressing and Preventing Community Trauma, Prevention Institute (2015) -https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing
+Adverse Community Experiences and Resilience: A Framework for Addressing and Preventing Community Trauma, Prevention Institute (2015) -[https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing]
 Compassionate Schools,Washington State Office of Superintendent of Public Instruction (OSPI)&nbsp; -- The Heart of Learning and Teaching: Compassion, Resiliency, and Academic Success.<ref>https://www.k12.wa.us/sites/default/files/public/compassionateschools/pubdocs/theheartoflearningandteaching.pdf</ref>

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 = Available Tools and Resources =
-Oftentimes, there are already great resources in the field that have been developed, but they are not housed in a single place. Please use this section to share information about those resources and drive the reader to that resource. It may be a worksheet, toolkit, fact sheet, framework/model, infographic, new technology, etc. I suggest no more than 5 really good links and a corresponding description for the reader. We also can use this section to highlight some of the great resources and programs at SAFE Project.
+.ACEs Connection: Main information exchange and resources for local, state, and and national ACEs initiatives.<ref>https://www.acesconnection.com/</ref>
 = Promising Practices =
-Please link to any best practice models or case studies that highlight creative/innovative or successful efforts in support of this strategy. Is there a community that does a really good job in this area that other communities should replicate? Please write a brief description and provide a link.
+'''Successful City Initiatives'''<br/> ''Tarpon City, Florida: Peace4Tarpon''<br/> Tarpon City, on Central Florida’s Gulf Coast, was the first city in the US to declare itself a trauma-informed community.&nbsp; Trauma-informed practices have been implemented in small and large ways in a variety of organizations, including an elementary school, an ex-offender re-entry program and the local housing authority.<ref>https://acestoohigh.com/2014/09/17/tarponsprings/   </ref>
 = Sources =

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 </ref>
-Trauma-Informed Systems<br/> The National Child Traumatic Stress Network describes a trauma-informed service system as&nbsp; one where all agencies, programs, and service providers have a trauma-informed perspective: [9] *Routinely screen for trauma exposure and related symptoms. *Use evidence-based, culturally responsive assessment and treatment for traumatic stress and associated mental health symptoms. *Make resources available to children, families, and providers on trauma exposure, its impact, and treatment. *Engage in efforts to strengthen the resilience and protective factors of children and families impacted by and vulnerable to trauma. *Address parent and caregiver trauma and its impact on the family system. *Emphasize continuity of care and collaboration across child-service systems.&nbsp; *Maintain an environment of care for staff that addresses, minimizes, and treats secondary traumatic stress, and that increases staff wellness.
+'''Trauma-Informed Systems'''<br/> The National Child Traumatic Stress Network describes a trauma-informed service system as&nbsp; one where all agencies, programs, and service providers have a trauma-informed perspective:<ref>https://nashp.org/wp-content/uploads/2018/09/Children-and-Opioid-Epidemic-1.pdf
-Child Welfare<br/> Substance use disorders can affect parents’ ability to effectively care for their children, and is sometimes linked to rises in foster care placement and mistreatment cases. These parents are also particularly vulnerable population, and benefit from a family-based approach to care, ensuring that community services are tailored to children’s needs and are provided in tandem with those delivered to the whole family. [10]
+'''Child Welfare'''<br/> Substance use disorders can affect parents’ ability to effectively care for their children, and is sometimes linked to rises in foster care placement and mistreatment cases. These parents are also particularly vulnerable population, and benefit from a family-based approach to care, ensuring that community services are tailored to children’s needs and are provided in tandem with those delivered to the whole family.<ref>http://socialwork.buffalo.edu/social-research/institutes-centers/institute-on-trauma-and-trauma-informed-care/what-is-trauma-informed-care.html</ref>&nbsp;
-School Systems<br/> For any community, schools and educators may be the first resource for students coping with traumatic events. And it’s not just teachers in the classroom - it includes administrators, staff, and parents. This environment supports all children to feel safe physically, socially, emotionally, and academically.&nbsp; When interviewed for a Washington State resource guide for creating trauma informed school settings, one teacher described the issue succinctly: Students who try to focus on academics while struggling with trauma is like “trying to play chess in a hurricane."[11]&nbsp;&nbsp;
+'''School Systems'''<br/> For any community, schools and educators may be the first resource for students coping with traumatic events. And it’s not just teachers in the classroom - it includes administrators, staff, and parents. This environment supports all children to feel safe physically, socially, emotionally, and academically.&nbsp; When interviewed for a Washington State resource guide for creating trauma informed school settings, one teacher described the issue succinctly: Students who try to focus on academics while struggling with trauma is like “trying to play chess in a hurricane."<ref>https://www.k12.wa.us/sites/default/files/public/compassionateschools/pubdocs/theheartoflearningandteaching.pdf</ref>
-Healthcare<br/> Individuals who have experienced trauma are at an elevated risk for substance use disorders, including use and dependence. A trauma-informed healthcare system understands and considers the pervasive nature of trauma and promotes environments of healing and recovery rather than practices and services that may inadvertently re-traumatize those seeking help.[12]
+'''Healthcare'''<br/> Individuals who have experienced trauma are at an elevated risk for substance use disorders, including use and dependence. A trauma-informed healthcare system understands and considers the pervasive nature of trauma and promotes environments of healing and recovery rather than practices and services that may inadvertently re-traumatize those seeking help.<ref>https://www.nctsn.org/trauma-informed-care/creating-trauma-informed-systems</ref>
-Justice<br/> In a law enforcement setting, a trauma-informed approach starts with the same premise:&nbsp; understand the physical, social, and emotional impact of trauma on the individual involved in that system. It also requires the understanding that both police officers and other professionals may also be traumatized by a particular event or long-term history of or exposure to violence.[13]
+'''Justice'''<br/> In a law enforcement setting, a trauma-informed approach starts with the same premise:&nbsp; understand the physical, social, and emotional impact of trauma on the individual involved in that system. It also requires the understanding that both police officers and other professionals may also be traumatized by a particular event or long-term history of or exposure to violence.<ref>https://www.vera.org/blog/police-perspectives/building-trust-through-trauma-informed-policing</ref>
-Ensuring Diversity in Trauma Informed Settings<br/> ACEs Connection's Diversity, Equity & Inclusion Tool helps communities organize their stakeholders and other contacts to make sure that every part of the community is included, from education to law enforcement to the faith-based community.[14]
+'''Ensuring Diversity in Trauma Informed Settings'''<br/> ACEs Connection's Diversity, Equity & Inclusion Tool helps communities organize their stakeholders and other contacts to make sure that every part of the community is included, from education to law enforcement to the faith-based community.<ref>https://www.pacesconnection.com/g/fairfax-county-va-trauma-informed-community-network/blog/aces-connection-s-inclusion-tool-makes-sure-nobody-s-left-out</ref>
 &nbsp;

