2 bottom up bottom up top down top down change strategy : parallel processes trauma informed care at...
TRANSCRIPT
![Page 1: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/1.jpg)
![Page 2: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/2.jpg)
2
BottomUp
TopDown
Change Strategy : Parallel Processes
Trauma Informed Care at The Buckeye Ranch
![Page 3: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/3.jpg)
Top Down
3
TopDown
– Because we needed a Leader– Because the leader needs some
authority across the agency– Organizational Priority • Executive Buy-in• Board Buy-in• Strategic plan
![Page 4: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/4.jpg)
Bottom Up
4
BottomUp
– Because we need buy-in from Direct Care staff • Change requires champions
– TIC Committee• Working Sub-Committees
– Staff Support – Staff Development– Interventions– Assessment/Data Collection– Communication
![Page 5: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/5.jpg)
5
![Page 6: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/6.jpg)
6
Useful Framework
![Page 8: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/8.jpg)
Direct the Rider
8
• What looks like resistance is usually a lack of clarity (Clarity dissolves resistance)
• Give clear directions, point to the destination
• Give knowledge of HOW to get to the destination
![Page 9: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/9.jpg)
Direct the Rider
9
• Have an over-riding model for Trauma Informed Care– Useful for organizing training and staff development– Needed for shared language across agency– The Buckeye Ranch Model
• Child Trauma Academy (Bruce Perry)• Neurosequential Model of Therapeutics certification• Videos required for all staff
![Page 10: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/10.jpg)
Direct the Rider
10
• Find the Bright Spots– See who is doing it well and duplicate
• Communications Sub-Committee
![Page 11: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/11.jpg)
Motivate the Elephant
11
• What looks like laziness is often exhaustion• Knowledge does not change behavior• Motivation comes from confidence– The elephant has to believe he can do it
![Page 12: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/12.jpg)
Motivate the Elephant
• Shrink the change– Interventions Sub-Committee– Staff Development Committee
• Get to the feelings • TBR Staff Support Committee– Focus Groups– Professional Quality of Life Scale (ProQuol)
12
![Page 13: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/13.jpg)
Shape the Path
• What looks like a people problem is often a situation problem
• Make it easy to embrace the change• When the situation changes, the
behavior changes• Requires the listening to the
13
TopBottom
![Page 14: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/14.jpg)
Shape the Path
14
![Page 15: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/15.jpg)
Shape the Path
• Consultation with a similar organization that is further along on the journey– Offered some helpful, practical strategies– Helped avoid making the same mistakes
• TBR Staff Support Subcommittee • Aka
15
![Page 16: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/16.jpg)
16
BottomUp
TopDown
MiddleMgmt
Next Steps…
![Page 17: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/17.jpg)
Next Steps…
• Supervisors as Real Change Agents • “While staff at the bottom of the company
may act as a catalyst of change, middle management must act as change agent, through making sense of reactionary groundswells and managing the expectations of their seniors.”
17
![Page 20: 2 Bottom Up Bottom Up Top Down Top Down Change Strategy : Parallel Processes Trauma Informed Care at The Buckeye Ranch](https://reader036.vdocuments.net/reader036/viewer/2022062421/56649cf05503460f949bfa48/html5/thumbnails/20.jpg)