ACEs & Trauma-Informed Systems: Building Practices & Policies to Avoid Re-traumatization – Feb. 18, 2016

Hands cupping hands

Update: Chat archive now available!
And see the article based on this chat published in The New Social Worker:  Preventing Retraumatization: A Macro Social Work Approach to Trauma-Informed Practices and Policies by Karen Zgoda, Pat Shelly, Shelley Hitzel

Smyth, N.J. (2015). Trauma-Informed Social Work: What is it, and Why Should We Care? [PowerPoint slides]. Retrieved from http://www.slideshare.net/njsmyth/toronto-tic-june-2015-handout
Image: Smyth, N.J. (2015). Trauma-Informed Social Work: What is it, and Why Should We Care? [PowerPoint slides]. 
All social workers and other professionals who work with people who have experienced trauma are at risk of being personally impacted by that trauma. Secondary traumatic stress (STS), vicarious trauma (VT) and re-traumatization are common among helping professionals. When we hear the term trauma-informed care we typically think about how to avoid re-traumatizing our clients.

But what about considering a trauma-informed approach to the systems in which we work?

On February 18, 2016, the #MacroSW chat will discuss systems-level change to avoid re-traumatizing not only our clients but ourselves as social workers, as staff and as nonprofit entities. Through our understanding of Adverse Childhood Experiences (ACEs), we know that adult health can be negatively impacted by traumatic experiences in the early years. ACEs also affect our thoughts, behaviors, actions and reactions as individuals, as employees and as leaders. Can we start to address ACEs with system-wide policies and practices that may minimize that impact in later years? A trauma-informed workplace can help not only our clients but our staff in minimizing re-traumatization.

Pat Shelly of the University at Buffalo School of Social Work @UBSSW will host with guest Shelley Hitzel @UBittic.

Shelley Hitzel, Univ. at Buffalo Institute for Trauma and Trauma-Informed Care Intern
Shelley Hitzel, Univ. at Buffalo Institute for Trauma and Trauma-Informed Care Intern

Since 2010, Shelley has worked at the Child Advocacy Center of Niagara in Niagara Falls, NY, as a member of a multidisciplinary team providing direct services to both child and adult survivors of trauma.  Shelley completed UB’s Trauma Counseling Certificate Program in 2012. Currently, she is an Advanced Standing MSW student and an intern at the UB Institute on Trauma and Trauma-Informed Care. She has participated in aome of our past chats, representing ITTIC.

Questions for discussion:

 

  1. What is Secondary Traumatic Stress (STS)?   What is Vicarious Trauma?
  2. What is re-traumatization?
  3. How can systems be considered to be traumatized or traumatizing?
  4. How can we build systems to prevent re-traumatization across all levels?
  5. Policy – What is TIC policy?

 

For information about how to participate in the #MacroSW chat, view our FAQs.

Resources:

About Trauma and Trauma-Informed Care:
http://socialwork.buffalo.edu/social-research/institutes-centers/institute-on-trauma-and-trauma-informed-care/about-us/trauma-and-trauma-informed-care.html

SAMHSA: Concept of Trauma and Guidance for a Trauma-Informed Approach
http://store.samhsa.gov/shin/content/SMA14-4884/SMA14-4884.pdf

Bringing Team Care Strategies and Resilience to Your Agency Staff
(permission to share this PowerPoint presentation was granted by the authors )
http://victimsofcrime.org/docs/nat-conf-2013/final-bringing-team-care-strategies-and-resilience-2013-(1).pdf?sfvrsn=2

Sandra Bloom: Trauma Organized Systems and Parallel Process
http://www.sanctuaryweb.com/Portals/0/Bloom%20Pubs/2011%20Bloom%20Trauma-organized%20systems%20and%20parallel%20process.pdf

Community Connections: Creating Cultures of Trauma Informed Care http://www.healthcare.uiowa.edu/icmh/documents/CCTICSelf-AssessmentandPlanningProtocol0709.pdf

 

 

 

Trauma-Informed Care: #MacroSW Twitter Chat 9-10-15

Note: A summary of the chat can be found here
https://storify.com/UBSSW/trauma-informed-care-macrosw-twitter-chat-9-10-15

All the new resources mentioned in the chat summary can be found below the list of suggested readings at the end of this post.
*   *   *   *   *   *   *   *   *   *   *   *   *   *   *   *

During this September 10th MacroSW Twitter Chat (9pm ET, 6pm PT), we will be focusing on Trauma-Informed Care (TIC) and Social Work.

