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InformedCare,SantaCruz,Californiawww.trauma- ‐informed- ‐california.org4agreementsMiguelRuiz stance,simplydoyourbest,andyouwillavoidself- ‐judgment,self- ‐abuse,andregret.1

10/31/16NaQonalHistoricQmelineAbriefQmelineofTIC SelectHistoryofTraumaInformedCare Historicalthreadsinmanyfieldsandmovements TraumaandRecovery–byJHerman1992 DecadeoftheBrain–1990s AdverseChildhoodExperiencesStudy1990s- ‐2000s WomenwithCo- - ‐2004 NaQonalChildTraumaQcStressNetwork–NCTSN2000 Fallot–2001 ma–NCTSN2005 FederalPartnersonWomenandTrauma–2010 t,SanDiego)–2013 ACEConnecQonandmanylocalefforts- ‐ongoingUtahQmeline s2011–feat.SCovington UtahFosterCareSymposiumwithDr.BrucePerry,2012 DepartmentofHumanServicesahendedatwo- medcare,2013 SeekingSafetytrainingoffered2013,2014,2016 TraumaInformedCareNetwork(SLC)2014 edCommunity,October15,20142

10/31/16SAMHSA ingandphysical,social,emoQonal,orspiritualwell- ‐being. ical,social,emoQonal,orspiritualwell- Checklist–TSC- dcalifornia@gmail.comSubjectline:UBI3

onals(2013) ACEStudyfindingsn son5%NoACEsreported33% rilybyahendeesoftrainingsprovidedbyCCE- TraumaInformedCare4

afeandaccepQng“Iambad”Helpsux5

10/31/16CompareGriefandTraumaGrief GeneralizedreacQonisSADNESS GriefreacQonstandalone fessional Ingrief,mostcangenerallytalkaboutwhathappened Ingrief,painistheacknowledgementoftheloss Ingrief,angerisgenerallynon- ‐destrucQveandnon- ‐assaulQve Ingrief,childsays“IwishIwould/wouldnothave ” lfimage Ingrief,dreamstendtobeofthedeceased .Trauma nbecomesassaulQveevenasernon- Goal Safety(physandemo) TrustworthinessandTransparency PeerSupport CollaboraQonandMutuality Empowerment,VoiceandChoice l Buildsafecopingskills Becomemoretransparent,becomeknowntosomeone IdenQfyandbuildsafeconnecQons esamething sly ant,20156

10/31/16SAMHSA:Trauma&JusQceStrategicIniQaQve himpactofviolenceandtrauma– ByintegraQngtrauma- ralhealthcaresystems– fromcriminalandjuvenilejusQcesystemsintotrauma- isorders,substanceusedisorders,co- dcommuniQes.– SAMHSALeadLarkeHuang,October19,2010 hproblem a- ‐Informeddisorder ingPreparedbytraumarequiresamulQ- ‐pronged,TraumaandJusQcemulQ- revenQonandearlyintervenQon,andeffecQve,trauma- ‐specificassessmentandtreatment.”SAMHSA7

10/31/16UniversalprecauQons e) softraumaQceventsoverlifeQme.(Lu,etal.,2013) STIsandinjecQondruguse.(Wilson,2009) Qons Weask,theydoNOThavetotell. IfthereisnospecificinformaEon,thinktraumafirst! mpassionandopEmism– gtriggered,strugglingtoknowwhattosay. AskhowthissEllaffectsclienttoday- ‐redirecttothepresent. nwouldlikeyoutodo. KnowmandatedreporEnglawsandspeaktosupervisora eranydisclosure. Avoidunilateraldecision- ‐making,ifpossible.8

10/31/16 onasawhole. Qentsordiseases. otonlytheeradicaQonofaparQculardisease.- ‐WorldHealthOrganizaQonTIP57! Realizes the widespread impact of trauma and understandspotential paths for recovery! Recognizes the signs and symptoms of trauma in clients,families, staff, and others involved with the system! Responds by fully integrating knowledge about trauma intopolicies, procedures, and practices! Seeks to actively resist re-traumatization9

10/31/16Trauma- ‐informed" auma- ‐specific.Thankyou! GabriellaGrant,Director gabbygrant@me.com CACenterofExcellenceforTraumaInformedCare www.trauma- ‐informed- ‐california.org 916- ‐267- ‐436710

10/31/16 1 Utah&TraumaAcademy&& Day&One:&Overview& GabriellaGrant,&Director& CaliforniaCenter&of&Excellence&for&&am