5/29/2015 w w w. T he N ati onal Co un ci l .org Mental Health & - PDF document

5/29/2015 w w w. T he N ati onal Co un ci l .org Mental Health & Recovery Services of Stark County Trauma ‐ Informed Care Learning Community 2014 ‐ 2015 Mid ‐ Year Meeting June 2, 2015 Cheryl Sharp Karen Johnson 1 Agenda  Welcome and Introductions  Implementing TIC ‐ Large Group Discussion  Team Progress Report Outs  Implementing TIC – Small Group Discussion  Domains Review and Small Group Discussion  Building Community Resilience  Next Steps and Evaluations 2 Large Group Discussion Implementing TIC: Accomplishments & Challenges  Gaining commitment from leadership  Developing Core Implementation Team (CIT)  Building consensus  Creating a shared vision  Communicating for buy ‐ in  Assessing your organization  Developing a plan  Creating a monitoring system  Taking action 3 1

5/29/2015 Team Progress Report Out  Core Implementation Team Are you missing any important roles on your CIT? How often does your team meet? Have you empowered workgroups or sub ‐ committees to achieve goals?  Organizational Self ‐ Assessment How did you use the OSA within your organization? What did you find? What barriers or challenges did you find in doing the assessment? Did you use the Implementation Planning Guide to document your goals?  Performance Monitoring ‐ Seven Domains of Trauma ‐ Informed Care What domains did your team decide to focus on? What challenges and successes have you experienced? What is your system for collecting and monitoring data?  What are your next steps?  What supports might you need from your fellow learning community teams?  What supports might you need from the National Council Faculty? 4 Trauma ‐ Informed Care Implementation 5 Small Group Discussions Implementing TIC: Discussion Points  Gaining commitment from leadership – Are you getting the support you need to move forward?  Developing Core Implementation Team (CIT) – are you missing vital members such as peers/consumers?  Gaining consensus – is your team cohesive and speaking with one voice about TIC?  Creating a shared vision – have you created a vision statement and shared this with others? 2

5/29/2015 Small Group Discussions Implementing TIC: Discussion Points  Communicating for buy ‐ in – which stakeholders do you still need to reach? How will you do this?  Assessing your organization – who still needs to complete this?  Developing a plan – Were you able to use OSA data to develop a plan? Have you used the Implementation Planning Guide to document your plan?  Creating a monitoring system ‐ Do have a system in place to collect, review and use data Small Group Discussions Implementing TIC: Discussion Points  Taking Action and Sustaining Progress • Have you established regular and consistent meeting times of the core implementation team? • Are you continually monitoring and using data? • Are you reporting on the project in regularly occurring organizational meetings (executive meetings, QA reports)? • Are you making gains public; keeping information flowing? Review and Discussion of the 7 Domains of Trauma ‐ Informed Care 9 3

5/29/2015 Review of the Seven Domains of Trauma ‐ Informed Care Domain 1 Early Screening & Assessment of Trauma Domain 2 Consumer Driven Care & Services Domain 3 Trauma ‐ Informed, Educated & Responsive Workforce Domain 4 Trauma ‐ Informed, Evidence ‐ Based Best Practices Domain 5 Safe and Secure Environment Domain 6 Community Outreach and Partnership Building Domain 7 Ongoing Performance Improvement 10 Small Group Discussions Break up into groups. Send team members to at least two tables to discuss: A domain in which you are doing well A domain which is a challenge for you Spend 10 minutes brainstorming possible goals for each domain and report out. Return to original team and spend 10 minutes discussing what was learned and documenting next steps related to their identified domains. Report out 11 Questions for Domain Groups Domain 1 – Screening and Assessment • Are you screening for trauma? • Are you using a separate tool or does your intake form have questions embedded in it? • Have staff/consumers had input? • Have staff been trained to use tool? • Have staff been trained to use TI approach? • Is supervision used to check in about staff trauma and responses by consumers/staff to use of the tool? 12 4

