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 Emotional Abuse Four or Incarcerated… More 12% Caregiver Treated… Three Zero Emotional Neglect 9% 37% Mental Illness Sexual Abuse Two 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 Choice Sensitivity Safety Empowermen t Collaboration Modified from SAMHSA Seanna Crosbie, LCSW SCrosbie@austinchildguidance.org
Six Domains Screen Train EBT Secondary Policy Trauma Seanna Crosbie, LCSW SCrosbie@austinchildguidance.org
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 Catholic Charities of Central Texas People's Community Clinic Allies Against Slavery Cenpatico Pflugerville ISD Any Baby Can 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 Texas Samaritan Center for Counseling and Austin Child Guidance Center Community Advancement Network Pastoral Services Austin Children's Shelter (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 CARE Program Texas Network of Youth Services Austin Police Department Victim Department of Family and Texas NeuroRehab Center Services Unit Protective Services Texas System of Care Consortium - Texas Austin Shelter for Women and Children 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 Helping Hand Home for Children & Veterans Services Bell/Lampasas County CSCD Kids in a New Groove Travis County Juvenile Probation Big Brothers Big Sisters of Central Texas 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 • Cultural inclusivity collection • Trauma & suicide • Safety & screening of clients environment • 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 SCrosbie@austin osbie@austinchildguidance hildguidance.or .org
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