← Older revision		Revision as of 18:28, 12 May 2021
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	ACEs Connection's Diversity, Equity & Inclusion Tool helps communities organize their stakeholders and other contacts to make sure that every part of the community is included, from education to law enforcement to the faith-based community.<ref>https://www.acesconnection.com/g/fairfax-county-va-trauma-informed-community-network/blog/aces-connection-s-inclusion-tool-makes-sure-nobody-s-left-out</ref>		ACEs Connection's Diversity, Equity & Inclusion Tool helps communities organize their stakeholders and other contacts to make sure that every part of the community is included, from education to law enforcement to the faith-based community.<ref>https://www.acesconnection.com/g/fairfax-county-va-trauma-informed-community-network/blog/aces-connection-s-inclusion-tool-makes-sure-nobody-s-left-out</ref>
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		+

	== Successful City Initiatives ==		== Successful City Initiatives ==

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 == Root Causes of&nbsp;Trauma ==
-Trauma is especially common in the lives of people with behavioral and/or substance use disorders, according to SAMHSA. Emerging research has documented the relationship among&nbsp;exposure to traumatic events, impaired neurodevolopmental and immune system responses and subsequent health risks resulting in chronic physical or behavioral health disorders.&nbsp; Research has also indicated that with appropriate supports and interventions, people can overcome traumatic experiences.<ref>https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884.html</ref> For this reason, the need to address trauma is increasingly viewed as a critical component of behavioral health care and part of the healing and recovery process. To&nbsp;become “Trauma Informed”, it’s necessary for any community to first understand the root causes of trauma.&nbsp;'''[[File:ACEs infographic print 2015.4.5 v2.jpg|frameless|left|upright|ACEs infographic print 2015.4.5 v2.jpg]]''' The American Psychological Association defines trauma “..as an emotional response to a terrible event like an accident, rape or natural disaster. Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and has adverse effects on the indivudals functionging and well-being.&nbsp;&nbsp;&nbsp;Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea. While these feelings are normal, some people have difficulty moving on with their lives.”<ref>https://www.apa.org/topics/trauma/</ref>&nbsp;&nbsp;
+Trauma is especially common in the lives of people with behavioral and/or substance use disorders, according to SAMHSA. Emerging research has documented the relationship among&nbsp;exposure to traumatic events, impaired neurodevolopmental and immune system responses and subsequent health risks resulting in chronic physical or behavioral health disorders.&nbsp; Research has also indicated that with appropriate supports and interventions, people can overcome traumatic experiences.<ref>https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884.html</ref> For this reason, the need to address trauma is increasingly viewed as a critical component of behavioral health care and part of the healing and recovery process. To&nbsp;become “Trauma Informed”, it’s necessary for any community to first understand the root causes of trauma.&nbsp;'''[[File:ACEs infographic print 2015.4.5 v2.jpg|frameless|left|upright|ACEs infographic print 2015.4.5 v2.jpg]]''' The American Psychological Association defines trauma “..as an emotional response to a terrible event like an accident, rape or natural disaster. Individual trauma results from an event, series of events, or set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and has adverse effects on the individuals functionging and well-being.&nbsp;&nbsp;&nbsp;Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea. While these feelings are normal, some people have difficulty moving on with their lives.”<ref>https://www.apa.org/topics/trauma/</ref>&nbsp;&nbsp;
 '''Adverse Childhood Experiences,''' or ACEs, are potentially traumatic events that occur in childhood (0-17 years).<ref>https://acestoohigh.com/got-your-ace-score/</ref> The survey measures 10 types of childhood trauma; five are personal: physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect; five are related to other family members: a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment. Each type of trauma counts as one. The higher the ACES score, the higher the risk of social and health issues -- including substance use disorder. Using the ACES survey as a foundation, communities can see how trauma can result from racism and discrimination, intergenerational poverty, lack of job opportunities, exposure to violence, substandard housing and education, and lack of access to key services.<ref>https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing

