Strategy Document ACE-aware and trauma- informed city 2019–25 2. Support the workforce to Objectives implement trauma informed 1. All practitioners working approaches into daily practice in Manchester to be trauma- Unify the tools, interventions and processes informed and able to apply that support the use of the ACE lens, and make them accessible to practitioners across an ACE lens to ensure their Manchester. This could involve investment in practice is informed by trauma a secondary training model and/or Trauma We will deliver four training packages mapped Informed Educator specialist role(s) that will against the four levels of practice outlined in enable practitioners who need additional Transforming Psychological Trauma – a support to apply the learning to practice, knowledge and skills framework for the together with developing sector and case- Scottish workforce. The levels are: specific solutions in their service.

• Trauma-informed – a requirement for 3. Implement an approved all staff. model of trauma-informed • Trauma-skilled – a requirement for staff supervision to support the who have direct and/or substantial contact with individuals (children and adults) who health and wellbeing of the may be affected by traumatic events, workforce working with whether or not trauma is known about. people of all ages • Trauma-enhanced – a requirement for Work with our partners to co-design and test staff who have more regular and intense a sustainable supervision model to support the contact with individuals (children and health and wellbeing of the workforce, with a adults) known to be affected by traumatic particular focus on vicarious trauma. This will events, and who provide specific supports be something that can be implemented by any or interventions. trauma-informed practitioner and involve • Trauma-specialist – a requirement for conversation tools, peer support group staff who play a specialist role in directly networks and referral pathways. providing evidence-based psychological interventions, therapies or consultation for individuals affected by traumatic events; and/or in leading in the development of trauma-specific services. 4. Maintain and grow a robust 5. Retain the focus on producing network of connections to intelligence and evidence- ensure that Manchester uses based practice, and assess the emerging research and practice impact of activity to be at the cutting edge of Continue to monitor and share local data and trauma-informed approaches case studies to demonstrate impact. We will generate an evidence base that will allow for Continue to be part of the Manchester informed decision-making on strategy and i-Thrive, (GM) i-Thrive actions as we expand our activity across the and i-Network communities to influence city. It will also allow for the work to be activity across Greater Manchester. Through innovative and evolve based on emerging links with the Wave Trust, Manchester to be need. This will move into two spaces: high- part of a European network of trauma- level performance analysis, and more in- informed cities. depth bespoke research pieces.

6. Explore and invest in pathways to specialist referral Ensure specialist mental health service provision and other relevant support is available for residents who need additional specialist support following ACE and trauma- informed conversations. This will include mapping existing provision and pathways, together with identification of where the gaps are and discussion with partners about funding options. Services) and Manchester Local Care Context Organisation. This has been committed until April 2020 initially, with further funding A 12-month place-based pilot was to be secured depending on continued delivered in , north positive evaluation. Manchester to test whether development of an ACE-aware, It is proposed that activity in year 1 focuses on the following neighbourhoods: trauma-informed workforce allows for engagement with service users/ • Higher , Harpurhey and people with lived ACEs on a deeper Charlestown level. This led to more effective • Cheetham and interventions and better outcomes • (Brooklands and for the individual, family and ) community. • Wythenshawe (, and ). As a result of the project being received positively and starting to evidence impact, This is not to preclude other areas of the city. this approach and way of working is being Where resources allow, activity will take place extended to other areas of the city. An agreed in other areas to build momentum for future partnership funding model is in place, with work. Our long-term plan is to work with all contributions from Manchester Health and the above neighbourhoods in Manchester over Care Commissioning (Population Health and the coming years, funding permitting. Mental Health Commissioning), (Adult Social Care and Children’s

For further information

Gareth Nixon, Project Manager [email protected]

Daniel Unsworth, Senior Researcher [email protected]

97237.02 Manchester City Council 2019