“Empowering Resilient Oklahomans” · 2019. 2. 12. · Building “Protective Relationships” and removing barriers through Peer Support Groups: •8-12 people experiencing instability

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“Empowering Resilient Oklahomans” updated Feb. 12, 2019

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https://www.opportunityatlas.org/

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https://www.opportunityatlas.org/

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https://www.opportunityatlas.org/

The Pair of ACEs(Adverse Childhood Experiences & Adverse Community Environments)

Source: Academy of Pediatrics

https://www.cdc.gov/violenceprevention/acestudy/index.html

https://www.traumamatterskc.org/what-can-i-do.html .

https://www.cdc.gov/violenceprevention/acestudy/index.htmlhttps://www.traumamatterskc.org/what-can-i-do.html

What is the

root cause of

complex

adversity?

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Toxic Stress:

Prolonged activation of

stress response systems

in the absence of

protective relationships.

Sources:

https://developingchild.harvard.edu/science/key-concepts/toxic-stress/

https://www.cdc.gov/violenceprevention/acestudy/index.html

http://ok25by25.org/our-programs/resilience/

Research shows that it is …

https://developingchild.harvard.edu/science/key-concepts/toxic-stress/https://www.cdc.gov/violenceprevention/acestudy/index.htmlhttp://ok25by25.org/our-programs/resilience/

Where do we Start?

Opportunity to

Coordinate Tiered Supports:Research shows that > 35% poverty in a community is a tipping point where taxes alone cannot keep up with the complex needs of the citizens. A community-wide coordinated effort is necessary to turn the tide.

In Oklahoma we have 763 zip codes, however there are specific zip codes with more than 500 children under the age of 5 experiencing poverty. We need to have a diversified investment:

• 12 zip codes with 50% or more of families living below poverty

• 43 zip codes with 33% to 49% families living below poverty

• 65 zip codes with 15 to 32% families living below poverty

Updated Resource & Data Mapping Tool: https://www.opportunityatlas.org/

*See “Number of Children for Low-income” overlay with “High Incarceration”7

https://www.opportunityatlas.org/

All Hands On Deck: Braiding Resources with Cross-sector Partnerships

Why Are We Ignoring Toxic Stress? -When should we implement the Care Continuum?

-What are *“signs of distress” before Intercept Zero?

*Signs of Distress:- suspensions from daycare or Head Start (referral from early childhood education provider) - unexcused absences or suspensions from school (referral from teacher, counselor, principal)- unexcused absences from work (referral from supervisor at work)- delinquent payments (referral from lending institutions; utility companies, landlord, auto loans)- frequent visits to urgent care clinics/emergency room (referral from health care provider)

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To Collaborate on Strategies with Abundant & Multiplying

Resources….

we must focus our energy on this question:

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Priceless Question:

How can we offer a menu of equity-based & supportive pathways

(treatment/prevention options) for children, youth, families & staff experiencing

toxic stress who are starting to show signs of distress

before their lives fall apart and need *high-cost services?

*High-cost services= foster care, homeless, jail, prison, etc.

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Resource Poster to post on back of Bathroom Stall Doors:

Business

Community

Financial Child Care/

Head Start

Education/

School

Health/Dental Senior

Care

Law

Enforcement

Behavioral

Indicators of

Human

Instability

& Toxic Stress:

18-65 years

Chronic

Unexcused

absences from

work

Delinquent bills

(utility, rent,

auto, etc.)

