implementing trauma-informed care - mhttc) network...jul 10, 2019 ·...
TRANSCRIPT
Implementing Trauma-Informed Care
Katie VolkJuly 10, 2019
Housekeeping Information
• Mute speakers if you are calling in to avoid echo on your end
• This webinar is being recorded, and the recording will be available on MHTTC on Friday, July 12th
• If you have questions during the webinar, please use the “Chat and Questions” box
• If you have questions after the webinar, please e-mail: [email protected]
Learning Objectives
• Describe the implementation process
• Discuss how to apply the process to various types of agencies.
Implementation
ImplementationRoadmap
Buy-in.Awareness.Knowledgebuilding.
Assessment&
StrategicPlanning
CapacityBuilding
EvaluateSustainability
Buy-in.Awareness.Knowledgebuilding.
Allstaff.Alllevels.Alldepartments.
“A trauma survivor who seeks services may interact with a dozen individuals
before actually sitting down with a clinician trained to provide trauma
services. A woman will have to make an appointment and speak with a
receptionist. A man will enter the agency and walk past a security guard or a
maintenance worker. A family may stop for a snack at the hospital cafeteria.
Once they are in the agency they may encounter office workers, intake
personnel, trainees, and anonymous clinicians. Any of these individuals has
the opportunity to make a consumer’s visit to the service agency inviting or
terrifying”
(Harris & Fallot, 2001, p. 7)
What challenges might arise when trying to
generate buy-in within your agency/program?
Assessment&
StrategicPlanning
Conductanassessment.Identifyindicatorsofsuccess.
Formaworkgroup.Setpriorities.
TICOMETER(ti-COM-mitter):apsychometrically-validatedinstrumentthatmeasuresthedegreetowhichan
organizationisprovidingtrauma-informedcareacrossfivedomains.
TM
35items
Scoresatdomainlevelandoverall
15-minuteadministration
Psychometricallyvalidated
Theratingshavebeendeterminedbasedonasampleof424respondentsrepresenting68humanservicesagenciesfromacrosstheUnitedStates,includingbehavioralhealth,housingandhomelessness,childwelfare,domesticviolence,andcommunityhealthandhospitals.
Allstaff,alllevelscancompletetheTICOMETER
Greaterdiversityofstaffwhocompleteit,themoreaccuratetheresults
1. Buildtrauma-informedknowledgeandskills
2. Respectserviceusers
3. Promotetrauma-informedpoliciesandprocedures
4. Establishtrustingrelationships
5. Fostertrauma-informedservices
FIVE DOMAINS
Assessment&
StrategicPlanning
Conductanassessment.Identifyindicatorsofsuccess.
Formaworkgroup.Setpriorities.
What indicators might be helpful to track when implementing trauma-
informed practices?
ImplementationRoadmap
Buy-in.Awareness.Knowledgebuilding.
Assessment&
StrategicPlanning
CapacityBuilding
EvaluateSustainability
CapacityBuilding
SkillbuildingCoaching/consultation
LearningCircles/Communitiesof
Practice
Systemschange– policies,procedures,service
offerings,etc.
ImplementationRoadmap
Evaluate
FormalassessmentParticipantfeedbackStafffeedbackIndicators
ImplementationRoadmap
Buy-in.Awareness.Knowledgebuilding.
Assessment&
StrategicPlanning
CapacityBuilding
EvaluateSustainability
ImplementationRoadmap
Sustainability
Buildinternalcapacityfortraining/coachingHirestaffaccordingtoTICprinciplesGrantwriting
• Mid-size community health center (~60 staff)
• Reliable access to diverse funding
• Broad target population
• Wholistic service model already in place
Case Study #1
Strategies
Train all staff together.
Form a work group.
Write “trauma training” into every grant application.
Involve community partners.
• Large multi-service organization (~700 staff)
• Many programs/services, open 24/7
• Specific target population
Case Study #2
Strategies
Train supervisors, then program by program.
Work group: program directors.
Ongoing training for overnight staff (quarterly).
Long term: hired a training director with TIC knowledge.
Join our TIC Learning Collaborative!
Contact
Great Lakes MHTTC
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New England MHTTC
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Katie Volk