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 == Root Causes of&nbsp;Trauma ==
-Trauma is especially common in the lives of people with behavioral and/or substance use disorders, according to SAMHSA.<ref>https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884.html</ref> For this reason, the need to address trauma is increasingly viewed as a critical component of behavioral health care and part of the healing and recovery process. To&nbsp;become “Trauma Informed”, it’s necessary for any community to first understand the root causes of trauma.&nbsp;'''[[File:ACEs infographic print 2015.4.5 v2.jpg|frameless|left|upright|ACEs infographic print 2015.4.5 v2.jpg]]''' The American Psychological Association defines trauma “..as an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea. While these feelings are normal, some people have difficulty moving on with their lives.”<ref>https://www.apa.org/topics/trauma/</ref>
+Trauma is especially common in the lives of people with behavioral and/or substance use disorders, according to SAMHSA. Emerging research has documented the relationship among&nbsp;exposure to traumatic events, impaired neurodevolopmental and immune system responses and subsequent health risks resulting in chronic physical or behavioral health disorders.&nbsp; Research has also indicated that with appropriate supports and interventions, people can overcome traumatic experiences.<ref>https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884.html</ref> For this reason, the need to address trauma is increasingly viewed as a critical component of behavioral health care and part of the healing and recovery process. To&nbsp;become “Trauma Informed”, it’s necessary for any community to first understand the root causes of trauma.&nbsp;'''[[File:ACEs infographic print 2015.4.5 v2.jpg|frameless|left|upright|ACEs infographic print 2015.4.5 v2.jpg]]''' The American Psychological Association defines trauma “..as an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea. While these feelings are normal, some people have difficulty moving on with their lives.”<ref>https://www.apa.org/topics/trauma/</ref>
 '''Adverse Childhood Experiences,''' or ACEs, are potentially traumatic events that occur in childhood (0-17 years).<ref>https://acestoohigh.com/got-your-ace-score/</ref> The survey measures 10 types of childhood trauma; five are personal: physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect; five are related to other family members: a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment. Each type of trauma counts as one. The higher the ACES score, the higher the risk of social and health issues -- including substance use disorder. Using the ACES survey as a foundation, communities can see how trauma can result from racism and discrimination, intergenerational poverty, lack of job opportunities, exposure to violence, substandard housing and education, and lack of access to key services.<ref>https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing
-</ref>
+</ref> Some communities have developed expanded versions of the ACES survey to address issues specific to their region or city. For example, the city of Philadelphia’s Expanded ACE subscale has respondents answer six questions specific to experiences in their communities: witnessing violence, experiencing discrimination, food insecurity, experiencing racism, living in an unsafe neighborhood, being bullied, or living in foster care.<ref>http://sparqtools.org/mobility-measure/philadelphia-adverse-childhood-experiences-phl-ace/
 Some communities have developed expanded versions of the ACES survey to address issues specific to their region or city. For example, the city of Philadelphia’s Expanded ACE subscale has respondents answer six questions specific to experiences in their communities: witnessing violence, experiencing discrimination, food insecurity, experiencing racism, living in an unsafe neighborhood, being bullied, or living in foster care.<ref>http://sparqtools.org/mobility-measure/philadelphia-adverse-childhood-experiences-phl-ace/
 == What Is a&nbsp;Trauma&nbsp;Informed&nbsp;Community? ==
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 '''Trauma Informed Schools Resource Guide, Wilson Foundation'''&nbsp;&nbsp;[http://wilsonfdn.org/wp/wp-content/uploads/2015/03/Trauma-Informed-Schools-Resource-Guide.pdf http://wilsonfdn.org/wp/wp-content/uploads/2015/03/Trauma-Informed-Schools-Resource-Guide.pdf]
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 [[Category:SAFE-Public Awareness]] [[Category:SAFE-Full Spectrum Prevention]]