Accessing

predatory

lenders

0-5 years

Chronic

Unexcused

Absences

& Suspensions

5-18 years

Chronic

Unexcused

Absences

& Suspensions

Frequent visits to

Urgent Care

or

Emergency

Room

Or emergency

dental

65+ years

Isolation

911 calls

Domestic

violence

Illegal activity

Frontline

Staff –

Opportunity

for Trauma-

training &

develop

process for

Referral:

Supervisor;

Human Resource

Coordinator

Landlords

Utility companies

Lending

institutions

Unemployment

offices

Child Care

Teacher

Teachers

Parent Liaisons

Truancy Division

Nurse/Counselor

Nurse

Physicians

Nurse

Geriatrician

First Responders:

Police

Fire

EMSA

Continuum of

Stabilizing &

Supportive

Resources:

Resource &

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

EAP Programs

Counseling

Substance Use

Treatment

Volunteer

Resource &

Referral

Coaching

Federal Credit

Union programs

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource &

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Home-Visiting

Nurse-Family

Partnership

Counseling

Treatment

Volunteer

Resource &

Referral

Coaching

Parenting Skills

Financial Advice

Support Groups

Counseling

Substance Use

Treatment

Volunteer

Resource

Coordinator

Coaching

(Patient

Navigator)

Support Groups

Counseling

Substance Use

Treatment

Parenting Skills

Financial Advice

Volunteer

Resource &

Referral

Coaching

Support Groups

Senior Centers

near Child Care

Centers

Volunteer

Mentor

Opportunities

“Handle With

Care”

Resource

Coordinator

Coaching

Support Groups

Treatment

Counseling, etc.

Last resort:

Prison/Jail

Why Are We Waiting? Windows of Opportunity to Increase “Protective Relationships”- Engagement Opportunities to Connect & Build Trust with Children, Youth, Families & Staff

- Offer “Menu of empoweringresources”: Support Groups, Treatment & Counseling

- Frontline staff encouraged to provide a “warm hand-off” to services by asking consent then calling together on speakerphone

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What are Holistic Strategies that Address

Toxic Stress (Untreated Trauma) &

Increase Positive Support Systems?

“Empowering Resilient Oklahomans”*strategies to integrate Bridges Framework with a Trauma-informed

Equity Lens in policy, communities, organizations, and individuals

https://www.samhsa.gov/nctic/trauma-interventions

https://www.acesconnection.com/

https://www.traumainformedcare.chcs.org/

https://www.nctsn.org/resources/training

https://www.nctsn.org/resources/training/webinarshttps://www.samhsa.gov/nctic/trauma-interventionshttps://www.acesconnection.com/https://www.traumainformedcare.chcs.org/https://www.nctsn.org/resources/training

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“All Hands On Deck” Approach:

Bridges Framework

Process for each organization

to become Trauma-Informed:

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Resource: Trauma-Informed Care Organizational Assessment http://www.traumainformedcareproject.org/downloadFile.php

http://www.traumainformedcareproject.org/downloadFile.php

Getting Ahead OKC, 2018

[email protected] 17

Proposed Shared Goal:

• Provide & improve tiered positive supports to individuals with untreated trauma who lack access and/or awareness to those positive supports systems

Empowering Resilient Oklahomans:

Five Year Framework & Call to Action• Increase Awareness: Community level

- Build awareness & trust with regular urban and rural community conversations & cross-sector

trauma-informed trainings to increase inclusion, engagement and empowerment.

- Increase understanding & implementation of proven strategies to address untreated trauma

- Restore civic capacity by empowering local communities to respectfully engage with individuals living

in their community who are experiencing discrimination, barriers to upward mobility and untreated

trauma by creating a Family/Client Advisory Team (8-12 people/organization)

- Promote peer and family support groups for children, youth, adults & staff

• Awareness to Action: Organizational level- Implement trauma-informed environments, policies, and practices with cross-sector workgroups with feedback from family/client advisory members with lived experience.

- Incorporate Trauma-informed Supervision

- Create framework for a Client Advisory Team (8-12 people/organization)

- Create framework for support groups (for staff, clients and families)

• Action to Access: Individual level- Increase access to empowering family resources via Resource Coordinator (ERN, EAP, etc.)

- Increase trauma-specific evidence-based individual counseling, PEER and FAMILY support groups at

work, in the community, at schools, healthcare settings and prisons.