5/29/2015 Questions for Domain Groups Domain 2: Consumer Driven Care and Services Are consumers on your CIT and involved in the work? • • Do you have a Consumer Advisory Committee? • Do you employ consumers? • Are consumers involved in staff hiring activities? Are consumers involved in development and delivery of • staff training? Do you use ongoing mechanisms to gain input from • consumers to make improvements? • Are consumers empowered to develop their own plans and invite support persons to these meetings? Questions for Domain Groups Domain 3: Workforce Development Have you gotten buy ‐ in from everyone in your org? • • Have you educated and engaged staff in conversations about trauma prevalence, impact and role each person plays in promoting a TI environment.? • Have you done training on compassion fatigue and engaged staff in how to assist them to take care? • Have you looked at P & P related to staff hiring and performance? • Are you talking about how to see everything thru a TI lens? Questions for Domain Groups Domain 4: Emerging and Evidence Based Practices • Have you examined various EBP options and engaged staff in decisions regarding these? • Have staff been engaged in conversations about what it means to be TI? • Is supervision used to promote TIC? • Is TIC education and training done on an ongoing basis? 5

5/29/2015 Questions for Domain Groups Domain 5: Safe and Secure Environment • Do you have a mechanism in place to learn from clients and staff how the environment feels to them and what they recommend? • Do you have a team in place that regularly scans the environment in order to improve it? • Do staff fully appreciate the importance of seeing all through TI lens and ensuring that all interactions are provided in a sensitive and respectful manner? • Have you examined P & P related to incidents to ensure utilization of a TI response? Questions for Domain Groups Domain 6: Community Partnerships • Are you including TIC on the agenda when meeting with external partners? • Are you inviting partners to training events on TIC? • Are you ensuring that clients are asked about support network and who they would like included in planning meetings? • Are you talking to clients about inviting other people from their care network to planning meetings? • Are you interested in forming a coalition of partners to work together to promote awareness of trauma and build TI/resilient community? Questions for Domain Groups Domain 7: Performance Improvement • Do you have a system in place to collect, analyze and use data to measure and drive progress? • Are you using the PMT or another instrument? • Are you using surveys and/or focus groups to elicit feedback from staff and clients? • Are you examining and making changes to P & P? • Are you making changes to documentation practices? 6

5/29/2015 Building Community Resilience Building Community Resilience w w w. T he N ati onal Co un ci l .org Community resilience is the sustained ability of a community to withstand and recover from adversity Rand Resilience offsets the negative outcomes of adverse experiences 20 Key Factors w w w. T he N ati onal Co un ci l .org Community resilience involves: • Connection and caring • Collective resources • Skill building for individuals, families and communities • Focus on cultural identity • Prevention, preparedness and response to stressful situations or events 21 7

5/29/2015 Key Factors w w w. T he N ati onal Co un ci l .org Community, Culture, Spirituality: • Faith, hope, sense of meaning • Engagement with effective organizations (schools, faith based, behavioral health) • Network of supports/services and opportunities to help others • Cultures providing positive standards, expectations, rituals, relationships and supports (Family Policy Council) 22 How To Recognize Resilient Communities w w w. T he N ati onal Co un ci l .org • Engagement at the community level, including a sense of cohesiveness and neighborhood involvement • Partnership among organizations • Sustained local leadership • Effective and culturally relevant education • Transformative conversations 23 8

5/29/2015 Community Resilience Cookbook • Tool out of Health Federation of Philadelphia • Highlights promising examples of how diverse communities are mobilizing to address the impact of ACEs and promote resilience http://www.healthfederation.org/community ‐ resilience ‐ cookbook/> What Are Our Next Steps? 26 Small Group Activity Use flip chart to capture what you want to: • Start doing • Stop doing Do more of • Use Smart Goal sheets to plan next steps for your team 9

5/29/2015 Schedule of 2014 – 2015 Learning Community Activities June • Cohort calls August • Individual team calls September • Final PMT and OSA submission • Summit Meeting – 9/22/15 Webinars every month Contact Information • Cheryl Sharp, MSW, ALWF cheryls@thenationalcouncil.org • Karen Johnson, MSW, LCSW karenj@thenationalcouncil.org 29 10