Knowledge of trauma and its impact, assessment and treatment are essential to the future of social work practice, and social work education.

September 10 is the eve of the 14th anniversary of 9-11, which resulted in trauma to a nation, a city, communities, families and individuals; 9-11  (see #NeverForget_911) joined #OklahomaCityBombing as synonyms for “acts of mass murder by terrorists.”

This is also #SuicidePrevention Week. Trauma is obviously part of what both suicide attempt-survivors and suicide loss-survivors experience.

It’s been 10 years since #HurricaneKatrina devastated New Orleans.

Current traumas in the news include the #refugee crisis in Europe, and the ongoing issues of racist violence in the U.S. as seen in #BlackLivesMatter #SayHerName #Ferguson #Charleston

Please join us, with our guest experts from the Institute on Trauma and Trauma-Informed Care, @UBSSW professors Sue Green @UBittic and Tom Nochajski @ubthn.

Logo - round, with red band outise with name, Institute on Trauma and Trauma-Informed Care, around center image of a stylized phoenix and acronym ITTIC
Institute on Trauma and Trauma-Informed Care

We’ll want to hear about your experiences with trauma-informed care and thoughts on how this enriches our profession.

Check back on September 11th, when a summary and resource list will be posted. (see below in Suggested Readings

Discussion Questions:

  1. What is trauma informed care?
  2. How does trauma-informed care (TIC) fit into macro level SW?
  3. Have you had experiences with TIC?
  4. What is already happening at the macro level?
  5. Is there special training needed to become trauma-informed?
The links and resources that were mentioned in the chat can be found below this reading list

Suggested Reading: (an incomplete list – we welcome your comments and additions)

Bloom, S.L., Farragher, B., Restoring Sanctuary: A New Operating System for Trauma-Informed Organizations, (2013) New York: Oxford University Press

British Colombia Provincial Mental Health and Substance Use Planning Council. (2013, May). Trauma-Informed Practice Guide.

Carello, J. and Butler, L. (2014). Potentially Perilous Pedagogies: Teaching Trauma is not the Same as Trauma-Informed Teaching. In J. Trauma & Dissociation.  Retrieved from:   http://www.academia.edu/9331463/Potentially_Perilous_Pedagogies_Teaching_Trauma_Is_Not_the_Same_as_Trauma-Informed_Teaching

Fallot, R.D. and Harris, M. (2009) Creating Cultures of Trauma-Informed Care: A Self-Assessment and Planning Protocol
https://www.healthcare.uiowa.edu/icmh/documents/CCTICSelf-AssessmentandPlanningProtocol0709.pdf

Finkel, Ed. (2015). Problem-solving courts dig deep to acknowledge, and, sometimes, address trauma. ACEs Connection Network (April 16). http://www.acesconnection.com/blog/problem-solving-courts-dig-deep-to-acknowledge-and-sometimes-address-trauma

Harris, M. and Fallot, R.D., Eds. (2001). Using trauma theory to design service systems. San Francisco: Jossey-Bass.

Kawam, E. (2015, Sept. 1). Trauma Informed Care and Social Work Education: A Case Study. Retrieved from:
http://www.socialjusticesolutions.org/2015/09/01/trauma-informed-care-ethics-social-work-education/

Kusmaul, N., Wilson, B., & Nochajski, T. (2015) The Infusion of Trauma-Informed Care in Organizations: The Experience of Agency Staff. Human Services Organizations Management, Leadership & Governance, Volume 39, Issue 1, January 2015, pages 25-37.
http://www.tandfonline.com/doi/abs/10.1080/23303131.2014.968749#.VfG6LX2iNdw

Richardson, S.A. (2014) Awareness of Trauma-Informed Care. Social Work Today, July 2014
http://www.socialworktoday.com/archive/exc_012014.shtml

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach (2014, July). Retrieved from:
http://www.traumainformedcareproject.org/resources/SAMHSA%20TIC.pdf

SAMSHA. (2010). Creating a Trauma-Informed Criminal Justice System for Women: Why and How. Retrieved from:
http://www.traumainformedcareproject.org/resources/TIC%20criminal%20justice%20for%20women%20%282%29.pdf

SAMSHA. (2014, March). TIP 57: Trauma-Informed Care in Behavioral Health Services. Retrieved from:
http://www2.jbsinternational.com/kap/TIP-57.htm