- Promote S.E.L.F. – C.A.R.E. for leadership, staff, clients and families

with Sleep and slowing down, Exercise, Loving relationships, & Food that is nutritious,

we act with Compassion, Awareness, Respect & Empowerment 18

http://ok25by25.org/our-programs/resilience/http://www.traumainformedcareproject.org/downloadFile.phphttps://www.nctsn.org/sites/default/files/resources/fact-sheet/using_the_secondary_traumatic_stress_core_competencies_in_trauma-informed_supervision.pdfhttp://apps.who.int/iris/bitstream/handle/10665/254813/WHO-MSD-MHP-17.13-eng.pdf;jsessionid=D340E2DA33D35793CC86CA394F36ED74?sequence=1https://www.mathematica-mpr.com/our-publications-and-findings/publications/employer-resource-networks-uniting-businesses-and-public-partners-to-improve-job-retention-and-advancement-for-lowwage-workershttps://www.ok.gov/odmhsas/Additional_Information/Employee_Assistance_Program/index.html

Building “Protective Relationships” and removing barriers

through Peer Support Groups:

• 8-12 people experiencing instability

• 2 Trauma-informed Facilitators (trained peers) who co-create

a Culture of Respect & Understanding

• Free Transportation

• Free Childcare

• Free Family Meal

• Monetary Stipend/Respite Voucher

• Meet weekly for first 16 weeks to stabilize (then monthly)

• “Warm hand-off” to individualized trauma-specific services

for staff, children, youth and families

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Resources: https://www.nasmhpd.org/sites/default/files/PeerEngagementGuide_Color_REVISED_10_2012.pdf

https://www.nasmhpd.org/sites/default/files/Benefits%20of%20Family%20Peer%20Support%20FIC%20SAMSHA%2

0Updated.pdf

https://www.nasmhpd.org/sites/default/files/PeerEngagementGuide_Color_REVISED_10_2012.pdfhttps://www.nasmhpd.org/sites/default/files/Benefits%20of%20Family%20Peer%20Support%20FIC%20SAMSHA%20Updated.pdf

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➢ Helping to Connect the Dots: ✓ Posting “Oklahoma CARES” Resource Poster in your office bathrooms

✓ Watching Resilience Film with your organization to inspire change

✓ Developing/Enhancing a “Trauma-Informed/Resilient Change Team”

✓ Conducting a TIC organizational assessment for baseline data and track progress

✓ Creating a Staff/Client Advisory Team (8-12 people/organization)

✓ Learning from trauma-informed trainings & facilitating discussions

✓ Strengthening policy and procedures with Advisory Team; include Trauma-

informed Supervision

✓ Providing a “warm handoff” for staff/clients to increase use of Employee

Assistance Programs (EAP), support groups, individual counseling, treatment, etc.

https://www.youtube.com/watch?v=We2BqmjHN0khttp://ok25by25.org/our-programs/resilience/http://www.traumainformedcareproject.org/downloadFile.php

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Trauma-Informed/

Resilient Process:

Create/Strengthen Internal “Trauma-informed/Resilience

Change Team”

(Champions)

Create/Strengthen a Client Advisory Team

(8-12 people/org)

Strengthen Policy & Procedures with Feedback from Advisory Team,

Staff, Leadership & Community Partners

On-going Trauma-informed/Resilience

trainings & discussions

Implementation(Resource Coordinator,

ERN, EAP, Support Groups, etc.)

*Start Here:

Trauma-informed/Resilient Organizational Assessment

(Measure Impact)

https://www.youtube.com/watch?v=We2BqmjHN0k

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➢ “Change happens at the speed of trust”

➢ Additional Resources Upon Request:*Please share with others & use in collaborative funding opportunities.

updated February 12, 2019

Questions and/or Technical Assistance? Please contact:

Adrienne B. Elder, MPH, CHES

Trainer, Facilitator, & Grant Writer for Coalitions

[email protected]

405-426-5431