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-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Minimize_Desire_to_Misuse_Opioids|the Zoom Map (Minimize Desire to Misuse Opioids)]]&nbsp;or [[ZOOM_Map-Become_a_Trauma_Informed_Community|ZOOM MAP - Become a Trauma-Informed Community]] &nbsp;
+Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Minimize_Desire_to_Misuse_Opioids|the Zoom Map (Minimize Desire to Misuse Opioids)]]&nbsp;or [[ZOOM_Map-Become_a_Trauma_Informed_Community|ZOOM MAP - Become a Trauma-Informed Community]] &nbsp;
 = Become a Trauma-Informed Community =
-To become “Trauma Informed,” it’s necessary for any community to first understand the root causes of trauma. Trauma is an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical, but may also become delayed or long term reactions include unpredictable emotions, flashbacks, or even physical symptoms like headaches or nausea. The Wilson Foundation of Rochester, NY describes the concept of trauma informed community as “...a strategic approach linking all community sectors together around the effects of trauma, while preventing gaps in services for clients. It is coordinated and collaborative; recognizes that the diversity of the population requires individual responses; uses a common language, measurements and accountability.”<ref name="2015 Position Statement on Trauma Informed Communities, in a letter from the Wilson Foundation to United Way of Greater Rochester on how to create a Trauma Informed Community"> http://wilsonfdn.org/wp/wp-content/uploads/2015/03/TIC-position-paper.pdf
+Trauma is widespread and is an important component of understanding behavioral health and substance use disorder service delivery.&nbsp; To become “Trauma Informed,” it’s necessary for any community to first understand the root causes of trauma and that trauma has no boundaries with regard to age, gender, socioeconomic status, race, ethnicity, geography or sexual orientation.&nbsp; &nbsp;Trauma occurs as a result of violence, neglect, loss, abuse, natural disaster and other emotionally harmful experiencs.&nbsp;&nbsp;&nbsp; Immediately after the event, shock and denial are typical, but may also become delayed or long term reactions include unpredictable emotions, flashbacks, or even physical symptoms like headaches or nausea. The Wilson Foundation of Rochester, NY describes the concept of trauma informed community as “...a strategic approach linking all community sectors together around the effects of trauma, while preventing gaps in services for clients. It is coordinated and collaborative; recognizes that the diversity of the population requires individual responses; uses a common language, measurements and accountability.”<ref name="2015 Position Statement on Trauma Informed Communities, in a letter from the Wilson Foundation to United Way of Greater Rochester on how to create a Trauma Informed Community"> http://wilsonfdn.org/wp/wp-content/uploads/2015/03/TIC-position-paper.pdf
 </ref>
-<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">
 == Root Causes of&nbsp;Trauma ==
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 Some communities have developed expanded versions of the ACES survey to address issues specific to their region or city. For example, the city of Philadelphia’s Expanded ACE subscale has respondents answer six questions specific to experiences in their communities: witnessing violence, experiencing discrimination, food insecurity, experiencing racism, living in an unsafe neighborhood, being bullied, or living in foster care.<ref>http://sparqtools.org/mobility-measure/philadelphia-adverse-childhood-experiences-phl-ace/
-</ref></div> </div> </div> <div class="mw-parser-output">&nbsp;</div> </div> </div> </div> </div> </div></div></div>
+</ref>   &nbsp;
 == What Is a&nbsp;Trauma&nbsp;Informed&nbsp;Community? ==
 The Wilson Foundation of Rochester, NY describes the concept of trauma informed community as “...a strategic approach linking all community sectors together around the effects of trauma, while preventing gaps in services for clients. It is coordinated and collaborative; recognizes that the diversity of the population requires individual responses; uses a common language, measurements and accountability.”<ref>[7]</ref> If a community works to identify the specific drivers of trauma in its own backyard, it can also identify the factors that influence substance use disorder, allowing them to create the appropriate community supports for behavioral health care plus healing and recovery.<ref>http://wilsonfdn.org/wp/wp-content/uploads/2015/03/TIC-position-paper.pdf
 </ref> &nbsp;
-</div>
 == Trauma-Informed Systems ==
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 '''Trauma Informed Schools Resource Guide, Wilson Foundation'''&nbsp;&nbsp;[http://wilsonfdn.org/wp/wp-content/uploads/2015/03/Trauma-Informed-Schools-Resource-Guide.pdf http://wilsonfdn.org/wp/wp-content/uploads/2015/03/Trauma-Informed-Schools-Resource-Guide.pdf]
-</div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
 [[Category:SAFE-Public Awareness]] [[Category:SAFE-Full Spectrum Prevention]]