Trauma-Informed Care Seanna Crosbie, LCSW Director of Program & Trauma-Informed Services Chair, Trauma-Informed Care Consortium of Central Texas Elimination of Health Disparities
Recommendations: • Ensure a strategic focus on communities at greatest risk. • Reduce disparities in access to quality health care. • Increase the capacity of the prevention workforce to identify and address disparities. • Support research to identify effective strategies to eliminate health disparities. • Standardize and collect data to better identify and address disparities.
Surgeongeneral.gov How common are aces?
% of Study Respondents Types of ACEs Reported Reporting # OF ACEs Physical Neglect Four or Emotional Abuse More Incarcerated… 12% Caregiver Treated… Three Zero Emotional Neglect 9% 37% Mental Illness Two Sexual Abuse 16% Parent Separation Physical Abuse One Substance Abuse 26% 0% 10% 20% 30% Courtesy of Hannah Brown, CAN
Source: Center for Disease Control and Prevention
Trauma-Informed Systems of Care
“…Every part of its organization, management, and service delivery system is assessed and potentially modified to include a basic understanding of how trauma affects the life of an individual seeking services. Trauma-informed organizations…are based on an understanding of the vulnerabilities or triggers of trauma survivors …so that these services and programs can be more supportive and avoid re-traumatization. “ -SAMHSA
Six Core Values
Trustworthy
Cultural Sensitivity Choice Safety
Empowerment Collaboration
Modified from SAMHSA Seanna Crosbie, LCSW [email protected] Six Domains
Screen Train EBT
Secondary Policy Trauma
Seanna Crosbie, LCSW [email protected] Trauma-Informed Care Consortium of Central Texas
www.TraumaTexas.com
“Creating a comprehensive trauma-informed community for children and families through education, outreach and trainings”.
Organizational Members
Allies Against Slavery Catholic Charities of Central Texas People's Community Clinic Any Baby Can Cenpatico Pflugerville ISD Center for Child Protection Phoenix House Armstrong Community Music School Child Inc. Refugee Services of Texas Asian Family Support Services of Austin Communities for Recovery SafePlace Austin Achieve Public Schools Communities in Schools of Central Sage Recovery & Wellness Center Austin Child Guidance Center Texas Samaritan Center for Counseling and Austin Children's Shelter Community Advancement Network Pastoral Services (CAN) Southwest Key Programs Austin ISD CommunitySync/Project HOPES Spirit Reins Austin ISD Campus Based Counseling Court Appointed Special Taylor ISD Referral Centers Advocates (CASA) of Travis Co. Texas CASA Austin Oaks Hospital Dell Children's Medical Center - Texas Department of State Health Services Austin Police Department Victim CARE Program Texas Network of Youth Services Services Unit Department of Family and Texas NeuroRehab Center Austin Shelter for Women and Children Protective Services Texas System of Care Consortium - Texas Eanes ISD/Westlake High School Family Voice Network Austin State Hospital Easter Seals Central Texas The Council on Recovery (Austin Recovery) Austin Travis County Integral Care El Buen Samaritano The Settlement Home Behavioral Health Center of Nueces EngenderHealth Travis County Collaborative for Children County Family Service Association Travis County Health and Human Services Bell/Lampasas County CSCD Helping Hand Home for Children & Veterans Services Big Brothers Big Sisters of Central Texas Kids in a New Groove Travis County Juvenile Probation KIPP Austin Collegiate High School United Way for Greater Austin Care Options For Kids LifeWorks Upbring Caring Family Network NAMI Austin UT Child and Family Research Institute Casey Family Programs Out Youth YWCA Greater Austin
Trauma –Informed Organizational Readiness Survey 2015 www.traumatexas.com/publications
Question Categories
• Empowerment & • Trauma training choice • Support for providers • Evaluation & data • Type of therapy used collection • Cultural inclusivity • Safety & • Trauma & suicide environment screening of clients • Evaluation & Data • Trauma-informed collection policy
Results
70 agencies participated • 33% screen ALL clients for trauma • 34% screen ALL clients for suicide • 36% survey clients on safety in physical environment • 60% offer balanced caseloads • 44% track the number of trauma survivors • 46% have an official policy against restraint & seclusion Success Story Seanna Crosbie, LCSW
Director of Program & Trauma-Informed Services, Austin Child Guidance Center Chair, Trauma-Informed Care Consortium of Central Texas Certified TF-CBT Therapist