Singer, J. B. (Producer). (2013, April 29). An Overview of Trauma-Informed Care: Interview with Nancy J. Smyth, Ph.D. [Episode 80]. Social Work Podcast [Audio Podcast]. Retrieved from http://www.socialworkpodcast.com/2013/04/an-overview-of-trauma-informed-care.html

University at Buffalo Institute on Trauma and Trauma-Informed Care (ITTIC) Resources on #Trauma, #TraumaInformed Care:
Trauma Talks at UB ITTIC
http://socialwork.buffalo.edu/social-research/institutes-centers/institute-on-trauma-and-trauma-informed-care/trauma-talks.html

ITTIC’s expert Advisory Panel
http://socialwork.buffalo.edu/social-research/institutes-centers/institute-on-trauma-and-trauma-informed-care/about-us/expert-advisory-panel.html
You Tube Video’s podcasts at ITTIC
https://www.youtube.com/user/UBITTIC
Resource Center:
http://socialwork.buffalo.edu/resources/resource-center/resources.html?cat=1

Resources / Links that were recommended by Trauma-Informed Care #MacroSW chat participants:

Infographic on trauma and trauma-informed care:
http://socialwork.buffalo.edu/content/dam/socialwork/social-research/ITTIC/trauma-informed-care-infographic.pdf

Trauma-Informed Care: Top 10 Tips for Caregivers and Case Managers. By David Ott, Christina Suarez, LCSW and Kimberly Brien,  for Devereux Florida:
https://ncwwi.org/files/Evidence_Based_and_Trauma-Informed_Practice/Trauma_Informed_Care_-_top_10_tips.pdf

Top 10 Recommended Trauma-Informed Care Online Resources
http://www.crisisprevention.com/Blog/April-2012/Top-10-Recommended-Trauma-Informed-Care-Online-Res

National Center for Trauma-Informed Care at U.S. Substance Abuse and Mental Health Services Administration: http://www.samhsa.gov/nctic

The National Center for Trauma-Informed Care (NCTIC), National Association of State Mental Health Program Directors:
http://www.nasmhpd.org/content/national-center-trauma-informed-care-nctic-0

Trauma-Informed Care. National Council for Behavioral Health State Association of Addiction Services

Trauma Informed Care

Trauma-Informed and Trauma-Specific Services. Oregon.gov Addictions and Mental Health Services: (resources in and beyond Oregon) 
http://www.oregon.gov/OHA/amh/pages/trauma.aspx

Tarpon Springs, FL, first trauma-informed city, embraces messy path toward peace. http://acestoohigh.com/2014/09/17/tarponsprings/

NASW Maryland Chapter’s 2015 Annual Macro Conference, Sept. 25:
http://www.nasw-md.org/?page=MacroSocialWorkCo

Webinar- Building a Trauma-Informed Nation
Sept. 29 & 30, 2015
Free! Register at https://www.blsmeetings.net/traumainformednation/
Sponsor: The Federal Partners Committee on Women and Trauma

About us:

#MacroSW is a collaboration of social workers, organizations, social work schools, and individuals working to promote macro social work practice. Macro social work practice focuses on changing larger systems, such as communities and organizations. It encompasses a broad spectrum of actions and ideas, ranging from community organizing and education to legislative advocacy and policy analysis. The chats are held bimonthly on Twitter on the second and fourth Thursday of each month at 9 p.m. EST (6 p.m. PST). For more information, chat schedule, and chat archives check out: https://macrosw.wordpress.com Our collaborators include:

  • Association for Community Organizing and Social Administration (ACOSA), @acosaorg
  • Karen Zgoda, MSW, LCSW, Instructor of Social Work at Bridgewater State University, @karenzgoda
  • Rachel West, The Political Social Worker, @poliSW
  • University at Buffalo School of Social Work, @ubssw
  • Sunya Folayan, MSW, ACSW, founder/executive director, The Empowerment Project, Inc., @SunyaFolayan
  • Laurel Hitchcock, PhD, Assistant Professor of Social Work, University of Alabama at Birmingham,@Laurelhitchcock
  • Kristin Battista-Frazee, MSW, Author and Marketing Consultant, @porndaughter

We wish to acknowledge the contribution of our founding members, the University of Southern California School of Social Work and Network for Social Work Management (NSWM), who were participants during our first year of chats.